New York Condition Guide • Reviewed by Dr. Tiffany Delacruz, DVM • Last updated 2026-06-20
Pet Chronic Kidney Disease (CKD) in New York
Chronic kidney disease is one of the most common diseases of older cats and dogs. It progresses over months to years, and early intervention dramatically extends quality life. Staged from IRIS 1 (early) to IRIS 4 (end-stage).
For New York pet parents specifically: NYC apartment cats with CKD often have multi-bowl water + fountain setups; RexVet NY veterinarians can help optimize the home setup, manage diet transitions, and prescribe the full CKD regimen including SQ fluids, phosphorus binders, and appetite stimulants.
- Per visit
- $64.99 flat
- Family Plan
- $120 / year
- Rating
- 4.9★ · 8,313 families
- Structure
- 501(c)(3) non-profit
Licensed in New York · Reviewed by Dr. Tiffany Delacruz, DVM · Last updated 2026-06-22
Signs of kidney disease in pets
- Increased drinking and urination
- Weight loss (often the first sign)
- Decreased appetite
- Vomiting (intermittent, then more frequent)
- Lethargy
- Bad breath (uremic smell)
- Poor coat condition
How kidney disease is diagnosed
Diagnosis requires bloodwork (creatinine, BUN, SDMA, phosphorus) and urinalysis (USG, UPC). SDMA picks up CKD earlier than creatinine.
Standard treatment for kidney disease
- Renal diet (Hill's k/d, Royal Canin Renal, Purina NF)
- Subcutaneous fluids — daily or every other day
- Phosphorus binders if needed
- ACE inhibitors / ARBs for proteinuria
- Mirataz (mirtazapine) or Elura (capromorelin) for appetite
- Anti-nausea medication (Cerenia, ondansetron)
- Blood pressure management (amlodipine in cats)
Daily home management
- 1 Always-available fresh water (multiple bowls and fountains)
- 2 Renal-prescription diet exclusively
- 3 Subcutaneous fluids at home (vet teaches the technique)
- 4 Weight, appetite, and litter box volume tracking
- 5 Stress reduction (cats hate change)
- 6 Regular re-checks every 3-6 months
When telehealth works — and when it doesn't
Renal diet selection and transition, SQ fluid prescription and at-home administration coaching, appetite stimulant prescribing, anti-nausea Rx, blood pressure medication management, and quality-of-life monitoring are all top telehealth uses.
Start a $64.99 video visit →Diagnosis requires bloodwork (in-person sampling). Acute crises (rapidly worsening azotemia, severe dehydration, hypertensive emergency) require ER care. Ongoing management is one of the strongest telehealth use cases.
Manage kidney disease with a New York-licensed vet
RexVet is licensed across all 62 New York counties — $64.99 video visits 24/7.
$64.99 flat — no membership. New York-licensed RexVet veterinarians are on call 24/7 — including overnight and weekend hours when most NYC clinics are closed.
Book a vet visit — $64.99Chronic Kidney Disease (CKD) in New York pets
Frequently asked questions
Can a RexVet online vet treat my New York pet's kidney disease?
Renal diet selection and transition, SQ fluid prescription and at-home administration coaching, appetite stimulant prescribing, anti-nausea Rx, blood pressure medication management, and quality-of-life monitoring are all top telehealth uses. A $64.99 video visit gets you a New York-licensed vet who can prescribe medications via RexVetRx (same-day delivery in most major New York ZIPs) or refer to in-person care when needed.
What are the signs of kidney disease in pets?
Common signs include: Increased drinking and urination; Weight loss (often the first sign); Decreased appetite; Vomiting (intermittent, then more frequent); Lethargy. If you're seeing these, a New York-licensed RexVet veterinarian can review by video and recommend next steps.
How is kidney disease diagnosed?
Diagnosis requires bloodwork (creatinine, BUN, SDMA, phosphorus) and urinalysis (USG, UPC). SDMA picks up CKD earlier than creatinine.
What's the standard treatment for pet kidney disease?
Standard treatment approach includes: Renal diet (Hill's k/d, Royal Canin Renal, Purina NF); Subcutaneous fluids — daily or every other day; Phosphorus binders if needed; ACE inhibitors / ARBs for proteinuria. Renal diet selection and transition, SQ fluid prescription and at-home administration coaching, appetite stimulant prescribing, anti-nausea Rx, blood pressure medication management, and quality-of-life monitoring are all top telehealth uses.
What can I do at home for my New York pet's kidney disease?
Daily home care for kidney disease: Always-available fresh water (multiple bowls and fountains); Renal-prescription diet exclusively; Subcutaneous fluids at home (vet teaches the technique); Weight, appetite, and litter box volume tracking. New York-specific: NYC apartment cats with CKD often have multi-bowl water + fountain setups; RexVet NY veterinarians can help optimize the home setup, manage diet transitions, and prescribe the full CKD regimen including SQ fluids, phosphorus binders, and appetite stimulants..
When does my New York pet need to be seen in person vs. online?
Diagnosis requires bloodwork (in-person sampling). Acute crises (rapidly worsening azotemia, severe dehydration, hypertensive emergency) require ER care. Ongoing management is one of the strongest telehealth use cases.
Does New York's environment affect kidney disease?
NYC apartment cats with CKD often have multi-bowl water + fountain setups; RexVet NY veterinarians can help optimize the home setup, manage diet transitions, and prescribe the full CKD regimen including SQ fluids, phosphorus binders, and appetite stimulants.
Can I refill my New York pet's kidney disease prescriptions online?
Yes. RexVet veterinarians are licensed in New York and prescribe and refill medications via $64.99 video visits. Prescriptions are filled through RexVet's in-house pharmacy (RexVetRx) with same-day delivery in most New York ZIP codes, or transferred to any local pharmacy.
Chronic Kidney Disease (CKD) in other states RexVet serves
Medical review by Dr. Tiffany Delacruz, DVM
Chief Executive Officer & Lead Veterinarian, RexVet. Licensed in Florida, New York, and Virginia.
This page is an educational reference and does not replace veterinary advice. Always consult a licensed veterinarian about your individual pet.