2024 ISFM and AAFP Consensus Guidelines on the Long-Term Use of NSAIDs in Cats

Samantha Taylor; Margaret Gruen; Kate KuKanich; B Duncan X Lascelles; Beatriz P Monteiro; Llibertat Real Sampietro; Sheilah Robertson; Paulo V Steagall

doi:10.1177/1098612X241241951

2024 ISFM and AAFP Consensus Guidelines on the Long-Term Use of NSAIDs in Cats

Samantha Taylor^*, Margaret Gruen, Kate KuKanich, B Duncan X Lascelles, Beatriz P Monteiro, Llibertat Real Sampietro, Sheilah Robertson, Paulo V Steagall

^*Corresponding author for this work

Research output: Journal Publications and Reviews › RGC 21 - Publication in refereed journal › peer-review

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Abstract

Practical relevance: Non-steroidal anti-inflammatory drugs (NSAIDs) are widely used and are effective for the management of pain in cats. These Guidelines will support veterinarians in decision-making around prescribing NSAIDs in situations of chronic pain, to minimise adverse effects and optimise pain management. Information is provided on mechanism of action, indications for use, screening prior to prescription, use in the presence of comorbidities, monitoring of efficacy, and avoidance and management of adverse effects.
Clinical challenges: The cat’s unique metabolism should be considered when prescribing any medications, including NSAIDs. Chronic pain may be challenging to detect in this species and comorbidities, particularly chronic kidney disease, are common in senior cats. Management of chronic pain may be complicated by prescription of other drugs with the potential for interactions with NSAIDs.
Evidence base: These Guidelines have been created by a panel of experts brought together by the International Society of Feline Medicine (ISFM) and American Association of Feline Practitioners (AAFP). Information is based on the available literature, expert opinion and the panel members’ experience.
© ISFM and AAFP 2024.

Original language	English
Journal	Journal of Feline Medicine and Surgery
Volume	24
Issue number	4
Online published	8 Apr 2024
DOIs	https://doi.org/10.1177/1098612X241241951
Publication status	Published - 2024

Research Keywords

Carprofen
meloxicam
robenacoxib
analgesia
chronic kidney disease
osteoarthritis
degenerative joint disease
pain management
chronic pain

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This full text is made available under CC-BY-NC 4.0. https://creativecommons.org/licenses/by-nc/4.0/

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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abstract = "Practical relevance: Non-steroidal anti-inflammatory drugs (NSAIDs) are widely used and are effective for the management of pain in cats. These Guidelines will support veterinarians in decision-making around prescribing NSAIDs in situations of chronic pain, to minimise adverse effects and optimise pain management. Information is provided on mechanism of action, indications for use, screening prior to prescription, use in the presence of comorbidities, monitoring of efficacy, and avoidance and management of adverse effects. Clinical challenges: The cat{\textquoteright}s unique metabolism should be considered when prescribing any medications, including NSAIDs. Chronic pain may be challenging to detect in this species and comorbidities, particularly chronic kidney disease, are common in senior cats. Management of chronic pain may be complicated by prescription of other drugs with the potential for interactions with NSAIDs. Evidence base: These Guidelines have been created by a panel of experts brought together by the International Society of Feline Medicine (ISFM) and American Association of Feline Practitioners (AAFP). Information is based on the available literature, expert opinion and the panel members{\textquoteright} experience.{\textcopyright} ISFM and AAFP 2024.",

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AU - Monteiro, Beatriz P

AU - Sampietro, Llibertat Real

AU - Robertson, Sheilah

AU - Steagall, Paulo V

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AB - Practical relevance: Non-steroidal anti-inflammatory drugs (NSAIDs) are widely used and are effective for the management of pain in cats. These Guidelines will support veterinarians in decision-making around prescribing NSAIDs in situations of chronic pain, to minimise adverse effects and optimise pain management. Information is provided on mechanism of action, indications for use, screening prior to prescription, use in the presence of comorbidities, monitoring of efficacy, and avoidance and management of adverse effects. Clinical challenges: The cat’s unique metabolism should be considered when prescribing any medications, including NSAIDs. Chronic pain may be challenging to detect in this species and comorbidities, particularly chronic kidney disease, are common in senior cats. Management of chronic pain may be complicated by prescription of other drugs with the potential for interactions with NSAIDs. Evidence base: These Guidelines have been created by a panel of experts brought together by the International Society of Feline Medicine (ISFM) and American Association of Feline Practitioners (AAFP). Information is based on the available literature, expert opinion and the panel members’ experience.© ISFM and AAFP 2024.

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2024 ISFM and AAFP Consensus Guidelines on the Long-Term Use of NSAIDs in Cats

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Research Keywords

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