All About NSAIDS

Last Updated 3/16/2025

When should NSAIDS be used, focusing on senior pets

As pet parents, we want nothing but the best for our pets, and while conventional veterinarians have a wealth of knowledge about pharmaceuticals, it's essential to be aware of the potential risks associated with these medications. While pharmaceutical options can be lifesavers in certain circumstances, they should often be a last resort, especially when caring for senior dogs.

Let’s start with NSAIDs (non-steroidal anti-inflammatory drugs), which are commonly prescribed to manage pain and inflammation in dogs. Some of the most well-known NSAIDs in veterinary medicine include carprofen (Rimadyl®), meloxicam (Metacam®), deracoxib (Deramaxx®), firocoxib (Previcox®), robenacoxib (Onsior®), grapiprant (Galliprant®), and acetylsalicylic acid (Aspirin®). These medications are often prescribed for post-surgical use, acute conditions, or advanced osteoarthritis.

While NSAIDs can offer tremendous relief in the short term, they come with a long list of potential side effects, especially when used over extended periods. For senior dogs, this is particularly concerning because long-term use of NSAIDs can cause:

  1. Loss of appetite or reduced interest in food
  2. Lethargy or behavioral changes
  3. Vomiting
  4. Diarrhea (sometimes with blood or dark, tarry stools)
  5. Jaundice (yellowing of the gums, skin, or eyes)
  6. Changes in drinking habits (either excessive or reduced thirst)
  7. Skin reactions (such as redness, scabs, or excessive scratching)

Even NSAIDs formulated specifically for dogs can be harsh on the liver, kidneys, gastrointestinal tract, and can interfere with the blood’s ability to clot properly—especially in high-risk dogs or if used improperly. Regular monitoring of liver and kidney function is critical when these medications are prescribed.

Because of these risks, I believe NSAIDs are best suited for short-term use, post-surgical recovery, or in end-of-life care when quality of life is the top priority. Before turning to pharmaceuticals, especially in senior dogs, I always recommend exploring natural alternatives.

Natural Alternatives for Pain Management in Senior Dogs:

  1. Turmeric (Curcumin): A powerful natural anti-inflammatory and antioxidant, turmeric can help manage pain and reduce inflammation, particularly in dogs with arthritis. It should be given with a fat source, like coconut oil, to ensure proper absorption.
  2. CBD Oil: CBD has gained popularity for its pain-relieving, anti-inflammatory, and calming effects. It's been shown to improve mobility and overall comfort in senior dogs. It’s important to use a high-quality full spectrum, organic product and start with a low dose.
  3. Glucosamine and Chondroitin: These supplements help maintain joint health, support cartilage repair, and reduce stiffness, making them ideal for dogs with arthritis or joint issues. Starting early in life can provide preventative benefits, but even for senior dogs, these can provide relief.
  4. Omega-3 Fatty Acids (Fish Oil): Omega-3s help reduce inflammation in the joints and improve mobility. A high-quality fish oil supplement can be a natural addition to manage chronic pain in senior dogs.
  5. Acupuncture and Traditional Chinese Veterinary Medicine (TCVM): Acupuncture has been proven to reduce pain and inflammation, while promoting better circulation. Other TCVM treatments like herbal therapy can address underlying imbalances contributing to the dog’s discomfort.
  6. Boswellia Serrata (Indian Frankincense): Known for its strong anti-inflammatory effects, Boswellia is another natural option that helps relieve joint pain and reduce inflammation.
  7. Physical Therapy and Hydrotherapy: Gentle exercises, particularly in water, can help strengthen muscles, improve mobility, and relieve joint pain. These therapies are particularly helpful for senior dogs who struggle with movement but still need exercise.
  8. Dietary Adjustments: Maintaining a healthy weight is crucial for managing joint pain. Reducing excess weight can take stress off the joints, and adding anti-inflammatory foods like blueberries, kale, and pumpkin can further help reduce pain naturally.
  9. Red Light Therapy and PEMF (Pulsed Electromagnetic Field Therapy):
    1. Benefits of Red Light Therapy: This therapy uses low-level lasers or LED lights to penetrate the skin and tissues, stimulating cellular repair and reducing inflammation. It has been found effective for managing arthritis, muscle pain, and promoting faster healing after injuries or surgeries. The increased blood flow to affected areas can help reduce pain and improve mobility in senior dogs.
    2. Benefits of PEMF Therapy: PEMF uses electromagnetic waves to stimulate the body’s cells, improving circulation, reducing inflammation, and enhancing healing. It’s commonly used for chronic pain management, arthritis, and post-injury recovery. Like red light therapy, it can be non-invasive and safe for long-term use.
    3. Considerations: Both therapies are natural, non-invasive options that can be done at home with the proper devices or by a trained professional. These therapies may require consistent sessions to see optimal results but offer a drug-free solution for pain management. They are particularly useful in senior dogs who struggle with chronic pain or mobility issues.
  1. UC-II (Undenatured Type II Collagen):
  • Benefits: UC-II is a relatively new supplement in the world of joint health. It works by modulating the immune system to reduce the inflammation that causes joint pain and stiffness. Unlike glucosamine and chondroitin, which aim to rebuild cartilage, UC-II works through the immune system to prevent the body from attacking its own joint cartilage. Studies have shown that UC-II can be more effective in reducing pain and improving joint function than glucosamine and chondroitin combined, particularly in dogs with arthritis.
  • Considerations: UC-II is well tolerated in dogs, making it a good long-term option for senior dogs with chronic joint pain. It's important to choose a high-quality, veterinary-formulated product to ensure the right dosage and effectiveness. UC-II doesn’t need to be given with food and is often available in chewable form, making it easy to administer. Results may take several weeks to become noticeable, but it can be a powerful addition to a holistic approach to joint health.

UC-II is a promising natural alternative to traditional joint supplements, and when combined with other therapies like red light, PEMF, and dietary adjustments, it can provide significant relief for senior dogs with arthritis or mobility issues.

By focusing on these natural alternatives, we can often avoid or delay the need for pharmaceuticals. This is particularly important for senior dogs, as their bodies are more sensitive to the side effects of long-term medications. The goal is always to improve their quality of life while preserving their overall health for as long as possible.

If you would like to dive into specific strategies for implementing these natural alternatives, or explore more about their effectiveness in particular cases contact me through my website www.followmyleadpets.com

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