Consensus Guidelines on the Long-Term Use of NSAIDs in Cats with Dr. Sheilah Robertson

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September 2024

In today’s VETgirl online veterinary CE podcast, we interview Dr. Sheilah Robertson BVMS (Hons), PhD, DACVAA, DECVAA, DACAW, DECAWBM (WSEL), FRCVS on the use of long-term use of NSAIDs in cats. She is one of several contributors to the recent open-access publication 2024 ISFM and AAFP Consensus Guidelines on the Long-Term Use of NSAIDs in Cats. Tune in to learn which NSAIDs are most commonly used in cats, what types of pain are responsive to NSAID therapy, and how we can better assess and treat pain in cats! Plus, find out what communication tips we must educate our pet owners on (including tips on how to improve water intake)!

NOTE: In the paper 2024 ISFM and AAFP Consensus Guidelines on the Long-Term Use of NSAIDs in Cats, it states that cats “of any sex and breed were eligible for screening if they were >6 months of age, weighed ≥2.5 kg, lived exclusively indoors, were in generally good health, or had stable chronic conditions (including renal disease with an IRIS classification of stages I and II) were included” in this study. It also stated: “Among cats in the SC/SC group who entered the study in IRIS stage 1 or 2, three had increases in either SDMA, serum creatinine, or both while remaining at IRIS stage 2. One case increased from IRIS stage 2 at enrollment to IRIS stage 3. One cat from the IV/SC group with no preexisting renal condition had mildly increased SDMA at Day 56 (with no other changes in renal parameters). Although there was a higher frequency of renal insufficiency events in the frunevetmab groups, analysis of SDMA, serum creatinine, and blood urea nitrogen did not reveal significant differences between treated groups compared to placebo at the end of the study”. Please note that IRIS stage renal disease is not mentioned on the package insert for Solensia. When in doubt, please review the attached paper HERE!

Resources:
1. Taylor S, Gruen M, KuKanich K, et al. 2024 ISFM and AAFP consensus guidelines on the long-term use of NSAIDs in cats. J Feline Med Surg. 2024;26(4):1-26.

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