[QUOTE=Foxtrot’s;7263474]
Squishy - since you are on this thread -
The Cartrophan made a remarkable difference in our bull terrier. She is positively youthful again. But if we needed to ‘up’ her medications, what wold you recommend. I’m not sure of Metecam since I thought it was hard on their stomachs and liver? Shall I ask for Polyglycan? How about cost?[/QUOTE]
Does she have arthritis in one particular joint? We find the most useful treatment for elbow OA is IA injections, followed by IM. For this, our hospital uses polyglycan, however, I am not saying its better or worse than the other similar joint injections out there.
Depending on your hospital, you may find the Cartrophan cheaper than polyglycan or adequan…or vice versa. We use polyglycan much more than Cartrophan or Adequan so we can offer it to clients cheaper. Again, personal preference but what works for one may not work for another. These are not like NSAIDs, they do not reduce inflammation and do not work in the same way the NSAIDs do…so at some point those are something you may need to consider if the arthritis gets bad.
Any NSAID can have consequences like GI ulceration and organ damage. However, often times these are palliative treatments so we are willing to take these risks. For those younger dogs who need support longer term, lower dose NSAIDs generally are recommended and come with less side effects. And FWIW, even normal dosaging doesn’t cause issues in the majority of dogs, or it wouldn’t be offered. SOME dogs are sensitive to them, so its always something to keep an eye on.
I like metacam over previcox, dermax and rimadyl because dosing can be far more accurate and easy to half/quarter etc. You can dose it to the pound, whereas the others in pill form are rounded up/down. But, I have my dog on Previcox because for me its easier if she is staying with a friend, if I have to get someone else to pill her etc. its “easier” than wondering if someone else is going to mess up a metacam dosage.
But, there’s lots of things you can do before NSAID management. IA, or up the frequency of cartrophan, or give another brand a try. Fish oil added to the food, low impact exercise, addition of oral glucosamine suppliments like cosequin. Synthetic’s like tramadol are also relatively low with the side effects.