Can my dog with kidney disease take pentosan for her arthritis?

Hi Annette! Managing arthritis can be tricky since Joe's kidneys did not seem to tolerate some of the more traditional non-steroidal anti-inflammatories (NSAIDs) like Metacam. I'm glad to hear that Joe is taking a glucosamine and chondroitin supplement, like YuMOVE, as this can protect his joint cartilage against further damage. Make sure that you are keeping him at a healthy body weight, as overweight dogs have more stress placed on their joints. Other strategies for managing arthritis include talking to your vet about a trial with Adequan injections for further cartilage protection or new classes of NSAIDs (such as Galliprant) that are much more sparing of the liver and kidneys. Acupuncture and water therapy can also be beneficial for some dogs with arthritis. I hope this helps!

Hello, yes you can very safely start using the Adequan for Stella's arthritis. I would very much prefer that you speak with Stella's vet before using the Prexicox. If you were my client, I would either recommend increasing the gabapentin ( if appropriate ) or using the newest NSAID called Galliprant. This newer medication is much gentler on the liver than anything we have ever had for managing arthritis in dogs. If this is not an option, then I would recommend using a liver neutraceutical like Denamarin to protect the liver as much as possible while on the Previcox. But I think the Adequan is a very good idea. Thank you for using Petco Pet Education Center, formerly Petcoach. Take care.

Hello, and thank you for your question. It is great to hear that Ace is doing well! It is true that gabapentin is metabolized in the kidneys. If he is doing well on it, though, it would be reasonable to use as long as it is tapered to the lowest effective dose. I would also make sure that his kidney values are monitored regularly, ideally every 3-6 months. A narcotic is also a reasonable choice but can sometimes cause mild sedation. Ultimately what it comes down to is Ace's quality of life, and ensuring that he is comfortable and happy. I hope this helps, and that Ace continues to do well!

Unfortunately, a well-documentive side effect of Meloxicam (and other non-steroidal anti-inflammatory drugs) is that it causes decreased blood flow to the kidneys, sometimes resulting in kidney damage. If Candy has been diagnosed with kidney problems, she definitely should no longer take Meloxicam. Your vet can discuss other alternative for pain control, including Tramadol, gabapentin, acupuncture, and physical therapy. The Azodyl can certainly be continued, but I would not give the Meloxicam, and likely she'll never be able to take it again.

Cushing's is not related to kidney disease. Does Zoe have both Cushing's and kidney disease? Steroids are contraindicated with Cushing's but not NSAIDS or opiates. Opiates can be used with kidney disease but NSAIDS can have some adverse effects on the kidneys. It is best to work with your vet regarding this issue since they have all of Zoe's medical history. It is difficult for us to comment without all the information.

Hello and thank you for contacting Petco Pet Education Center, formerly Petcoach. If Brino has kidney disease, non-steroidal anti-inflammatory medications. like Loxiom should be avoided. Even half a dose of Loxiom can have detrimental effect on kidneys if used chronically. So, the answer is absolutely yes, Brino should be weaned off Loxiom and paracetamol or other pain killers (tramadol, gabapentin, amantadine etc) should be used instead.

I'm so sorry that Mary has so many health problems. There is no problem giving glucosamine, chondroitin or MSM to a dog with liver and kidney problems. They are very safe products. I hope that was helpful. Thanks for using Petco Pet Education Center, formerly Petcoach.