Been on anti inflammatories but now diagnosed with early stage kidney disease

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Hi , I’m after some advice please. We have an almost 10 year old retriever and she has arthritis in all her limbs, mainly hocks and elbows. She has had this for quite a few years and has been on myloxydil (metacam) for at least 4 or 5 years. Most recently she has also been taking Pardale V too to help with pain management.  She had a cruciate ligament surgery 2 years ago also. She has hydrotherapy every two weeks as well as laser treatment and takes yumove and also has Hills Prescription diet for mobility – so quite a lot going on for her. She has just had her 6 monthly blood test and it has showed an increased level of urea and also her urine is diluted which we know shows some changes in her kidneys. Where do we go from here? Our physio vet has talked about trying Arthramid in a month or so but this will only be in her front leg which is worse affected. I’m really concerned that we won’ be able to control the pain for her if we stop her current medication but obviously worried about her kidney too.

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Thank you.

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Hi Cassie, it sounds like you are doing a really great job already with her 🙂 It is a really hard balancing act with these guys between maintaining kidney health for as long as possible and keeping them comfortable. In my opinion keeping them comfortable is the most important thing but this has to be based on you an making an informed decision on her treatment plan. I would recommend you have a chat with your vet about different drug options, I often look to use gabapentin in these cases although it is not as good an anti-inflammatory. I would recommend you have a look at the CAM FAQ page (https://www.caninearthritis.co.uk/faq/) as this question is also addressed on there.

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