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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat
Satisfied Customers: 27373
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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Cat having seizures, 5-6 per day. On phenobarbital and

Customer Question

Cat having seizures, 5-6 per day. On phenobarbital and topiramate. Not getting better. Vet consulted neurologist and added topiramate 2 weeks ago. I can't afford MRI. Any thoughts? He started this 3 weeks after I adopted him. Seems to feel fine otherwise!
JA: I'm sorry to hear that. Seizures always look scary. Let's get you talking to the Veterinarian. What is the cat's name?
Customer: Nacho
JA: Is there anything else important you think the Veterinarian should know about Nacho?
Customer: About 6 years old, male.
Submitted: 7 days ago.
Category: Cat
Expert:  Dr. Michael Salkin replied 7 days ago.

You're speaking to Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply. Please be patient. This may take a few minutes.

Expert:  Dr. Michael Salkin replied 7 days ago.

I'm sorry that your question wasn't answered in a timely manner and I'm sorry to hear of this with Nacho. Refractory idiopathic (unknown cause) epilepsy, previous brain trauma, and brain tumor are the principle differential diagnoses in such a patient. Infection such as with toxoplasmosis needs to be considered bu unlikely if he appears "fine otherwise". At this point you have a few options:

1) Treat with an antibiotic of choice for toxoplasmosis - clindamycin or azithromycin - and see how Nacho responds.

2. Increase the dose of phenobarbital which when needed to do so can be increased up to 4X the current dose.

3. Add a different anticonvulsant to the phenobarbital such as levetiracetam or zonisamide.

Please respond with further questions or concerns if you wish.

Expert:  Dr. Michael Salkin replied 5 days ago.

I'm just following up on our conversation about your pet. How is everything going?

Dr. Michael Salkin

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