Hill's Prescription Diet User Manual
Prescription Diet
CHAPTER
™
8
LEVEL1
C
Contents
VNA 1 • CHAPTER 8
1
Prescription Diet
Product summary table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
™
a/d
Canine/Feline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
™
b/d
Canine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
™
c/d
Canine and c/d™Feline Multicare . . . . . . . . . . . . . . . . . . . . . . . . . . 10
™
d/d
Canine and d/d™Feline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
™
g/d
Feline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
™
h/d
Canine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
™
i/d
Canine and i/d™Feline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
™
j/d
Canine/Feline and j/d™Canine Reduced Calorie . . . . . . . . . . . . . . . . 16
™
k/d
Canine and k/d™Feline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
™
l/d
Canine and l/d™Feline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
™
m/d
Feline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
™
n/d
Canine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
™
p/d
Canine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
™
p/d
Canine Large Breed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
™
r/d
Canine and r/d™Feline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
™
s/d
Canine and s/d™Feline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
™
t/d
Canine and t/d™Feline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
™
u/d
Canine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
™
w/d
Canine and w/d™Feline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
™
z/d
Canine ULTRA Allergen-Free and z/d™Feline ULTRA
Allergen-Free . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
™
z/d
Canine and Feline Low Allergen . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
• Building your portfolio
™
2
L
Learning outcomes
By the end of this module, you will be able to:
• Better understand which diseases can be supported with tailored
nutritional diets
• Understand how the special features of each product translate into
benefits for the pet
VNA 1 • CHAPTER 8
3
1
VNA 1 • CHAPTER 8
Prescription Diet
™
The Hill’s Prescription Diet range is the most advanced and complete range of
specialist nutrition products available. It is used for the dietary management of
clinical disorders.
The Prescription Diet range is named with a combination of two letters.
The second letter is always a ‘d’ for diet, and the first letter ranges from a to z
depending on the diet.
a
Exercise
To make it easier – and more fun – for you to find
your way around all the letters, try to come up with
suggestions for what the Prescription Diet product letters
could stand for. On the next page, you will find
a table with a summary of all the products.
Here are some examples:
a/d: astounding diet, anorectic diet,
after-surgery diet
w/d: wonderful diet, weight diet
c/d: complete diet, cystitis diet, comfortable diet, etc.
Under each product, you will find three points:
1. General information
2. Main indications
3. Features and benefits
d
/
The features and benefits will give you specific details on the nutrients in
the diet, compared to Science Plan
means that the emphasis is on the factors that help to make the diet uniquely
suitable to support specific disease conditions. For details on what nutrients
healthy dogs and cats need, refer to Chapter 5.
4
™
Advanced Fitness Canine or Feline. This
Product summary table
Prescription
Diet
a/d
b/d
c/d
c/d
Multicare
d/d
g/d
h/d
i/d
j/d
CANINE FELINE Usage
Aids pets in recovery and with appetite loss
Helps manage signs of brain ageing
Helps reduce the recurrence of struvite urolioths and calcium phosphate uroliths
Helps manage feline lower urinary tract disease
For long-term feeding of pets with adverse food reactions
For early stages of kidney disease or cardiac disorders
Reduces fluid retention and supports cardiac health
Helps support recovery in pets with gastrointestinal disorders
For pets’ joint support
VNA 1 • CHAPTER 8
k/d
l/d
m/d
n/d
p/d
p/d
Large Breed
r/d
s/d
t/d
u/d
Alleviates clinical signs of chronic renal failure and helps slow its progression
For the nutritional management of pets with liver disorders
For support of cats with diabetes mellitus and/or excess weight
For support of dogs with serious illnesses such as cancer
Helps recovery and boosts the immune response of puppies
For support of healthy skeletal development in large breed puppies
Helps overweight pets lose weight safely and effectively
Helps dissolve struvite uroliths
Maintains gingival health and reduces the build-up of tartar, plaque and stain
Helps reduce urate, oxalate and cystine urolith formation
w/d
z/d
Ultra Allergen-free
z/d
Low Allergen
Helps manage pets with diabetes mellitus and helps maintain optimal weight
An elimination diet to help identify and manage adverse food reactions
Helps to manage adverse food reactions
Disease and product recommendations
Canine
Recommended
product
OVERWEIGHT PETS
Weight reduction r/d Canine r/d Mini Canine
Weight control
(prevention of recurrence)
DENTAL DISORDERS
Gingivitis t/d Canine t/d Mini Canine
Oral malodour due to
VNA 1 • CHAPTER 8
dental plaque
Tartar, plaque, stain t/d Canine t/d Mini Canine
GASTROINTESTINAL DISORDERS
Adverse food reactions z/d ULTRA Canine z/d Low Allergen Canine, d/d Canine
Bloat (gastric dilatation
and volvulus)
Colitis i/d Canine d/d Canine
Colitis, fibre-responsive w/d Canine w/d Mini Canine, t/d Canine & t/d Mini
Colitis, food intolerant z/d ULTRA Canine z/d Low Allergen Canine, d/d Canine
Constipation w/d Canine w/d Mini Canine, t/d Canine & t/d Mini
Diarrhoea i/d Canine d/d Canine, w/d Canine & w/d Mini Canine
Diarrhoea, fibre responsive w/d Canine w/d Mini Canine, t/d Canine & t/d Mini
Diarrhoea, food
intolerant
Exocrine pancreatic
insufficiency
Flatulence i/d Canine
Flatulence, fibre responsive w/d Canine w/d Mini Canine, t/d Canine & t/d Mini
Flatulence, food intolerant z/d ULTRA Canine z/d Low Allergen Canine, d/d Canine
Gastroenteritis i/d Canine z/d ULTRA Canine, z/d Low Allergen
Pancreatitis i/d Canine d/d Canine (dry), w/d Canine & w/d Mini
Regurgitation i/d Canine
Vomiting (non renal) i/d Canine
JOINT SUPPORT
Joint support j/d Canine j/d Mini Canine
Joint support for dogs prone
to gain weight
CANINE BRAIN AGEING
Behavioural changes in
senior animals
Brain ageing b/d Canine
KIDNEY DISEASE
Chronic kidney disease, early
(IRIS stages 1–2)
Chronic kidney disease, (IRIS
stage 3)
Chronic kidney disease, endstage (IRIS stage 4)
Uraemic encephalopathy u/d Canine k/d Canine
CANINE UROLITHS
Calcium phosphate, reduce
recurrence
Cystine, dissolution u/d Canine plus
Cystine, reduce
recurrence
Oxalate, reduce
recurrence
Struvite, dissolution s/d Canine
Struvite, reduce recurrence c/d Canine
Struvite, reduce recurrence in
obesity-prone
Urate, dissolution u/d Canine plus
Urate, reduce recurrence u/d Canine
w/d Canine w/d Mini Canine
t/d Canine t/d Mini Canine
i/d Canine
z/d ULTRA Canine z/d Low Allergen Canine, d/d Canine
i/d Canine
j/d Reduced Calorie
Canine
b/d Canine
k/d Canine t/d Canine & t/d Mini Canine
k/d Canine u/d Canine
u/d Canine
c/d Canine u/d Canine (if brushite is present)
tiopronin (2-MPG)
u/d Canine
u/d Canine
w/d Canine w/d Mini Canine
allopurinol
Alternative recommendation Recommended
SKIN CONDITIONS
All cases of pruritic skin
conditions initially
Adverse food reactions
Protein hydrolysate products
Adverse food reactions Novel
protein products
Non-allergic cases, long term d/d Canine p/d Canine (debilitated dogs and puppies)
LIVER DISORDERS
Copper storage disease l/d Canine u/d Canine (advanced stage)
Hepatic encephalopathy l/d Canine u/d Canine (advanced stage)
Liver disorders l/d Canine
Liver disorders with
oedema/ascites/ hypertension
Canine, r/d Canine & r/d Mini Canine
Canine, r/d Canine & r/d Mini Canine, i/d
Canine
Canine
Canine
Canine, d/d Canine, w/d Canine & w/d Mini
Canine
Canine
Portosystemic shunt l/d Canine u/d Canine
CARDIAC DISORDERS
Cardiac disorders, early k/d Canine w/d Canine & w/d Mini Canine, t/d Canine
ardiac disorders,
C
moderate/advanced
DIABETES MELLITUS
Diabetes mellitus, normal
weight
Diabetes mellitus, overweight r/d Canine r/d Mini Canine
Diabetes mellitus, underweight i/d Canine
Diabetes mellitus, with
hyperlipidaemia
RECOVERY
Anorexia a/d Canine/Feline
Cancer/neoplasia, most forms n/d Canine a/d Canine/Feline
Critical care & tube feeding a/d Canine/Feline
Debility & convalescence
including anaemia, malnutrition,
fractures and surgical repair
In chemotherapy/radiotherapy n/d Canine a/d Canine/Feline
Insulinoma a/d Canine/Feline p/d Canine
Malignant lymphoma
(lymphosarcoma)
Minor procedure i/d Canine a/d Canine/Feline, p/d Canine & n/d Canine
OTHER
Ascites/oedema, always relate
to cause e.g.
associated with cardiac disorders h/d Canine
associated with hypoproteinaemia a/d Canine/Feline n/d Canine
Cushing’s syndrome i/d Canine
Eclampsia p/d Canine
Hyperlipidaemia r/d Canine w/d Canine & w/d Mini Canine,
Hypoglycaemia, functional p/d Canine a/d Canine/Feline
Skeletal disorders p/d Canine
Weaning, early i/d Canine (canned) p/d Canine (canned)
NO WHEAT OR WHEAT GLUTEN ADDED
All Prescription Diet Canine products except b/d Canine and h/d Canine dry.
(The gluten of pearl barley, in p/d Canine canned and w/d Canine canned, may cross react
with wheat gluten.)
NO SOY PROTEIN ADDED
All Prescription Diet Canine products except:
• the canned formulas: c/d Canine, j/d Canine, l/d Canine, r/d Canine and u/d Canine
• the dry formulas: b/d Canine, j/d Canine, j/d Reduced Calorie Canine, l/d Canine and
r/d Canine
NO MILK ADDED
All Prescription Diet Canine products except j/d Canine canned and k/d Canine canned.
product
d/d Canine
z/d ULTRA Canine z/d Low Allergen Canine
d/d Canine
l/d Canine h/d Canine
/d Canine
h
w/d Canine t/d Canine & t/d Mini Canine
w/d Canine w/d Mini Canine, r/d Canine & r/d Mini
a/d Canine/Feline p/d Canine & n/d Canine
n/d Canine a/d Canine/Feline
Alternative recommendation
& t/d Mini Canine
Canine
r/d Canine & r/d Mini Canine
Feline
Recommended
product
OVERWEIGHT PETS
Weight reduction r/d Feline m/d Feline
Weight control (prevention
of recurrence)
DENTAL DISORDERS
Prone to gingivitis t/d Feline
Oral malodour due to
dental plaque
Tartar, plaque, stain t/d Feline
GASTROINTESTINAL DISORDERS
Adverse food reactions z/d ULTRA Feline z/d Low Allergen Feline, d/d Feline
Colitis d/d Feline i/d Feline
Colitis, fibre-responsive w/d Feline t/d Feline, r/d Feline
Colitis, food intolerant z/d ULTRA Feline z/d Low Allergen Feline, d/d Feline
Constipation w/d Feline t/d Feline, r/d Feline, i/d Feline
Diarrhoea i/d Feline d/d Feline, w/d Feline
Diarrhoea, fibre responsive w/d Feline t/d Feline
Diarrhoea, food intolerant z/d ULTRA Feline z/d Low Allergen Feline, d/d Feline
Exocrine pancreatic
insufficiency
Flatulence i/d Feline
Flatulence, food intolerant z/d ULTRA Feline z/d Low Allergen Feline, d/d Feline
Gastroenteritis i/d Feline z/d ULTRA Feline, z/d Low Allergen Feline,
Pancreatitis i/d Feline d/d Feline
Regurgitation i/d Feline
Vomiting i/d Feline
JOINT SUPPORT
Joint support j/d Feline
KIDNEY DISEASE
Chronic kidney disease, early
(IRIS stages 1–2)
Chronic kidney disease (IRIS
stages 3–4)
Uraemic encephalopathy k/d Feline
FELINE LOWER URINARY TRACT DISEASE (FLUTD)
All cases initially, (e.g. during
investigation)
Calcium phosphate, reduce
recurrence
Calcium phosphate, reduce
recurrence in obesity-prone
Cystine, reduce recurrence k/d Feline
Feline idiopathic cystitis
(FIC)
Oxalate, reduce recurrence c/d Multicare Feline
Struvite, dissolution s/d Feline
Struvite, reduce recurrence c/d Multicare Feline
Struvite, reduce recurrence in
obesity-prone
Urate, reduce recurrence k/d Feline
w/d Feline m/d Feline
t/d Feline
i/d Feline
g/d Feline k/d Feline
k/d Feline
c/d Multicare
Feline
c/d Multicare
Feline
w/d Feline
c/d Multicare Feline
(pouch or canned)
w/d Feline
Alternative recommendation Recommended
d/d Feline, w/d Feline
k/d Feline (if brushite is present)
product
SKIN CONDITIONS
All cases of pruritic skin
conditions initially
Adverse food reactions protein
hydrolysate products
Adverse food reactions Novel
protein products
Non-allergic cases, long term d/d Feline
LIVER DISORDERS
Hepatic lipidosis, without primary
liver disease or encephalopathy
Hepatic lipidosis, with primary liver
disease or encephalopathy
Hepatic encephalopathy l/d Feline
Liver disorders l/d Feline
CARDIAC DISORDERS
Cardiac disorders, early l/d Feline g/d Feline, k/d Feline
Cardiac disorders, moderate/
advanced
DIABETES MELLITUS
Diabetes mellitus, normal weight m/d Feline w/d Feline
Diabetes mellitus, overweight m/d Feline r/d Feline
Diabetes mellitus, underweight m/d Feline w/d Feline (dry)
Diabetes mellitus, with
yperlipidaemia
h
RECOVERY
Anorexia a/d Canine/Feline
Cancer/neoplasia, most forms a/d Canine/Feline
Critical care & tube feeding a/d Canine/Feline
Debility & convalescence,
including anaemia, malnutrition,
fractures and surgical repair
In chemotherapy/radiotherapy a/d Canine/Feline
Minor procedure i/d Feline a/d Canine/Feline
OTHER
Ascites/oedema, always relate to
cause e.g.
associated with cardiac disorders l/d Feline k/d Feline
associated with hypoproteinaemia a/d Canine/Feline
Hyperlipidaemia r/d Feline w/d Feline (dry)
Hyperthyroidism a/d Canine/Feline
d/d Feline
z/d ULTRA Feline z/d Low Allergen Feline
d/d Feline
a/d Canine/Feline m/d Feline
l/d Feline
l/d Feline k/d Feline
m/d Feline r/d Feline
a/d Canine/Feline
Alternative recommendation
VNA 1 • CHAPTER 8
NO WHEAT OR WHEAT GLUTEN ADDED
All Prescription Diet Feline products except c/d Multicare Feline pouch, i/d Feline pouch,
i/d Feline canned, j/d Feline canned, k/d Feline pouch and l/d Feline canned.
NO SOY PROTEIN ADDED
All Prescription Diet Feline products except c/d Multicare Feline pouch, i/d Feline pouch,
j/d Feline canned, l/d Feline canned and m/d Feline canned.
NO MILK ADDED
All Prescription Diet Feline products except j/d Feline canned.
www.isfm.net
Working together towards
better feline veterinary care
Dog with cachexia
Definitions
Cachexia: severe malnutrition and
VNA 1 • CHAPTER 8
body wasting.
Sepsis: the build up of bacteria or
their toxins in the blood and tissue.
Pyometra: infection of the uterus
that causes it to fill up with pus.
Feline hepatic lipidosis: abnormal
accumulation of fat in the liver cells in
the cat.
Autoimmune: disease that occurs
when the body’s immune system
attacks its own tissues.
™
a/d
™
Peritonitis: inflammation of the
peritoneum.
MAIN INDICATIONS
• Debilitation
• Cachexia
• Anorexia
• Abscesses
• Burns
Prescription Diet
• Infectious disease
• Sepsis
• Fever
• Pyometra
(except if azotaemia is present)
• Feline hepatic lipidosis
• Major surgery
• Autoimmune disease
• Peritonitis
• Feline cancer
• In chemotherapy/radiotherapy
Prescription Diet™a/d™Canine/Feline
General information
Prescription Diet a/d Canine/Feline is an extremely palatable canned food with
a smooth texture and outstanding nutritional benefits. The food is tasty and
makes it easy to provide pets with serious diseases the special nutrients they
need. Prescription Diet a/d Canine/Feline is unique in that it is equally
appropriate for both dogs and cats. This is because a dog’s metabolism
changes with disease conditions to have a higher need for protein and fat
that is similar to the requirements of cats. Both dogs and cats undergo
significant changes when faced with serious illness, injury or surgery. If they do
not receive a special diet during recovery, they may have difficulties
maintaining their natural defenses and may lose muscle mass and organ
tissues. Prescription Diet a/d can assist wound healing and recovery
after surgery, cachexia and debilitation.
KEY FEATURES KEY BENEFITS
Protein
Branched-chain amino
acids
Arginine
Fat
Omega–3 fatty acids
Glutamine Increased Supports small intestinal health.
Zinc Increased Supports convalescence and natural defences.
Potassium Increased Combats depletion.
Consistency Soft and thixotropic
Palatability High Aids acceptance by inappetant patients.
Increased Supports wound healing.
Helps preserve lean body mass.
Helps maintain body defences.
Primary energy source for nutritional
restoration.
Soothes tissues.
(stirring makes it more
liquid)
Gives flexibility in feeding, i.e. by bowl, spoon,
syringe or tube.
a/d is used to aid pets in recovery and with appetite loss
8
Prescription Diet™b/d™Canine
General information
The older dog’s brain is more vulnerable to damage because more free
radicals are naturally produced by the body. The damage free radicals inflict
on the brain may cause progressive changes in behaviour in older dogs. Half
of all dogs aged eight years or older show signs of brain ageing. Prescription
Diet b/d Canine is specifically formulated with an exclusive, patented blend of
antioxidants and vegetables to fight the signs of brain ageing and age-related
behavioural changes. It even helps to improve the learning ability of older
dogs.
The diet is clinically proven to help combat the signs of brain ageing:
D – Disorientation
I – Interacts less
S – Sleep pattern disturbed
H – House training lost
At the same time, the diet is very palatable and suitable for older dogs.
b/d Canine will support long-term adult senior maintenance.
Let your client know
b/d may even help to improve the
learning ability of their old dog.
Definition
Subclinical
is present, but the symptoms
of the disease are not apparent.
This means that the pet is ill –
but we do not know it yet.
: when a disease
VNA 1 • CHAPTER 8
™
KEY FEATURES KEY BENEFITS
Vitamin E
Other antioxidants (including
carotenoids and flavonoids)
L-Carnitine Supplemented Facilitates mitochondrial energy production.
Omega-3 fatty acids
(DHA and EPA)
Sodium
Phosphorus
Protein
Fibre Increased Assists bowel function in older dogs.
Increased Neutralises free radicals.
Helps manage age-related behavioural changes.
Increased Supports vital cell membrane functions.
Moderate To help maintain heart and kidney health in
older dogs.
MAIN INDICATIONS
• Canine brain ageing
• Age-related behavioural changes in
older dogs
b/d
™
Prescription Diet
b/d is used to help manage signs of brain ageing
9
Prescription Diet™c/d™Canine
Clinical note
One of the most important aspects of
a diet meant for urolithiasis is that it
produces a urinary pH that helps to
prevent crystals from forming. For
example, struvite crystals tend to form
in urine with a high pH, therefore to
VNA 1 • CHAPTER 8
™
c/d
™
help prevent these crystals forming, a
more acidic pH needs to be produced.
Definition
Struvite crystals consist of:
• Magnesium
• Ammonium (from protein)
• Phosphate
MAIN INDICATIONS
• Recurrent struvite urolithiasis
in dogs
General information
Some forms of urinary tract disease are associated with the build-up of crystals
and stones in the urinary tract. These can cause painful urination, bloodstained
urine and potential blockage of the urinary tract. A common type of crystal
that forms is called struvite. Prescription Diet c/d was formulated specifically to
help to reduce recurrence of struvite-related urinary tract disease. Struvite
forms when the urine is saturated with magnesium, ammonium and
phosphorus, and has an alkaline (basic) urinary pH (>6.5).
c/d Canine is tasty and will support long-term adult maintenance of dogs.
KEY FEATURES KEY BENEFITS
Magnesium
Phosphorus
Target urinary pH Acid: pH 6.2– 6.4 Discourages the formation and aggregation of struvite
Superior antioxidant
formula
Reduced Decreases urinary concentration of struvite
Added Neutralises free radicals to help combat urolithiasis.
constituents, magnesium, ammonium (from protein),
phosphate.
crystals.
Prescription Diet
c/d is used to reduce the recurrence of struvite uroliths
and calcium phosphate uroliths
10
Prescription Diet™c/d™Multicare Feline
General information
About 1% of cats suffer from feline lower urinary tract disease (FLUTD) which
is associated with clinical signs such as an increased frequency of urination
(pollakiuria), bloody urine (haematuria) and straining to urinate (stranguria).
Many separate conditions can cause these same signs but the idiopathic form
– Feline Idiopathic Cystitis (FIC) – is the most common by far (up to 69% of
cases). The term FIC is used for cats with signs of lower urinary tract disease
where the cause is not known. It is thought that stress may play an important
role in triggering or worsening the condition.
Other common causes of FLUTD include stones, urethral plugs and urinary
tract infection in cats over 10 years old.
c/d Multicare Feline has been formulated to help with the initial management
of cats with any type of FLUTD and will support long-term adult
maintenance.
KEY FEATURES KEY BENEFITS
Magnesium
Phosphorus
Calcium
Oxalate Controlled Limits calcium oxalate formation.
Sodium Controlled Helps maintain healthy kidney function.
Citrate Added Forms soluble complexes with calcium to
Target urinary pH Acid: pH 6.2 –6.4 Discourages the formation and aggregation of
Water Increased in pouch and
Formulas 4, i.e. a pouch,
Vitamin E
Beta-carotene
Reduced Decreases urinary concentration of struvite
canned formulas
a canned & 2 dry
Added Neutralises free radicals free radicals to help
constituents (magnesium and phosphate) and
calcium and oxalate constituents.
inhibit calcium oxalate formation.
struvite crystals without encouraging the
formation of oxalate crystals.
Increases urine volume, which dilutes the
constituents of uroliths.
Lowers urinary specific gravity, to reduce
recurrence of feline idiopathic cystitis.
Increases choice to encourage acceptance and
compliance.
combat urolithiasis.
Vitamin C is not supplemented because it is
a precursor of oxalate.
Let your client know
The target urinary pH for c/d Multicare
Feline is 6.2–6.4 which discourages
the formation and aggregation of
struvite crystals without encouraging
the formation of oxalate crystals.
Clinical note
Feline Idiopathic Cystitis (FIC) is a term
that is used for cats that have signs of
a lower urinary tract disease that are
not caused by crystals, stones or
infection, and that are chronic and
recurrent.
MAIN INDICATIONS
• FLUTD due to struvite urolithiasis
• FLUTD due to oxalate urolithiasis
• Feline Idiopathic Cystitis (c/d
Multicare canned or pouches)
• Urethral plugs (almost exclusively
associated with struvite or calcium
phosphate crystals)
VNA 1 • CHAPTER 8
Multicare
™
c/d
™
c/d Multicare is used to help manage feline lower urinary tract disease
11
Prescription Diet
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