Hi Joyce,
Honestly, I'm not sure if the pepcid is necessary with the cytotec. It may fall into that "whatever helps" mentality. Both my vet and the vets at the emergency clinic said to keep her on it with the cytotec. Shelby's stools are great, she eats like a champ and she's been with us longer than all the doctors expected. So something in the med cocktail and her care is working! :-)
It's tough to make all of these decissions, I know that too well. We can only do the best we can with the information we have. That's why I was glad to find this and other websites. Keep us posted