Felimazole (for treatment of Hyperthyroidism)

Hyperthyroidism can take away their health.

Help restore it.

What What is is hyperthyroidism? hyperthyroidism?

CatsCats withwith hyperthyroidism hyperthyroidism have have a thyroid a thyroid gland gland thatthat is producing is producing excessive excessive amounts amounts of thyroid of thyroid hormones. hormones.

ThisThis causes causes a dramatic a dramatic increase increase in the in the body’s body’s metabolic metabolic rate.rate.

The not

A brief A brief description description

Hyperthyroidism Hyperthyroidism occurs occurs when when the the thyroid thyroid gland gland over-produces over-produces thyroid thyroid hormones. hormones.

YourYour cat’scat’s thyroid thyroid gland gland is located is located in itsinneck. its neck.

It isItdivided is divided intointo twotwo parts, parts, called called lobes, lobes, which which lie on lie either on either sideside of the of the windpipe windpipe (trachea). (trachea).

When When a cat a cat hashas hyperthyroidism, hyperthyroidism, either either oneone or or bothboth of the of the thyroid thyroid lobes lobes become become enlarged enlarged (both (both lobes lobes are are affected affected in 70% in 70% of cases). of cases).

ThisThis leads leads to to excessive excessive production production of the of the thyroid thyroid hormones hormones T4 T4 (also(also known known as thyroxine) as thyroxine) andand T3 (also T3 (also known known as as triiodothyronine). triiodothyronine).

These These hormones: hormones: • Are • Are essential essential for proper for proper growth growth of body of body cellscells andand the the development development of these of these cellscells for specific for specific roles roles in the in the body. body.

• Help • Help regulate regulate the the metabolism metabolism of protein, of protein, fat and fat and carbohydrates carbohydrates by cells. by cells.

• Are • Are involved involved in the in the regulation regulation of heat of heat production production andand oxygen oxygen consumption consumption andand therefore therefore a wide a wide range range of metabolic of metabolic processes. processes.

As aAs result, a result, an excess an excess of thyroid of thyroid hormones hormones affects affects the the function function of virtually of virtually every every organ organ system. system.

In 9 is b dia and the gro

Wh is t rele

?

oid

o 4

nd s

d

n

ts

What What causes causes hyperthyroidism? hyperthyroidism?

TheThe reasons reasons for the for the change change in the in the thyroid thyroid gland gland are are not not fullyfully known. known.

In 98% In 98% of cases, of cases, the the enlargement enlargement of the of the lobe(s) lobe(s) is benign is benign andand non-cancerous. non-cancerous.

In these In these cases, cases, diagnosis diagnosis andand treatment treatment are are bothboth straightforward straightforward andand successful. successful.

In the In the remaining remaining 2%2% of cases, of cases, the the enlargement enlargement is due is due to ato malignant a malignant cancerous cancerous growth growth of the of the thyroid thyroid gland. gland.

Whatever Whatever the the cause cause of the of the enlargement, enlargement, the the result result is the is the same same – excess – excess thyroid thyroid hormones hormones are are released. released.

Recognizing the signs Recognizing the signs ofof hyperthyroidism hyperthyroidism

C •

Hyperthyroidism is most often seen in older cats.

Hyperthyroidism is most often seen in older cats. hyperthyroidism produce thyroid CatsCats withwith hyperthyroidism produce thyroid hormones in excess, which leads a dramatic hormones in excess, which leads to ato dramatic increase in their metabolic increase in their metabolic rate.rate.

As the metabolism of each increases As the metabolism of each cell cell increases theythey require more energy to function.

This means require more energy to function. This means thatthat a a cat with hyperthyroidism has to eat an exceedingly cat with hyperthyroidism has to eat an exceedingly large amount of food to provide energy. large amount of food to provide thisthis energy.

As the condition progresses, it becomes As the condition progresses, it becomes increasingly difficult a cat to eat enough increasingly difficult for afor cat to eat enough foodfood to provide huge amount of energy required, to provide the the huge amount of energy required, so they to lose weight. is why most so they startstart to lose weight.

ThisThis is why the the most common clinical in cats hyperthyroidism common clinical signsign in cats withwith hyperthyroidism is weight despite a ravenous appetite. is weight loss,loss, despite a ravenous appetite. increased metabolic causes other TheThe increased metabolic raterate alsoalso causes other changes, including a rapid heart changes, including a rapid heart rate.rate.

• • • •

• • •

No wa sig to k hab

If y hea vet

.

a gly

t m

Common signs look Common signs toto look forfor Increased, even ravenous, • •Increased, even ravenous, appetite appetite Weight loss, sometimes severe • •Weight loss, sometimes severe Increased fluid intake • •Increased fluid intake Frequent urination • •Frequent urination Increased restlessness and • •Increased restlessness and irritability irritability Occasional vomiting • •Occasional vomiting Diarrhea • •Diarrhea unkempt coat • •AnAn unkempt coat all cats react to the disease in the same NotNot all cats will will react to the disease in the same display allthese of these wayway andand youryour cat cat maymay not not display all of signs.

Whenever possible, is always a good signs.

Whenever possible, it is italways a good ideaidea to keep a note of the changes in your to keep a note of the changes youyou seesee in your cat’scat’s habits, behavior appearance. habits, behavior andand appearance.

If you become concerned about If you become concerned about youryour cat’scat’s health well-being, should consult health andand well-being, youyou should consult youryour veterinarian immediately. veterinarian immediately.

Ph Diagnosing Diagnosing hyperthyroidism hyperthyroidism When When hyperthyroidism hyperthyroidism is suspected, is suspected, diagnosis diagnosis is is normally normally straightforward. straightforward.

In s fee Oc felt loc

D

To per hor are hyp acc

Sin old com to a the Kid hyp sin

Blo oth trea cau

Physical Physical examination examination In some In some cases, cases, youryour veterinarian veterinarian will will be able be able to to feelfeel the the enlarged enlarged thyroid thyroid lobes lobes in your in your cat’scat’s neck. neck.

Occasionally, Occasionally, the the thyroid thyroid gland gland cannot cannot be easily be easily felt.felt.

ThisThis happens happens when when the the thyroid thyroid tissue tissue is is located located elsewhere, elsewhere, usually usually inside inside youryour cat’scat’s chest. chest.

Diagnostic Diagnostic tests tests To confirm To confirm the the diagnosis, diagnosis, youryour veterinarian veterinarian will will perform perform a blood a blood testtest to measure to measure levels levels of the of the T4 T4 hormone. hormone.

Although Although bothboth the the T4 and T4 and T3 hormones T3 hormones are are produced produced in excess in excess in ain cat a cat suffering suffering fromfrom hyperthyroidism, hyperthyroidism, totaltotal T4 measurement T4 measurement is the is the most most accurate accurate testtest available. available.

Since Since most most catscats withwith hyperthyroidism hyperthyroidism are are older, older, youryour veterinarian veterinarian will will alsoalso recommend recommend comprehensive comprehensive blood blood testing testing andand a urinalysis, a urinalysis, to assess to assess youryour cat’scat’s organ organ function function andand ensure ensure theythey do not do not suffer suffer fromfrom anyany other other problems. problems.

Kidney Kidney disease, disease, although although not not directly directly linked linked to to hyperthyroidism, hyperthyroidism, maymay develop develop at the at the same same timetime since since bothboth diseases diseases are are common common in older in older cats. cats.

Blood Blood tests tests andand a urinalysis a urinalysis are are important important because because other other conditions conditions might might affect affect the the successful successful treatment treatment of hyperthyroidism of hyperthyroidism andand could could alsoalso be be causing causing harm harm to your to your cat.cat.

Th tr What I need know What dodo I need toto know about FELIMAZOLE about FELIMAZOLE Coated Tablets?

Coated Tablets?

FELIMAZOLE Coated Tablets FELIMAZOLE Coated Tablets contain active ingredient contain thethe active ingredient methimazole and given methimazole and areare given to to your every block your catcat every dayday to to block thethe production thyroid hormones. production of of thyroid hormones.

Hyp esp gro brin bac retu dev dis car

St

In o leve pre per

You cat sui you you

Lo tr

If y FEL con res

If y FEL con hav tha me you hea

The importance The importance ofof treatment treatment Hyperthyroidism be treated successfully, Hyperthyroidism cancan be treated veryvery successfully, especially since develop cancerous especially since veryvery fewfew catscats develop cancerous growths of the thyroid gland.

Treatment involve growths of the thyroid gland.

Treatment will will involve bringing of thyroid hormones in the blood bringing the the levellevel of thyroid hormones in the blood back to normal, enabling metabolic back to normal, enabling the the metabolic raterate to to return to normal.

If left untreated, return to normal.

If left untreated, youryour cat cat maymay develop other serious conditions such as heart develop other serious conditions such as heart disease, commonly referred tohypertrophic as hypertrophic disease, commonly referred to as cardiomyopathy, even blood pressure. cardiomyopathy, andand even highhigh blood pressure.

Stabilization Stabilization In order to stabilize thyroid hormone In order to stabilize youryour cat’scat’s thyroid hormone levels, is common for your veterinarian levels, it is itcommon for your veterinarian to to prescribe FELIMAZOLE Coated Tablets for initial an initial prescribe FELIMAZOLE Coated Tablets for an period of three weeks. period of three weeks. veterinarian assess monitor YourYour veterinarian will will thenthen assess andand monitor youryour response to therapy discuss most cat’scat’s response to therapy andand discuss the the most suitable long-term treatment option.

Always advise suitable long-term treatment option.

Always advise veterinarian of any changes notice youryour veterinarian of any changes youyou notice withwith once begin therapy. youryour cat cat once theythey begin therapy.

Long-term medical Long-term medical treatment treatment If your hyperthyroidism is treated using If your cat’scat’s hyperthyroidism is treated using FELIMAZOLE Coated Tablets, FELIMAZOLE Coated Tablets, thisthis will will not not curecure the the condition. need to treated be treated for the condition.

YourYour cat cat will will need to be for the oflife. its life. restrest of its If your veterinarian recommends If your veterinarian recommends longlong termterm useuse of of FELIMAZOLE Coated Tablets, monitoring of FELIMAZOLE Coated Tablets, monitoring of theirtheir condition is very important. need condition is very important.

YourYour cat cat will will need to to have regular blood tests.

These tests will ensure have regular blood tests. These tests will ensure is receiving correct amount thatthat youryour cat cat is receiving the the correct amount of of medication.

Routine blood tests will also allow medication. Routine blood tests will also allow veterinarian to make remains youryour veterinarian to make suresure youryour cat cat remains as as healthy as possible as it gets older. healthy as possible as it gets older.

What you can expect What you can expect sooner begins treatment, sooner TheThe sooner youryour cat cat begins treatment, the the sooner relief clinical signs youryour cat cat will will get get relief fromfrom the the clinical signs of of hyperthyroidism. hyperthyroidism.

Today: Today:

Begin treating cat’s hyperthyroidism Begin treating youryour cat’s hyperthyroidism withwith FELIMAZOLE Coated Tablets as per FELIMAZOLE Coated Tablets as per youryour veterinarian’s instructions. veterinarian’s instructions.

3 weeks: In In 3 weeks:

veterinarian assess cat’s response YourYour veterinarian will will assess youryour cat’s response to FELIMAZOLE Coated Tablets by evaluating to FELIMAZOLE Coated Tablets by evaluating the the clinical signs performing blood tests. clinical signs andand performing blood tests.

YourYour veterinarian adjust dose at this time. veterinarian maymay adjust the the dose at this time.

6 weeks: In In 6 weeks:

schedule an appointment YouYou will will schedule an appointment withwith youryour veterinarian to continue monitoring early veterinarian to continue monitoring the the early stages of therapy if needed, make stages of therapy and,and, if needed, make adjustments in the dosage of FELIMAZOLE adjustments in the dosage of FELIMAZOLE Coated Tablets.

Coated Tablets.

In most cases, within 6 weeks of starting In most cases, within 3 to36toweeks of starting therapy FELIMAZOLE Coated Tablets, therapy withwith FELIMAZOLE Coated Tablets, youyou expect to see following improvements: cancan expect to see the the following improvements: • Decrease in excessive appetite • Decrease in excessive appetite • Decrease in hyperactivity • Decrease in hyperactivity • Decrease in anxiousness • Decrease in anxiousness • Decrease in water consumption • Decrease in water consumption • Decrease in urination • Decrease in urination • Decrease in vomiting diarrhea • Decrease in vomiting andand diarrhea • Improved • Improved hairhair coatcoat

Ongoing: Ongoing:

Once veterinarian happy Once youyou andand youryour veterinarian are are happy withwith cat’s progress, veterinarian establish youryour cat’s progress, youryour veterinarian will will establish an ongoing monitoring schedule.

However, an ongoing monitoring schedule.

However, youyou should veterinarian if the clinical signs should call call youryour veterinarian if the clinical signs of of hyperthyroidism recur if your hyperthyroidism recur or iforyour becomes cat cat becomes ill. ill.

How How toto give give your your cat cat aa FELIMAZOLE FELIMAZOLE Coated Coated Tablet Tablet 1. 1.

Gently, Gently, but but firmly, firmly, grasp grasp youryour cat’s cat’s head. head.

If you If you are are right-handed right-handed useuse youryour left left hand; hand; if you if you are are left-handed left-handed useuse youryour rightright hand. hand.

Place Place youryour palm palm on their on their head. head.

Put Put youryour thumb thumb andand forefinger forefinger on the on the sideside of its of face, its face, justjust behind behind its jaw. its jaw.

TheThe cat’s cat’s cheek-bones cheek-bones allow allow youyou to hold to hold the the head head firmly firmly without without causing causing discomfort. discomfort.

Avoid Avoid holding holding the the lower lower jaw jaw andand don’t don’t squeeze squeeze the the throat. throat.

TheThe tipstips of your of your thumb thumb andand index index finger finger should should be be positioned positioned at opposite at opposite corners corners of the of the mouth mouth on on the the cat’s cat’s upper upper gumgum line.line.

1. 1.

2. 2.

4.

far the the to k

4.

5.

mo pill mo

6.

2. 2.

Gently Gently tilt the tilt the head head back back so the so the eyeseyes are are facing facing

upward upward andand the the nose nose is pointing is pointing towards towards the the ceiling. ceiling.

TheThe mouth mouth should should naturally naturally startstart to open. to open.

If the If the cat cat does does not not open open its mouth, its mouth, youyou cancan ease ease the the mouth mouth open open by squeezing by squeezing youryour thumb thumb andand finger finger together together andand applying applying gentle gentle pressure pressure at the at the corners corners of the of the mouth. mouth.

3. 3.

Place Place the the pill between pill between the the thumb thumb andand

forefingers forefingers of your of your other other hand. hand.

UseUse youryour ringring finger finger or middle or middle finger, finger, open open youryour cat’scat’s mouth mouth further further by by applying applying pressure pressure on the on the frontfront of the of the lower lower jaw jaw (bottom (bottom frontfront teeth). teeth).

CatsCats have have no strength no strength in the in the lower lower jaw jaw in this in this position position andand cannot cannot bite.bite.

Ge the cau hea

7.

to m spi wa tha wh

8.

had fav Ma oth cat pill

et

ou

4. 4.

After After the the mouth mouth is fully is fully open, open, place place the the pill as pill as

far back far back in the in the mouth mouth as possible. as possible.

TheThe “target” “target” is is the the v-shaped v-shaped areaarea at the at the back back of the of the throat throat where where the the tongue tongue meets meets the the roofroof of the of the mouth. mouth.

Continue Continue to keep to keep the the cat’scat’s head head pointed pointed upwards. upwards.

m

g

ng

4. 4.

6. 6.

5. 5.

Once Once the the pill is pillpositioned is positioned in the in the back back of the of the

mouth, mouth, it isitunlikely is unlikely the the cat cat will will spitspit it out. it out.

If the If the pill gets pill gets under under the the tongue tongue or onto or onto the the sideside of the of the mouth, mouth, the the cat cat maymay spitspit it back it back out.out.

6. 6.

Close Close youryour cat’scat’s mouth mouth andand holdhold it closed. it closed.

Gently Gently blow blow a puff a puff of air ofin airyour in your cat’scat’s nose nose or rub or rub theirtheir throat. throat.

ThisThis stimulates stimulates youryour cat cat to lick to lick its nose, its nose, causing causing it toitswallow. to swallow.

If this If this does does not not work, work, tilt their tilt their head head back back a little a little andand try again. try again.

.

he

ger y

e

7. 7.

Let Let go and go and watch watch the the cat cat for afor few a few moments moments

to make to make suresure it doesn’t it doesn’t spitspit out out the the pill. pill.

If it If does it does spitspit out out the the pill, pill, throw throw it away it away andand startstart again. again.

AlsoAlso watch watch for lip forlicking lip licking motions motions which which usually usually indicate indicate thatthat the the pill has pill has been been swallowed. swallowed.

Wash Wash hands hands when when done. done.

8. 8.

Don’t Don’t let your let your cat cat make make a hasty a hasty exitexit once once it has it has hadhad the the pill. pill.

Praise Praise youryour cat cat andand givegive it a ittreat, a treat, a a favorite favorite canned canned foodfood or play or play withwith a favorite a favorite toy.toy.

Make Make the the pill-taking pill-taking justjust a small a small partpart of an of an otherwise otherwise positive positive experience experience andand you’ll you’ll findfind youryour cat cat is more is more cooperative cooperative the the nextnext timetime it is itgiven is given a a pill. pill.

What if you’re still What toto dodo if you’re still having trouble giving your having trouble giving your cat a FELIMAZOLE cat a FELIMAZOLE Coated Tablet Coated Tablet

In t ste FEL you the

1.

“po FEL on cat

2.

che adm you cor tha bet

3.

bla Tak are ava the out som sta

4.

giv pill you Som Alte and reg

r

In the majority of cases, following previous In the majority of cases, following the the previous steps allow to successfully steps will will allow youyou to successfully givegive a a FELIMAZOLE Coated Tablet to your However FELIMAZOLE Coated Tablet to your cat.cat.

However if if finding it difficult to get to take youyou are are still still finding it difficult to get youryour cat cat to take following hints helpful: the the pill, pill, youyou maymay findfind the the following hints helpful: veterinarian about coatings 1. 1.

AskAsk youryour veterinarian about coatings or or

“pockets” cover pill with. “pockets” thatthat youyou cancan cover the the pill with.

FELIMAZOLE Coated Tablets have a sugar coating FELIMAZOLE Coated Tablets have a sugar coating on them, so they generally do not taste to the on them, so they generally do not taste badbad to the some prefer other flavorings. cat,cat, but but some catscats prefer other flavorings.

Have a friend 2. 2.

Have a friend holdhold youryour cat’scat’s frontfront legslegs andand

chest to keep it still while concentrate chest to keep it still while youyou concentrate on on administering If you’re pilling administering the the pill. pill.

If you’re pilling the the cat cat yourself, so that it can’t back away. yourself, holdhold the the cat cat so that it can’t back away.

A A corner works Or kneel down, corner works well.well.

Or kneel down, turnturn the the cat cat so so it faces away cradle it gently thatthat it faces away fromfrom you,you, andand cradle it gently between knees so you have hands between youryour knees so you have bothboth hands free.free.

try wrapping snugly 3. 3.

YouYou cancan alsoalso try wrapping youryour cat cat snugly in ain a

blanket or towel so that head protrudes. blanket or towel so that onlyonly the the head protrudes. to tuck all four paws.

There TakeTake carecare to tuck in allinfour legslegs andand paws.

There several brands of professional Sacs” are are several brands of professional “Cat“Cat Sacs” available these available thatthat youyou cancan use.use.

WithWith these youyou cancan zip zip a bag leave its head peeking the the cat cat intointo a bag andand leave onlyonly its head peeking If you having difficulties, it also helps to get out.out.

If you are are having difficulties, it also helps to get some professional advice veterinarian’s some professional advice fromfrom youryour veterinarian’s staff.

They generally experts at medicating cats. staff.

They are are generally experts at medicating cats.

Although FELIMAZOLE Coated Tablet 4. 4.

Although FELIMAZOLE Coated Tablet are are bestbest

given directly to your try hiding given directly to your cat,cat, youyou cancan try hiding the the pill in food.

However you should watch your pill in food. However you should watch your cat cat so so you can be sure they have actually taken the you can be sure they have actually taken the pill. pill.

Some Some catscats will will eat eat the the foodfood andand spitspit out out the the pill. pill.

Alternatively, hide the pill in a small amount of food Alternatively, hide the pill in a small amount of food and offer it as a treat before feeding your cat and offer it as a treat before feeding your cat its its regular meal. regular meal.

Continuous care Continuous care

Q

Your catcat willwill need to to bebe carefully Your need carefully monitored and returned forfor monitored and returned follow-up appointments onon follow-up appointments a regular basis. a regular basis.

An ma Co

A series of blood tests will will need to be out out A series of blood tests need to carried be carried before starting treatment, andand afterafter 3 weeks andand 6 6 before starting treatment, 3 weeks weeks of treatment, andand thenthen every three months weeks of treatment, every three months thereafter.

YourYour veterinarian maymay alsoalso recommend thereafter. veterinarian recommend repeating bloodwork afterafter anyany change in dosing. repeating bloodwork change in dosing.

Assessing the the response to treatment in this wayway Assessing response to treatment in this enables the the veterinarian to ensure the the dose of of enables veterinarian to ensure dose FELIMAZOLE Coated Tablets is appropriate, FELIMAZOLE Coated Tablets is appropriate, monitor for possible side-effects to FELIMAZOLE monitor for possible side-effects to FELIMAZOLE Coated Tablet therapy, andand check for the Coated Tablet therapy, check for the development of any unrelated complications. development of any unrelated complications.

After these initial appointments andand once youryour After these initial appointments once veterinarian is happy thatthat youryour cat cat is stable, youyou will will veterinarian is happy is stable, normally justjust need to visit every three months for for normally need to visit every three months monitoring of your cat’scat’s condition.

Over timetime it may monitoring of your condition.

Over it may be necessary for your veterinarian to adjust the the be necessary for your veterinarian to adjust dose of FELIMAZOLE Coated Tablets prescribed. dose of FELIMAZOLE Coated Tablets prescribed.

FELIMAZOLE Coated Tablets willwill resolve the the FELIMAZOLE Coated Tablets resolve outward signs of hyperthyroidism while your outward signs of hyperthyroidism while your cat cat is being treated butbut theythey willwill notnot cure the the is being treated cure disease.

Even if you notice dramatic physical disease.

Even if you notice dramatic physical improvements to your cat’s health this does notnot improvements to your cat’s health this does mean you should stop treatment. mean you should stop treatment.

W Ta

FEL ant pro

Ho Co

Fol FEL dire tab

W at

Spe dou am of m VET res

Ho tre

To will Tab you rea

t 6 s nd

E

will

Quick reference guide Quick reference guide Answers to to some questions youyou Answers some questions may have about FELIMAZOLE may have about FELIMAZOLE Coated Tablets Coated Tablets What areare FELIMAZOLE Coated What FELIMAZOLE Coated Tablets and how dodo they work?

Tablets and how they work?

FELIMAZOLE Coated Tablets contain the the FELIMAZOLE Coated Tablets contain anti-thyroid drugdrug methimazole, which inhibits the the anti-thyroid methimazole, which inhibits production of T4 T3 within the the thyroid gland. production of and T4 and T3 within thyroid gland.

How dodo I give FELIMAZOLE How I give FELIMAZOLE Coated Tablets to to mymy cat?

Coated Tablets cat?

Follow the the instructions given by your veterinarian.

Follow instructions given by your veterinarian.

FELIMAZOLE Coated Tablets are are bestbest given FELIMAZOLE Coated Tablets given directly to your cat,cat, but but the the small, sugar-coated directly to your small, sugar-coated tablets cancan alsoalso be hidden in the food. tablets be hidden in the food.

may

d.

ot

What should I do if Iifforget to to give What should I do I forget give a tablet? a tablet?

Speak to your veterinarian.

DO DO NOTNOT givegive a a Speak to your veterinarian. double dose nextnext time.

If your cat cat is due to have double dose time.

If your is due to have a monitoring blood testtest within a couple of days a monitoring blood within a couple of days of missing a tablet, MAKE SURE YOU LETLET YOUR of missing a tablet, MAKE SURE YOU YOUR VETERINARIAN KNOW as itas could affect the the blood VETERINARIAN KNOW it could affect blood results. results.

How long willwill mymy catcat require How long require treatment? treatment?

To maintain the the inhibition of T4 T3, T3, youryour cat cat To maintain inhibition of and T4 and will will need to be dosed with FELIMAZOLE Coated need to be dosed with FELIMAZOLE Coated Tablets every dayday for the restrest of their life or Tablets every for the of their lifeuntil or until youryour veterinarian recommends stopping it forit other veterinarian recommends stopping for other reasons. reasons.

Will Will I need I need to to revisit revisit mymy veterinarian? veterinarian?

Yes.Yes. It isItimportant is important thatthat youryour cat cat revisits revisits youryour veterinarian veterinarian for assessment for assessment andand monitoring monitoring tests. tests.

These These are are recommended recommended afterafter 3 weeks 3 weeks andand 6 6 weeks weeks of treatment, of treatment, andand thenthen every every three three months months thereafter. thereafter.

YourYour veterinarian veterinarian maymay alsoalso recommend recommend repeating repeating bloodwork bloodwork afterafter anyany change change in dosing. in dosing.

D

•

•

•

DoDo FELIMAZOLE FELIMAZOLE Coated Coated Tablets Tablets have have any any side-effects? side-effects?

As with As with all drugs, all drugs, sideside effects effects maymay occur. occur.

TheThe most most commonly commonly reported reported sideside effects effects are are anorexia, anorexia, vomiting, vomiting, head/facial head/facial pruritus pruritus (itching) (itching) or edema or edema (swelling), (swelling), depression/lethargy, depression/lethargy, weight weight loss,loss, anemia, anemia, elevated elevated liverliver enzymes, enzymes, skinskin lesions, lesions, elevated elevated BUN BUN (kidney (kidney enzyme), enzyme), diarrhea, diarrhea, andand thrombocytopenia thrombocytopenia (low(low platelet platelet levels). levels).

In some In some reported reported cases, cases, the the patients patients recovered recovered afterafter adverse adverse signs signs were were recognized, recognized, the the drugdrug waswas withdrawn, withdrawn, andand veterinary veterinary carecare waswas applied. applied.

In some In some cases, cases, death death (or euthanasia) (or euthanasia) hashas been been reported reported as an as outcome an outcome of the of the adverse adverse reactions reactions listed listed above. above.

If you If you notice notice anyany signs signs of your of your cat cat becoming becoming ill, stop ill, stop administering administering the the medication medication andand consult consult youryour veterinarian veterinarian as soon as soon as possible. as possible.

FELIMAZOLE FELIMAZOLE Coated Coated Tablets Tablets are are a prescription a prescription onlyonly medicine medicine andand should should onlyonly be used be used under under the the advice advice of aof a licensed veterinarian. licensed veterinarian.

It isIt is important follow important thatthat youyou follow instructions given the the instructions given by by veterinarian. youryour veterinarian.

•

D

•

•

•

En pre Tab ph thi FE ou ca dis

Mo pe ca

Do: Do:

s.

• Take • Take youryour cat cat back back to your to your veterinarian veterinarian for for regular regular monitoring. monitoring.

s nd

• Contact • Contact youryour veterinarian veterinarian immediately immediately if if youryour cat cat stops stops eating eating or becomes or becomes ill while ill while on on FELIMAZOLE FELIMAZOLE Coated Coated Tablets.

Tablets.

ost

mia, UN a

th e

• Wash • Wash hands hands withwith soap soap andand water water afterafter using using FELIMAZOLE FELIMAZOLE Coated Coated Tablets Tablets or after or after handling handling litterlitter used used by treated by treated animals. animals.

• Wear • Wear gloves gloves when when handling handling litterlitter of treated of treated catscats if you if you are are a woman a woman of child-bearing of child-bearing ageage or are or are pregnant. pregnant.

Wear Wear gloves gloves when when handling handling FELIMAZOLE FELIMAZOLE Coated Coated Tablets Tablets if you if you are are pregnant pregnant or lactating. or lactating.

Don’t: Don’t: • Change • Change the the dose dose without without advice advice fromfrom youryour veterinarian veterinarian • Eat, • Eat, drink drink or smoke or smoke while while handling handling tablets tablets or or used used litterlitter • Crush • Crush tablets tablets

Ensure Ensure youyou continue continue giving giving your your cat cat the the prescribed prescribed dose dose of FELIMAZOLE of FELIMAZOLE Coated Coated Tablets Tablets every every day.day.

Even Even if you if you notice notice dramatic dramatic physical physical improvements improvements to your to your cat’s cat’s health health thisthis does does notnot mean mean youyou should should stop stop treatment. treatment.

FELIMAZOLE FELIMAZOLE Coated Coated Tablets Tablets willwill resolve resolve outward outward signs signs of hyperthyroidism of hyperthyroidism while while your your cat cat is being treated butbut theythey willwill notnot cure the the is being treated cure disease. disease.

Monitoring is important andand regular checks Monitoring is important regular checks performed performed by your by your veterinarian veterinarian willwill ensure ensure your your cat cat continues continues to get to get the the bestbest possible possible care. care.

TheThe treatment andand monitoring planplan hashas been treatment monitoring been established following an extensive trialtrial program established following an extensive program andand is designed to optimize the the management of of is designed to optimize management hyperthyroidism, helping to ensure youryour cat cat enjoys hyperthyroidism, helping to ensure enjoys a good quality of life. a good quality of life.

Check-up

NowNow thatthat youryour cat cat hashas been diagnosed withwith been diagnosed hyperthyroidism it is itimportant to follow a strict hyperthyroidism is important to follow a strict treatment andand monitoring plan. treatment monitoring plan.

Day 1

Helping you help your pet Helping you help your pet

WithWith dailydaily medication andand careful monitoring youryour medication careful monitoring cat cat will will show improvement within 21 days.

Many show improvement within 21 days.

Many of the signs associated withwith hyperthyroidism withwith of the signs associated hyperthyroidism begin to subside andand cancan be kept under control. begin to subside be kept under control.

Quarterly

Quarterly

Quarterly

Quarterly

Week 6

Week 3

UseUse the the page opposite to keep a note of the page opposite to keep a note of the changes youyou seesee in your cat’scat’s habits, behavior andand changes in your habits, behavior appearance. appearance.

h

Quarterly check-up Quarterly check-up

Quarterly check-up Quarterly check-up

Quarterly check-up Quarterly check-up

ur Date

Enter start date of treatment

Date

Check-up

Day 1of treatment Enter start date

Week 3

Week 6

Check-up

Day 1

Week 3

nd

Week 6

ys

Quarterly check-up Quarterly check-up

t Notes Notes

CAUTION: Federal (USA) law restricts this drug to use by or on the order of a licensed veterinarian.

FELIMAZOLE Coated Tablets are a registered trademark of Dechra Ltd. Dechra Veterinary Products US and the Dechra D logo are registered trademarks of Dechra Pharmaceuticals, PLC. Š 2015

a proud distributor of 01CB-FEL50034-0715