60 capsules, complementary feed for dogs and cats
Assessed clinical scopeDog · Optional adjunctive dietary support after diagnosis and stage-specific management of renal or upper-urinary disease · By mouth
Care settingVeterinarian-directed home adjunct alongside IRIS-aligned diagnosis, treatment and objective monitoring
vetman score
4.3/10
Weak evidence support
Evidence confidence: Low
Georgia: Not a medicine · Verified on 22 Oct 2026
A convenient complementary feed with no demonstrated patient-level renal benefit. It may be an optional monitored adjunct, never a substitute for staged CKD care; exact rounding and fractional-content handling remain unresolved.
Regulatory and scientific credibility4.0/10
Exact category, manufacturer, ingredients and current directions are identifiable, but there is no medicine-style dossier, accessible batch assay or exact-product trial. Ingredient quantities, non-10-kg rounding and fractional-content uniformity are not established.
Clinical efficacy2.0/10
New canine/feline renal-cell findings are biologically relevant but in vitro and explicitly require in-vivo validation. No exact-product CKD, upper-urinary, renal-function, quality-of-life or survival study was located.
Safety and tolerability4.5/10
A healthy-dog Ganoderma study found no major overall-health signal, but it is not this product. Exact-product repeated-dose safety, CKD-stage subgroups, interactions and reproductive data are absent; non-target Polyporus toxicology is mixed, including an in-vitro clastogenic signal of uncertain relevance.
Clinical practicality8.0/10
Once-daily capsules can be given whole or opened into food/water and are described as flavourless and odourless. Unspecified rounding for non-10-kg weights and unvalidated fractional contents prevent a higher score and automatic calculation.
Full-course cost-effectiveness-
The current Polish retail price is not substituted for an exact Georgian course cost, and an evidence-based duration is undefined; cost is excluded.
Important safety and use flags
- This is a complementary feed, not a medicine. Medicine-authorisation status is not applicable; that category does not prove clinical efficacy, purity or medicine-equivalent safety.
- Optional adjunct only. Do not replace IRIS staging, renal diet, hydration or management of blood pressure, proteinuria, phosphate, anaemia, acidosis, potassium and uraemic signs.
- No exact-product dog/cat clinical-outcome, pharmacokinetic, bioavailability or repeated-dose target-animal safety study was located.
- The 2026 dog/cat renal-cell findings are in vitro. Suppression of selected fibrosis-related genes does not prove preserved renal function, improved quality of life or survival and requires in-vivo validation.
- The current manufacturer direction is one capsule per 10 kg once daily, but non-10-kg rounding is not specified. Keep the label wording visible and do not expose an automatic calculator rule.
- Do not create fractional-capsule doses without validated content uniformity after opening and division. Whole or fully opened capsule administration is supported; estimated portions are not.
- Non-target Polyporus toxicology is mixed: an in-vitro chromosomal-aberration signal occurred despite negative bacterial-mutation and in-vivo micronucleus tests. Relevance to Nefroloxan, dogs or cats is unknown.
- Review polypharmacy and gastrointestinal tolerance. Mushroom and hibiscus interaction magnitude in dogs/cats with CKD is not established; “natural” does not mean interaction-free.
- Monitor clinical status, weight, appetite, hydration, creatinine/SDMA, urinalysis/UPC, blood pressure, phosphate/electrolytes and stage-specific endpoints rather than supplement use alone.
- Safety in pregnancy, lactation, neonates and severe or unstable renal/hepatic disease is not established. Use only after an individual benefit-risk review.
Assessment sources+