This is Part 1 of a 3 part series, written by Laurie Goldstein, exploring long-term use of antacids, potential side effects and alternative options.

One of the most common health-related medicinal recommendations I see for cats experiencing gastrointestinal issues such as nausea, inappetence, and “overnight bile pukes” is Pepcid a/c (famotidine). And why not? It is perceived to be very safe, many vets recommend it, and antacids generally are easy to obtain all around the world. Call the vet first! They’ll probably say it’s OK to give it a try, and it often does (seem to) help. This is because acid suppression can address the symptoms and our uncomfortable kitties feel better and begin to eat or stop throwing up. Sometimes just stopping the cycle of nausea and inappetence for a couple of days is enough to turn the tide when your cat is feeling poorly. Short-term, occasional or intermittent use of antacids is not the issue.

Long-term use is.

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