Medications

What he takes now, how often, and how each drug has changed over time. This follows his specialist's written list and never changes it.

Current written schedule

As of the Aug 25, 2026 specialist report

Cerenia 16 mg
16 mg, 3 times a week (Mon, Wed, Fri), plus as needed
Records disagree, needs confirmation
His vet wrote: Give 1 tablet by mouth every 24 hours as needed for nausea or poor appetite. The medication list in the same report says Monday, Wednesday and Friday.
When: Family routine: about 8:30 AM, after breakfast.
For: Prevents nausea and vomiting
Atopica (cyclosporine) 25 mg
25 mg, twice a day (every 12 hours)
His vet wrote: Give 1 capsule by mouth every 12 hours until otherwise directed.
When: Vet records: His clinic's notes say to keep the capsules in the freezer to help limit side effects. His written instruction gives no time of day or food guidance.. Family routine: about 8:30 AM, after breakfast and about 8:30 PM.
For: Immune-modulating therapy for chronic hepatitis
Penicillamine 90 mg
90 mg, 3 times a week (Mon, Wed, Fri)
His vet wrote: Give 1 tablet by mouth 3 times weekly (Monday, Wednesday, Friday).
When: Vet records: His August 2026 list and instruction give no timing. His 2024 instructions, when it was every 12 hours, said to give it 2 hours before or 2 hours after a meal.. Family routine: at bedtime, on Monday, Wednesday and Friday.
For: Binds copper so the body can clear it
Prednisone 10 mg
10 mg, once a day
His vet wrote: Written as a 20 mg tablet: give 1/2 tablet by mouth every 24 hours until otherwise directed. The medication list in the same report says 10 mg every 24 hours, AM.
When: Vet records: AM, per his medication list. Family routine: about 8:30 AM, after breakfast.
For: Calms liver inflammation
Fenofibrate 67 mg
67 mg, once a day
His vet wrote: Give 1 capsule by mouth every 24 hours until otherwise directed.
When: Family routine: about 8:30 AM, after breakfast.
For: Lowers triglycerides
Ursodiol 80 mg
80 mg, once a day
Listed, not being given
His vet wrote: Give 1 capsule by mouth every 24 hours until otherwise directed. It is on the written list but was never given.
When: Not given. See below.
For: Bile flow support

Medications on his current written list, with his vet's instruction and when each is given
Medication	His vet's instruction	When	What it is for
Cerenia 16 mg Records disagree, needs confirmation	16 mg, 3 times a week (Mon, Wed, Fri), plus as needed As written: Give 1 tablet by mouth every 24 hours as needed for nausea or poor appetite. The medication list in the same report says Monday, Wednesday and Friday.	Family routine: about 8:30 AM, after breakfast	Prevents nausea and vomiting
Atopica (cyclosporine) 25 mg	25 mg, twice a day (every 12 hours) As written: Give 1 capsule by mouth every 12 hours until otherwise directed.	Vet records: His clinic's notes say to keep the capsules in the freezer to help limit side effects. His written instruction gives no time of day or food guidance. Family routine: about 8:30 AM, after breakfast and about 8:30 PM	Immune-modulating therapy for chronic hepatitis
Penicillamine 90 mg	90 mg, 3 times a week (Mon, Wed, Fri) As written: Give 1 tablet by mouth 3 times weekly (Monday, Wednesday, Friday).	Vet records: His August 2026 list and instruction give no timing. His 2024 instructions, when it was every 12 hours, said to give it 2 hours before or 2 hours after a meal. Family routine: at bedtime, on Monday, Wednesday and Friday	Binds copper so the body can clear it
Prednisone 10 mg	10 mg, once a day As written: Written as a 20 mg tablet: give 1/2 tablet by mouth every 24 hours until otherwise directed. The medication list in the same report says 10 mg every 24 hours, AM.	Vet records: AM, per his medication list Family routine: about 8:30 AM, after breakfast	Calms liver inflammation
Fenofibrate 67 mg	67 mg, once a day As written: Give 1 capsule by mouth every 24 hours until otherwise directed.	Family routine: about 8:30 AM, after breakfast	Lowers triglycerides
Ursodiol 80 mg Listed, not being given	80 mg, once a day As written: Give 1 capsule by mouth every 24 hours until otherwise directed. It is on the written list but was never given.	Not given. See below.	Bile flow support

His vet's written instructions come first. Where they give no time, the time shown is his family's own routine, labeled as such. Some medications are also given as needed for nausea or poor appetite.

Listed, but not being given: Ursodiol

Written list and real care differ

Ursodiol (80 mg, once a day) is on his June and August written medication lists. It was never given: a caregiver at the visit was told verbally not to, after the bile duct problem settled by itself. Nothing written records that, so anyone covering his medications from the paperwork would think it is current.

Still missing: which visit gave the instruction. Family: Does not remember which visit it was. The family's sitter routine (September 2026) does not include ursodiol either. The fix is to ask his team to correct the written list.

History of every drug

18 entries

Drugs that were stopped and restarted show each period separately, because the written lists alone hide that.

Atopica (cyclosporine)

25 mg, twice a day (every 12 hours)Stopped
Oct 11, 2024 to Oct 16, 2024 · Immune-modulating therapy for chronic hepatitis
Started 10/11/2024 at a low dose because of his sensitive stomach. Stopped 10/16/2024 after a suspected reaction: lethargy, refusing food and water, and loose yellow stool. It restarted 10/29/2024 (second period below).
25 mg, twice a day (every 12 hours)Active
Oct 29, 2024 to now · Immune-modulating therapy for chronic hepatitis
Restarted 10/29/2024 after his team and the family agreed the reaction may have been coincidental timing. No recurrence since. The capsules are kept in the freezer to help limit side effects. Same dose as before: 25 mg every 12 hours. Still listed as current in the August 25, 2026 specialist report, so no change since then.
Timing in his records: His clinic's notes say to keep the capsules in the freezer to help limit side effects. His written instruction gives no time of day or food guidance.

Cerenia

16 mg, 3 times a week (Mon, Wed, Fri), plus as neededActive
Apr 30, 2023 to now · Prevents nausea and vomiting
Given with penicillamine days and as needed for nausea or poor appetite. Daily during the February 2026 flares. Still listed as current in the August 25, 2026 specialist report, so no change since then.
Records disagree, needs confirmation. The August 25, 2026 medication list says 16 mg on Monday, Wednesday and Friday. The written instruction in the same report says every 24 hours as needed for nausea or poor appetite.

Fenofibrate

67 mg, once a dayActive
Mar 11, 2026 to now · Lowers triglycerides
Prescribed 3/10/2026 after triglycerides above 1000. Still listed as current in the August 25, 2026 specialist report, so no change since then.

Penicillamine

90 mg, once a day, then twice a day (every 12 hours)Stopped
Apr 16, 2023 to Jun 30, 2023 · Binds copper so the body can clear it
Started once daily, moved to twice daily on 2023-04-30. Caused vomiting after morning doses. Stopped 6/30/2023.
90 mg, twice a day (every 12 hours)Stopped
Oct 24, 2023 to Dec 5, 2024 · Binds copper so the body can clear it
The specialist asked for a restart on 9/29/2023. The 12/8/2023 report says it restarted about six weeks earlier, so about 10/24. Stopped 12/5/2024 while a pathologist reviewed a low neutrophil count. The review found the neutrophils normal, and it was restarted 12/10/2024.
90 mg, 3 times a week (Mon, Wed, Fri)Active
Dec 10, 2024 to now · Binds copper so the body can clear it
Restarted at a lower maintenance schedule on 12/10/2024. Still listed as current in the August 25, 2026 specialist report, so no change since then.
Timing in his records: His August 2026 list and instruction give no timing. His 2024 instructions, when it was every 12 hours, said to give it 2 hours before or 2 hours after a meal.

Prednisone

10 mg, once a dayStopped
Dec 8, 2023 to Feb 8, 2024 · Calms liver inflammation
Started at the 12/8/2023 visit. A steroid was chosen over the other options so the diet would not need to change.
20 mg, once a dayStopped
Feb 8, 2024 to Dec 10, 2024 · Calms liver inflammation
Doubled to 2 mg per kg at the 2/8/2024 visit. Side effects over this period: tail hair thinning, longer urination and weight gain.
10 mg, once a dayActive
Dec 10, 2024 to now · Calms liver inflammation
Lowered on 12/10/2024. A taper was planned once the low neutrophil count was explained. Still listed as current in the August 25, 2026 specialist report, so no change since then.
Timing in his records: His medication list says AM.

Clavamox

short courseStopped
Dec 5, 2024 to Dec 10, 2024 · Precaution while a low neutrophil count was checked
An antibiotic started 12/5/2024 as a precaution while the low neutrophil count was reviewed. Stopped 12/10/2024 once the pathologist found the neutrophils normal.

Denamarin

225 mg, once a dayStopped
Nov 10, 2022 · Liver support
Start date from the owner's summary. Not on the medication list after early 2023.

Entyce

oral liquid, as neededStopped
Oct 16, 2024 · Appetite stimulant
First prescribed at the 10/16/2024 emergency visit and used during the February and March 2026 flares. Not on the regular medication list.

Proviable

1 capsule, once a dayStopped
Oct 16, 2024 · Gut support
Started at the 10/16/2024 emergency visit for gut support and continued by the family after Atopica (cyclosporine) was restarted. On the May 2025 list, not on 2026 lists.

Tramadol

25 mg (half of a 50 mg tablet), every 8 to 12 hours as neededStopped
Mar 10, 2023 to Mar 17, 2023 · Pain after the liver biopsy
Short course after the biopsy. End date approximate.

Ursodiol

80 mg, once a dayListed, not given
Apr 22, 2026 · Bile flow support
Prescribed 4/22/2026 with instructions to stop at the first sign of pancreatitis. It is still on the June and August written medication lists, but it was never given: the caregiver at the visit was told verbally not to give it, after the bile duct problem settled by itself. The written record and actual care do not match, and no one who missed the visit would know.
Records disagree, needs confirmation

Vitamin B12 (cobalamin)

Weekly injection, then 250 mcg by mouth, weekly, then once a dayStopped
Jan 1, 2023 · Low B12
Injection series early 2023, then daily by mouth with folate (200 mcg) by June 2023. Not listed after 2023.

Zofran

4 mg, once a dayStopped
May 1, 2023 to Jun 2, 2023 · Nausea from penicillamine
Replaced by Cerenia, which worked better.