{"id":627870,"date":"2024-04-19T09:50:11","date_gmt":"2024-04-19T13:50:11","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=627870"},"modified":"2024-10-25T09:59:55","modified_gmt":"2024-10-25T13:59:55","slug":"amitriptyline-for-cats","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/amitriptyline-for-cats\/","title":{"rendered":"Amitriptyline for cats"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/amitriptyline-hcl\/what-is\"><span style=\"font-weight: 400;\">Amitriptyline<\/span><\/a><span style=\"font-weight: 400;\">, known by the brand name Elavil, is an <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/antidepressants\"><span style=\"font-weight: 400;\">antidepressant<\/span><\/a><span style=\"font-weight: 400;\"> commonly used in cats to treat behavior issues and prevent bladder inflammation symptoms. Cat behavior problems that respond well to amitriptyline therapy include anxiety, urinary marking, excessive grooming, biting, aggression, and other issues. Veterinarians may also use it as an add-on treatment to relieve chronic pain or itching. The U.S. Food and Drug Administration (FDA) has not approved the veterinary use of amitriptyline, so all these treatments are considered <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/off-label-prescription-drugs\/\"><span style=\"font-weight: 400;\">off-label<\/span><\/a><span style=\"font-weight: 400;\"> uses.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/prescription\/amitriptyline-hcl\"><b>Save up to 80% on amitriptyline<\/b><\/a><\/p>\n<h2 id=\"what-is-amitriptyline-used-for-in-cats\"><span style=\"font-weight: 400;\">What is amitriptyline used for in cats?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Although amitriptyline is not FDA-approved for use in cats, veterinarians commonly rely on it to treat anxiety, inappropriate urination, excessive grooming, and feline idiopathic cystitis (FIC). It&rsquo;s a useful adjunct medication for chronic pain or <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/allergy-medicine-for-dogs-cats\/\"><span style=\"font-weight: 400;\">excessive itching<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3 id=\"anxiety\"><span style=\"font-weight: 400;\">Anxiety<\/span><\/h3>\n<p><a href=\"https:\/\/todaysveterinarypractice.com\/pharmacology\/veterinary-behavior-medications\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">In cats, anxiety manifests itself in several ways<\/span><\/a><span style=\"font-weight: 400;\">. Anxiety in cats may present itself as peeing, hiding, running away, biting, trembling, panting, meowing, salivation, and so on. Anxieties in cats come in a variety of types, but the most common are separation anxiety (getting upset when people leave) and situational panic or stress. Amitriptyline relieves anxiety in several ways. First, it changes the chemistry of the brain by increasing the levels of serotonin at nerve junctions, which works as a long-term treatment for anxiety. It also acts like an <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/antihistamines\"><span style=\"font-weight: 400;\">antihistamine<\/span><\/a><span style=\"font-weight: 400;\">, sedating and calming the cat. It has anticholinergic effects that cause sedation but can also relieve physical symptoms like excessive salivation.&nbsp;<\/span><\/p>\n<h3 id=\"urine-marking\"><span style=\"font-weight: 400;\">Urine marking<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Urine marking and other difficult cat behaviors like biting, chewing, clawing, and aggressiveness are first treated with behavior modification and environmental changes. When that&rsquo;s enough, drugs like amitriptyline and similar antidepressants and other antidepressants are tried. Veterinary professionals don&rsquo;t know why amitriptyline works to calm undesired behaviors, but it may have something to do with its sedative effects.<\/span><\/p>\n<h3 id=\"excessive-grooming\"><span style=\"font-weight: 400;\">Excessive grooming<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Excessive grooming in a cat may be a worrisome and even self-mutilating behavior. It has several causes, including anxiety, behavior problems, and nerve problems. Amitriptyline addresses all three.&nbsp;<\/span><\/p>\n<h3 id=\"urinary-bladder-inflammation\"><span style=\"font-weight: 400;\">Urinary bladder inflammation<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Amitriptyline is commonly used off-label in humans to treat bladder inflammation (interstitial cystitis). It&rsquo;s widely used among veterinarians to <\/span><a href=\"https:\/\/www.vin.com\/apputil\/content\/defaultadv1.aspx?id=3850076&amp;pid=8768\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">treat the symptoms<\/span><\/a><span style=\"font-weight: 400;\"> of feline lower urinary tract disease (FLUTD), also called feline idiopathic cystitis. The word &ldquo;idiopathic&rdquo; means that there is no identifiable cause. Veterinarians use <\/span><a href=\"https:\/\/www.dvm360.com\/view\/management-refractory-inflammatory-feline-lower-urinary-tract-disease-proceedings-0\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">a large variety of drugs<\/span><\/a><span style=\"font-weight: 400;\"> and other treatments for this problem, so amitriptyline is usually added to these different treatments or used as a long-term preventive treatment, though its effectiveness is debated.&nbsp;<\/span><\/p>\n<h3 id=\"chronic-pain-and-itching\"><span style=\"font-weight: 400;\">Chronic pain and itching<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Amitriptyline quiets pain signals in the nervous system. Since itching uses the same nerves as pain, amitriptyline can help relieve <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/pain-relief-for-dogs-cats\/\"><span style=\"font-weight: 400;\">chronic pain<\/span><\/a><span style=\"font-weight: 400;\"> and itching if nerves cause the problem. For these conditions, veterinarians usually start with other nerve drugs like <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/gabapentin-for-cats\/\"><span style=\"font-weight: 400;\">gabapentin<\/span><\/a><span style=\"font-weight: 400;\"> as their first choice. Amitriptyline is used as an add-on treatment to provide further relief.&nbsp;<\/span><\/p>\n<h2 id=\"is-amitriptyline-safe-for-cats\"><span style=\"font-weight: 400;\">Is amitriptyline safe for cats?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Veterinarians consider amitriptyline safe to use in cats, but amitriptyline may cause side effects in cats that aren&rsquo;t seen in <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/amitriptyline-for-dogs\/\"><span style=\"font-weight: 400;\">dogs<\/span><\/a><span style=\"font-weight: 400;\"> or people. For instance, some cats may stop grooming, and their coat will become messy.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Amitriptyline should never be given to a cat that is allergic to amitriptyline or similar drugs called <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/tricyclic-antidepressants\"><span style=\"font-weight: 400;\">tricyclic antidepressants<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It should also never be given to a cat taking monoamine oxidase inhibitors (MAOIs).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Because of the risk of dangerous side effects, veterinarians are cautious about using amitriptyline in cats with certain conditions, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/blog\/diabetes-in-cats\/\"><span style=\"font-weight: 400;\">Diabetes<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Problems with seizures<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thyroid disorders<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abnormal heart rhythms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Liver problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dry eye<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Glaucoma<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pregnant cats<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cats that are nursing their young<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Before giving amitriptyline to a cat, tell the veterinarian about all the conditions the cat has to ensure it&rsquo;s safe.<\/span><\/p>\n<h3 id=\"side-effects-of-amitriptyline-in-cats\"><span style=\"font-weight: 400;\">Side effects of amitriptyline in cats<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">In cats, the most common side effects of amitriptyline are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sedation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dry mouth<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Constipation<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Other less common adverse effects in cats include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drooling<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Loss of appetite<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coordination and balance problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Disorientation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trouble peeing (urinary retention)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unkempt or messy coat due to lack of grooming<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The most serious side effects are rare but could be hazardous. These include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Seizures<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Changes in the heart&rsquo;s rhythm<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abnormal bleeding<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Take the cat to a veterinarian if you notice any more serious side effects. Common side effects should not be a worry unless they worsen or persist for a long time. In those cases, talk to a veterinarian.<\/span><\/p>\n<h3 id=\"interactions-of-amitriptyline-with-other-pet-meds\"><span style=\"font-weight: 400;\">Interactions of amitriptyline with other pet meds<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Before giving your cat amitriptyline, tell the veterinarian about all the prescription drugs, over-the-counter medications, nutritional supplements, and herbal remedies you give the cat. Tell the vet how much and how often the cat gets these drugs or supplements. Additionally, certain conditions, such as liver or kidney diseases, may interact with amitriptyline.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tell the veterinarian if the cat is wearing or has recently worn a flea collar. It may contain a drug that can cause serious side effects if the cat is given amitriptyline.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Veterinarians are most concerned about <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/amitriptyline-interactions\/\"><span style=\"font-weight: 400;\">amitriptyline&rsquo;s drug interactions<\/span><\/a><span style=\"font-weight: 400;\"> with:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/maois\"><b>Monoamine oxidase inhibitors<\/b><\/a><b> (MAOIs):<\/b><span style=\"font-weight: 400;\"> MAOIs are used for treating depression and other neurologic conditions, including the <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/pet-antibiotics\/\"><span style=\"font-weight: 400;\">antibiotic<\/span><\/a><span style=\"font-weight: 400;\"> linezolid, the <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=84e25a59-1db6-42bf-b27e-a25c4883a141\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">senility drug<\/span><\/a><span style=\"font-weight: 400;\"> selegiline, and the topical flea medication <\/span><a href=\"https:\/\/vcahospitals.com\/know-your-pet\/amitraz\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">amitraz<\/span><\/a><span style=\"font-weight: 400;\">. These drugs must be stopped at least 14 days before the cat can safely take amitriptyline. Flea and tick collars sold on pet store shelves sometimes contain amitraz, so read the ingredients carefully if the cat is on amitriptyline.&nbsp;<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Central nervous system depressants:<\/b><span style=\"font-weight: 400;\"> Drugs that make the cat sleepy, such as <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/opioids\"><span style=\"font-weight: 400;\">opioids<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/benzodiazepines\"><span style=\"font-weight: 400;\">benzodiazepines<\/span><\/a><span style=\"font-weight: 400;\">, other <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/antidepressants\"><span style=\"font-weight: 400;\">antidepressants<\/span><\/a><span style=\"font-weight: 400;\">, and CBD, may worsen the sedative effects of amitriptyline.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/ssris\"><b>Selective serotonin reuptake inhibitors<\/b><\/a><b> (SSRIs): <\/b><span style=\"font-weight: 400;\">These drugs, such as fluoxetine, are used to treat anxiety, aggression, and urine marking in cats.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/sympathomimetics\"><b>Sympathomimetics<\/b><\/a><b>:<\/b><span style=\"font-weight: 400;\"> These drugs, such as phenylpropanolamine, are used to treat urinary incontinence.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/thyroid-hormones\"><b>Thyroid hormones<\/b><\/a><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/muscarinic-antagonists\"><b>Anticholinergic drugs<\/b><\/a><b> or <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/allergy-medicine-for-dogs-cats\/\"><b>Antihistamines<\/b><\/a><span style=\"font-weight: 400;\">: Drugs such as clomipramine, chlorpheniramine, diphenhydramine, or clemastine are used to treat allergic skin disease and overgrooming in cats.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/conditions\/gerd-treatment-and-medications#:~:text=GERD%20is%20a%20digestive%20disorder%20that%20can%20cause%20heartburn%20and,in%20severe%20cases%2C%20having%20surgery.\"><b>Heartburn and ulcer medications<\/b><\/a><span style=\"font-weight: 400;\">: Drugs such as cimetidine that are used to treat gastroesophageal reflux disease (GERD)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/antiarrhythmics\"><b>Heart rhythm drugs<\/b><\/a><span style=\"font-weight: 400;\">: These medications, such as quinidine, treat irregular or fast heart rhythms.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/antifungals\"><b>Antifungal medications<\/b><\/a><span style=\"font-weight: 400;\">: Drugs such as terbinafine.<\/span><\/li>\n<\/ul>\n<h2 id=\"amitriptyline-dosage-for-cats\"><span style=\"font-weight: 400;\">Amitriptyline dosage for cats<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The standard amitriptyline dosage for cats is <\/span><a href=\"https:\/\/www.merckvetmanual.com\/multimedia\/table\/drug-dosages-for-behavioral-therapy-in-dogs-and-cats\"><span style=\"font-weight: 400;\">0.5&ndash;2 mg\/kg <\/span><\/a><span style=\"font-weight: 400;\">daily.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This can be given as one daily dose or divided into two daily doses.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While this is the <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/amitriptyline-hcl\/dosage\"><span style=\"font-weight: 400;\">standard dosage<\/span><\/a><span style=\"font-weight: 400;\"> for anxiety or behavioral issues, veterinary professionals will dose the cat differently for other conditions:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>For behavior disorders:<\/b><span style=\"font-weight: 400;\"> 0.5-1 mg\/kg once daily OR 2.5mg-12.5mg once daily.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>For neuropathic pain:<\/b><span style=\"font-weight: 400;\"> 2.5&ndash;12.5 mg given once per day&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>For itchy skin (pruritus):<\/b><span style=\"font-weight: 400;\"> 2.5-12.5 mg given once per day OR 2.5&ndash;7.5 mg twice per day<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>For bladder inflammation (idiopathic feline lower urinary tract disease):<\/b><span style=\"font-weight: 400;\"> 2.5 to 12.5 mg per day<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">There are no veterinary formulations of amitriptyline. Pet parents will either have to use prescription tablets made for humans or tablets or oral suspensions prepared by a compounding pharmacy.<\/span><\/p>\n<h3 id=\"can-cats-overdose-on-amitriptyline\"><span style=\"font-weight: 400;\">Can cats overdose on amitriptyline?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">In cats, an amitriptyline overdose can be dangerous, causing life-threatening heart rhythm problems or cardiovascular collapse. If you think a cat has been given too much amitriptyline, contact a veterinarian, veterinary hospital, or animal poison control center. Signs of an amitriptyline overdose in cats may include vocalization (meowing and other noises), poor balance or coordination, agitation, lethargy, dilated pupils, disorientation, and fast heartbeats. If these signs are noticed, take the cat to a veterinarian or veterinary hospital.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There is no maximum amitriptyline dosage specified for cats. The highest published recommended dose is 2 mg\/kg every once daily. Do not exceed the prescribed dosage.<\/span><\/p>\n<h3 id=\"can-i-give-my-cat-amitriptyline-every-day\"><span style=\"font-weight: 400;\">Can I give my cat amitriptyline every day?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Amitriptyline is usually used as a long-term treatment. It may take several weeks of daily dosing before the cat&rsquo;s behaviors or symptoms improve. Once symptoms have resolved, the veterinarian may stop the treatment. However, the cat will be given a gradually decreasing dose to prevent withdrawal symptoms <\/span><a href=\"https:\/\/dogcatdoc.com\/wp-content\/uploads\/2021\/05\/VMG-Amitriptyline.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">such as<\/span><\/a><span style=\"font-weight: 400;\"> vomiting, shaking, or agitation.<\/span><\/p>\n<h3 id=\"how-to-give-your-cat-amitriptyline\"><span style=\"font-weight: 400;\">How to give your cat amitriptyline<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Most vets will ask cat owners to dose the cat once daily, but twice per day is also possible. For amitriptyline to work, it&rsquo;s very important not to miss doses. It will take several weeks of faithful dosing before you notice improvements in the cat&rsquo;s behaviors or symptoms.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Follow all the veterinarian&rsquo;s instructions.&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do not change the dose or dosing schedule.&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Amitriptyline can be given with or without food. If the cat vomits or gets sick after a dose, try giving the dose with food.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If you don&rsquo;t know how to give tablets to a cat, ask a veterinary technician or other veterinary professional to demonstrate the proper technique. You can also get a pill plunger, but have a veterinary professional show you the correct method.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Alternatively, the veterinarian could supply you with an amitriptyline oral suspension prepared by a compounding pharmacy. Make sure you shake the bottle before measuring each dose. Use a calibrated oral syringe to measure doses.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If a dose of amitriptyline is missed, you have two options. You can give the dose when remembered, but give the next dose 12 hours later (or whatever duration the veterinarian specifies). You can skip the missed dose and give the next dose as scheduled. Do not give a double dose to make up for a missed dose.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do not stop dosing the cat unless the veterinarian tells you to. Doses may need to decrease to prevent withdrawal symptoms gradually.&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Store amitriptyline tablets at <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=4e520c63-1cf6-40f6-a51c-3f9b0e181342\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">room temperature<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Follow the storage and disposal instructions given by the pharmacist or veterinarian for any oral suspension of amitriptyline.<\/span><\/li>\n<\/ul>\n<h2 id=\"amitriptyline-alternatives-for-cats\"><span style=\"font-weight: 400;\">Amitriptyline alternatives for cats<\/span><\/h2>\n<p><a href=\"https:\/\/www.merckvetmanual.com\/behavior\/normal-social-behavior-and-behavioral-problems-of-domestic-animals\/behavioral-problems-of-cats\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">For anxiety or behavior problems<\/span><\/a><span style=\"font-weight: 400;\">, veterinarians are more likely to start with reinforcement-based behavior training and changes to the environment. If drugs are necessary, selective serotonin reuptake inhibitors (<\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/ssris\"><span style=\"font-weight: 400;\">SSRIs<\/span><\/a><span style=\"font-weight: 400;\">) like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/fluoxetine-hcl\/what-is\"><span style=\"font-weight: 400;\">fluoxetine<\/span><\/a><span style=\"font-weight: 400;\"> are often a first choice. Other alternatives include clomipramine, other tricyclic antidepressants, and buspirone. If anxiety is situational, like thunderstorms, <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/benzodiazepines\"><span style=\"font-weight: 400;\">benzodiazepines<\/span><\/a><span style=\"font-weight: 400;\"> can be used as needed to calm the cat.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Natural products like cheek gland pheromones can also calm a cat or improve behaviors.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Amitriptyline is used to relieve symptoms of feline idiopathic bladder inflammation. The treatment is complex and could involve any number of medications, including <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/how-do-antibiotics-work\/\"><span style=\"font-weight: 400;\">antibiotics<\/span><\/a><span style=\"font-weight: 400;\">, fluid therapy, pain relievers, sedatives, and other drugs. Amitriptyline is also a long-term preventive treatment for feline idiopathic cystitis, along with dietary and environmental changes. It&rsquo;s usually combined with other medications, such as glycosaminoglycans, glucosamine-chondroitin supplements, and pheromones.&nbsp;<\/span><\/p>\n<h2 id=\"summary\"><span style=\"font-weight: 400;\">Summary<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Veterinarians commonly use amitriptyline to treat anxiety, behavior problems, bladder inflammation, chronic nerve pain, and chronic itchy skin in cats. It&rsquo;s not always a first choice, but it is safe and effective if given under the direction of a veterinarian.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Amitriptyline, known by the brand name Elavil, is an antidepressant commonly used in cats to treat behavior issues and prevent bladder inflammation symptoms. Cat behavior problems that respond well to amitriptyline therapy include anxiety, urinary marking, excessive grooming, biting, aggression, and other issues. Veterinarians may also use it as an add-on treatment to relieve chronic [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":627871,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[7956],"tags":[15095],"coauthors":[8861],"class_list":["post-627870","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pets","tag-cats","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Amitriptyline for cats: Dosage and safety | SingleCare<\/title>\n<meta name=\"description\" content=\"Amitriptyline treats behavior disorders, bladder inflammation, and chronic pain or itching in cats. The standard dose of amitriptyline for cats is 0.5\u20132 mg per kg of body weight. 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