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VETERINARY TEAM REFERENCE · MEDICATION

Methimazole

An antithyroid medication that reduces thyroid hormone synthesis. Felimazole coated tablets are labeled for feline hyperthyroidism; successful treatment needs biochemical and clinical monitoring.

Thyroid synthesis inhibitorProduct-specific clinical reference

Updated October 16, 2026 · Sources and review status below

For veterinarians and veterinary staff. Product-label information is distinct from extra-label clinical practice. This is not a complete prescribing formulary or an automated interaction screen. Verify the current label, exact formulation, patient and species-specific clinical reference before use. Independent veterinary/pharmacy review remains pending.

Prescribing overview

Felimazole coated tablets treat feline hyperthyroidism.

Key prescribing checks

  • The feline label lists contraindications including primary liver disease, renal failure, autoimmune disease, specified blood disorders and pregnancy or lactation. Read the full list before treatment.
  • Monitor blood counts, biochemistry and total T4 according to the clinical plan. Treating hyperthyroidism can uncover underlying renal dysfunction.
  • Facial itching, vomiting, anorexia, lethargy or other illness during treatment needs prompt assessment; potentially serious hepatic or blood-cell reactions are described.
  • Follow handling precautions for tablets and body wastes, especially for pregnant or breastfeeding handlers. Wash hands after administration.

Uses by species

Approval and evidence apply to the named product, species, route and indication. An extra-label use requires its own prescribing assessment; a human indication is not an animal approval.

Cats

FDA-approved veterinary label

Hyperthyroidism

Contraindicated with specified liver, renal, autoimmune or blood disease and pregnancy/lactation.

Use / indication source ↗

Pharmacology & pharmacokinetics

Mechanism and clinical role

Inhibits thyroid-peroxidase-dependent hormone synthesis.

Absorption, distribution, metabolism and elimination

Cats: peak plasma concentrations at 1–1.5 hours; blood half-life approximately 3 hours.

SAFETY REFERENCE · PRODUCT & SPECIES SPECIFIC

Contraindications & cautions

Contraindications identify circumstances where the source says a product should not be used. Precautions call for assessment or monitoring. Interactions identify combinations to review. They are distinct categories; this summary does not replace a full interaction check or the current product label.

Felimazole

Cats; coated oral tablets

Contraindications · when not to use

  • Hypersensitivity to methimazole, carbimazole or polyethylene glycol.
  • Primary liver disease, renal failure or autoimmune disease.
  • Blood-cell disorders or coagulopathies.
  • Pregnancy or lactation.

Precautions & monitoring

  • Monitor blood counts, liver and renal function; serious illness requires prompt assessment.

Safety sources checked: . Selected label information; independent veterinary or veterinary-pharmacy review remains pending. A label for dogs, cats, horses or humans does not establish safety for another species.

Adverse effects

Vomiting, facial itching, hepatopathy and serious blood-cell disorders can occur; treatment may unmask renal disease.

These are selected source-reported effects, not incidence estimates or an exhaustive list. Spontaneous postmarketing reports do not by themselves establish frequency or causality.

Dosing & administration

Verify the source before prescribing. The regimens below summarize selected veterinary product labels, not every accepted veterinary use. They are not automatic substitutions between brands or formulations. Renal/hepatic disease, concurrent therapy, age, indication and clinical response can require a different plan.
Selected product-label regimens — not a patient-specific prescription
Species & indicationLabeled regimenEligibility & source
CatsHyperthyroidismFelimazole coated tablets

Initially 2.5 mg/cat

Oral · Every 12 hours

Ongoing; veterinarian-titrated

Maximum 20 mg/day divided; maximum 10 mg per administration.

Verify full dosing label ↗

Adjust in 2.5 mg increments after 3 weeks using TT4 and clinical response.

Extra-label prescribing and food-animal residue requirements are separate from labeled regimens. FDA extra-label-use guidance ↗

Drug & supplement interactions

This is a selected interaction reference, not an automated or comprehensive combination checker. Reconcile prescription drugs, nonprescription products, supplements and recent treatment changes.

Felimazole

Cats; coated oral tablets

  • Anticoagulant effects may increase; phenobarbital may reduce efficacy and benzimidazole exposure may rise.
Interaction source ↗

Monitoring

CBC, chemistry and TT4 before treatment, at 3 and 6 weeks, then every 3 months; more often above 10 mg/day.

Client counseling

If illness develops, stop treatment and contact the veterinarian. Do not crush/break tablets; use gloves for body wastes.

This section supports the veterinary team's discharge discussion; it does not replace the product’s Client Information Sheet where one is required.

Storage & handling

Follow labeled storage; wash hands after administration.

Brands, formulations & ingredient identity

Active ingredients

methimazole

Felimazole identifies methimazole. It is not levothyroxine, which is thyroid hormone replacement and serves a different purpose.

The labeled coated tablets should not be broken or crushed. A compounded liquid or transdermal preparation is a separate formulation, not the branded tablet in another package.

Carbimazole is related pharmacologically but is not an ingredient synonym to substitute without prescriber review.

Shared ingredients do not establish interchangeable concentrations, routes, release properties, species labeling or regional availability.

Felimazole

Formulation
Coated oral tablets
Label / product scope
Cats

Feline prescription antithyroid product; tablets must not be crushed or broken.

Product label / source ↗

References & review status

Clinical reference updated October 16, 2026. Independent veterinary or veterinary-pharmacy review not yet completed. Evidence gaps remain explicitly identified; this page does not claim equivalence to a comprehensive, professionally reviewed veterinary formulary.

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