Increasing vertical space by using tall and sturdy cat trees can allow the cat to reach an area where it will be undisturbed. These product is able to exert a calming effect on some cats that may help reduce inappropriate elimination behaviors. This drug is used to decrease the pain associated with episodes of cystitis and to decrease the inflammation in the bladder lining. Side effects, such as sleepiness, retention of urine, bladder stone formation, weight gain, and reduced grooming, may be seen in some patients. However, amitriptyline has been prescribed for cats for many years and the overall incidence of side effects appears to be small and the degree is usually mild.
Most cats tolerate the medication well.
Corticosteroids, such as prednisone, are also sometimes used to decrease inflammation, and other types of drugs, such as pentosan polysulfate or glucosamine, are used to help repair the lining of the bladder. However, evidence for the effectiveness of these therapies is lacking. No matter what type of therapy is used, it is important to decrease any stress factors as much as possible. No one therapy to date has been found to help all cats, and we currently are only able to aim for control of the problem and not a cure. Hopefully, ongoing research and drug trials will provide some better therapies in the future.