Metacam (Meloxicam)

Metacam, with Meloxicam as its active ingredient, is a well-known brand of non-steroidal anti-inflammatory drug (NSAID). For dogs and cats Metacam is prescribed to relieve pain and inflammation post-surgery and is also used to relieve pain and inflammation associated with acute injuries and chronic musculoskeletal disorders, like arthritis. This article primarily discusses the oral liquid and chewable tablet versions of Metacam, but it should be noted that an injectable form is also available that may be administered by your vet.

As an NSAID, Metacam relieves pain and inflammation by blocking the production of chemicals that trigger inflammation, known as the cyclooxygenase (COX) pathway. In dogs, it primarily targets inflammatory chemicals over beneficial ones, making it a good choice due to fewer side effects compared to some other NSAIDs. However, careful dosage following veterinary guidance is crucial, as higher doses may increase the risk of side effects.

It is important to follow instructions as advised by your veterinarian. Two forms of Metacam available are:

Chewable tablets for dogs: Follow the dosage and frequency recommended by your veterinarian, which is typically once a day. As these tablets are flavoured, most dogs are happy to take them with or without food.

Oral liquid for dogs and cats: Dosage is tailored to your pet's weight and the specific type of inflammation and pain they are experiencing. It is usually administered once daily in a flavoured liquid form, either directly to the pet post-meal or mixed with their food. The dog and cat formulations come in different strengths, so it is important to not give Metacam Oral for Dogs to your cat, as this can result in overdose. Cats must be treated with Metacam Oral for Cats.

Overdose:

Most commonly, signs of overdose can include vomiting and diarrhoea. For any concerns regarding potential poisoning or overdose, contact the New Zealand National Poisons Centre at (http://www.poisons.co.nz/animal-helpline/ or phone 0800 869 738).

Metacam is typically avoided in cases where there is a suspicion of gastric or intestinal ulceration or bleeding, or if the dog has cardiac, hepatic, or renal disease. It's also contraindicated in dogs with a history of hemorrhagic disorders or known hypersensitivity to the product. It is important to discuss other medications your pet is taking with your veterinarian as concurrent use with other NSAIDs, some antibiotics, or anticoagulant agents could be an issue. Consulting with your veterinarian is also important before changing treatment, however a treatment-free period of at least 24 hours is usually advised when switching from other NSAIDs to Metacam.

While generally well-tolerated, Metacam can cause side effects such as:

• Vomiting
• Diarrhoea or soft stools
• Decreased appetite
• Changes in urination habits
• Increased thirst
• Pale gums
• Skin irritation
• Yellowing of gums or eyes
• Lethargy
• Lack of coordination or weakness

Contact your veterinarian if you observe any of these symptoms.

Tablet forms should be stored at room temperature in the original blister package to avoid sunlight exposure. The oral form should be stored at room temperature away from light, in a dry environment ensuring the container is tightly closed. The chewable tablets are palatable so it is vital to store them securely away from pets to avoid accidental ingestion and overdose.

Your vet might recommend blood and urine tests for your pet prior to starting Metacam, especially for older pets. It is important to monitor your pet while it is on Metacam, especially kidney and liver function before and during the course of treatment.

How is Metacam administered to dogs?

• It is administered either orally as chewable tablets or as an oral solution. The dosage is based on the dog's body weight and should be followed as per your vet instructions.

Can Metacam be used with other medications?

• Metacam is generally not advised to be used alongside certain medications, including other NSAIDs and some antibiotics, and steroids. Always inform your veterinarian about any other medications your dog is taking.

Can I stop giving Metacam to my pet if they seem better?

• It's not advisable to stop giving Metacam to your pet without consulting your veterinarian, even if they seem to have improved. Since Metacam is often prescribed for pain relief and to reduce inflammation, discontinuing it abruptly might lead to a resurgence of pain symptoms or other complications.