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Methimazole Allergy in Cats
What is Methimazole Allergy?
Because of the seriousness of the disease (hyperthyroidism), the side effects of the drug (methimazole) have to be weighed against the benefits. Sometimes the side effects will dissipate within a few weeks or can be treated with a different medication to lessen the effects. However, if your cat has any serious side effects that have to do with the liver such as yellow gums, skin, and eyes, vomiting, lethargy, skin lesions, and swollen lymph nodes an evaluation of the use of this medication must be done. It is important that your veterinarian do a blood test to determine the lowest amount of methimazole possible before starting the medication. In addition, blood tests to keep track of liver and kidney enzymes, thyroid hormones, and other abnormalities should be done on a regular basis.
Methimazole is a drug prescribed to treat hyperthyroidism in cats that subdues the processing of thyroid hormones. It is not specifically regulated for animal use but has been accepted for veterinary use by the FDA. This drug should only be used for a short time in cats because of the risk of serious allergy symptoms such as swelling of the face, scratching, and hives, which can lead to seizures, shock, and even coma. Other complications include appetite loss, vomiting, weakness, and liver damage. Some of the less common side effects include anemia, lymph node swelling, abnormal bleeding, and jaundice. If your cat has any of these symptoms when taking methimazole, you need to see your veterinarian right away.
Symptoms of Methimazole Allergy in Cats
Since some of these symptoms (vomiting, weight loss, weakness) are also signs of hyperthyroidism, you may not notice them right away. The most common signs you should watch for include:
- Vomiting or regurgitating undigested food
- No appetite (refusing to eat)
- Rash
- Swelling of the face
- Excessive scratching (especially head, neck, and face)
- Bleeding disorders
- Cold limbs
- Shock
- Seizures
- Liver failure (yellowing of the skin, eyes, and gums, vomiting, lesions anywhere on the body)
- Coma
- Death
Types
Methimazole is a prescription drug made for humans that reduces the amount of thyroid hormones (T3 and T4) your cat’s body produces. It has been accepted for use in cats with hyperthyroidism. This drug also goes by other names such as:
- Felimazole
- Tapazole
Causes of Methimazole Allergy in Cats
The cause of methimazole allergy is the consumption of methimazole. In some cases, the body attacks the drug and this causes histamines to be released, which creates the symptoms such as vomiting, diarrhea, swelling of the face, scratching, hives, shock, and even coma.
Diagnosis of Methimazole Allergy in Cats
The allergy symptoms of methimazole are usually pretty straightforward, but the veterinarian will probably need to rule out other issues before making a diagnosis. Because the drug has many side effects besides the allergy symptoms, the veterinarian may decide to stop the drug immediately anyway. However, a comprehensive physical examination, blood tests, urinalysis, and radiographs will all be needed to ensure there are no underlying conditions besides the hyperthyroidism.
Treatment of Methimazole Allergy in Cats
The treatment for methimazole allergy is the immediate stoppage of the drug. Because hyperthyroidism is a life-threatening condition, other treatment will need to be decided on right away. There are two other choices that veterinarians use for hyperthyroidism, which are radioiodine or surgery.
Radioiodine (I-131)
Radioiodine is a one-time injection that is effective and safe. Because it is radiation, your cat will have to stay in the hospital for several days (by law), but there are no other medications or injections required. It does not damage any other organs or tissues, will not damage the healthy parts of the thyroid glands, and has no serious side effects like the other drugs. The only drawback is the cost, which averages about $1,000, depending on where it is done. Unfortunately, some cats are unable to get the medication because they are not healthy enough. Radioiodine treatment is only able to be done at certain hospitals that have permits for radioisotope use.
Surgery (Thyroidectomy)
Removal of the thyroid glands is a procedure that is usually only done on cats that are relatively healthy (besides the hyperthyroidism) and under 15 years old. Most often, both thyroid glands are removed, but if the veterinarian believes that one is healthy, it will be left to do its job. It is an effective surgery that is done often, but the parathyroid glands are sometimes wrapped around the thyroid glands, making it a difficult process.
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Recovery of Methimazole Allergy in Cats
Hyperthyroidism is a fatal condition that can cause organ failure and death quickly without treatment. If your cat cannot be treated with methimazole, radioiodine will be used, if possible. However, surgery may be the best choice if your cat has allergies.
Methimazole Allergy Questions and Advice from Veterinary Professionals
tabby
Gosha
13 Years
1 found this helpful
1 found this helpful
My cat has been on tapazole for about 5 years now with no allergy symptoms about three weeks ago he started being really hyper and scratching a lot! He doesn't go outside he is an indoor cat recently had a health check up could his new dry food or tapazole causing this? Thanks
Oct. 1, 2017
1 Recommendations
Whilst it is possible that the medication is causing this response as cats may develop allergies to medicines and other substances overtime; if there is a correlation of the symptoms presenting and the changing of the food I would look more into that. Try to change the food back to the old food to see if there is a decrease in symptoms, otherwise try a hypoallergenic diet to see if that helps; if the issue continues visit your Veterinarian. Regards Dr Callum Turner DVM
Oct. 1, 2017
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American Shorthair
Socks
10 Years
0 found this helpful
0 found this helpful
My pet has the following symptoms:
Lethargy
Vomiting
Not Eating
Hiding
Walking Sideways
Can'T Jump Or Climb Or Walk Far
My cat has a bunch of preexisting medical problems including chronic sinusitis and new superficial masses on her belly, and when I took her to the vet a few months ago, he ran a T4 which was elevated to 7.8 (previously at 4.6). He started my cat on Methimazole liquid formulary, and she had been on it for 6 weeks, because he says we can't do imaging and go under anesthesia until her thyroid hormone gets under control. . Since starting this medication, my cat has gotten markedly worse, not eating, hiding, lethargic, vomiting, unable to jump or climb up steps. I asked the vet to switch her to the transdermal form thinking this would make her stomach less upset by the medication, but now she is even worse, she is walking sideways, can't walk more than a few steps without stopping, is incredibly weak, can't climb stairs, is vomiting and isn't eating AT ALL. She does not want to be touched or pet at all, and is hiding now more than ever. The vet never warned me about the side effects or allergy profile of this medication. Thank God I found this website because all of the descriptions of side effects are exactly what she is experiencing. I'm discontinuing the medication immediately. I've been distraught for the past week, because essentially I have never seen like this and feel that she is declining rapidly. I was going to discontinue the medication but was reticent to because if her repeat T4 is too high they won't let her go under anesthesia for the imaging (trying to rule out possible mammary gland tumor and look for mets). I would have never started her on this if I had known this would be the reaction. I am going to talk to the vet about switching to the food, but I just hope these side effects are reversible and I haven't permanently hurt my cat by putting her on this medication.
Maine Coon
Rascal
14 Years
1 found this helpful
1 found this helpful
My pet has the following symptoms:
Lethargy
Vomiting
Coughing
Face Swelling
My cat Rascal had been on Methimazole twice daily 5mg. He stopped eating and is cold to the touch. He stares as if he doesn't know where he is and has difficulty using his hind legs. I took him to the vet and she said she thought it was his kidneys because the test came back with low creatinine. This perplexed her because she said normally kidney problems present with high levels. He is drinking a lot of water now.
I would not recommend the use of this drug.
L
domestic short hair
Gary
12 Years
1 found this helpful
1 found this helpful
My pet has the following symptoms:
Weight Loss
Increased Thirst
Vomiting
Increased Urination
Tachycardia
Ravenous Behaviour
I forgot to add that Gary had a rapid heart rate and a murmur, accompanied by weight loss, increased thirst and urination, strange behaviours. He would go into the closet and scratch at the wall as well as trying to burrow under me when I was sitting on the couch. Sometimes he would binge on water and then vomit it up. I think he was ravenous for more food as he was begging constantly. This behaviour has decreased since he was started on the methimazole.
Domestic shorthair
Gary
12 Years
0 found this helpful
0 found this helpful
My pet has the following symptoms:
Vomiting
Itching
Cold Limbs
My 12 year old cat, Gary was diagnosed with hyperthyroid and mild renal impairment about two months ago. He started on methimazole 2.5mg twice daily via transdermal gel and then I decided that since his appetite was still good I would switch to the chews. He has been eating well and gaining weight but recently developed some itching in his neck and scratching until he has sores. He also seems to feel cold, with cold ears and feet-I'm snuggling him right now as I type this. He has vomited a little but not enough to worry about, maybe once a week. I am considering the radioiodine treatment as his kidneys are impaired and the surgery seems like the least favourable option. Has anyone else done the radioiodine treatment who would share their story with me? Good luck to all with treating their feline friends for this awful condition!
Unknown
Nala
5 Years
0 found this helpful
0 found this helpful
My pet has the following symptoms:
Weakness
Lack Of Appetite
Refusing To Drink
Extreme Vomiting
My 5 year old cat Nala was recently diagnosed with hyperthyroidism. She was prescribed 5mg of methimazole 2x a day. After about a week, she began vomiting up everything that went in her body and refusing to eat or drink. She also seemed weak and lethargic. Ended up having to take her to urgent care and after doing several tests to rule out other possibilities, the on-call vet said that she most likely was having a bad reaction to the medicine. I quit giving it to her and she's been getting back to her usual self. After reading everyone else's experiences, I never want to give her methimazole again. Hoping that the radio treatment or surgery will be an option. I'm upset that I wasn't told about these side effects from the get-go and that my kitty had to suffer because of them.
