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The severity of side effects vary by patient

Only the human form of erythropoietin is currently available for treatment of felines

Although the human version has been proven effective, some cats may develop antibodies against it

must be stopped immediately

Feline recombinant erythropoietin is not commercially available at this time. 

An anabolic steroid that is used to improve appetite

Anemia

Calcium Imbalance  

Calcitriol is the active form of vitamin D (D3). An excess of phosphorus suppresses the production of calcitriol

The lack of calcitriol prevents calcium from being absorbed in the alimentary canal which leads to hypocalcemia

Hyperphosphatemia (excess phosphorus

Hypertension (high blood pressure)

(Amlodipine, calcium channel blocker

These medications may be helpful in treating CRF since they dilate the blood vessels thereby increasing blood flow to the kidneys

Hypokalemia (potassium depletion

potassium gluconate)

Inappetence (loss of appetite

Periactin (cyproheptadine

Potassium supplementation combined with the inability of the kidneys of end-stage CRF cats to sufficiently rid their bodies of excess potassium can stress the heart and could potentially cause heart failure and/or other associated problems

For some reason, Periactin works to stimulate the appetite in cats. Periactin does not work equally well for all cats, but since it has fewer and less serious side effects than the family of tranquilizers more commonly used for appetite stimulation, it's worth a try

Valium (diazepam) and Serax (oxazepam

By experimentation you may find a dose small enough not to cause noticeable CNS depression while still stimulating appetite.

When giving these tranquilizers to cats, it is extremely important to always keep a close watch on them when the drug takes effect to make sure they don't fall off anything.

Pepcid AC Acid Controller (famotidine

Kremezin (AST-120)

is not an appetite stimulant. It simply eliminates one of the disturbances that can cause a cat not to eat and, therefore, may improve appetite

Antibiotics

Antibiotics do not fight CRF, they fight infections that may be taking advantage of your cat's weakened condition