Stripe has CBS and a vet previously prescribed. .39 metacam daily.
Well we saw a new vet and she said keep the dose but every other day.
Will this be effective as an anti-inflammatory?
Hi
You have to distinguish between an acute pain event and long term pain support.
In an acute, short term pain event we recommend to give metacam once or even twice daily in order to minimise the periods between dosages when it wears off and the pain comes back. It comes down to whether your piggy is dealing with the pain better on one larger or two smaller dosages, or even two larger dosages.
The combination with CBS (which is currently not prescribed by UK vets) will change the amount of metacam prescribed compared to the higher and more often given UK metacam dosages in order to provide as constant a pain cover as possible.
However, with long term metacam support, the metacam is going to build up in the body and you are looking at usually lower maintenance dosages which can be given once daily or in milder cases/in combination with other pain medication only every second day. Again, you can give the two day interval a try and see whether it works for your piggy or not. Again, depending on the pain and the medication used, levels have to be individually adapted.
Finding and adjusting the right pain support level is always an individual process, especially with long term support where the support level and needs can and often will change over time and may have to be combined with other pain meds.
Generally, the benefits in quality of life and regained/retained zest of life in older piggies outweigh other longer term considerations re. metacam (kidney damage) because it is the will to live which important life-prolonging factor in end of life care.
I hope that this helps to clarify any conflicting advice?
