Non-Steroidal Anti-inflammatories: Does carprofen or meloxicam have fewer gastrointestinal side effects?

PICO question In canines, does the oral administration of carprofen, when compared to meloxicam, result in fewer gastrointestinal side effects?   Clinical bottom line Category of research question Treatment The number and type of study designs reviewed Three prospective randomis...

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Bibliographic Details
Main Author: Aaron Harold Andrew Fletcher
Format: Article
Language:English
Published: RCVS Knowledge 2020-09-01
Series:Veterinary Evidence
Subjects:
Online Access:https://veterinaryevidence.org/index.php/ve/article/view/301
Description
Summary:PICO question In canines, does the oral administration of carprofen, when compared to meloxicam, result in fewer gastrointestinal side effects?   Clinical bottom line Category of research question Treatment The number and type of study designs reviewed Three prospective randomised controlled trials were critically reviewed Strength of evidence Weak Outcomes reported Treatment with carprofen or meloxicam results in no significant difference in gastric lesion scoring, increased intestinal mucosal permeability or diminished small bowel absorptive capacity Conclusion There is insufficient evidence supporting preferential administration of carprofen or meloxicam to reduce gastrointestinal side effects   How to apply this evidence in practice The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources. Knowledge Summaries are a resource to help reinforce or inform decision-making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care
ISSN:2396-9776