Cerenia (maropitant citrate) is an FDA-approved antiemetic medication specifically designed to prevent and treat vomiting and motion sickness in cats. It works by blocking substance P, a neurotransmitter involved in the vomiting reflex, providing rapid relief from nausea.
What Is Cerenia?
Cerenia is the brand name for maropitant citrate, a neurokinin-1 (NK-1) receptor antagonist. This class of drugs targets the central nervous system to inhibit emetic signals, making it highly effective for acute and motion-induced vomiting in felines. Unlike traditional antiemetics, Cerenia addresses both peripheral and central causes of nausea, offering comprehensive control.
Available in injectable (10 mg/mL solution) and oral tablet forms (16 mg, 24 mg, 60 mg, 160 mg), Cerenia is veterinarian-prescribed only. The injectable form acts within minutes, while oral tablets take 1-2 hours.
What Is Cerenia Used for in Cats?
Cerenia is primarily indicated for:
- Acute vomiting: Due to chemotherapy, anesthesia recovery, toxins, or dietary indiscretion.
- Motion sickness: Effective for travel-related nausea, dosed preventively.
- Chronic conditions: Off-label use in inflammatory bowel disease (IBD), pancreatitis, chronic kidney disease (CKD), and rhinitis where nausea persists.
Studies show Cerenia reduces vomiting frequency by up to 90% in treated cats, with approval for up to 5 consecutive days subcutaneously.
Cerenia Dosage for Cats
The standard **dosage of Cerenia for cats** is 1 mg/kg (0.45 mg/lb) body weight once daily. For a 5 kg (11 lb) cat, this equates to 5 mg.
| Form | Dosage | Frequency | Notes |
|---|---|---|---|
| Injectable (SC/IV) | 1 mg/kg | Once daily | Up to 5 days; vet-administered. |
| Oral Tablet | 1 mg/kg (off-label) | Once daily | With/without food; common tablets: 16 mg. |
Vets may adjust for kittens (over 16 weeks), seniors, or comorbidities. Injectable vials remain stable for 3 months refrigerated post-puncture.
How Is Cerenia Given to Cats?
Oral Administration
Administer tablets once daily, with a small amount of food if needed to improve palatability. Cats may need pill pockets or compounding. If vomiting occurs within 1 hour, re-dosing may be advised.
Injectable Administration
Given subcutaneously (SC) or intravenously (IV) by vets at 1 mg/kg. Ideal for hospitalized cats or acute cases, achieving peak effect rapidly.
Dosing for Special Populations
- Kittens (≥16 weeks): Same 1 mg/kg, with caution for developing organs.
- Senior Cats: Adjusted for kidney/liver function; monitor concurrent meds.
How Does Cerenia Work in Cats?
Cerenia selectively blocks NK-1 receptors in the brain’s emetic center and gastrointestinal tract, preventing substance P from triggering vomiting. This dual action controls both central (motion sickness) and peripheral (toxins, inflammation) nausea. Bioavailability is ~50% in cats orally, higher than dogs.
Effects last 24 hours per dose, making once-daily dosing sufficient.
What Are the Side Effects of Cerenia in Cats?
Most cats tolerate Cerenia well, but possible side effects include:
- Common (mild): Drowsiness, drooling, injection site pain, lethargy.
- Rare/Serious: Fever, dehydration, blood in urine, excessive fatigue—seek immediate vet care.
No long-term safety data beyond 5 days in cats; use under supervision for chronic issues.
Is Cerenia Safe for Cats?
Yes, when vet-prescribed. FDA-approved for cats ≥16 weeks for vomiting (up to 5 days). Safe for motion sickness off-label. Contraindications: Known hypersensitivity, severe liver disease. Use cautiously in pregnant/lactating cats (limited data).
Drug interactions: Minimal, but inform vet of other meds like NSAIDs or opioids.
When Should Cerenia NOT Be Given to Cats?
- Kittens under 16 weeks (injectable/oral for vomiting).
- Cats with GI perforation/obstruction (may mask symptoms).
- Hypersensitivity to maropitant.
Cerenia for Motion Sickness in Cats
Dosed at 1 mg/kg orally 1-2 hours pre-travel. Effective for car, plane, or boat trips, reducing stress-induced vomiting.
Cerenia for Kittens
Safe ≥16 weeks at 1 mg/kg. Lower doses may be used; vet monitors growth and organ function.
Cerenia for Senior Cats
Appropriate with dose tweaks for CKD/IBD. Helps manage nausea from uremia or meds.
Is Cerenia a Steroid?
No, Cerenia is not a steroid. It’s a targeted NK-1 antagonist, avoiding corticosteroid side effects like immune suppression.
Cerenia Storage and Expiration
Tablets: Room temperature. Injectable: Refrigerate; 3 months post-puncture. Check expiration; discard if discolored.
Cerenia Overdose in Cats
Overdose may cause ataxia, lethargy. Contact vet/poison control immediately; supportive care usually resolves issues.
Cost of Cerenia for Cats
Tablets: $2-5 per 16 mg dose. Injectable: $20-50/vial (multi-dose). Varies by weight/clinic; generics unavailable.
Alternatives to Cerenia for Cats
| Medication | Use | Dosage Example |
|---|---|---|
| Ondansetron | Severe nausea | 0.5-1 mg/kg |
| Metoclopramide | GI motility | 0.2-0.5 mg/kg |
| Cyclizine | Motion sickness | 5-10 mg/cat |
Cerenia preferred for efficacy/speed.
Frequently Asked Questions (FAQs)
Q: How quickly does Cerenia work in cats?
A: Injectable: Minutes. Oral: 1-2 hours. Lasts 24 hours.
Q: Can Cerenia be given with food?
A: Yes, with or without; small amount aids acceptance.
Q: Is Cerenia safe long-term for cats?
A: Up to 5 days approved; chronic use off-label under vet monitoring.
Q: What if my cat vomits after Cerenia?
A: Re-evaluate cause; may need diagnostics.
Q: Cerenia dosage for 10 lb cat?
A: ~4.5 mg (1 mg/kg).
Q: Does Cerenia make cats sleepy?
A: Mild drowsiness possible, usually transient.
This guide ensures cat owners understand Cerenia comprehensively. Always consult your veterinarian for personalized advice.
References
- Learn About Cerenia for Cats — Lolahemp. 2023. https://lolahemp.com/blogs/cat-health/cerenia-for-cats
- Cerenia for Cats — Great Pet Care. 2024. https://www.greatpetcare.com/pet-medication/cerenia-for-cats/
- Cerenia for Cats: Uses, Side Effects, Dosage — GoodRx. 2024. https://www.goodrx.com/pet-health/cat/cerenia-for-cats
- Maropitant Citrate (Cerenia®) for Dogs and Cats — PetPlace. 2023. https://www.petplace.com/article/drug-library/drug-library/library/maropitant-citrate-cerenia-for-dogs-and-cats
- Just in Case Medications for Vets — The Pet Oncologist. 2022. https://decagon-grape-958f.squarespace.com/s/Just-in-case-medications-For-Vets.pdf
- Maropitant Use in Cats — Today’s Veterinary Practice. 2023. https://todaysveterinarypractice.com/pharmacology/maropitant-use-in-cats/
- Maropitant Citrate — VCA Animal Hospitals. 2024. https://vcahospitals.com/know-your-pet/maropitant-citrate



