the rescue with which I volunteer cites "the senior dog study" as finding that older dogs were more likely to have side effects on Rimadyl. So we volunteers are not reimbursed if we get that for the dogs, for any reason, as a pain reliever. We are told to ask for Tramadol, or Metacam. Both also have side effects, but did well in "the senior dog study."
I don't know any more than that. I've tried to google "senior dog study," haven't found it. But as I need reimbursement, I just follow their guidelines. (I have time and love to offer, not so much money.)
When Marlin had his dental work done, with 38 extractions, the Tramadol did not help his pain, so we switched him to Metacam. From what I've read, that is supposed to be among the strongest NSAIDs,and it DID help him.
I routinely ask for this for all my dogs, now.
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