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METACAM (meloxicam)
the WHOLE TRUTH page.
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8/15/05
METACAM RECALL
FDA Enforcement Report
The FDA Enforcement Report is published weekly by the Food and Drug Administration, Department of Health and Human Services. It contains information on actions taken in connection with agency Regulatory activities.
June 9, 2004
PRODUCT
Metacam (meloxicam) 1.5 mg/mL Oral Suspension, Non-steroidal anti-inflammatory drug for oral use in dogs only, packaged in 10-ml bottles, RX, NADA #141-213. Recall # V-131-4.
CODE
Lot # 113ZM71.
RECALLING FIRM/MANUFACTURER
Boehringer Ingelheim Vetmedica Inc., MO, by letters dated March 3, and March 25, 2004. Firm initiated recall is complete.
REASON
A kilogram dosing syringe was packaged with the product rather than a dosing syringe calibrated in pounds.
VOLUME OF PRODUCT IN COMMERCE
65,890 packages.
DISTRIBUTION
TN, GA, and IA.
ALL of this information was copied directly from the FDA/CVM ADE (adverse drug event) reports and only put into alphabetical order with medical terminology definitions provided as indicated and some symptoms/conditions listed in body system category, which are underlined.
NOTE: 
site address (4/22/05):
METACAM (meloxicam) made by Merial
DOGS/ORAL, report dated 3/01/05
Reviews: 565
Treated: 569
Reacted: 569
Died: 66 (11.68%)
CONDITIONS/SYMPTOMS:
ADIPSIA - loss of thirst ; also : abnormal and especially prolonged abstinence from the intake of fluids
AGGRESSION
ANAPHYLAXIS/TOID - hypersensitivity (as to foreign proteins or drugs) resulting from sensitization following prior contact with the causative agent
anaphylactic shock: an often severe and sometimes fatal systemic reaction in a susceptible individual upon a second exposure to a specific antigen (as wasp venom or penicillin) after previous sensitization that is characterized especially by respiratory symptoms, fainting, itching, and hives
ANEMIA - a condition in which the blood is deficient in red blood cells, in hemoglobin, or in total volume -- see APLASTIC ANEMIA, HYPERCHROMIC ANEMIA, HYPOCHROMIC ANEMIA, MEGALOBLASTIC ANEMIA, MICROCYTIC ANEMIA, PERNICIOUS ANEMIA, SICKLE-CELL ANEMIA; compare OLIGOCYTHEMIA
ANEMIA, AUTOIMMUNE HEM - of, relating to, or caused by antibodies or T cells that attack molecules, cells, or tissues of the organism producing them <autoimmune diseases>
ANEMIA, BLD LOSS
ANEMIA, HEMOLYTIC - hemolytic anemia resulting from immunohemolysis
ANOREXIA - loss of appetite especially when prolonged
ANURIA - absence of or defective urine excretion; Acute renal failure occurs when a major insult to the kidneys results in inability to regulate water and solute balance; this may occur when urine flow is reduced.
APLASIA, BONE MARROW - aplasia: incomplete or faulty development of an organ or part; BONE MARROW: a soft highly vascular modified connective tissue that occupies the cavities and cancellous part of most bones and occurs in two forms: a : a whitish or yellowish bone marrow consisting chiefly of fat cells and predominating in the cavities of the long bones -- called also yellow marrow b : a reddish bone marrow containing little fat, being the chief seat of red blood cell and blood granulocyte formation, and occurring in the normal adult only in cancellous tissue especially in certain flat bones -- called also red marrow
APNEA - transient cessation of respiration whether normal (as in hibernating animals) or abnormal (as that caused by certain drugs)
APPREHENSION
ARTHRITIS
ASCITES - accumulation of serous fluid in the spaces between tissues and organs in the cavity of the abdomen -- called also hydroperitoneum
ATAXIA - an inability to coordinate voluntary muscular movements that is symptomatic of some nervous disorders
AZOTEMIA - an excess of nitrogenous bodies in the blood as a result of kidney insufficiency
BEHAVIOR DISORDER (not specified)
BITING/CHEWING
BLEEDING:
BLD (bleeding, no location given)
BLD, ABDOMEN
BLD, ANUS
BLD(ECCHYMOSES) - the escape of blood into the tissues from ruptured blood vessels marked by a livid black-and-blue or purple spot or area
BLD, GI
BLD, INCISION SITE
BLD, LUNG(S)/TRACHEA
BLD, MOUTH/LIP(S)
BLD, PASSING
BLD, SCLERA - sclera: from MedLine: sclera: the dense fibrous opaque white outer coat enclosing the eyeball except the part covered by the cornea -- called also sclerotic, sclerotic coat
BLD, SKIN
BLD, VAGINA
BLOAT - from Merck Veterinary Manual: Bloat is an over distention of the rumenoreticulum with the gases of fermentation, either in the form of a persistent foam mixed with the ruminal contents—called primary or frothy bloat, or in the form of free-gas separated from the ingesta—called secondary or free-gas bloat.
BORBORYGMI - from MedLine: a rumbling sound made by the movement of gas in the intestine
BREATHING ABN
CIRCLING
CNS/CENTRAL NERVOUS SYSTEM:
CNS INFARCT - from MedLine: CNS: abbreviation central nervous system; Infarct: an area of necrosis in a tissue or organ resulting from obstruction of the local circulation by a thrombus or embolus
NEUROLOGICAL DISORDER
COLITIS
COLLAPSE
CONFUSION
CONSTIPATION
CONVULSION(S)
COUGHING
CYANOSIS, MUCOUS MEMBR
DEAFNESS
DEAFNESS, PARTIAL
DEFECATION
DEFECATION ABN
DEHYDRATION
DEMENTIA - from MedLine: a condition of deteriorated mentality that is characterized by marked decline from the individual's former intellectual level and often by emotional apathy
DEPRESSION/LETHARGY
DESTRUCTIVENESS
DIABETES MELLITUS - from MedLine: any of various abnormal conditions characterized by the secretion and excretion of excessive amounts of urine
DIABETES M, POOR REGUL
DIARRHEA
DIARRHEA, BLOODY
DIARRHEA, MILD
DIARRHEA, MUCOID
DIARRHEA, SEVERE
DIARRHEA, WATERY
DIC - per the Merck Veterinary Manual online at: http://www.merckvetmanual.com, I was not able to find "DIC", but the search engine provided 14 "articles" for that search, the first of which is: "Acquired Coagulation Protein Disorders" and states: "Most coagulation proteins are produced primarily in the liver. Therefore, liver disease characterized by necrosis, inflammation, neoplasia, or cirrhosis often is associated with decreased production of coagulation proteins, particularly Factors VII, IX, X, and XI." and refers on to: "(see rodenticide poisoning)". A search of : http://www.medterms.com using "DIC" provided: "3 articles" for search keyword or phrase "DIC", the titles of which are: "Leukemia in the Family", "Acute promyelocytic leukemia" and "APL" which provides a potential definition of "DIC" as "APL is consistently associated with a disorder that resembles (but is not identical to) disseminated intravascular coagulation (DIC). "There is in APL a pronounced tendency to hemorrhage (bleeding). The bleeding can manifest itself as petechiae (little bleeding spots in the skin or elsewhere), small ecchymosis (bruises), epistaxis (nose bleeds), bleeding in the mouth, hematuria (blood in the urine), bleeding from venipuncture and bone marrow sites. . . " so apparently the "translation" of "DIC" is disseminated intravascular coagulation.DIFFICULTY RISING
DILITATION, STOMACH - from MedLine: [no such word]: dilatation: 1 : the condition of being stretched beyond normal dimensions especially as a result of overwork or disease or of abnormal relaxation <dilatation of the heart> <dilatation of the stomach>
DISCHARGE, INCISION SITE
DISCHARGE, NOSE
DISCOMFORT
DISSOCIATION -from MedLine: the act or process of dissociating : the state of being dissociated:the separation of whole segments of the personality (as in multiple personality) or of discrete mental processes (as in the schizophrenias) from the mainstream of consciousness or of behavior with loss of integrated awareness and autonomous functioning of the separated segments or parts
DISTENTION, ABDOMEN
DISTRESS
DISTRESS, RESP
DYSPHAGIA - from MedLine: loss of or deficiency in the power to use or understand language as a result of injury to or disease of the brain
DYSPNEA - Respiratory diseases are common in dogs and cats. Although clinical signs such as coughing and dyspnea are commonly referable to primary problems of the respiratory tract, they may also occur secondary to disorders of other organ systems (eg, congestive heart failure). Fever is usually absent. The degree of dyspnea and coughing is related to the severity of inflammation within the airways and alveoli.
DYSURIA - from MedicineNet: Dysuria: Painful or difficult urination. This includes burning on urination. Dysuria is most commonly due to bacterial infection of the urinary tract causing inflammation of the bladder (cystitis) or kidney (pyelonephritis). There are many other causes of dysuria including irritation from chemicals.
EAR DISORDER
EDEMA (location not specified) - from MedLine: an abnormal excess accumulation of serous fluid in connective tissue or in a serous cavity -- called also dropsy
EDEMA, BRISKET/CHEST
EDEMA, LIMB(S)
EDEMA, VENTRAL
EFFUSION (location not specified) - from MedLine: 1 a : the escape of a fluid from anatomical vessels by rupture or exudation b : the flow of a gas through an aperture whose diameter is small as compared with the distance between the molecules of the gas
2 : the fluid that escapes by extravasation
EFFUSION, PERICARDIAL
EFFUSION, PERITONEAL
EFFUSION, PLEURAL
ENLARGEMENT(S), HEAD/F
ENLARGEMENT, LYMPH NOD
ENLARGEMENT(S), SKIN
EPISTAXIS - from MedLine: epistaxis, melena, gingival bleeding, retinal hemorrhage, hematoma formation, and prolonged bleeding after venipuncture or surgery. Immunologic and inflammatory mechanisms cause increased platelet consumption and decreased platelet survival.
EYES:
BLINDNESS
CATARACT(S)
CONGESTION, EYE(S)/LID
EPIPHORA - from MedLine: a watering of the eyes due to excessive secretion of tears or to obstruction of the lacrimal passages
EYE DISORDER
HORNER'S SYNDROME - from MedLine: a syndrome marked by sinking in of the eyeball, contraction of the pupil, drooping of the upper eyelid, and vasodilation and anhidrosis of the face, and caused by injury to the cervical sympathetic nerve fibers on the affected side
MYDRIASIS - from MedLine: excessive or prolonged dilation of the pupil of the eye
NYSTAGMUS - from MedLine: a rapid involuntary oscillation of the eyeballs occurring normally with dizziness during and after bodily rotation or abnormally after injuries (as to the cerebellum or the vestibule of the ear)
NYSTAGMUS, HORIZONTAL - back and forth/horitontal
SQUINTING
FEVER, BODY
FEVER, JOINT(S)
FROTH, MOUTH/LIP(S)
GAGGING
GASTRITIS
GLOSSITIS - from MedLine: inflammation of the tongue
HAIR, ABN
HAIR, SHEDDING
HEAD TILT
HEART:
ARREST, HEART
BRADYCARDIA - from MedLine: relatively slow heart action whether
physiological or pathological
CARDIOMEGALY - from MedLine: enlargement of the heart
PRESSURE HI, BLD
TACHYCARDIA - From MedLine: Rapid heart beat
THROMBUS
HEMATOCHEZIA - from MedLine: Decreased red blood cell production
HEPATITIS - from MedLine: 1: inflammation of the liver 2 : a disease or condition (as hepatitis A or hepatitis B) marked by inflammation of the liver
HEPATOMEGALY - from MedLine: Liver enlargement
HYPERACTIVITY
HYPERPNEA - Differentiation from other causes of a chronic cough or nasal discharge (eg, parasitic bronchiolitis) is based on the history and other diagnostic procedures such as endoscopy, evaluation of a tracheobronchial exudate, and chest radiography. In its most subtle form, the only clinical sign may be hyperpnea at rest. Cytologic examination of fluid obtained from a tracheal wash or bronchoalveolar lavage usually shows a preponderance of neutrophils with generally normal morphology.
HYPERSALIVATION - Slobbering, excessive drooling
HYPERSENSITIVE, SOUND
HYPOTHERMIA, BODY - From MedLine: Hypothermia is dangerously low body temperature [most suseptible are: Very old or very young, chronically ill, especially with heart or circulation problems, malnourished, overly tired, under the influence of alcohol or drugs
ICTERUS, BODY - from MedLine: Icterus: Jaundice. At least one medical dictionary defines icterus as the presence of jaundice seen in the sclera of the eye. This is incorrect. Icterus is synonymous with jaundice. They are one and the same thing.
IMMUNE DISORDER - from MedLine: not susceptible or responsive ; especially : not having a high degree of resistance to a disease; not protected by either specific or non-specific mechanisms against infectious disease.
INCISION SITE ABN
INCISION SITE, ECCHYMOSIS
INCONTINENCE, FECAL
INCONTINENCE, URINARY
INEFFECT, ANALGESIA
INEFFECT, LOSS OF EFFE
INFECTION, URINARY TRA
INFLAM (location not specified)
INSOMNIA
INTERACTION, DRUG(S)
IRRITATION, MOUTH/LIP(
IRRITATION, PHARYNX/TH
KIDNEY DISORDER
KIDNEY FAILURE
LAB TESTS/BLOOD:
ALBUMIN LO, BLD
ALK PHOS HI, BLD
AMYLASE HI, BLD
BANDS HI, BLD
BILIRUBIN(TOT) HI, BLD
BUN HI, BLD
BUN LO, BLD
CA HI, BLD
CA LO, BLD
CHEMISTRY ABN
CHOLESTEROL HI, BLD
CHLORIDE LO, BLD
COAGULATION DISORDER
CPK HI, BLD
CREATININE HI, BLD
EOSINOS HI, BLD
FIBRINOGEN LO, BLD
GGT HI, BLD
GLOBULIN HI, BLD
GLOBULIN LO, BLD
GLUCOSE HI, BLD
GLUCOSE LO, BLD
K HI, BLD
KIDNEY VALUES HI, BLD
LIPASE HI, BLD
LIVER ENZYMES HI, BLD
LYMPHS HI, BLD
MONOS HI, BLD
NA LO, BLD
P HI, BLD
PLATELETS ABN
PLATELETS HI, BLD
PLATELETS LO, BLD
PROTEIN(TOT) HI, BLD
PROTEIN(TOT) LO, BLD
PT PROLONGED, BLD
PTT PROLONGED, BLD
RBC ABN
RBC, NUCLEATED
SEGS HI, BLD
SEGS LO, BLD
SGOT/AST HI, BLD
SGPT/ALT HI, BLD
THYROID HORMONE(S) LO
WBC HI, BLD
WBC LO, BLD
LAB TESTS/URINE:
ABN COLOR, URINE
ABN ODOR, URINE
ALKALINE URINE
BILIRUBIN, URINE
BLD, URINE
CASTS, URINE
CRYSTALS, URINE
GLUCOSE, URINE
HEMOGLOBIN, URINE
MICROORANISMS, URINE
MYOGLOBIN, URINE
PROTEIN, URINE
SPEC GRAVITY LO, URINE
URINE ABN
WBC, URINE
LAMENESS
LESION(S), MOUTH/LIP(S
LESION(S), SKIN
LICKING
LICKING, FEET/DIGIT(S)
LIVER DISORDER
LIVER DISORDER, OBSTRU
LIVER FAILURE
LOCOMOTION DISORDER
MASS (location not specified)
MELENA - the passage of dark tarry stools containing decomposing blood that is usually an indication of bleeding in the upper part of the alimentary canal and especially the esophagus, stomach, and duodenum -- compare HEMATOCHEZIA
NAIL DISORDER
NAUSEA
NEOPLASM (location not specified) - from MedicineNet: Neoplasm: A tumor. An abnormal growth of tissue. The word neoplasm is not synonymous with cancer. A neoplasm may be benign or malignant.
NEOPLASM, LIVER
NEPHRITIS - from MedLine: acute or chronic inflammation of the kidney affecting the structure (as of the glomerulus or parenchyma) and caused by infection, a degenerative process, or vascular disease
NERVOUSNESS
NOCTURIA - from MedLine: urination at night especially when excessive -- called also nycturia
NOSE ABN
OBSTRUCTION, INTESTINE
OLIGURIA - from MedLine: reduced excretion of urine
PACING
PAIN (not specified)
PAIN, ABDOMEN
PAIN, JOINT(S)
PAIN, LIMB(S)
PALLOR, MUCOUS MEMBRAN
PANCREATITIS
PARALYSIS, FACIAL NERV
PARALYSIS, HIND LIMB(S
PARESIS (location not specified) - from MedLine: Paresis: slight or partial paralysis
PARESIS, FORELIMB(S)
PARESIS, HIND LIMB(S)
PERFORATION, GI
PERFORATION, STOMACH
PERITONITIS
PICA - from MedLine: Pica: A craving for something not normally regarded as nutritive. For example, dirt.
PNEUMONIA
POLLAKIURIA - from MedLine: abnormally frequent urination
POLYCYTHEMIA - from MedLine: a condition marked by an abnormal increase in the number of circulating red blood cells
POLYDIPSIA - excessive or abnormal thirst
POLYPNEA - rapid or panting respiration
POLYURIA - excessive secretion of urine
POSTURE ABN
PR-ADRENAL(S), LESION(S)
PR-CEREBELLUM, LESION(S)
PR-COLON, LESION(S)
PR-HEART, LESION(S)
PR-INTEST, LESION(S)
PR-KIDNEY(S), LESION(S
PR-LIVER, LESION(S)
PR-MESENTERY, LESION(S)
PR-PERITONEUM, LESION(
PR-PLEURAL EFFUSION
PR-SM INTEST, LESION(S)
PR-SPLEEN, LESION(S)
PR-STOMACH, LESION(S)
PR-TONGUE, LESION(S)
PR-SM INTEST, LESION(S
PROPRIOCEPTIVE DISORDE
PRURITIS (location not specified) - from MedLine: Pruritus see Itching : Itching is a peculiar tingling or uneasy irritation of the skin that causes a desire to scratch the affected area. Itching may be over the whole body (generalized), or only in a particular location (localized).
PRURITIS, EAR(S)
PRURITIS, FEET/DIGIT(S
PUSTULE(S) (location not specified)
RADIOGRAPH(S) ABN
RECUMBENCY - [downer cow] Lifting usually reveals that the hindlimbs are unable to support weight
REFLEX(ES) ABN
REGURGITATION
RELUCTANT TO MOVE
SEDATION - 1 : the inducing of a relaxed easy state especially by the use of sedatives 2 : a state resulting from sedation
SHAKING
SHAKING, HEAD/FACE
SHOCK - From MedLine: Cardiac function; intravascular volume; and vascular tone, integrity, and patency are each critical to normal circulation. An abnormality in one or more of these components of circulation leads to compensatory changes in the others in an effort to maintain perfusion. The hemodynamic and cellular changes that develop as a result of these abnormalities are called shock. As shock progresses, oxygen and substrate delivery to the tissues becomes insufficient to meet energy requirements for cellular maintenance and repair. If shock progresses to the point when cellular energy demands cannot be met, the hemodynamic and cellular responses become similar for all types of shock. Organ failure ensues, and when progressive, the end result is death. Early recognition of the type of shock and an understanding of the pathophysiologic processes initiated allow aggressive treatment and optimal chances for recovery.
SLEEP ABN
SKIN:
ALOPECIA -Alopecia is the partial or complete lack of hairs in areas where they are normally
BLD(PETECHIAE) - a minute reddish or purplish spot containing blood that appears in skin or mucous membrane especially in some infectious diseases (as typhoid fever) -- compare ECCHYMOSIS
CONGESTION, SKIN
DERMATITIS, MOIST
ERUPTION(S)
HYPERPIGMENTATION, SKI
INFECTION, SKIN
INFLAM, SKIN
LESION(S), SKIN
PAPULE(S) - from MedLine: a small solid usually conical elevation of the skin caused by inflammation, accumulated secretion, or hypertrophy of tissue elements
RASH
SEBORRHEA - abnormally increased secretion and discharge of sebum producing an oily appearance of the skin and the formation of greasy scales
SKIN, CRUST(S)
SKIN, DRY
SKIN, NECROSIS - death of living tissue ; specifically : death of a portion of tissue differentially affected by local injury (as loss of blood supply, corrosion, burning, or the local lesion of a disease)
SKIN, SCAB(S)
SLOUGH, SKIN - dead tissue separating from living tissue ; especially : a mass of dead tissue separating from an ulcer
URTICARIA - (Hives, Nettle rash) Urticaria is characterized by multiple plaque-like eruptions that are formed by localized edema in the dermis and that often develop and disappear suddenly.
VESICLE(S)/BULLAE, SKI - from MedLine: Vesicle(s) 1 a : a membranous and usually fluid-filled pouch (as a cyst, vacuole, or cell) in a plant or animal b : SYNAPTIC VESICLE 2 : a small abnormal elevation of the outer layer of skin enclosing a watery liquid : BLISTER 3 : a pocket of embryonic tissue that is the beginning of an organ -- see BRAIN VESICLE, OPTIC VESICLE - Bullae: 1 : a hollow thin-walled rounded bony prominence 2 : a large vesicle or blister
SOMNOLENCE - from MedLine: the quality or state of being drowsy; sleepiness
SORE(S) (location not specified)
SOUND ABN, RESPIRATORY
SOUND ABN, VOICE
SPASM
STAGGERING
STARING
STOMATITIS
STOOL ABN
STRANGURIA - from MedLine: [no such word] One entry found for strangury Main Entry: stran·gu·ry: Inflected Form(s): plural -ries : a slow and painful discharge of urine drop by drop produced by spasmodic muscular contraction of the urethra and bladder
STUMBLING
STUPOR - From MedLine: Stuporous see Consciousness - decreased: Decreased consciousness refers to diminished alertness or awareness. Decrease in consciousness, unconsciousness, and coma almost always require medical evaluation (with the possible exception of alcohol intoxication, simple fainting, or a previously recognized seizure disorder).
SWELLING (location not specified)
SWELLING, EAR(S)
SWELLING, HEAD/FACE
SWELLING, JOINT(S)
SWELLING, LIMB(S)
SYNCOPE - loss of consciousness resulting from insufficient blood flow to the brain : FAINT
SYNOVIAL FLUID ABN - a transparent viscid lubricating fluid secreted by a membrane of an articulation, bursa, or tendon sheath -- called also joint fluid, synovia
TENESMUS, RECTAL - from MedLine: a distressing but ineffectual urge to evacuate the rectum or urinary bladder
TENESMUS, URINARY (see above)
TREMBLING
TWITCH
ULCER(S), FEET/DIGIT(S
ULCER(S), GI
ULCER(S), MOUTH/LIP(S)
ULCER(S), PYLORUS
ULCER(S), SKIN
ULCER(S), STOMACH
ULCER(S), TONGUE
UNCONSCIOUS
UNPALATABLE, WON'T EAT
URINATION
URINATION ABN
US ABN
US-LIVER ABN
VESTIBULAR DISORDER - from MedLine: of or relating to the vestibule of the inner ear, the vestibular apparatus, the vestibular nerve, or the labyrinthine sense (see dizziness, balance disorder)
VOCALIZATION
VOICE DISORDER
VOLVULUS - from MedLine: a twisting of the intestine upon itself that causes obstruction
VOLVULUS, STOMACH
VOMITING
VOMITING, BLOODY
VOMITING, SEVERE
WEAKNESS
WEIGHT LOSS
WHEEZING
SYMPTOMS/CONDITIONS LISTING for other FDA/CVM "approved" NSAIDS for veterinarians:
This information is being provided as a free public service to pet owners so that you can become aware of the known risks/dangers and symptoms/conditions caused by and associated with these NSAIDs [non steroid anti inflammatory drugs] per the FDA/CVM, because chances are that your "trusted" veterinarian will NOT be providing ANY of this information to you.
May my beloved partner ROMI rest in peace - no matter wherever her bits and pieces/frozen carcass may be held hostage.
[what's in YOUR "urn" ?]
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