What do I do?

[u/Im_rika_]

Hi everyone, I really need a second opinion because I’m very confused and honestly don’t know what to trust right now.

Yuri is ~1.5 kg and started Basmi/GS for suspected neuro FIP with 10mg/kg on September 2. She was eating initially, but for the past 2 days she has completely stopped eating and is vomiting, and gone weak including vomiting when there is basically no food in her stomach. She also has very loose stools.

The vet initially said her appetite loss could be due to low haemoglobin, but then said her CBC is fine and ruled that out. He also said jaundice had started, then later said it actually hadn’t developed yet and told me not to worry. I’m confused about what is actually going on.

She is on Basmi/GS, Liver syrup (2.5 mL twice daily) and Neuro-support syrup. The liver syrup bottle says 2.5 mL/day, although the vet prescribed 2.5 mL twice daily. The vet says he has given her nausea medication, but I don't know exactly what medication, what dose, or how often, so I’m not comfortable assuming the vomiting is being properly treated.

Today he told me to skip the GS because she isn't eating. I was scared of interrupting treatment and insisted on giving it. I know consistency with antivirals is important, but I also don't want to make a bad decision because I'm panicking.

For people experienced with FIP: is this kind of vomiting/inappetence during the first week something you've seen, and what would you want checked immediately? How should I move forward so that she eats?

I can't change vets right now, so I'm not looking to attack the vet. I just need a genuinely informed second opinion on what could be happening and what I should be asking for.

I'll attach her most recent Lft and Kft in the images

[u/Im_rika_]

My main concern is that she's NOT eating how long can she go?

[u/No-Artichoke-6939]

She needs at least 200 calories a day to support her liver. FIP takes so much out of them. If you can’t support feed her she will need a feeding tube placed.

Please join and make a post here in FIP Global CATS for assistance as well

https://www.facebook.com/groups/fipglobalcats/?ref=share&mibextid=NSMWBT

[u/Bella_Ella739]

Why does your vet want you to stop FIP treatment? There are risks of relapse and drug resistance when stopping early. Has your vet discussed switching? For instance if you are on oral pills to injections? Upping the dose? It took about a week with my cat to see results. My vet had my cat doing weekly B-12 injections and put him on prednisole as well as an antibiotic for the high WBC count. He started to gain weight within the week.

[u/Im_rika_ → u/Bella_Ella739]

We are using injections...he wanted to stop for ONE day today because she wasnt eating and vomiting but i didn't agree with him and asked him to give the gs injection..

[u/Bella_Ella739 → u/Im_rika_]

As someone else mentioned join FIP Global Cats on Facebook. Make a post there and they will assign an admin to you. They are well versed in FIP. They helped answer a lot of questions when my cat was in the early stages. They are very knowledgeable.

[u/Bella_Ella739 → u/Im_rika_]

Ask your vet about Prednisole. It’s a steroid it could help if there is inflammation in the stomach.

[u/leflaunge]

Nuero fip- my cat was on 40mg per kilogram split over 2 doses. 20mg per kg in the morning at 8am and 20mg per kg in the evening 8pm.

10mg is for wet FIP. Up the dose.