Chronic Kidney Disease (CKD) in Cats
Chronic kidney disease affects 30-50% of senior cats. Management focuses on slowing progression (renal-diet, phosphorus binders, ACE inhibitors when proteinuric), controlling secondary hypertension, and supporting hydration. IRIS staging (1-4) guides treatment intensity.
NSAIDs (meloxicam, carprofen) are contraindicated in CKD cats due to renal vasoconstriction risk. Always confirm IRIS stage before any new medication.
Symptoms to watch for
- •Increased thirst and urination
- •Weight loss, muscle wasting (sarcopenia)
- •Vomiting, decreased appetite
- •Lethargy, dehydration
- •Bad breath (uremic odor) in advanced stages
Treatment options
ACE inhibitor for proteinuric CKD (UPC > 0.4) and hypertensive cats. Compounded liquid avoids pilling.
Calcium-channel blocker for systolic hypertension (>160 mmHg). Compounded chicken-flavored mini-tabs available.
Appetite stimulant. Compounded transdermal gel commercially available (Mirataz) — confirm dose.
H2 blocker for uremic gastritis.
PPI for refractory uremic gastritis when famotidine insufficient.
Why compounded medication matters
Compounded liquid benazepril and flavored amlodipine are commonly used to improve long-term adherence in CKD cats, which often require lifelong polypharmacy.
See compounded benazepril optionsValid vet prescription required · HIPAA-compliant · Free to pet owners
FAQs — Chronic Kidney Disease (CKD) in Cats
Sources & review
Reviewed by: ScriptUnlock Pharmacy Verification Team
Last reviewed: June 2026
Sources cited:
- • IRIS Staging Guidelines 2023
- • ACVIM Consensus on CKD
- • AAFP Senior Cat Care Guidelines
- • ISFM CKD Position Statement
This information is educational and does not substitute for veterinary advice. Always confirm diagnosis, dosing, and treatment plan with your veterinarian. ScriptUnlock connects pet owners to verified pharmacies; we do not provide veterinary advice.