Frequently asked questions (FAQs)
Questions about METACAM use in dogs

1. What makes METACAM different from other NSAIDs?

METACAM is the only currently marketed product available as an oral suspension. Only this liquid form allows easy, convenient, and precise dosing for dogs of all sizes, and it can be given once a day.

2. Can METACAM be used long term in the treatment of OA pain for dogs?

Yes. METACAM Oral Suspension has an unlimited duration of use for the treatment of OA in dogs.

3. How is METACAM Solution for Injection administered to dogs?

METACAM Solution for Injection can be administered to dogs by either the intravenous (IV) or subcutaneous (Sub-Q) route. It is a low-volume dose and has a saline-like consistency that makes it easy to administer to any patient.

4. When should I use METACAM Solution for Injection in my canine patients?

METACAM Solution for Injection is approved only to be administered as the first dose for OA treatment at the dosage of 0.2 mg/kg. Subsequent treatments are to be given using METACAM Oral Suspension.

5. What side effects may occur by using METACAM?

The most common side effects are vomiting, diarrhea, and loss of appetite. As with all NSAIDs, METACAM may cause side effects involving the kidney and liver organ systems. See the Product Insert for complete side effect information.

6. What is FLEXIDOSE™?

Only liquid METACAM offers FLEXIDOSE™ the ability to adjust dosage gradually in small increments to reach the lowest effective dose for the shortest duration consistent with individual response. METACAM Oral Suspension with calibrated dosing syringe permits individualized dosing based on patient weight. The dose can be adjusted in very small, precise weight increments (1-lb increments for small dogs; 5-lb increments for larger dogs). These increments can be gradually decreased over time until the lowest effective dose has been reached. Conversely, the dose can be gradually increased as OA worsens with time. Your patients will benefit by receiving a dose that is safe and efficacious for their pain management needs. METACAM with FLEXIDOSE also provides an opportunity to reduce treatment costs for your clients while ensuring daily compliance. (Do not exceed the labeled dose of METACAM. Clients should be instructed to consult their veterinarian if pain is not controlled at labeled dose.)

7. Is liquid METACAM better from a dosing point of view than tablets?

There are several NSAIDs on the market, but the liquid formulation of METACAM Oral Suspension facilitates dosing dogs of any weight. Rigid tablets must be given whole or split in half to get somewhat close to a weight level. When tablets are split, the incremental weight changes can vary by as much as 25 lbs, resulting in under- or overdosing. Liquid METACAM offers especially convenient dosing for dogs whose weights fall between the levels on tablet dosing charts.

8. How is METACAM Oral Suspension administered? Can I dose directly from the syringe?

The most convenient way to dose METACAM Oral Suspension is directly from the syringe. For small dogs, a special 0.5 mg/mL concentration was developed that offers a syringe calibrated in 1-lb increments. Dogs weighing 1 to 10 lbs can be given drops (from the bottle, not the syringe) either mixed with food or placed directly in the mouth. For dogs under 1 lb, never administer drops directly into the mouth, only onto food.

For dogs weighing more than 10 lbs, the 1.5 mg/mL concentration, which is calibrated in 5-lb increments, offers the greatest convenience. For dogs over 10 lbs, this suspension can be administered onto the dog's food or directly into the dog's mouth. For dogs weighing less than 10 lbs, never administer drops directly into the mouth, only onto food.

9. How long will a bottle of METACAM Oral Suspension last?

Questions about METACAM use in cats

1. What is the indication for METACAM Solution for Injection in cats?

METACAM, administered prior to surgery, controls pain and inflammation associated with the following surgical procedures:

  • Orthopedic surgery
  • Ovariohysterectomy
  • Castration

2. How should I administer METACAM to my feline patients?

Administer a single, one-time Sub-Q injection of METACAM at a dose of 0.14 mg/lb (0.3 mg/kg) body weight prior to surgery. As is the case with your canine patients, METACAM Solution for Injection is a low-volume dose and has a saline-like consistency that makes it easy to administer to any patient.

3. Is METACAM safe for use in cats?

Yes. In a field study of 138 cats, METACAM 5 mg/mL Solution for Injection, when used under labeled conditions, was tolerated clinically by cats. The most common adverse events in the cats receiving METACAM Solution for Injection were post-treatment anemia and post-treatment elevated serum blood urea nitrogen (BUN) levels. METACAM is the only veterinary-labeled NSAID that is approved for use in cats in the US. See full prescribing information.

METACAM is a registered trademark and FLEXIDOSE is a trademark Boehringer Ingelheim Vetmedica GmbH, licensed to Boehringer Ingelheim Vetmedica, Inc.
© 2013 Boehringer Ingelheim Vetmedica, Inc.