Felimazole
Active ingredient: Thiamazole
Sugar-coated tablet for management of hyperthyroidism in cats. The most commonly prescribed feline thyroid medication.
Form
Tablet
Strength
2.5mg to 5mg
Species
What it's used for
For the long-term treatment of feline hyperthyroidism.
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Paying less for Thiamazole (Methimazole)
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Prescription required
Your vet must provide a written prescription on request. You can then purchase from any licensed online retailer.
Felimazole — SPC Details
Source: VMD Summary of Product Characteristics (SPC). Last updated 27 Mar 2026.
has not been established.
For the stabilisation of feline hyperthyroidism prior to surgical thyroidectomy and for
the long term treatment of feline hyperthyroidism, the recommended starting dose is
5 mg of thiamazole (0.5 ml of the product) per day.
The total daily dose should be divided into two and administered morning and evening.
In order to administer the dose accurately, use the syringe provided in the package.
The syringe is graduated in 0.5 mg or 1.25 mg increments up to 10 mg and fits on the
bottle. Increments of 0.5 mg and 1.25 mg only are accurate. Accuracy of the dose
using 0.1 mg increments is not warranted. Withdraw the required dose and administer
the veterinary medicinal product directly into the cat’s mouth.
Haematology, biochemistry and serum total T4 should be assessed before initiating
treatment and after 3 weeks, 6 weeks, 10 weeks, 20 weeks, and thereafter every 3
months. At each of the recommended monitoring intervals, the dose should be titrated
to effect according to the total T4 and to clinical response to treatment. Standard dose
adjustments should be made in increments of 2.5 mg of thiamazole (0.25 ml of the
product) and the aim should be to achieve the lowest possible dose rate. In cats that
require particularly small dose adjustments, increments of 1.25 mg of thiamazole
(0.125 ml of the product) can be used. If total T4 concentration drops below the lower
end of the reference interval, and particularly if the cat is showing clinical signs of
iatrogenic hypothyroidism (e.g. lethargy, inappetence, weight gain and/or
dermatological signs such as alopecia and dry skin), consideration should be given to
reducing the daily dosage and/or dosing frequency.
AN: 01911/2024 & 01915/2024
If more than 10 mg of thiamazole per day is required animals should be monitored
particularly carefully.
The dose administered should not exceed 20 mg of thiamazole per day.
For long-term treatment of hyperthyroidism, the animal should be treated for life.
diabetes mellitus.
Do not use in cats showing signs of autoimmune disease.
Do not use in animals with disorders of white blood cells, such as neutropenia and
lymphopenia.
Do not use in animals with platelet disorders and coagulopathies (particularly
thrombocytopenia).
Do not use in cases of hypersensitivity to the active substance or to any of the
excipients.
Do not use in pregnant and lactating females (refer to section 3.7).
AN: 01911/2024 & 01915/2024
many cases, signs may be mild and transitory and not a reason for withdrawal of
treatment. The more serious effects are mainly reversible when medication is stopped
and, in these cases, treatment should be stopped immediately and alternative therapy
considered, following a suitable period for recovery.
Cats:
Uncommon
(1 to 10 animals / 1,000
animals treated):
Vomiting
, Anorexia
, Inappetence
,
Lethargy
Pruritus
1,2
, Excoriation
1,2
Prolonged bleeding
1,3,4
, Icterus
1,4
, Hepatopathy
Eeosinophilia
, Lymphocytosis
, Neutropenia
,
Lymphopenia
, Leukopaenia
(slight),
Agranulocytosis
Thrombocytopenia
1,6,7
, Haemolytic anaemia
Rare
(1 to 10 animals / 10,000
animals treated):
Serum anti-nuclear antibodies
5,7
Anaemia
5,7
Very rare
(<1 animal / 10,000 animals
treated, including isolated
reports):
Lymphadenopathy
5,7
These side-effects resolve within 7-45 days after cessation of thiamazole therapy.
Severe and of the head and neck.
Sign of a bleeding diathesis.
Associated with hepatopathy.
Immunological side-effect.
Occurs uncommonly as a haematological abnormality and rarely as an
immunological side effect.
Treatment should be stopped immediately and alternative therapy considered
following a suitable period for recovery.
Reporting adverse events is important. It allows continuous safety monitoring of a
veterinary medicinal product.
AN: 01911/2024 & 01915/2024
Reports should be sent, preferably via a veterinarian, to either the marketing
authorisation holder or its local representative or the national competent authority via
the national reporting system. See the package leaflet for respective contact details.
dosing schedule should be used daily.
Special precautions for safe use in the target species:
If more than 10 mg per day is required animals should be monitored particularly
carefully.
Use of the product in cats with renal dysfunction should be subject to careful
risk:benefit assessment by the clinician. Due to the effect thiamazole can have on
reducing the glomerular filtration rate, the effect of therapy on renal function should be
monitored closely as deterioration of an underlying condition may occur.
Haematology must be monitored due to risk of leucopenia or haemolytic anaemia.
Any animal that suddenly appears unwell during therapy, particularly if they are febrile,
should have a blood sample taken for routine haematology and biochemistry.
Neutropenic animals (neutrophil counts <2.5 x 10
/l) should be treated prophylactically
with bactericidal antibiotics and supportive therapy, if needed, according to the benefit-
risk assessment of the prescribing veterinarian.
Please refer to section 3.9 for monitoring instructions.
As thiamazole can cause haemoconcentration, cats should always have access to
drinking water.
In hyperthyroid cats, gastrointestinal disorders are common and may interfere with the
success of the oral therapy.
Special precautions to be taken by the person administering the veterinary medicinal
product to animals:
People with known hypersensitivity (allergy) to thiamazole or vanillin should avoid
contact with the veterinary medicinal product. If allergic symptoms develop, such as a
skin rash, swelling of the face, lips or eyes or difficulty in breathing, you should seek
medical attention immediately and show the package leaflet or label to the doctor.
Thiamazole may cause gastrointestinal disturbances, headache, fever, joint pain,
pruritus (itching) and pancytopaenia (decrease in blood cells and platelets).
The product may also cause skin irritation.
Avoid dermal and oral exposure, including hand-to-mouth contact.
Do not eat, drink or smoke while handling the product or used litter.
Wash hands with soap and water after administration and handling of the product and
cleaning the vomit of, or litter used by, treated animals. Wash any spillages or splatter
from skin immediately.
Following administration of the product any residual product remaining on the tip of
the dosing syringe should be wiped clean with a tissue. The contaminated tissue
should be immediately disposed of.
The used syringe should be stored with the product in the original carton.
Do not leave filled syringes unattended. In case of accidental ingestion, seek medical
advice immediately and show the package leaflet or the label to the physician.
This product may cause eye irritation.
Avoid eye contact including hand to eye contact.
AN: 01911/2024 & 01915/2024
In case of accidental eye contact, rinse eyes immediately with clean running water. If
irritation develops, seek medical advice.
As thiamazole is a suspected human teratogen, women of child-bearing age
must wear non-permeable single-use gloves when administering the product or
handling the litter/vomit of treated cats.
If you are pregnant, think you may be pregnant or are attempting to conceive,
you should not administer the product or handle the litter/vomit of treated cats.
Special precautions for the protection of the environment:
Not applicable.
thiamazole.
Thiamazole is known to reduce the hepatic oxidation of benzimidazole wormers and
may lead to increases in their plasma concentrations when given concurrently.
Thiamazole is immunomodulatory, therefore this should be taken into account when
considering vaccination programmes.
This veterinary medicinal product does not require any special temperature storage
conditions.
This information is sourced from the official Summary of Product Characteristics (SPC) published by the Veterinary Medicines Directorate (VMD). It is provided for informational purposes only and does not replace professional veterinary advice. Always consult your vet before administering any medication.
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Available Pack Sizes
Other Products Containing Thiamazole
These products share the same active ingredient and may be suitable alternatives. Always consult your vet.
Felimazole 1.25 mg Coated Tablets for Cats
POM-VDechra Regulatory B.V.
Felimazole 1.25 mg Coated Tablets for Cats
POM-VDechra Regulatory B.V.
Felimazole 2.5 mg Coated Tablets for Cats
POM-VDechra Regulatory B.V.
Felimazole 2.5 mg Coated Tablets for Cats
POM-VDechra Regulatory B.V.
Felimazole 5 mg Coated Tablets for Cats
POM-VDechra Regulatory B.V.
Felimazole 5 mg Coated Tablets for Cats
POM-VDechra Regulatory B.V.
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