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Ketoprofen
Propionic acid NSAID (non-selective).
Overdose
Used in veterinary practice at veterinary doses; human tablets and gels are much stronger and cannot be dosed accurately for an animal. The table shows where harm has been described after a single ingestion, mg per kg of body weight: overdose thresholds, not treatment doses.
| Species | Signs begin | Severe | Deaths reported | Source |
|---|---|---|---|---|
| Dog | not established | not established | not established |
EMA CVMP 1995
Low confidence
No published ingestion data; only an old regulatory LD50. Guideline or consensus statement Guidance from the scientific committees of the European Medicines Agency (EMA). European Medicines Agency, Committee for Veterinary Medicinal Products, EMEA/MRL/020/95, 1995 LD50 about 500 mg/kg in single-dose studies of several species |
| Cat | not established | not established | not established |
Takata et al. 2012
Low confidence
One experimental study at a therapeutic dose; no ingestion data. Scientific article A study or review published in a scientific journal. Its findings apply to the animals and conditions it studied. Journal of Veterinary Medical Science, J Vet Med Sci 2012;74(12):1545-1550, 2012 2 mg/kg a day for 3 days: stomach lesions in adult cats |
Dog
Signs: Vomiting, blood in vomit or black stool, bloody diarrhoea, abdominal pain, lethargy, kidney injury, possible liver injury.
Ketoprofen is authorised for dogs in the EU (veterinary injection and tablets, EU Union Product Database). Human tablets, capsules and gels hold far more than a dose for a dog and are no substitute; an accidental ingestion of one should be checked by a veterinarian. No ingestion threshold has been published (single-dose LD50 studies: about 500 mg/kg).
Cat
Signs: Vomiting, stomach ulceration, anorexia, acute kidney injury.
Ketoprofen is authorised for cats in the EU (veterinary injection and tablets, EU Union Product Database). Cats are sensitive to NSAIDs: in one study 2 mg/kg a day for 3 days caused stomach lesions in adult cats. Human tablets are too strong to dose accurately for a cat. No ingestion threshold is established.
Doses
Each dose comes with its source. Check the label of the product you use.
| Dose | Species | Indication | Route | Frequency | Source |
|---|---|---|---|---|---|
| 1 mg/kg | Dog, Cat | Maintenance | By mouth | once daily, 3-5 days |
Source: EMA UPD SPC 2017
Official product label (SPC) Approved by a medicines regulator as part of the product's authorisation. It applies to that product as authorised there. EU Union Product Database, 2017 |
| 2 mg/kg | Dog, Cat | Maintenance | Intravenous / Intramuscular / Subcutaneous | once daily, 1-3 days |
Source: EMA UPD SPC 2017
Official product label (SPC) Approved by a medicines regulator as part of the product's authorisation. It applies to that product as authorised there. EU Union Product Database, 2017 |
Safety information
Known Contraindications
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Critical
Do not use with gastro-duodenal ulcers.Sources: Belgian SPC
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Critical
Do not use with bleeding disorders.Sources: Belgian SPC
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Critical
Do not use with renal insufficiency.Sources: Belgian SPC
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Critical
Do not use with hepatic insufficiency.Sources: Belgian SPC
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Critical
Do not use with cardiac insufficiency.Sources: Belgian SPC
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Critical
Do not use with known allergy to ketoprofen.Sources: Belgian SPC
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Critical
Do not use in dehydrated, hypovolaemic or hypotensive animals: renal toxicity rises.Sources: Belgian SPC
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Warning
Animals under 6 weeks and old animals: extra risk, monitor closely.Sources: Belgian SPC
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Warning
Do not combine with other NSAIDs, corticosteroids, diuretics or anticoagulants; avoid nephrotoxic drugs such as aminoglycosides.Sources: Belgian SPC
Known Drug Interactions
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Contraindicated
Robenacoxib + Ketoprofen
Do not give robenacoxib together with other non-steroidal anti-inflammatory drugs or glucocorticoids because adverse gastrointestinal and renal effects may increase.Recommendation: Do not use these drugs together. Allow a treatment-free interval of at least 24 hours after the previous anti-inflammatory drug, extending it when required by that drug’s pharmacokinetics.
Professional reference for veterinary professionals. Not advertising and not a substitute for the product label/SPC.
For veterinary professionals only. It does not replace clinical judgement or the product label; check the dose in the official label (SPC). vetman is not liable for harm caused by using this information.
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