Although theoretically possible, we have not yet seen the FIP-cured cats develop the disease later. Therefore, I would focus on curing your FIP positive cat. Do not treat a cat that only secretes enteric coronavirus. This cat has a very low risk of developing FIP and treatment with enteric coronavirus carriers will only promote the occurrence of drug-resistant strains.
Should I vaccinate or neuter my cat during GS?
Vaccination or castration is not required during treatment. Healing the cat is paramount. There will be plenty of time after treatment to resolve the issue of castration. Personally, I am not a strong supporter of FVRCP vaccines (polyvalent vaccines) or the need to vaccinate cats against rabies (unless required by state or local legislation) or administering FeLV to cats that are at low risk for infection. If we treat a cat with FIP, it should be treated in accordance with standard professional care, locality (rabies) and your practice. In short, treat the cat like any other cat, but have it cured first.
Is there a risk of alternating injection and oral forms of GS?
It would probably not be appropriate to alternate these forms on a daily basis. But there is probably no problem with the transition from one form to another.
Some companies produce GS in tablet form. Is this form safe / effective?
Yes, at least one company in China also produces the oral form GS-441524, which it claims will work just like injections. This is not surprising, since the modifications required to convert injectable drugs into an oral form are well known. All drugs for HIV / AIDS and hepatitis C were also transformed into an oral form. However, like many others, you may find it more difficult to give tablets to cats than to inject. They usually adapt to the injections over a short period of time, but if they don't agree with the pills, it still gets worse and worse. Therefore, if you go this route, do not invest much in it until you are sure that you will be able to give the tablets to your cat.
My cat has been on GS for several weeks and laboratory reports have increased creatine kinase and phosphorus. Is this a problem?
It doesn't have to mean anything if urea and creatinine are in the normal range. High phosphorus content may not mean anything yet. I recommend checking the values in a month.
My cat is being treated with GS and her lymphocyte count is high. That's all right?
The lymphocyte count is only slightly higher than normal, but in reality it is good. A low lymphocyte count would indicate that the infection is active and severe, while a high number would indicate that it elicits an immune response.
I noticed that after the GS was discontinued, the cat's temperature rose sharply. Does that mean the cat has relapsed?
Cats and other small animals are not as consistent in their systemic temperature as humans, and the fluctuations you see are not uncommon. The problem is that the more you worry, the more you measure the temperature and the more of these fluctuations you will see. For this reason, we are not very afraid of these fluctuations. It is much worse when temperatures are consistently higher than 39.5 ° C. It is important to note the overall condition of the cat, its appetite, activity levels and clinical signs. In short, fluctuations like these are fine unless they become permanent and are associated with loss of appetite and activity. If your cat is otherwise well and there is no evidence of a persistent fever, we recommend that the cat be only at home, where it is possible to protect it from unnecessary stress and monitor it closely.
What thermometer should I use to measure the temperature of a cat?
I prefer digital rectal thermometers, which are characterized by high measurement speed. Do you measure temperature during rest and not after a certain time of physical activity? Temperatures may vary. One is higher, one is higher.
What if my cat doesn't respond immediately to GS, or if it doesn't improve after a few weeks of treatment?
We can observe what will happen in the coming days and hope for the best. If a reaction develops at the injection site, it is possible that this is the cause of the symptoms we are seeing. It can result in an open wound, but it can also improve on its own. Although no one wants serious reactions after an injection, it can be said that an injection is still a better choice.

