I am going to talk to Monkee's regular vet (Dr. Jones) about this because I am worried.  And I don't like how I was pretty much told to give up on a cat that doesn't look clinically sick!  What dying cat eats a human-sized portion of raw hamburger meat and chicken livers (with gusto!)?!  And has enough energy to rip the chicken livers to shreds!  Come on! 

Thanks for your insight- both of you.  I didn't know there was a feline anemia list serve.  I will try that too...

-Caroline


From: Belinda <[EMAIL PROTECTED]>
Reply-To: [email protected]
To: [email protected]
Subject: Re: To Belinda: Re: Anemia Issues
Date: Fri, 29 Jun 2007 10:20:45 -0700

        Epogen should be given 3 times a week to start one dose will do nothing, It sounds like your vet isn't familiar with how to use epogen.  It should be given 3 times a week and ONLY once the cat is in the normal range should that number be lowered.  Bailey got it 3 times a week for about 8 weeks, then it went to twice a week for a few weeks and then we went to once a week.  He was still getting it once a week when he passed from cancer.  He had been getting it for about 5 months and his HCT was still normal at 33% when the cancer took him.

Like I said almost ALL cats will have a drop in their HCT when they start epogen for the first 2 to 5 weeks, it can take 2 to 5 weeks to work, average is 2 or 3 weeks for it to kick in and in that time the HCT almost always drops, many vets will stop the epogen at that point thinking it's an antiboby reaction.  But I do know of a cat that took over 5 weeks and the standard starting dose wasn't enough for this cat, luckily her vet figured it out and upped the dose, the cat reversed it's anemia.

Another cat I know on the feline lymphoma list who had CRF related anemia problems along with his cancer lived 2 years on epogen before the cancer came out of remission for a 3rd time and took him.
--

Belinda
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