Is gabapentin safe for senior cats with kidney issues and arthritis?

Question

My senior cat had very bad kidneys when we adopted him. He wasn't expected to live very long. To our surprise, he did very well, despite arthritis pain, for which we give him gabapentin twice a day. His last kidney value was within high normal limits. We are concerned though because the gabapentin is contraindicated for cats with poor kidneys. We want to put him on a narcotic, but our vet keeps refusing and insisting on the gabapentin. What is your feeling on this? Pet's info: Cat | Domestic Mediumhair | Male | neutered | 11 lbs

Elva Ma DVM · Accepted Answer

Hello, and thank you for your question. It is great to hear that Ace is doing well! It is true that gabapentin is metabolized in the kidneys. If he is doing well on it, though, it would be reasonable to use as long as it is tapered to the lowest effective dose. I would also make sure that his kidney values are monitored regularly, ideally every 3-6 months. A narcotic is also a reasonable choice but can sometimes cause mild sedation. Ultimately what it comes down to is Ace's quality of life, and ensuring that he is comfortable and happy. I hope this helps, and that Ace continues to do well!

Is gabapentin safe for senior cats with kidney issues and arthritis?

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