Has anyone ever had elevated liver enzymes from long-term previcox use? Updated

I have 16 year-old horse with fetlock arthritis that has been on 57mg of previcox daily for the past year and a half. He’s been gradually losing weight and has been lethargic with a reduced appetite for the past six months (maybe longer). He’s getting progressively worse so I had the vet out for bloodwork. We’re still waiting on the test for Cushing’s but he does have mildly elevated liver enzymes (GGT). The vet said that liver problems do match his other symptoms so he is somewhat concerned. I know lots of things can cause problems with the liver, but this horse has always been sensitive to NSAIDs (hence the use of Previcox). The vet says Previcox doesn’t affect the liver but both the Previcox and Equioxx websites say they can cause liver damage. Specifically, the Previcox website says: "

“As a class, cyclooxygenase inhibitory NSAIDs may be associated with gastrointestinal, kidney or liver side effects. These are usually mild, but may be serious. Pet owners should discontinue therapy and contact their veterinarian immediately if side effects occur. Evaluation for pre-existing conditions and regular monitoring are recommended for pets on any medication, including PREVICOX.”

I know I have a lot of work to do to figure out what is going on with this horse but what I want to know is: Has anyone had problems with long-term previcox use?

Whenever a vet suggests Previcox they always told us that Previcox can seriously damage the liver if used longterm and it’s important that bloodwork is done every time you run out of Previcox…

I am sorry you are dealing with this, but I am also surprised your vet didn’t warn you first hand.

I have never had it happen to a horse I owned but we had a pony on 1/4 tab management dose (20+ y/o lesson pony that used to be an Amish cart horse)… She had her bloodwork drawn every 3-6 months. It’s likely the GGT is related to the long-term previcox use…

I would pull the Previcox ASAP. If the liver is possibly compromised daily doses of Previcox is probably worsening it. What is your horse eating and what is his management/lifestyle?

Did you pursue injections before going to Previcox?

[QUOTE=beowulf;8280612]
Whenever a vet suggests Previcox they always told us that Previcox can seriously damage the liver if used longterm and it’s important that bloodwork is done every time you run out of Previcox…

I am sorry you are dealing with this, but I am also surprised your vet didn’t warn you first hand.

I have never had it happen to a horse I owned but we had a pony on 1/4 tab management dose (20+ y/o lesson pony that used to be an Amish cart horse)… She had her bloodwork drawn every 3-6 months. It’s likely the GGT is related to the long-term previcox use…

I would pull the Previcox ASAP. If the liver is possibly compromised daily doses of Previcox is probably worsening it. What is your horse eating and what is his management/lifestyle?

Did you pursue injections before going to Previcox?[/QUOTE]

Damn, I just knew it. Not only did the vet not warn me but, when I asked him about it today, he said “no, previcox does not affect the liver.” I’ve had this horse for 13 years and have shown him through PSG in dressage. Adequan doesn’t help him at all and Legend only worked for a year or so. There are no vets in my area willing/able to do Pentosan or IRAP but I can probably haul out to have that done if need-be. I started injecting his hocks two years ago when he began missing all his flying changes and the injections have worked beautifully but the vet really doesn’t want to inject his fetlocks unless he absolutely has to due to the high motion area in which his arthritis is located. He suggested Previcox as a relatively “safe” way to manage the inflammation and the horse has done well but I have repeatedly questioned using it long-term. It has made me uncomfortable all along and I probably should have trusted my gut. Unfortunately, this is the first time we’ve drawn blood in several years so I don’t know when the GGT became elevated.

The horse was eating Tribute’s Kalm N EZ and first cutting grass hay. He has always been an easy-keeper but not “metabolic” looking – he’s been quite fit for most of his life. He was becoming increasingly reluctant to eat and eventually quit eating the Tribute completely in July. When he went on his hunger strike, the only thing he would even try was Triple Crown Senior so that’s what he’s eating now and is eating it fairly well. All along, he’s been eating last year’s hay because I had excess so there have been no changes on that front. I actually added some of this year’s hay hoping it would be more palatable but that change was made after the problems started. Ulcers have been considered and he is finishing up 30 days of treatment but it has made no difference. I probably should have scoped him before treating but there is nowhere close to have it done and I didn’t want to stress him.

Otherwise, his lifestyle is the same as it has been for a while. He lives with a pony and a yearling filly and they get along wonderfully. He really likes his herd. They are in for 9 hours at night because none of them can stand the mosquitoes and then they are out the rest of the time. Their pasture doesn’t have a lot of grazing but it’s not dirt and they get hay outside and always have something to eat. The pasture is kept mowed and seeded, as needed. For what it’s worth, I didn’t give him his Previcox today…

[QUOTE=Clair2014;8280664]
Their pasture doesn’t have a lot of grazing but it’s not dirt [/QUOTE]

This scenario suggests needing the pasture checked for toxic plants. Even with hay in front of them, horses nibble on fresh greens. Many pasture weeds contain liver toxins.

NO Previcox with liver issues !

[B]
NO ! Previcox with liver issues !

Never Previcox until blood = liver function is checked !

You do not want to know my story about vet not checking blood before administering a high dosage of Previcox injection ! ** Pony was not on Previcox before the injection … but had liver issues ![/B][B]

Serious Jingles & AO for your horse ~ be careful and document everything … especially signs of colic or restlessness ~[/B]

[QUOTE=Katy Watts;8280712]
This scenario suggests needing the pasture checked for toxic plants. Even with hay in front of them, horses nibble on fresh greens. Many pasture weeds contain liver toxins.[/QUOTE]

Thanks for the advice! I am very aware of this and we are very careful with the weeds but this is definitely one of the avenues we’re exploring.

[QUOTE=Zu Zu;8280758]
[B]
NO ! Previcox with liver issues !

Never Previcox until blood = liver function is checked !

You do not want to know my story about vet not checking blood before administering a high dosage of Previcox injection ! ** Pony was not on Previcox before the injection … but had liver issues ![/B][B]

Serious Jingles & AO for your horse ~ be careful and document everything … especially signs of colic or restlessness ~[/B][/QUOTE]

Would you mind elaborating a bit on what happened to your pony? My horse has never had liver issues before and did have a colic a couple weeks ago that we believe is associated with this issue.

Running late ``` NO Previcox with elevated liver enzymes !

running late

covered up with barn / cat meds

will pm you this evening

in the meantime NO PREVICOX please

in a nutshell Vet ‘fried’ my pony’s liver with high dosage injection of Previcox without knowing the liver values :sadsmile:

no one needs to FLAME me about this … IT HAPPENED !

In addition to what Katy Watts posted, I’d be requesting a full liver panel and check SDH, SDH is specific for involvement of the liver injury and a pretty good indicator I believe.

If you did not know the liver values before you do not know that the Previcox fried your pony’s liver.

I had a horse whose liver numbers came back really scary and that horse had that problem before Previcox ever existed. :wink:

I do think it is wise of the OP to look into everything that might cause the changes in numbers for her horse.

Pony had liver issues ! Should not have been given Previcox •

pony had liver issues !

should not have been given Previcox •

  • it happened ! Vet admitted he made a GRAVE ERROR !

trubandloki …

i don’t believe you were in my barn nor with the vets !
you can call the clinic if you like ~ it was all documented

a very sad end to a very accomplished pony !

I stand by my posts … No Previcox with liver issues !! Regardless of exact numbers !
Any liver issues should not be insulted with Previcox = a deadly mix !
[B]

** this pony was not on pasture ~ a show hackney … stalled with hay .[/B]

I know that my vet suggested liver tests for my dog, who has been on Previcox for several years. Because she is elderly and miserable without it, I haven’t done any testing. If the choice is to stop Previcox, it means putting her down. At her age, keeping her happy is my only concern.

I haven’t had a vet mention it with a horse, but it makes sense to me that it could be hard on horses if it is on dogs.

Another option for managing arthritis is shockwave. I have a friend with a nearly 30 year old dressage schoolmaster – he has super gnarly fetlock rads. Shockwave makes him dramatically more comfortable for a time. How long it would last would depend on the horse, obviously, but as it is non-invasive it certainly wouldn’t hurt to give it a try.

[QUOTE=Zu Zu;8280758]
[B]
NO ! Previcox with liver issues !

Never Previcox until blood = liver function is checked !

You do not want to know my story about vet not checking blood before administering a high dosage of Previcox injection ! ** Pony was not on Previcox before the injection … but had liver issues ![/B][B]

Serious Jingles & AO for your horse ~ be careful and document everything … especially signs of colic or restlessness ~[/B][/QUOTE]

Are you thinking of another product? Previcox is a flavored chewable tablet, so it wouldn’t be injected.

Have a horse on Previcox for several years.

No problems.

The vet injected him ‘a strong dosage of Previcox’ and to be followed with pills

The vet injected the pony …in the neck

I asked ‘what was that !’

He replied " a strong dosage of Previcox ’

To be followed with small pink Previcox pills daily starting 24 hours after the injection .

enough said I truly wish none of this had happened !

  • yes sometimes they inject hocks with Previcox `

[QUOTE=arapaloosa_lady;8281663]
Are you thinking of another product? Previcox is a flavored chewable tablet, so it wouldn’t be injected.[/QUOTE]

Never heard of Previcox by injection!!!
My mare has been on Px for almost 5 years… no elevated liver enzymes, no problem and doing well responding to Previcox. If you miss a day, you know you did!

Never heard of previcox injection or the pills being pink. Are you sure it wasn’t something else like a steroid?

Still have them === Merial Previcox 57mg ``` a dull pinkish pill expire 8-2015

still have seven of the 8 pills *** a dull pinkish pill … this is the closest i could find in color … perhaps a bit more tan but close

color disappeared … ?!~!?

backside reads Merial Previcox 57 mg … expires 8-2015

Pills were to be given once a day 24 hours after the injection of Previcox , which I did not know anything about but vet said it is used for hock injection at times…

It was Previcox … injection and pills.

I had never used Previcox on a horse or dog or goat :lol: and will never again !

[QUOTE=jetsmom;8282022]
Never heard of previcox injection or the pills being pink. Are you sure it wasn’t something else like a steroid?[/QUOTE]

Trying again with color chart ``` here’s the color best I can find on chart

[B]** like this but a little more tan perhaps …but this is pretty close.

[/B]enough said … it was a horrific ending for a wonderful show pony :cry: