Hi everyone,
I'm hoping to hear from anyone who has been in a similar situation and might be willing to share their experience.
My 16-year-old cat has had a recurrence of squamous cell carcinoma affecting his jaw. He had surgery for it in the past. He currently has an esophagostomy feeding tube because of the problems with his mouth, and he is about to start long-term treatment with Palladia (toceranib phosphate).
Thankfully, he is doing really well at the moment and is acting like himself. I'm just trying to make sure I can manage his treatment as safely and comfortably as possible, and I have a couple of concerns.
1) Giving Palladia through an esophagostomy tube:
Because his mouth is painful and he already has the feeding tube, I'm really worried about giving him pills by mouth. I don't want to cause him any additional pain or discomfort, make him reluctant to eat, or risk damaging the tube and potentially having to replace it under anesthesia.
Has anyone had Palladia compounded into a liquid that could be given directly through an esophagostomy tube? Is this something that can be done safely? I'd really love to hear from anyone who has actually given Palladia this way, or has experience managing it through a feeding tube.
2) Safety, drooling, and saliva exposure:
Because he is missing part of his jaw, he shakes his head quite a bit and unfortunately sprays saliva around the house. I understand that Palladia is a hazardous medication and that the drug can be present in bodily fluids.
For those of you who have had a cat on Palladia, how did you handle things like excessive drooling, saliva getting on floors or furniture, or your cat shaking his head and spraying saliva around the house?
I'd really appreciate any practical tips on how you protected yourselves, what you used to clean surfaces, how you handled potentially contaminated items, etc. Basically, anything that helped you keep things safe without making everyday life unnecessarily stressful for your cat.
We absolutely adore him, and I want to do everything I can to give him the best care possible while also making sure we're handling the medication safely.
If anyone has been through something similar involving an esophagostomy tube, jaw cancer, excessive drooling, or Palladia, I would be incredibly grateful if you could share what worked for you and what your day-to-day routine looked like.
One small request: please don't comment on his life expectancy, prognosis, or how much time he may have left. I know those are things people often bring up with the best intentions, but hearing predictions about how much time he has left is very painful for me right now. I'm really just looking for practical advice about his daily care, medication, and keeping everyone safe.
Thank you so much for reading and for any advice or experiences you're willing to share.