calici virus stomatitis

Re: calici virus stomatitis

Kate Richardson — Wed, 02 Feb 2011 23:15:14 GMT

Not sure anyone has done any long term studies. I would only tend to use it for a week or 2, or intermittently as needed. Is the cat showing any signs of oral discomfort? If not then I wouldn't necessarily use vetergesic. If chronic inflammation, I tend to use meloxicam long term. In my experience, safe long term as long as cat eating and drinking and behaving normally. I always reiterate with owners NOT to give it if they are off their food or even if they seem slightly unwell, as I firmly believe it is a safe drug as long as hydration is normal.

Re: calici virus stomatitis

claire shaw — Wed, 02 Feb 2011 21:20:03 GMT

Thank you everyone for help and advise. How long can you leave cats on oral vetergesic for?

Re: calici virus stomatitis

Martin Atkinson — Wed, 02 Feb 2011 11:08:41 GMT

My expereince is that when you have advanced lymphocytic-plasmocytic gingivo-stomatitis anti-viral treatment is of limited use and not cost effective. You could however try Famciclovir, it is effective against FHC but as FCV is an RNA virus I'm not so sure. Virbagen Omega works much better in the early stages and we should be doing more to identify FCV in all cases of gingivitis and treating aggressively much sooner. As Evelyn says there is a huge variation in what discomfort cats will tolerate and some look very sore but it doesn't bother them. If the cat can't eat without some sort of anti-inflammatory treatment that has to take preference over concerns with treating DM in cats on steroids and you may just have to increase the dose of insulin accordingly but check it hasn't got concurrent pancreatitis. I don't like Depomed as I think its too glucognenic and you'll get more waxing and waning which will affect stabilising the DM. Problem is if they are in a lot of discomfort getting alternate day preds in can be difficult and depot injections may be the only option. I don't like using NSAIDs long term in cats but it is an option. Like Evelyn I would also consider some long term antibiotic therapy and Convenia is erm...convenient if the cat won't take Antirobe easily. These can be very difficult cases to manage and sometimes we don't win so don't feel too bad about it, just explain to the client.

Re: calici virus stomatitis

Evelyn Barbour-Hill — Wed, 02 Feb 2011 00:04:55 GMT

[quote user="Rob Davis"]However some of these just never seem to resolve. I'm sure Evelyn will have more words of wisdom...[/quote]

I wish.

Try everything, one by one. Anecdotally, laser surgery has helped some, and cryotherapy others (though that sounds very dubious to me). Sometimes you end up with Depomedrone as last resort. Lately when doing that I've added Convenia every time I've given the Depomedrone, and the results seem to persist a bit better. That's a case series of one, so obviously meaningful.

Sorry, that's not much help with your diabetic case.

I think Diane Addie is a bit obsessed with "natural" food but I should say it's well worth a try. It could help with the diabetes too. Curiously, you can get some client resistance ("he wouldn't eat it").

Thalidomide? Lactoferrin? I think not.

P.S. Never mind the appearance of his mouth for a moment, are his symptoms severe? If not, consider not treating, or going for diet alone. The symptoms are not always proportional to the gross appearance: it can look very bad, but the cat eats fine, or there can be a lot of pain and trouble eating with an appearance that's only middling severe.

Re: calici virus stomatitis

Mark Hedberg — Tue, 01 Feb 2011 22:11:16 GMT

Brilliant website; I've actually got a suspected case of FGS...to think I was about to reach for the depo. *melodramatic shudder*

Re: calici virus stomatitis

Rob Davis — Tue, 01 Feb 2011 19:29:42 GMT

Have you looked at Dr Addie's website (http://www.dr-addie.com/stomatitis.html) - some excellent information on here. Are you certain that there are not root remnants remaining (very easy to leave behind in cats and impossible to tell without radiography). Dr Addie feels that additive free cat foods can help (she mentions applaws and Classic cat food). Long courses of antirobe can often help (I usually give for around 6 weeks at a time). However some of these just never seem to resolve. I'm sure Evelyn will have more words of wisdom...