The Problems with Pepcid and Other Antacids. PPIs inhibit acid secretion more effectively than H2 blockers which is why they are carry a higher risk of any or all of these associated problems. Omeprazole (Prilosec) is the only one of the PPIs sold at pharmacies without a prescription, and dosages for cats can (unfortunately) easily be found online. Proton Pump Inhibitors (PPIs): Prilosec (omeprazole), Nexium (esomeprazole), Protonix (pantoprazole), and Prevacid (lansoprazole).
Although the risks are generally the same for both classes of acid suppressants (and the risk of toxicity the same for kidney disease or renal failure), the probability of experiencing these unhealthy and unwanted side-effects are greater with the proton pump inhibitors like Prilosec (omeprazole) (see references). It has also been demonstrated that the cascade of chemical impacts from the higher-than-normal gastric pH can cause an abnormally relaxed ileocecal valve, leading to translocation of bacteria from the large intestine into the small intestine, which enables SIBO (see above).
One of the most common health-related medicinal recommendations I see for cats experiencing gastrointestinal issues such as nausea, inappetence, and "overnight bile pukes" is Pepcid a/c (famotidine).
Adverse reactions that were reported in more than 1 subject (i.e. greater than or Conditions de conservation equal to 3% of subjects) aged 6 to 11 months exposed to Xyzal 1.25 mg once daily in the placebo-controlled safety trial and that were more common with Xyzal than placebo included diarrhea and constipation which were reported in 6 (13%) and 1 (4%) and 3 (7%) and 1 (4%) children in the Xyzal and placebo-treated groups, respectively. Children are a blessing. For example, some manufacturers may recommend, in the patient information leaflet, that a medicine is not given to children aged under 12 years.
In fact, Conditions de conservation the manufacturers of antacids specifically recommend lower doses for humans with impaired renal function - yet as in people, these cautions are often overlooked in caring for our cats. I know - those of you who have cats with kidney disease are saying, "But there is no cure." In Part 2, we share research that indicates most cats with kidney disease (unlike dogs and humans with CKD or CRF) suffer a nausea that is related to uremic toxins, not excess gastric acid, and is best treated centrally, not with antacids.
I have no idea why, just know how to make it work.
When you have finished reviewing my changes, please set the checked parameter below to true to let others know. The low gastric pH is needed to properly metabolize minerals (let alone derive those minerals from bone). Fosamax is also associated with increased reports of thigh bone fractures that may occur with long-term use of the drug. Have you ever prepared bone broth? Well, I did research on this last blazer and clothed article I found about it outstanding that if you have those symptoms to go off the Lipitor graciously.
