Welcome! I am Dr. Altman, a licensed veterinarian and I am happy to answer your questions.
Unfortunately she is on two medications in the same class as ibuprofen (meloxicam and paracetamol) so it is not advised to add an additional one in. The combination of the two she is already on is actually not easy on her stomach and adding in an additional one really likely will lead to possible stomach ulcerations and upset
You can talk to your veterinarian about tramadol which is a human pain medication also used in veterinary medicine and can safely be given with the other medications to manage orthopedic pain
CLICK HERE for more information on this medication
But unfortunately ibuprofen, meloxicam/ lexicam, and paracetamol are all nonsteroidals so should not be given in combination which causes stomach upset, can also result in liver or kidney damage
Please let me know if I can assist with any additional questions today
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