References

Albino M. Analgesic Pharmacology. In: Goldberg M., Shaffran N. (ed). Chichester: Wiley Blackwell; 2015

Analgesic Pharmacology. MSD Veterinary Manual. 2013. https://www.msdvetmanual.com/management-and-nutrition/pain-assessment-and-management/analgesic-pharmacology (accessed 25 January 2021)

Bergmann HML, Nolte IJA, Kramer S. Effects of preoperative administration of carprofen on renal function and hemostasis in dogs undergoing surgery for fracture repair. Am J Vet Res.. 2005; 66:(8)1356-1363 https://doi.org/10.2460/ajvr.2005.66.1356

Boström IM, Nyman G, Hoppe A, Lord P. Effects of meloxicam on renal function in dogs with hypotension during anaesthesia. Vet Anaesth Analg.. 2006; 33:(1)62-9 https://doi.org/10.1111/j.1467-2995.2005.00208.x

Cracknell J. Understanding NSAIDs. The Veterinary Nurse.. 2011; 2:(2)98-103 https://doi.org/10.12968/vetn.2011.2.2.98

Dugdale A. Veterinary Anaesthesia: Principles to Practice, 1st ed. Chichester: Wiley-Blackwell; 2010

Edamura K, King JN, Seewald W, Sakakibara N, Okumura M. Comparison of oral robenacoxib and carprofen for the treatment of osteoarthritis in dogs: a randomized clinical trial. J Vet Med Sci.. 2012; 74:(9)1121-1131 https://doi.org/10.1292/jvms.11-0529

Gowan RA, Lingard AE, Johnston L, Stansen W, Brown SA, Malik R. Retrospective case-control study of the effects of long-term dosing with meloxicam on renal function in aged cats with degenerative joint disease. J Feline Med Surg.. 2011; 13:(10)752-761 https://doi.org/10.1016/j.jfms.2011.06.008

Grubb T, Sager J, Gaynor JS 2020 AAHA Anesthesia and Monitoring Guidelines for Dogs and Cats. J Am Anim Hosp Assoc.. 2020; 56:(2)59-82 https://doi.org/10.5326/JAAHA-MS-7055

Gruet P, Seewald W, King JN. Robenacoxib versus meloxicam for the management of pain and inflammation associated with soft tissue surgery in dogs: a randomized, non-inferiority clinical trial. BMC Vet Res.. 2013; 9:(1) https://doi.org/10.1186/1746-6148-9-92

Grapiprant: Need To Know. 2020. https://www.zeropainphilosophy.com/post/grapiprant-need-to-know (accessed 26 January 2021)

Hampshire VA, Doddy FM, Post LO Adverse drug event reports at the United States Food and Drug Administration Center for Veterinary Medicine. J Am Vet Med Assoc.. 2004; 225:(4)533-536 https://doi.org/10.2460/javma.2004.225.533

Hanson R, Maddison J. Nonsteroidal anti-inflammatory drugs and chondroprotective agents, 2nd ed. Philadelphia: Elsevier Limited; 2008

Hickford FH, Barr SC, Erb HN. Effect of carprofen on hemostatic variables in dogs. Am J Vet Res.. 2001; 62:(10)1642-1646 https://doi.org/10.2460/ajvr.2001.62.1642

Kamata M, King JN, Seewald W, Sakakibara N, Yamashita K, Nishimura R. Comparison of injectable robenacoxib versus meloxicam for peri-operative use in cats: results of a randomised clinical trial. Vet J.. 2012; 193:(1)114-118 https://doi.org/10.1016/j.tvjl.2011.11.026

Kerr C. Pain management, 3rd ed. In: Duke-Novakovski T, de Vries M, Seymour C (eds). Gloucester: British Small Animal Veterinary Association; 2016

What Is Giving You An Ulcer?… From Omeprazole To Aortic Thromboembolism. 2020. https://vtxpodcast.podbean.com/e/episode-2-gastroprotective-medication-and-aeortic-thromboembilisms-in-cats/ (accessed 27 January 2021)

Kirkby Shaw K, Rausch-Derra LC, Rhodes L. Grapiprant: an EP 4 prostaglandin receptor antagonist and novel therapy for pain and inflammation. Vet Med Sci.. 2016; 2:(1)3-9 https://doi.org/10.1002/vms3.13

Kongara K, Chambers P. Robenacoxib in the treatment of pain in cats and dogs: safety, efficacy, and place in therapy. Veterinary Medicine: Research and Reports.. 2018; 9:53-61 https://doi.org/10.2147/VMRR.S170893

Lascelles BDX, Cripps PJ, Jones A, Waterman-Pearson A. Efficacy and kinetics of carprofen, administered preoperatively or postoperatively, for the prevention of pain in dogs undergoing ovariohysterectomy. Vet Surg.. 1998; 27:(6)568-582 https://doi.org/10.1111/j.1532-950X.1998.tb00533.x

Lees P. Analgesic, Anti-Inflammatory, Antipyretic drugs, 9th edn. In: Riviere JE, Papich MG (eds). Iowa: Wiley-Blackwell; 2009

Monteiro-Steagall BP, Steagall PVM, Lascelles BDX. Systematic review of nonsteroidal anti-inflammatory drug-induced adverse effects in dogs. J Vet Intern Med.. 2013; 27:(5)1011-1019 https://doi.org/10.1111/jvim.12127

Mullins KB, Thomason JM, Lunsford KV Effects of carprofen, meloxicam and deracoxib on platelet function in dogs. Vet Anaesth Analg.. 2012; 39:(2)206-217 https://doi.org/10.1111/j.1467-2995.2011.00684.x

Pelley J. Elsevier's Integrated Review (Biochemistry), 2nd ed. Philadelphia: Elsevier Health Sciences; 2012

Pelligand L, Elliot J. Effects of non-steroidal antiinflammatory drug (NSAID) treatment on the kidney, 3rd ed. In: Elliot J., Westropp J., Grauer G. (ed.). Gloucester: British Small Animal Veterinary Association; 2017

Pollmeier M, Toulemonde C, Fleishman C, Hanson PD. Clinical evaluation of firocoxib and carprofen for the treatment of dogs with osteoarthritis. Vet Rec.. 2006; 159:(17)547-551 https://doi.org/10.1136/vr.159.17.547

Rausch-Derra L, Huebner M, Wofford J, Rhodes L. A Prospective, Randomized, Masked, Placebo-Controlled Multisite Clinical Study of Grapiprant, an EP4 Prostaglandin Receptor Antagonist (PRA), in Dogs with Osteoarthritis. J Vet Intern Med.. 2016; 30:(3)756-63 https://doi.org/10.1111/jvim.13948

Schwab J, Schluesener H, Meyermann R, Serhan C. COX-3 the enzyme and the concept: steps towards highly specialized pathways and precision therapeutics?. Prostaglandins, Leukotrienes and Essential Fatty Acids.. 2003; 69:(5)339-343 https://doi.org/10.1016/j.plefa.2003.07.003

Sparkes AH, Heiene R, Lascelles BD ISFM and AAFP consensus guidelines: long-term use of NSAIDs in cats. J Feline Med Surg.. 2010; 12:(7)521-38 https://doi.org/10.1016/j.jfms.2010.05.004

Know your NSAIDs

02 May 2021
14 mins read
Volume 12 · Issue 4
Table 1. Key words

Abstract

Non-steroidal anti-inflammatory drugs are regularly used in veterinary medicine to provide analgesia and to reduce inflammation associated with acute pain (e.g. surgical procedures) and in cases of chronic pain (e.g. osteoarthritis). This article discusses their pharmacology, different considerations with their use and the most commonly available drugs in small animal practice.

Non-steroidal anti inflammatory drugs (NSAIDs) are a class of drugs that are able to reduce inflammation without the need for steroids, by competitively inhibiting the formation of the inflammatory mediator prostaglandin.

Their use is appealing in veterinary medicine in acute and chronic inflammatory conditions that cause pain because of the therapeutic analgesic activity, their long duration of action, they come without sedative or behavioural modifying properties, and there are different formulations available (injectable, and oral tablet or liquid forms).

Because of the range of NSAIDs available in the veterinary market, careful drug and dose selection (and frequency) must be made, which will depend on the species it is being prescribed for. Although these are prescribed by the veterinary surgeon, it is useful for the veterinary nurse to be familiar with the NSAIDs available, and their pharmacology, to effectively nurse their patients and help answer any owner queries.

Specific NSAID drug doses, formulations for different species and the administration route are not discussed in this article and the reader is advised to consult a veterinary formulary.

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