Steadywag
Today
From his vet's written instructions, with times from his family's routine where the instructions don't give one.
Ursodiol: on his list, but not being given
Please don't give it.
What happened, and what's still openHide the details
- His vet prescribed it in Apr 2026, with the instruction to stop it at the first sign of pancreatitis.
- Later, a caregiver was told in person not to give it, after his bile duct problem settled.
- That was never written down, so his June and August medication lists still show it as current.
Open question for his vet
“Can the written medication list be corrected so ursodiol is no longer listed?”
Which visit gave the instruction isn't recorded either.
See it on Visit prep →His day
Breakfast
about 8:00 AM · Family routineHome-cooked food from the bags. Move the bag from the freezer to the fridge ahead of each meal.
Morning medications
about 8:30 AM, after breakfast · Family routineFenofibrate 67 mgonce a day
Give 1 capsule by mouth every 24 hours until otherwise directed. Vet records
Prednisone 10 mgonce a day
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 Vet records
His medication list says AM
Atopica (cyclosporine) 25 mgtwice a day (every 12 hours)
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. Vet records
Capsules kept in the freezer
Cerenia 16 mg3 times a week (Mon, Wed, Fri), plus as needed
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. Vet records
Monday, Wednesday, Friday per his list. His written instruction says as needed. Records disagree.
Records disagree, needs confirmation
Lunch
about 2:00 PM · Family routineHome-cooked food from the bags. Move the bag from the freezer to the fridge ahead of time.
Dinner
about 8:00 PM · Family routineA smaller portion than the other meals. Home-cooked food from the bags.
Evening medication
about 8:30 PM · Family routineAtopica (cyclosporine) 25 mgtwice a day (every 12 hours)
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. Vet records
Bedtime medication
at bedtime, on Monday, Wednesday and Friday · Family routinePenicillamine 90 mg3 times a week (Mon, Wed, Fri)
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. Vet records
Dental spray
before bed · Family routine3 sprays of dental spray. The family reports his vet approved it verbally. It is not in his records.
Food
Original recipe (August 2023, 491 kcal a day): 2 whole eggs (100 g), 50 g raw skinless chicken breast, 70 g dry white rice, half a teaspoon of fish oil, plus the supplement set. Current recipe, as listed in specialist reports since August 2024: 1 large egg, 75 g chicken breast, 70 g white rice, half a teaspoon of fish oil, with salt and a multivitamin.
Treats: Treats should not exceed 42 kcal a day, about 10 percent of daily energy. Keep them low in copper and sodium. Introduce them only after the diet is well tolerated.
Call the vet if he…
- stops eating for a day or more
- vomits more than once
- has blood in his stool or vomit, or black stool
- has yellow gums or eyes
- collapses, has a seizure, or has trouble breathing
- has a swollen, painful belly, or seems very unwell
Contact his vet or an emergency vet.
Activity
His records don't include an activity plan.
Ask at his next visit.