FIP Treatment Protocols

Overview

Key points before starting GS-441524 treatment

During treatment, cat owners should closely monitor the cat’s energy level, appetite, body weight, body temperature, changes in abdominal or pleural fluid, and blood test results. A commonly used treatment course is continuous administration for 12 weeks, or 84 days, but the specific protocol should be adjusted based on veterinary evaluation and the cat’s response to treatment.

When using GS-441524 for FIP, product source, accurate dosing, continuous treatment, and regular follow-up testing are very important. Cats with ocular FIP or neurological FIP may require higher doses or closer monitoring. All treatment-related decisions should be made under the guidance of a qualified veterinarian. This content is for educational reference only and does not replace veterinary diagnosis or treatment advice.

Common course
12 weeks / 84 days
Formulations
Oral or injectable
Dose depends on
FIP type, weight, stability, ocular or neurological signs
Monitoring
Appetite, weight, temperature, fluid changes, blood tests

GS-441524

The most commonly used treatment for all forms of FIP
GS-441524 treatment bottles

This is the most commonly used treatment for all forms FIP, as well as the most documented.

GS-441524 is available in many countries in compounded oral formulations. Injectable and oral formulations are also found on the black market and are often used by pet owners.

Oral GS-441524 dosages are roughly double the SC equivalent.

Wherever available, regulated products should be preferred to black market options.

Oral GS-441524 Dosages

Typical 12-week oral protocol

The typical protocol is 12 weeks (84 days) of continuous treatment with the following oral dosages:

Without ocular or neurological involvement
15 mg/kg/day
Ocular FIP cases
15–20 mg/kg/day
Neurological FIP
10 mg/kg BID minimum
For more information, please check the ISFM/iCatCare guidelines.

Sub-Cutaneous Administration

SC dosage reference

For sub-cutaneous administration, dosages are as follows:

Without ocular or neurological involvement
6–7.5 mg/kg
Ocular FIP cases
8–10 mg/kg minimum
Neurological FIP
10 mg/kg minimum

Ocular and Neurological FIP

Why some cases may require higher doses or closer monitoring

Ocular and neurological cases in particular may require higher doses as there is variation between cats in the amount of GS-441524 that crosses the blood/brain barrier -- ranging from about 7% to 21%.

Please note that many black market suppliers label their products by an estimated bioavailable dose, a dose equivalent, or other means. Click here for more info.

A recent study has shown that a shorter course of therapy may be sufficient for some cats. A larger study is currently in progress to validate this for a larger cohort of cats.

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Ocular FIP
Eye involvement may require careful monitoring and dose evaluation.
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Neurological FIP
Neurological involvement may require higher exposure and closer follow-up.
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Follow-up testing
Bloodwork and clinical response should guide treatment evaluation.

Product Safety and Source Considerations

Regulated products should be preferred wherever available
Regulated products
Wherever available, regulated products should be preferred to black market options.
Product labeling
Some black market suppliers may label products by estimated bioavailable dose, dose equivalent, or other methods.
Veterinary guidance
Treatment decisions, dosage changes, and readiness to stop treatment should be evaluated with veterinary guidance.

Medical Disclaimer

Educational content only
Important Notice
This content is provided for educational reference only and does not replace veterinary diagnosis, prescription, or treatment advice. Always consult a qualified veterinarian before making any health-related decisions for your cat.

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