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    Metacam: My "Sophie's Choice"
    ninoska posted:
    My 14 year old puppy is palliative. He has a whole potluck of health issues, the most severe being ataxia we believe stems from the spinal cord as a secondary manifestation of a cerebral growth. He's declined quite fast. One of the medications he was prescribed is Metacam 5 kg dose (10 drops) q 24h. I have been able to lower the dose to 6-7 drops q 24-36 h. He is also on Tramadol, Trusopt and I just added Benadryl for what I believe to be itchy hands. Other than steroids, what other anti-inflammatory options are available that will spare his kidneys?
    Sandy Willis, DVM, DACVIM responded:
    We really try to stay away from recommending treatments on this side because we can't see your pet, we don't know their complete history, and their medications. And as you are alluding to, drugs such as nonsteroidals have side effects. But do contact your veterinarian for other options. There might even be some holistic options available from your veterinarian as well. The key in these older doggies with multiple problems is to keep their quality of life as good as possible, which seems like you are. Dr. Sandy

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