The headline in today’s Daily Mail is typically attention-grabbing: “Could the drug that cost this beloved pet its life kill YOUR dog too?” The article tells the sad story of a thirteen year old Labrador who died after taking pain-relieving medication prescribed by her vet. There’s no doubt that many owners of elderly, arthritis-ridden dogs will be rushing to their vets this week to find out if their own pets are at risk of the same fate.
So what is this drug? Why do vets prescribe medicine which may risk such a severe reaction? And when they do use it, why don’t they tell owners about the potential dangers?
First, the medication was Carprodyl, a generic form of a chemical called carprofen, which is part of a group of drugs known as non-steroidal anti-inflammatory drugs (NSAIDS). Carprofen has become perhaps the most widely used pain relieving medication used in veterinary medicine since it was launched as “Rimadyl” by Pfizer, around fifteen years ago. The patent on the chemical has now lapsed, so a wide range of cheaper generic alternatives have become available. Most vet clinics in the UK are likely to sell some version of the product.
Second, why do vets prescribe it? Simply put, because it’s the most effective way of treating arthritis in dogs. Many millions of older animals have been given extra, pain-free life thanks to this type of medication. Three years ago, a major review was published in the Vet Record, comparing the wide range of treatments available to help dogs with the common, painful, debilitating problem of arthritis. The review gathered together the results of research papers published between 1985 and 2007, attempting to derive the best science-based opinion of the best treatment method. The conclusion? There was strong evidence that carprofen and two other commonly used drugs from the same group were “effective in moderating the clinical signs of osteoarthritis”. There was only weak or moderate evidence that other treatments were effective. The conclusion for any vet reading this paper was clear: carprofen and other similar drugs are the most effective way of helping animals with arthritis.
Obviously, an effective drug needs to be safe, so what about those risks? While it’s true that all drugs in this group can have undesirable and potentially life threatening consequences, the incidence is very low. The most common side effect is gastric irritation: affected dogs suffer from gastroenteritis which usually resolves when the medication is stopped. Much more rarely, there’s a very low risk of kidney failure associated with non-steroidal anti-inflammatory drugs…….