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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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
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author Aaron Harold Andrew Fletcher
author_facet Aaron Harold Andrew Fletcher
author_sort Aaron Harold Andrew Fletcher
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description 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
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spelling doaj.art-1c7c373450b146f1a3c211188617c8082022-12-21T18:13:55ZengRCVS KnowledgeVeterinary Evidence2396-97762020-09-015310.18849/ve.v5i3.301301Non-Steroidal Anti-inflammatories: Does carprofen or meloxicam have fewer gastrointestinal side effects?Aaron Harold Andrew Fletcher0Heath Lodge Vets St Albans Herts AL10 8TXPICO 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 carehttps://veterinaryevidence.org/index.php/ve/article/view/301non-steroidal anti-inflammatoriesmeloxicamcarprofengastrointestinaladverse drug reactionside effects
spellingShingle Aaron Harold Andrew Fletcher
Non-Steroidal Anti-inflammatories: Does carprofen or meloxicam have fewer gastrointestinal side effects?
Veterinary Evidence
non-steroidal anti-inflammatories
meloxicam
carprofen
gastrointestinal
adverse drug reaction
side effects
title Non-Steroidal Anti-inflammatories: Does carprofen or meloxicam have fewer gastrointestinal side effects?
title_full Non-Steroidal Anti-inflammatories: Does carprofen or meloxicam have fewer gastrointestinal side effects?
title_fullStr Non-Steroidal Anti-inflammatories: Does carprofen or meloxicam have fewer gastrointestinal side effects?
title_full_unstemmed Non-Steroidal Anti-inflammatories: Does carprofen or meloxicam have fewer gastrointestinal side effects?
title_short Non-Steroidal Anti-inflammatories: Does carprofen or meloxicam have fewer gastrointestinal side effects?
title_sort non steroidal anti inflammatories does carprofen or meloxicam have fewer gastrointestinal side effects
topic non-steroidal anti-inflammatories
meloxicam
carprofen
gastrointestinal
adverse drug reaction
side effects
url https://veterinaryevidence.org/index.php/ve/article/view/301
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