Can inhaled steroids cause pancreatitis or flare-ups in cats?

Question

Would inhaled steroids cause pancreatitis? Cat coughing in November and started on inhaled steroid but 3 days later got sick with pancreatitis. Have only been using ventolin for fear of a pancreatic flare up. Hasn’t coughed since March, but worried not treating her is causing damage. Not sure what to do. Specialist doesn’t know either. Need 3rd opinion. Pet's info: Cat | Norwegian Forest Cat | Female | spayed | 11 years old | 13 lbs

C. Rathjens, DVM · Accepted Answer

The short answer is no. The longer answer is that not all animals "read the book" so even though it SHOULDN'T be causing a problem, it could possibly. It's far more likely that it was bad timing. I'd recommend restarting the inhaled steroids if she starts coughing at all, and watching for signs of pancreatitis (change in appetite, energy, posture, vomiting, diarrhea). If it happens again, then definitely don't continue. Since she's not having symptoms now, I don't think you need to restart unless your vet recommends otherwise.

Can inhaled steroids cause pancreatitis or flare-ups in cats?

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