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 labelHyperthyroidism
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
| Species & indication | Labeled regimen | Eligibility & 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.
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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