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Ask Dr. Drew Your Own Question
Dr. Drew
Dr. Drew, Veterinarian
Category: Vet
Satisfied Customers: 16846
Experience:  Small Animal Medicine and Surgery
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He has been prescribed metacam now and for last two days has

Resolved Question:

He has been prescribed metacam now and for last two days has been really lathargic but eating a little and drinking alot. i took him to our new vets and he doesnt seemed to be worried. Im just worried that i should decrease the metacam.
Submitted: 2 years ago.
Category: Vet
Expert:  Dr. Drew replied 2 years ago.
Dr. Drew :

Hello, thanks for your question today! I am Dr. Drew, and I am a licensed veterinarian. I'll be happy to help you in any way I can.

Dr. Drew :

How many doses of Metacam has Mikey received?

Customer: He has been on it since Thursday every day 5.5mg as he is big cat
Dr. Drew :

ok, thanks,

Dr. Drew :

Metacam is generally not recommended for ongoing use in cats,

Dr. Drew :

as there is a risk of kidney troubles if it's used continuously.

Customer: He had blockedurethra last week
Dr. Drew :

that's even more concerning to me, since that condition is stressful on the kidneys,

Dr. Drew :

and metacam can contribute to kidney failure in cats,

Dr. Drew :

so I'm quite concerned about the situation you are describing.

Customer: The bloods and everything was fine when they checked
Dr. Drew :

drinking excessively can be a sign of kidney troubles.

Customer: He had urine test this morning and they said was fine
Dr. Drew :

well, I don't know what they tested or looked at specifically,

Customer: Should I stop the metacam
Dr. Drew :

but I'd be extremely cautious about continuing the metacam in this situation.

Dr. Drew :

I would typically suggest stopping it and see if things improve or worsen,

Dr. Drew :

as that may help your vet determine the next step.

Customer: I was worried about his bag legs earlier just before he went to cat little box he was stumbling about
Dr. Drew :

that is not an expected sign to see after urethral blockage.

Customer: He was fine after he went to toilet
Dr. Drew :

again, I'm a bit concerned about Mikey's situation, and suggest blood tests if the situation does not improve.


Customer: Is meta am just a painkiller?
Dr. Drew :

it is a non-steroidal anti inflammatory drug.

Dr. Drew :

it reduces pain and inflammation,

Dr. Drew :

but cats can be quite sensitive to some of the side-effects.

Customer: Should be still be inflamed 5 days after catheter
Dr. Drew :

usually the inflammation is gone after 5 days from catheter removal

Customer: So if I stop the metacam that's fine, how long does it take to get out of system
Dr. Drew :

it takes several days to be eliminated from a cat's system. That's part of the reason it can be risky to use daily in cats.

Customer: Is he lathargic because of these meds?
Dr. Drew :

Metacam does not directly cause lethargy. The side effects of Metacam (digestive irritation, kidney damage), can cause lethargy.

Customer: What do I need to watch for after I take him off meds
Dr. Drew :

if his appetite does not improve, or his water intake seems to remain high -- those are warning signs.

Customer: His water seems normal for him really and eating a pouch of meat a day since his catheter
Dr. Drew :

You said he was drinking a lot of water.

Customer: Sorry
Customer: About half a bowl a day
Customer: It's the lathargic that I'm worried about
Dr. Drew :

being lethargic is not normal, and is not a side effect of metacam, as I mentioned above.

Dr. Drew :

if the lethargy persists for more than 48 hours after stopping Metacam, all I can suggest is a re-examination.

Customer: Thank you I'll do that,
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