You may want to think twice before giving your cat that extra dose of Metacam for pain. At the request of the U.S. Food and Drug Administration Boehringer Ingleheim Vetmedica Inc. has placed a boxed warning to the labels for Metacam Solution for Injection and Metacam Oral Suspension. The warning label now includes: “Warning. Repeated use of meloxicam in cats has been associated with acute renal failure and death. Do not administer additional injectable or oral meloxicam to cats. See contradictions, warnings and precautions for detailed information.”
Some veterinarians prescribe Metacam in an extra-label manner to control cat pain. This new warning label was a result of the FDA identifying many cases of kidney failure and death in cats associated with repeated use of Metacam. Metacam Solution for Injection is approved for one-time use in cats before surgery to control pain and Metacam Oral Suspension is not approved for use in cats. The FDA added the new warning label in hopes of informing veterinarians of the serious risks associated with extra-label use of meloxicam in cats.