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Anti-inflammatory Therapy in Cats
What is Anti-inflammatory Therapy?
Inflammation is part of the body's response mechanism to injury or infection. Whilst inflammation plays a useful role in carrying white blood cells to the site of an injury and helping to remove toxins, in the long term it can be damaging and painful.
Corticosteroids are potent anti-inflammatories, but newer drugs
belonging to the non-steroidal anti-inflammatory (NSAID) group are
preferable in most cases. There are some licensed for use in cats and
they are a powerful addition to our ability to relieve pain in
felines.
The unique physiology of cats means many common drugs are not metabolized, which means cats are particularly vulnerable to toxic accumulation. As a result, extreme care needs to be taken over the dosage, frequency of administration, drug type, and how the medication is given in order to reduce the likelihood of possible complications.
Anti-inflammatory Therapy Procedure in Cats
NSAIDs are prescription medications, so the cat needs to be seen by a vet. Most NSAIDs are cleared from the body through the kidneys, so before starting therapy your vet may need to take a blood draw to screen the patient for renal disease.
Treatment may be short term, such as reducing fever in a patient with an infection while antibiotics get to work. Or it may be long term, such as in an arthritic cat with painfu l joints.
NSAIDs are not compatible with many other common medications, such as steroids, because of a heightened risk of gastric ulceration, so extreme care must be taken when mixing meds.
To reduce the risk of side effects such as gastric ulcers, NSAIDs must be given either with food or on a full stomach. Oral formulations include liquid suspensions, which make fine dose adjustments possible. Depending on the particular NSAID prescribed, the dosage is usually given once or twice daily.
Efficacy of Anti-inflammatory Therapy in Cats
Anti-inflammatory drugs from the NSAID family are good at managing mild to moderate pain. Severe pain requires the use of more potent analgesics (pain relievers) such as those from the morphine family.
Some anti-inflammatories, such as steroids, are potent at reducing inflammation but have no pain-relieving properties.
Your vet will make a call as to which anti-inflammatory is best based on the nature of the underlying problem. For example, mild arthritis or minor surgery is best served with NSAIDs. Severe, debilitating arthritis may require steroids (for the strong anti-inflammatory effect) with the addition of a painkiller from another drug group. Severe pain, such as a fractured leg, may require potent painkillers from the morphine family.
The big advantage of NSAIDs is they provide an option for at-home pain relief of cats with mild to moderate discomfort.
Related: NSAID toxicity in cats
Anti-inflammatory Therapy Recovery in Cats
Some patients need short courses of pain relief, such as during surgery. Others have long-term conditions, such as arthritis, and need ongoing medication.
NSAIDs are non-addictive and can be curtailed without problems once the inflammation has subsided. Corticosteroids, however, can induce a state of dependency in the body by suppressing the natural production of steroids. Therefore a slow, staged reduction of dose is necessary, especially for cats on steroids for several weeks or months.
Cost of Anti-inflammatory Therapy in Cats
The anti-inflammatory medications licensed for use in cats are prescription only. The most economic way to acquire NSAID medications is for your vet to write a script (cost $10 to $14) and then fill the script at a pharmacy. There are also economies of scale, whereby a 30 ml ($24) bottle of meloxicam is more economical to buy than 10 x 3ml (10 x $6 = $60) bottles.
Blood tests to check kidney function are around $45 to $60 or more.
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Cat Anti-inflammatory Therapy Considerations
Anti-inflammatory medications can considerably reduce a cat's discomfort or pain and greatly enhance that cat's welfare. It is no longer a case that elderly cats with arthritis have to put up with sore joints, as there are good pain-relieving medications which are safe in the long term.
However, NSAIDs need to be treated with respect and care taken to ensure they are given safely. This includes screening for renal disease before the start of therapy, sticking within the recommended dosage, and giving food before or with medication.
Unfortunately, for severe pain the vet may need to look at stronger medications that are more tightly controlled by law, and therefore administered mainly within the confines of a veterinary hospital.
Anti-inflammatory Therapy Prevention in Cats
Pet parents should act responsibly to ensure their pet is safe from harm. This may mean keeping your cat as an indoor pet in order to reduce the risk of accidental injury.
Cats may suffer pain for a number of reasons. Of these, the most preventable is dental disease. With regular tooth brushing or the use of dental hygiene products such as washes or food additives, the risk of gum disease or loose teeth can be greatly reduced.
With regards to arthritis, keeping your cat slim and supplementing their diet with nutraceuticals such as glucosamine and chondroitin helps to protect their joints. That said, a cat that develops arthritis should not suffer pain unnecessarily, and rather than avoiding NSAID use, it should be encouraged in order to relieve discomfort.
Paying for anti-inflammatory treatment out of pocket can be a major financial burden. Fortunately, most pet insurance companies reimburse claims within 3 days, putting 90% of the bill back in your pocket. In the market for pet insurance? Compare leading pet insurance companies to find the right plan for your pet.
Anti-inflammatory Therapy Questions and Advice from Veterinary Professionals
Street
Winston
5 Years
0 found this helpful
0 found this helpful
My pet has the following symptoms:
Muscle Spasms
Our cat has been prescribed Meloicam but he seems to be having muscle spasms. I have read that Meloxicam is not ideal for ongoing use in cats (versus dogs), particularly due to their kidneys.
What I have not managed to find is a NSAID that is recommended for cats.
Any ideas for cats with arthritis pain instead of Meloxicam?
Sept. 2, 2018
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dsh
Timothy
5 Years
4 found this helpful
4 found this helpful
My pet has the following symptoms:
Pain When Lifted
Cat Fight
My 5 year old cat who occasionally goes out with the dogs and back in with the dogs, wandered off yesterday. After 1 hour, he came home and went to sleep. For about 10 hours. We realized when we moved him off the chair, that he was injured. A few puncture wounds over hip, a scratch on the eye and ear. Face is fine, very superficial. Even the hip is superficial. But he is in pain. I gave him 0.1 cc of buspirone and repeated this morning. He is less stiff today, eating, drinking, even jumping on the bed and to the desk... and defecating fine. But under the laceration, his tissue seems hard. And he cries when i just lay my hand over it. Does he need an mri? For soft tissue damage? I know his hip is not fractured.
Aug. 8, 2018
4 Recommendations
Legally I cannot recommend the use of buspirone unless it was already prescribed by your Veterinarian; without examining Timothy I cannot determine the severity of the injury but would recommend visiting your Veterinarian for an examination to determine if any additional treatment is required and if any pain relief is required. Regards Dr Callum Turner DVM
Aug. 9, 2018
It was prescribed for him from an earlier incident. I did follow up with my veterinarian, who agreed it was a cat fight, he must have been running away when bitten. One tooth punctured the skin and left him with a terrible infection. He gave a shot of abics and pain meds. 72 hours later, he is doing great. And hating being inside. Thank you.
Aug. 13, 2018
Timothy's Owner
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Random
Chernia
8 Years
0 found this helpful
0 found this helpful
My pet has the following symptoms:
Lethargy
Hi. My cat had been sick with diarhea. We brought her to the vet and after medication therapy she is ok now, except...
She avoids stairs. She has dificulties jumping even small stairs example she cant jump off the bed.she is almost always lethargic, i can see she is in pain, but on flat surface she looks ok. When i touch the paws she is ok. She hisses sometimes when i try to take her. What could be the reason?
Aug. 2, 2018
Answered by Dr. Michele K. DVM
0 Recommendations
Cats can sometimes get arthritis or joint pain, and it can be painful for them. Her behavior may or may not be related to the diarrhea, but since she is still displaying these problems, a recheck would be a good idea, as they can examine her and see what this problem may be, and recommend any treatment for her that might help.
Aug. 2, 2018
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Calico
Callie
1 Year
0 found this helpful
0 found this helpful
My pet has the following symptoms:
Fever
Lack Of Appetite
Lack Of Coordination
Weight Los
My cat has suspected dry FIP and my vet gave me 3 Onsior/Robenacoxib 6 mg pills and she has felt so much better when she was on those, I want to get her a bigger prescription. I was curious how those pills affects the cats body in long term use.
July 19, 2018
0 Recommendations
Onsior (robenacoxib) is indicated for short term treatment in cat and is prescribed for a maximum of three days as indicated in the prescribing information linked below: “Onsior (robenacoxib) Tablets for Cats are indicated for the control of postoperative pain and inflammation associated with orthopedic surgery, ovariohysterectomy and castration in cats ≥ 5.5 lbs (2.5 kg) and ≥ 4 months of age; for up to a maximum of 3 days.” However, your Veterinarian may prescribe an alternative medication at their discretion. Regards Dr Callum Turner DVM
www.onsior.com
https://assets.ctfassets.net/kvimhx6nhg7h/3lqYXVToVqWsgEiikumWs8/b641f1f0c40e3fe26a2c35fdc5170e69/Onsior_Tablets_for_Cats_PI_Oct_2016.pdf
July 20, 2018
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Male taby
Yakety Yak
10 Months
1 found this helpful
1 found this helpful
My pet has the following symptoms:
Swelling In His Left Leg
My cat came home injured yesterday he is limping there's no broken bones that I can see but there is quite a bit of swelling. I'm trying to find out what I can do to help him with the swelling of his foot.
July 10, 2018
1 Recommendations
Without examining Yakety Yak I cannot determine if the cause of the swelling is due to trauma, insect bite, snake bite or another cause; if you suspect there has been a traumatic injury (sprain etc…) you should restrict movement and prevent any activity (no playing, running or jumping). If a spider bite or snake bite is a possibility (not all bite wounds are visible) you should visit your Veterinarian immediately for an examination. Regards Dr Callum Turner DVM
July 10, 2018
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