Indications for Meloxicam
Meloxicam is a non-steroidal anti-inflammatory drug (NSAID) type medication that targets only the COX 2 enzyme, making it gentler to use on the stomachs and intestinal linings of those taking it. Typically used to manage the pain and inflammation caused by osteoarthritis, meloxicam can be administered orally or via injection, to help manage the pain and swelling caused by surgery.
Precautions for Meloxicam
Dogs with bleeding disorders, GI ulcers, liver disease, or a pre-existing renal or cardiovascular impairment should not be put on meloxicam. Patients that are dehydrated, hypovolaemic, or hypotensive should use extreme caution when taking meloxicam, as it could cause renal toxicity. Pets that are pregnant should only take meloxicam if the benefits outweigh the risks, as this drug can be teratogenic.
For cats, the oral use of this drug has not been FDA approved, but can still be prescribed as an extra-label drug.
Meloxicam might antagonize the antihypertensive effects of the ACE inhibitors. Corticosteroids might increase the risk of side effects of meloxicam. Diuretics increase the risk of side effects caused by dehydration. Meloxicam is contraindicated for use with nephrotoxic drugs, ulcerogenic drugs, or other NSAIDs.
Side Effects of Meloxicam
Primarily gastrointestinal, the side effects of meloxicam include, nausea, anorexia, vomiting, loose stool, diarrhea, and occasionally stomach ulcers. More rare side effects include sedation, lethargy, hyperactivity, restlessness, aggression, pruritus, alopecia, moist skin, necrotizing panniculitis, ecchymosis, hives, swelling, erythema, low albumen, polyuria, polydipsia, incontinence, urinary tract infection, ataxia, paresis, paralysis, seizures, vestibular disorders, hepatocellular damage, jaundice, renal disease, immune mediated hemolytic anemia, thrombocytopenia, and even death. Injectable versions of the drug may cause a reaction at the site of injection.
Dosage for Meloxicam
Dogs - Oral dose - initial dose of 0.2 mg/kg once, then 0.1 mg/kg dose daily, as needed
Cats - Injectable is only approved as a single time, post op injection - 0.3 mg/kg SQ
Because of the various considerations before prescribing this drug, along with the number of ways this drug can be administered, consult your vet before administering this drug, and follow their instructions exactly.
Brand/Generic Equivalent of Meloxicam