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What is the main side effect of meloxicam?

The main side effect of meloxicam in dogs is gastrointestinal upset, including vomiting, diarrhea, and loss of appetite.

Understanding Meloxicam Side Effects in Dogs

Meloxicam is a widely used nonsteroidal anti-inflammatory drug (NSAID) prescribed by veterinarians to manage pain, inflammation, and fever in dogs. It is commonly used for conditions such as osteoarthritis, injury-related pain, or post-surgical recovery. While meloxicam is effective and generally well-tolerated, like all medications, it carries the risk of side effects. Knowing what to watch for can help pet owners ensure their furry companions stay safe during treatment.

How Meloxicam Works

Meloxicam works by inhibiting the COX-2 enzyme, which is involved in the production of prostaglandins—chemical messengers that create inflammation, pain, and fever. By reducing prostaglandin synthesis, meloxicam decreases swelling and discomfort in affected tissues.

Common Side Effects of Meloxicam

While many dogs tolerate meloxicam well, gastrointestinal issues are the most frequently observed side effects, especially when not given with food or if the dog is particularly sensitive.

  • Vomiting
  • Soft stools or diarrhea
  • Loss of appetite

These symptoms are usually mild and resolve shortly after stopping the medication. However, if they persist or worsen, veterinary attention is needed.

Less Common Side Effects

Some dogs might experience additional symptoms that can suggest organ involvement or more serious reactions. These include:

  • Increased thirst or urination
  • Lethargy or behavioral changes
  • Jaundice (yellowing of the skin, gums, or eyes)
  • Changes in urination

These signs may indicate alterations in liver or kidney function and should prompt immediate cessation of the drug and a veterinary consultation.

Serious Adverse Reactions

In rare instances, meloxicam can lead to severe reactions that require emergency care:

  • Blood in stool or vomit
  • Black, tarry stools
  • Seizures or tremors
  • Signs of abdominal pain
  • Loss of coordination

These symptoms may signal gastrointestinal bleeding or an overdose and should never be ignored.

Risk Factors and Contraindications

Certain conditions increase the risk of side effects. Meloxicam should not be used in dogs that:

  • Have known NSAID allergy or hypersensitivity
  • Are suffering from kidney or liver disease
  • Have gastrointestinal ulcers or bleeding disorders
  • Are dehydrated
  • Pregnant, lactating, or intended for breeding
  • Under 6 months of age
  • Are currently taking other NSAIDs or corticosteroids

Drug Interactions

Meloxicam can interact with various medications, making veterinary oversight crucial. Avoid combining it with:

  • Other NSAIDs (e.g., carprofen)
  • Corticosteroids (e.g., prednisone)
  • Anticoagulants (e.g., warfarin)
  • ACE inhibitors
  • Diuretics

Managing and Preventing Side Effects

To reduce the risk of adverse effects:

  1. Always follow dosage instructions—never double up if you miss a dose.
  2. Give with food to protect the stomach lining.
  3. Monitor behavior and appetite—report anything unusual.
  4. Routine lab testing—evaluate liver and kidney function, especially during long-term use.

Signs of Overdose

Meloxicam overdose is a medical emergency. Symptoms include:

  • Severe vomiting or diarrhea
  • Loss of appetite
  • Increased thirst or urination
  • Seizures, confusion, or lethargy
  • Yellow or pale gums

If you suspect an overdose, contact your veterinary clinic or an emergency animal hospital immediately.

Storage and Safety

Meloxicam should be stored:

  • At room temperature
  • Out of sunlight
  • Where it cannot be accessed by children or pets

Its flavoring can make it attractive to pets, so ensure the cap is always secured tightly.

Conclusion

Meloxicam is a powerful tool for pain and inflammation management, particularly for chronic joint conditions. While effective, its gastrointestinal side effects, especially vomiting and diarrhea, are the most common and important to monitor. When used responsibly under veterinary supervision, with appropriate monitoring, meloxicam can greatly enhance a dog’s quality of life.

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