Metacam (Meloxicam) for Cats
Metacam is an NSAID used for pain relief in cats. CRITICAL: Cats require 0.05 mg/kg—4× lower than dogs (0.2 mg/kg). In the US, it is approved for a single post-surgical dose only. Off-label chronic use requires strict veterinary supervision due to kidney risks.
Why This Biology Metric Matters
Why: Cats metabolize NSAIDs differently; overdose causes kidney failure. Never use dog Metacam—concentration and dose differ.
How: Single dose = weight (kg) × 0.05 mg/kg. Convert to ml using product concentration (0.5 mg/ml for cat formulation).
- ●US label: single post-surgical dose only. Chronic use is off-label and risky.
- ●Cat Metacam is 0.5 mg/ml; dog is 1.5 mg/ml—never substitute.
- ●Avoid in cats with kidney disease, dehydration, or on other NSAIDs.
📋 Sample Scenarios
Small Cat - Post-Surgery
8 lb cat post-spay, single dose
Medium Cat - Post-Surgery
12 lb cat post-surgery, single dose
Large Cat - Post-Surgery
15 lb Maine Coon post-surgery
Enter Cat Information
🐱 Cat Weight
💊 Medication Details
🏥 Health Status
For educational use only. Always confirm dosages and care with a licensed veterinarian.
🧬 Biology Facts
Cats get 0.05 mg/kg—4× less than dogs. Never use dog dosing.
US approval: single post-surgical dose only. Chronic use off-label.
Cat formulation is 0.5 mg/ml; dog is 1.5 mg/ml.
Kidney risk is high. Avoid in dehydrated or renal-compromised cats.
📋 Key Takeaways
- • Cats: 0.05mg/kg — 4x LOWER than dogs (0.2mg/kg)
- • US: SINGLE post-surgical dose only — no chronic use
- • Cat Metacam: 0.5mg/ml (dog is 1.5mg/ml) — NEVER use dog product
- • High kidney risk — do NOT use if kidney disease
- Cats require 0.05mg/kg - that's 4x LOWER than dogs (0.2mg/kg)
- In the US, Metacam is ONLY approved for SINGLE post-surgical dose in cats
- Cats are extremely sensitive to NSAIDs - high risk of kidney failure
- NEVER use dog Metacam or dog dosages for cats
- Cat Metacam concentration is 0.5mg/ml (different from dog 1.5mg/ml)
What is Metacam (Meloxicam) for Cats?
Metacam (meloxicam) is a non-steroidal anti-inflammatory drug (NSAID) that is approved for use in cats in the United States ONLY as a single post-surgical injection. The oral suspension is available but its use in cats is EXTREMELY LIMITED due to serious safety concerns, particularly regarding kidney function.
US Approval: Single Dose Only
In the US, Metacam is ONLY approved for a single post-surgical injection. Oral use is off-label and requires extensive veterinary monitoring.
Much Lower Dose
Cats require 0.05mg/kg - that's 4x LOWER than dogs (0.2mg/kg). Using dog dosages can cause fatal kidney failure.
Kidney Risk
Cats are extremely sensitive to NSAIDs. Even single doses can cause kidney problems, especially in dehydrated or kidney-compromised cats.
🚨 CRITICAL: Differences from Dogs
| Factor | Dogs | Cats |
|---|---|---|
| Dosage | 0.2 mg/kg (initial), 0.1 mg/kg (maintenance) | 0.05 mg/kg (single dose only) |
| Concentration | 1.5 mg/ml | 0.5 mg/ml |
| US Approval | Multiple days, chronic use OK | Single post-surgical dose only |
| Kidney Risk | Moderate - monitor | HIGH - can cause kidney failure |
| Chronic Use | Approved with monitoring | NOT recommended - high risk |
US Approval Status
FDA Approval: In the United States, Metacam (meloxicam) is ONLY approved for cats as a single post-surgical injection. The oral suspension is available but its use is considered OFF-LABEL.
Approved Use:
- Single post-surgical injection for pain management
- One-time use only
- Must be administered by veterinarian
NOT Approved:
- Multiple day use
- Chronic pain management
- Oral administration (off-label)
- Use in cats with kidney disease
⚠️ Kidney Concerns in Cats
Cats are extremely sensitive to NSAIDs, and Metacam can cause serious kidney problems:
- Acute Kidney Failure: Even a single dose can cause kidney failure in dehydrated cats or cats with pre-existing kidney disease
- Chronic Kidney Disease: Long-term use significantly increases risk of chronic kidney disease
- Dehydration Risk: Cats must be well-hydrated before receiving Metacam
- Age Factor: Older cats are at higher risk
- Pre-existing Conditions: Cats with any kidney dysfunction should NOT receive Metacam
CRITICAL: Do NOT use Metacam in cats with kidney disease, dehydration, or pre-existing kidney problems. Always ensure adequate hydration before administration.
Dosage Guidelines
| Weight Range | Single Dose (mg) | Volume (0.5 mg/ml) | Frequency |
|---|---|---|---|
| 2.2-5 lbs (1-2.3 kg) | 0.05-0.12 mg | 0.1-0.24 ml | SINGLE DOSE ONLY |
| 6-10 lbs (2.7-4.5 kg) | 0.14-0.23 mg | 0.28-0.46 ml | SINGLE DOSE ONLY |
| 11-15 lbs (5-6.8 kg) | 0.25-0.34 mg | 0.5-0.68 ml | SINGLE DOSE ONLY |
| 16-20 lbs (7.3-9 kg) | 0.37-0.45 mg | 0.74-0.9 ml | SINGLE DOSE ONLY |
CRITICAL: These dosages are for SINGLE post-surgical use only. Do NOT repeat doses without veterinary approval. Chronic use requires extensive monitoring and is NOT recommended.
Side Effects & Warnings
Serious Side Effects
- • Acute kidney failure
- • Decreased urination
- • Excessive thirst
- • Loss of appetite
- • Vomiting
- • Lethargy
- • Dehydration
Signs of Kidney Problems
- • Decreased urination
- • Excessive thirst
- • Loss of appetite
- • Vomiting
- • Lethargy
- • Bad breath (uremia)
- • Weight loss
🚨 STOP METACAM IMMEDIATELY IF: Your cat shows ANY signs of kidney problems (decreased urination, excessive thirst, loss of appetite, vomiting, lethargy). Contact your veterinarian immediately.
Contraindications & Precautions
❌ DO NOT USE Metacam if:
- Cat has ANY kidney disease or kidney dysfunction
- Cat is dehydrated or has low blood volume
- Cat is under 6 weeks of age
- Cat weighs less than 2.2 lbs (1 kg)
- Cat has a known allergy to meloxicam or other NSAIDs
- Cat has active GI ulcers or bleeding
- Cat has liver disease
- Cat is pregnant or nursing
⚠️ Use with Extreme Caution:
- Elderly cats (increased risk of kidney problems)
- Cats taking other medications (especially steroids, other NSAIDs, or diuretics)
- Cats with heart disease
- Any chronic use requires EXTENSIVE veterinary monitoring
Drug Interactions
⚠️ NEVER Combine With:
Other NSAIDs
FATAL - Can cause severe kidney failure and death
Corticosteroids (Prednisone)
FATAL - Increased risk of kidney failure and GI ulcers
Aspirin
FATAL - Can cause severe kidney failure
ACE Inhibitors
HIGH - Can worsen kidney function
Diuretics (Furosemide)
HIGH - Increased kidney stress
Nephrotoxic drugs
HIGH - Can cause kidney failure
Always inform your veterinarian of ALL medications and supplements your cat is taking before starting Metacam.
Frequently Asked Questions
Why is Metacam different for cats vs dogs?
Cats metabolize NSAIDs much more slowly than dogs and are extremely sensitive to their effects. Cats require 4x lower doses (0.05mg/kg vs 0.2mg/kg) and are at much higher risk of kidney failure.
Can I use dog Metacam for my cat?
NO! Never use dog Metacam for cats. Dog Metacam is 1.5mg/ml concentration, while cat Metacam is 0.5mg/ml. Using dog Metacam would result in a 3x overdose, which could be fatal.
Can my cat take Metacam for multiple days?
In the US, Metacam is ONLY approved for single post-surgical dose. Multiple day use is off-label and requires extensive veterinary monitoring. Chronic use significantly increases risk of kidney failure.
What if my cat has kidney disease?
Do NOT use Metacam in cats with kidney disease. Metacam can cause acute kidney failure in cats with pre-existing kidney problems. Always inform your veterinarian about your cat's kidney function.
What should I do if my cat shows signs of kidney problems?
Stop Metacam immediately and contact your veterinarian or emergency clinic right away. Signs include decreased urination, excessive thirst, loss of appetite, vomiting, or lethargy.
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