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Meloxicam has been shown, especially at low therapeutic doses, to selectively inhibit COX-2 over COX-1. [9] Meloxicam concentrations in synovial fluid range from 40% to 50% of those in plasma. The free fraction in synovial fluid is 2.5 times higher than in plasma, due to the lower albumin content in synovial fluid compared to plasma.
In the United States, meloxicam is approved for use only in canines, whereas (due to concerns about liver damage) it carries warnings against its use in cats [169] [170] except for one-time use during surgery. [171] In spite of these warnings, meloxicam is frequently prescribed "off-label" for non-canine animals including cats and livestock ...
The exception is meloxicam with a slight (10:1) preference for COX-2, which, however, is only clinically relevant at low doses. [3] The most popular drug of the oxicam class is piroxicam. [1] Other examples include: ampiroxicam, droxicam, pivoxicam, tenoxicam, lornoxicam, [1] and meloxicam. Isoxicam has been suspended as a result of fatal skin ...
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An equianalgesic chart is a conversion chart that lists equivalent doses of analgesics (drugs used to relieve pain). Equianalgesic charts are used for calculation of an equivalent dose (a dose which would offer an equal amount of analgesia) between different analgesics. [1]
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On October 27, 2010, the FDA issued a boxed warning regarding the use of Metacam oral suspension in cats in the United States. Meloxicam is a non-steroidal anti-inflammatory drug that is approved in the U.S. for a single post-operative injection in cats. [21]