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Prescription renal diets are generally formulated as follows: We add phosphate binders if we find their blood phosphate levels are creeping up. A number of phosphate binders are available. Your recently viewed items and featured recommendations, Select the department you want to search in, All customers get FREE Shipping on orders over $25 shipped by Amazon, Prevent Cat Urinary Issues, Before They Start, CATWATER ph Balanced CatWater, Clinically Proven Urinary Formula 16.9 oz, 12-Pack (CW60100-12). Epikacin/Ipakitine. If Kitty has CKD, she has probably had blood work done to check indicators of how her kidneys are functioning. Vetoquinol Epakitin is one of the natural phosphorus binders … Phosphate Binders 101. Prevention Usually phosphate binders are taken within 5 to 10 minutes before or immediately after meals and snacks. It's important that you watch Kitty's phosphorus levels -- too much phosphorus can add stress to her kidneys. An intestinal phosphate binder composed of a mixture of calcium carbonate and chitosan is marketed for use in dogs and cats (Epakitin—Vétoquinol). Prescription and Non-prescription brands are revealed below, read on. No phosphorus binders are licensed as medications for dogs or cats. Phosphate binders (also called phosphorus binders) are often a necessity for people with End Stage Renal Disease (ESRD) on dialysis and sometimes are required for those with Chronic Kidney Disease (CKD) pre-dialysis. Looking for the Best Low Phosphorus Cat Food? Although many animals do not get enough phosphorus in their diets, cats typically don't have that problem. Ipakitine should be given every day to animals along with their normal food. After viewing product detail pages, look here to find an easy way to navigate back to pages you are interested in. As well, they are not as effective as aluminum hydroxide. Ipakitine has been marketed in Europe for some time and its twin product, Epikacin, is now being heavily marketed in the US as a pet “nutritional supplement.” That's how many cats aged 7+ years have chronic kidney disease (CKD). More and more vets are beginning to realize that low protein diets and appetite stimulants are not the long-term solution for dogs and cats that have lost the will to eat. Phosphate binders react with phosphate to form an insoluble compound, making it unable to be … Depending on how your cat is responding to her new diet, as well as what stage of kidney disease she is in, your vet may recommend a phosphorus binder. a phosphate binder to the diet.3 Results of dietary trials indicate the addition of an intestinal phosphate binder not only lowers serum phosphorous and parathyroid hormone levels in cats with impaired renal function, but also creates persistent effectiveness which was observable at a six month and nine month interval in the trials.5 The most common phosphorus binder is aluminum hydroxide, which many vets prescribe in the form of AlternaGel. An Update on Phosphate Binders: A Dietitian’s Perspective Lisa Gutekunst, MSEd, RD, CSR, CDN, FNKF Control of serum phosphorus (PO 4) has been long recognized as a goal in the nutritional and medical management of the patients with chronic kidney disease. Because phosphorus levels are so important in a cat with CKD, vets will often recommend a diet that has low levels of phosphorus. Healthy kidneys perform many important functions, most notably filtering the blood and making urine, so problems with kidney function can result in a variety of health problems for a cat. Aluminum Hydroxide Dosing Aluminum hydroxide is a type of phosphorus binder used for cats with chronic kidney disease. AlternaGel is a mint flavored liquid and syringed into the cat's mouth. Among the many different kidney diseases that may affect cats, CKD is the most common. 3 in 10. This article draws on data from clinical trials in humans and studies in cats to discuss treatment goals and options for phosphate retention and hyperphosphatemia in feline CKD. Phosphate binders may be simple molecular entities (such as magnesium, aluminium, calcium, or lanthanum salts) that react with phosphate and form an insoluble compound. Ipakitine is a highly palatable kidney-protective phosphate binder. Phosphorus binders come in different forms and they should be given to Kitty at mealtime. Essential for Pet Health, Pet Alive, Easy to Add to Cats and Dogs Food, Brain Basics Ultra Alpha-GPC | 500 mg A-GPC | 90 Servings, Bayer Advantage II Flea Prevention for Large Cats, Over 9 lbs, Proviable-DC Probiotic Digestive Health Supplement for Dogs and Cats, 30 ct. 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