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Gabapentin and Metacam

Species: Cat
Breed: domestic short hair
Age: More than 15 ye
My 19 year old cat, Lily, has chronic arthritis pain. We have tried Cosequin and it worked for a while but she won't take it anymore. Vet gave Metacam but after two doses she vomited. She is 9 pounds and doseage was 0.2 ml every other day. I stopped using it and am now trying Gabapentin. I think the Metacam might have been to much for her and a lower does may work better. My question is can Metacam and Gabapentin be taken together? Lily is otherwise healthy. All her bloodwork is great, eats well and gets plenty of water. I just want to ease her pain for as long as her quality of life is good. My vet will not prescribe her any other pain medication such as Tramadal which I don't understand why not. Thank you very much!!


Online vet, Dr. Marie

Dr. Marie replied:

Arthritis can be a difficult thing to figure out in cats. As you have found, it can be hard to find medicines that are easy to give and that the cat tolerates.

I usually do find that Metacam is a good option. If your cat is having trouble tolerating it, you could ask your vet may be going every third day instead of every second day would work. Another option is to have them also prescribe a stomach protectant, but then that adds another medicine for you to give.

Yes, Metacam and gabapentin can be given together.

If Cosequin was previously working well for your cat, you could ask your vet about giving something similar by injection. Products like Adequan and Cartrophen are injectable forms of something similar to glucosamine that are given on a monthly basis. Initially though most animals need one injection a week for 3 to 4 weeks.

I am not a fan of tramadol for long-term pain relief and cats. It comes in a pill form that is difficult to give to cats. Also, I have seen too many cats have weird reactions to the drug. I don't find it works well for long-term arthritis pain control.

You could also ask your vet about trying a prescription joint diet. These diets have products like Cosequin and others built right into them and cats usually like it.

I hope that helps, and I hope your cat continues to do okay.

Dr. Marie



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Disclaimer: Although Dr. Marie is a qualified veterinarian, the information found on this site is not meant to replace the advice of your own veterinarian. AskAVetQuestion.com and Dr. Marie do not accept any responsibility for any loss, damage, injury, death, or disease which may arise from reliance on information contained on this site. Do not use information found on this site for diagnosing or treating your pet. Anything you read here is for information only.

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Dr. MarieDr. Marie is a veterinarian who practices in a busy animal hospital in Ottawa, Ontario. She created Ask A Vet Question as a resource for good, accurate veterinary advice online. Dr. Marie treats dogs, cats, hamsters, guinea pigs, and rats. She has been a vet since 1999.

Is an online vet visit just as good as a trip to your veterinarian? No! But, many times, asking an online veterinarian a question can help save you money. While Dr. Marie can't officially diagnose your pet or prescribe medications, she can often advise you on whether a vet visit is necessary. You can also ask Dr. Marie for a second opinion on your pet's condition.