From Episode 151 on the Medicine Stream With Dr. Sally Coggins
Hopefully we all know by now that we can treat and cure FIP(Feline Infectious Peritonitis). But my conversation with FIP researcher Dr. Sally Coggins clarified some of the initial hype and added some additional good news. Here’s Dr. Sally’s (wearing her clinician’s hat) decision-making algorithm for the newly diagnosed FIP patient:
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Studies have confirmed that patients treated with Remdesivir and GS442524 have an average survival rate to 6 months of 86%. If the cats in the study survived the first 48 hours, survival rate increased to 96%.
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That means that if your FIP patient is going to die, it’s going to die in day or two after you diagnose it, because it’s too sick to survive long enough for the drugs to work, or you don’t happen to have Remdesivir on hand to start therapy.
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That means: Treat them aggressively if they are sick:
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Start antiviral therapy ASAP (which means it might help to have a vial of Remdes on the shelf, if you can legally stock it.
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If they’re very unwell (off their food, pleural effusions etc.) - admit them for critical care and start them on IV Remdesivir for 3-5 days.
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If they respond (ie. if they survive) and turn the corner you can switch them to oral GS442524.
We'll have full treatment protocols in our show notes for this one.
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