Hill's Prescription Diet

c/d Multicare Stress with Tuna Wet Cat Food

Product Description

Urinary health nutrition to reduce rate of recurrent FIC signs, dissolve struvite stones, decrease risk of recurrent struvite stones/plugs and CaOx stones, and with ingredients to help reduce stress in cats

Primary Product Recommendation

Urinary Care

Alternate Product Recommendation

Heart Care

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Key Benefits

Prescription Diet c/d Multicare Stress Wet Cat Food is specially formulated by nutritionists & veterinarians to help manage cats with Feline Lower Urinary Tract Disease (FLUTD).

This canned food is made with tuna and has a ground texture and a light gravy with an irresistible taste that cats love.

These characteristics make Prescription Diet c/d Multicare Stress Wet Cat veterinary exclusive pet food useful as a nutritional aid for cats with FLUTD or FIC:

KEY FEATURES		KEY BENEFITS
L-tryptophan, Hydrolyzed Casein	Added	Help manage stress and stress related behaviors.
Magnesium, Calcium, Phosphorus	Controlled levels	Reduce building blocks of crystals and uroliths.
Potassium Citrate	Added	Inhibits calcium oxalate crystals and uroliths.
Antioxidants	High	Vitamin E and Beta Carotene help defend cells against free radical oxidation and counteract inflammation in the bladder.
Omega-3 Fatty Acids, EPA and DHA	High	Help break inflammatory cycle associated with uroliths and FIC.

Indications:

Primary Indications:

All cases of FLUTD initially (during investigation)
Feline idiopathic cystitis (FIC)
Calcium oxalate urolithiasis, reduce recurrence
Calcium phosphate urolithiasis, reduce recurrence
Struvite dissolution
Struvite urolithiasis, reduce recurrence

Other Indications:

Mild to moderate stages of heart disease, including asymptomatic
Advanced stages of heart disease

Not Recommended For:

Growing kittens, pregnant or nursing cats

Patients with concurrent use of urinary acidifiers

Evidence-Based Clinical Nutrition:

Nutrition clinically tested to reduce the recurrence of FIC signs by 89% now with ingredients to help manage stress.¹

Nutrition clinically tested to dissolve struvite stones in as little as 7 days (Average 27 days).²

Studies have shown that the nutrition in Prescription Diet c/d Multicare Feline reduces risk of both calcium oxalate and struvite urolith formation.^3,4

A cased base study showed pet parents observed cats with known FIC signs to demonstrate greater social engagement after being fed the nutrition of Prescription Diet c/d Multicare Stress.⁵

Additional Info:

Ideal for long-term feeding and multi-cat households.
Dry and canned formulas can be mixed or fed concurrently.

Other Products to Consider

For patients with feline idiopathic cystitis (FIC): Prescription Diet c/d Multicare Stress + Metabolic Weight Cat Food, Prescription Diet c/d Multicare + Metabolic Weight Cat Food, Prescription Diet c/d Multicare Cat Food

To reduce recurrence of calcium oxalate (CaOx), calcium phosphate, or struvite uroliths: Prescription Diet c/d Multicare Cat Food, Prescription Diet c/d Multicare Stress + Metabolic Weight Cat Food, Prescription Diet c/d Multicare + Metabolic Weight Cat Food

To reduce recurrence of struvite uroliths & weight maintenance: Prescription Diet c/d Multicare Stress + Metabolic Weight Cat Food, Prescription Diet c/d Multicare + Metabolic Weight Cat Food, Prescription Diet w/d Multi-Benefit Cat Food

For patients requiring struvite dissolution: Prescription Diet s/d Cat Food, Prescription Diet c/d Multicare Cat Food, Prescription Diet c/d Multicare + Metabolic Weight Cat Food, Prescription Diet c/d Multicare Stress + Metabolic Weight Cat Food

For patients requiring weight loss or maintenance with concurrent feline lower urinary tract disease (FLUTD): Prescription Diet c/d Multicare Stress + Metabolic Weight Cat Food, Prescription Diet c/d Multicare + Metabolic Weight Cat Food

For patients with mild to moderate stages of heart disease, including asymptomatic: Prescription Diet c/d Multicare Cat Food, Prescription Diet d/d Cat Food, Prescription Diet k/d Early Support Cat Food, Prescription Diet m/d GlucoSupport Cat Food, Prescription Diet Gastrointestinal Biome Cat Food

For patients with advanced stages of heart disease: Prescription Diet c/d Multicare Cat Food, Prescription Diet d/d Cat Food, Prescription Diet k/d Early Support Cat Food, Prescription Diet Gastrointestinal Biome Cat Food

References:

^1. Kruger JM, Lulich JP, MacLeay J, et al. Comparison of foods with differing nutritional profiles for long-term management of acute nonobstructive idiopathic cystitis in cats. J Am Vet Med Assoc 2015;247:508-517.

^2. Lulich JP, Kruger JM, MacLeay JM, et al. Efficacy of two commercially available, low-magnesium, urine-acidifying dry foods for the dissolution of struvite uroliths in cats. J Am Vet Med Assoc 2013; 243:1147-1153.

^3. MacLeay JM, Schiefelbein H, Davidson S. Dietary sodium increases calcium excretion and induced calcium oxalate precipitation in cats. J Vet Int Med 2018;32:6:2288.

^4. Gluhek T, Bartges JW, Callens A, Galyon G, Cox S, Kirk CA. Evaluation of 3 struvite-oxalate preventative diets in healthy cats. J Vet Intern Med 2012; 26:3:801.

^5. Meyer HP, Becvarova I. Effects of a urinary food supplemented with milk protein hydrolysate and L-tryptophan on feline idiopathic cystitis - results of a case series in 10 cats. Intern J Appl Res Vet Med 2016;14:59-65.

Feeding Guide

How to adjust feeding amounts to maintain optimal weight.

Provide specific feeding instructions for your patient.
Daily Feeding Recommendations are only a guide and a place to start.
Grams are the most accurate form of measurement; cups are estimated from grams.
Monitoring your patient's condition will assure the nutritional recommendation provides the best results.
Gradually transition to this new food for 7 days or more.
Reinforce with clients to feed Prescription Diet dry food, canned food, & treats exclusively.

Adult maintenance

Weight of Cat - lbs (kgs)	Amount per Day - 5.5 oz (156 g) cans
6 (2,7)	1
8 (3,6)	1 1/3
10 (4,5)	1 2/3
12 (5,4)	1 3/4
14 (6,4)	2
16 (7,3)	2 1/3
18 (8,2)	2 1/2

Animal feeding tests using AAFCO procedures substantiate that Hill's Prescription Diet c/d Multicare Stress with Tuna Cat Food provides complete and balanced nutrition for maintenance of adult cats

Ingredients
High quality protein and thoughtfully sourced ingredients.

Pork By-Products, Water, Pork Liver, Tuna, Brewers Rice, Chicken Fat, Corn Starch, Powdered Cellulose, Corn Gluten Meal, Soybean Oil, Chicken Liver Flavor, Fish Oil, Hydrolyzed Chicken Flavor, Calcium Sulfate, Guar Gum, Brewers Dried Yeast, Calcium Carbonate, Dicalcium Phosphate, Choline Chloride, vitamins (Vitamin E Supplement, Thiamine Mononitrate, Niacin Supplement, Pyridoxine Hydrochloride, Calcium Pantothenate, Vitamin B12 Supplement, Biotin, Riboflavin Supplement, Folic Acid, Vitamin D3 Supplement), Taurine, Potassium Citrate, Potassium Chloride, Iodized Salt, Dried Hydrolyzed Casein, L-Tryptophan, minerals (Zinc Oxide, Ferrous Sulfate, Manganese Sulfate, Copper Sulfate, Calcium Iodate), Beta-Carotene.

Average Nutrient & Caloric Content

Balanced nutrition that exceeds AAFCO nutrition standards.

161 kcal / 5.5 oz (156 g) can

Nutrient	As Fed¹%	Dry Matter²%	As Fed, Caloric Basis³g/100 kcal
Protein	10.8 %	43.3 %	10.4 g / 100 kcal
Fat	5 %	20.1 %	4.8 g / 100 kcal
Carbohydrate / NFE	6.6 %	26.5 %	6.4 g / 100 kcal
Crude Fiber	1 %	4 %	1 g / 100 kcal
Calcium	0.2 %	0.79 %	190 mg / 100 kcal
Phosphorus	0.17 %	0.7 %	169 mg / 100 kcal
Potassium	0.17 %	0.7 %	168 mg / 100 kcal
Sodium	0.09 %	0.37 %	88 mg / 100 kcal
Magnesium	0.014 %	0.057 %	14 mg / 100 kcal
Taurine	0.13 %	0.51 %	123 mg / 100 kcal
Vitamin C	3 ppm	12 ppm	0.29 mg / 100 kcal
Vitamin E	290 IU/kg	1166 IU/kg	28.04 IU / 100 kcal
Total Omega-3 FA	0.26 %	1.04 %	251 mg / 100 kcal
Total Omega-6 FA	1.05 %	4.23 %	1019 mg / 100 kcal

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