My dog takes prednisone. Can I give Metacam or other pain relief?

No, it's very dangerous to give an NSAID like Metacam at the same time as a steroid - so I would definitely NOT do this. If you think Romy is painful, I would contact your veterinarian to ask about a different pain medication such as tramadol or gabapentin, which can safely be given with steroids.

If I'm understanding her medication plan correctly, I'm a bit concerned because Metacam and prednisolone should not be given together - this combination of drugs can cause serious side effects such as stomach ulcers and internal bleeding, and I do not know of any veterinarians who would recommend giving both at the same time. I would recommend calling your vet in the morning to clarify the medication instructions, because it could be very dangerous for Peapumpkin to take both of these medications at once.

Hello. You can wean her off the pred onto the Metacam , or you can add additional pain medications such as tramadol or gabapentin. I, personally do not like long-term prednisone because of the possibility of side effects, but even Metacam can cause some issues. Regardless of what you & your veterinarian choose for Sydney, make sure periodic blood work is run to pick up any early signs of problems. Thank you for using Petco Pet Education Center, formerly Petcoach.

Thank you for submitting your question regarding Rugby. You cannot use Rimadyl if she is taking prednisone. Giving these two medications together has a very high risk of causing gastrointestinal ulcers. Personally I do not start Rimadyl until a dog has been off of prednisone for two weeks. It can be done sooner if the dog is given additional medications to protect the GI tract, but it is still risky. Is she taken a muscle relaxer? In dogs with severe neck pain, I will use prednisone, gabapentin, a muscle relaxer and an additional pain medication such as tramadol. If her pain cannot be controlled though, she may need to see a neurologist for surgery. I hope this information helps!

NOOOOOO!! Please don't give her aspirin or ibuprofen. That is absolutely contraindicated in a dog that is on steroids! You cannot mix steroids (prednisone) and non-steroidals (like aspirin and ibuprofen). This can cause a serious problem (namely GI ulceration that can perforate, liver failure and kidney failure). Non-steroidals will not help at all with cancer anyway; steroids will. If anything, you should talk to your vet about increasing the prednisone dose again. Every 3-5 days is an extremely low dose and is probably not doing anything at all. She needs to be on a very high dose when you are treating cancer. Please call your vet with your concerns and get her back on a higher dose of steroids. Hope this helps. Best wishes!

The problem I see with these medications is that he is taking a steroid (prednisone) and an a non-steroidal (NSAID) - meloxicam at the same time. It is not recommended those be given together. I suggest you talk to your vet about this issue. ( https://criticalcaredvm.com/a-potentially-lethal-combination/ ) I would be worried about this as this can negatively impact the stomach, kidneys and liver. Your vet needs to decide which one he should be on (the NSAID or the steroid) and stop the other one. Divi should also be given some gastroprotectants to prevent stomach ulceration.

Hello, Because Vega is receiving prednisone, I would recommend that you avoid administration of aspirin. Combining the two medications could result in a stomach or intestinal ulcer. Follow up with your veterinarian to discuss alternative pain medications such as gabapentin or tramadol.