TY - JOUR T1 - Administration of Preoperative Meloxicam and Firocoxib on Postoperative Analgesia and Inflammatory Markers in Dogs Undergoing Ovariohysterectomy TT - Ovariohisterektomi Öncesinde Köpeklerde Preoperatif Meloksikam ve Firokoksibin Uygulamasının Postoperatif Analjezi ve İnflamatuvar Belirteçler Üzerine Etkisi AU - Güner, Barış AU - Şahin, Osman Alp AU - Öztürk, Buse AU - Ayalp, Aslıhan PY - 2025 DA - October Y2 - 2025 DO - 10.53424/balikesirsbd.1740346 JF - Balıkesir Sağlık Bilimleri Dergisi JO - BAUN Health Sci J PB - Balıkesir University WT - DergiPark SN - 2146-9601 SP - 772 EP - 780 VL - 14 IS - 3 LA - en AB - Objective: The objective of this study was to evaluate the postoperative analgesic and anti-inflammatory effects of meloxicam and firocoxib in dogs undergoing ovariohysterectomy (OHE). Materials and Methods: Thirty healthy female dogs were randomly assigned to three groups: 0.2 mg/kg subcutaneous meloxicam, 5 mg/kg oral firocoxib, or no preoperative non-steroidal antiinflammatory drug (control). The Glasgow Composite Measure Pain Scale – Short Form (CMPS-SF), rectal temperature, and heart rate were recorded preoperatively and at 1, 2, 3, 4, and 24 hours postoperatively. Blood samples were collected at each time point to assess cortisol levels and calculate the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune-inflammation index (SII). Results: CMPS-SF scores significantly increased at 1 hour postoperatively in all groups (p KW - dog KW - firocoxib KW - meloxicam KW - NLR KW - pain N2 - Amaç: Bu çalışmanın amacı, ovariohisterektomi (OHE) uygulanan köpeklerde meloksikam ve firokoksibin postoperatif analjezik ve anti-inflamatuvar etkilerini değerlendirmektir. Materyal ve Yöntem: Otuz sağlıklı dişi köpek rastgele üç gruba ayrıldı: 0.2 mg/kg subkutan meloksikam, 5 mg/kg oral firokoksib veya preoperatif nonsteroid anti-inflamatuar ilaç uygulanmayan kontrol grubu. Glasgow Bileşik Ağrı Ölçeği – Kısa Formu (CMPS-SF), rektal sıcaklık ve kalp atım hızı operasyon öncesinde ve postoperatif 1., 2., 3., 4. ve 24. saatlerde kaydedildi. Aynı zaman dilimlerinde kan örnekleri alınarak kortizol düzeyleri ile nötrofil/lenfosit oranı (NLR), trombosit/lenfosit oranı (PLR) ve sistemik immün-inflamasyon indeksi (SII) değerlendirildi. Bulgular: CMPS-SF skorları postoperatif 1. saatte tüm gruplarda anlamlı şekilde arttı (p CR - Akkuş T. & Ekici M., (2023). Investigation of changes in serum thiols and neutrophil-to-lymphocyte ratio, monocyte-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and mean platelet volume/platelet count ratio indices in cats undergoing ovariohysterectomy. Rev Cient Fac Cienc Vet, 33, 1-9. https://doi.org/10.52973/rcfcv-e33260 CR - Anonymous (1): Get the facts about pain relievers for pets | FDA. http://www.fda.gov/animal-veterinary/animal-health-literacy/get-facts-about-pain-relievers-pets, Date of access; 01.06.2023. CR - Camargo, J. B., Steagall, P. V.M., Minto, B. W., de Sá Lorena, S. E. R., Mori, E. S. & Luna, S. P. L. (2011). Post-operative analgesic effects of butorphanol or firocoxib administered to dogs undergoing elective ovariohysterectomy. Vet Anaesth Analg, 38, 252-259. https://doi.org/10.1111/j.1467-2995.2011.00609.x CR - Caulkett, N., Read, M., Fowler, D. & Waldner, C. (2003). A comparison of the analgesic effects of butorphanol with those of meloxicam after elective ovariohysterectomy in dogs. Can Vet J, 44, 565. CR - De Souza, C. C. F., Martins Dias, D. P., Souza, R. N. de & Medeiros, M. A. de. (2018). Use of behavioural and physiological responses for scoring sound sensitivity in dogs. PLoS One, 13, e0200618. https://doi.org/10.1371/journal.pone.0200618 CR - Devitt, C. M., Cox, R. E. & Hailey, J. J. (2005). Duration, complications, stress, and pain of open ovariohysterectomy versus a simple method of laparoscopic-assisted ovariohysterectomy in dogs. J Am Vet Med Assoc, 227, 921–927. https://doi.org/10.2460/javma.2005.227.921 CR - Díaz, M. & Becker, D. E. (2010). Thermoregulation: Physiological and clinical considerations during sedation and general anesthesia. Anesth Prog, 57, 25–33. https://doi.org/10.2344/0003-3006-57.1.25 CR - Espadas-González, L., Usón-Casaús, J. M., Pastor-Sirvent, N., Santella, M., Ezquerra-Calvo, J. & Pérez-Merino, E. M. (2023). Using complete blood count-derived inflammatory markers to compare postoperative inflammation in dogs undergoing open or laparoscopic ovariectomy. Vet Rec, e2835. https://doi.org/10.1002/vetr.2835 CR - Grandemange, E., Fournel, S. & Woehrlé, F. (2013). Efficacy and safety of cimicoxib in the control of perioperative pain in dogs. J Small Anim Pract, 54, 304–312. https://doi.org/10.1111/jsap.12082 CR - Gruet, P., Seewald, W. & King, J. N. (2013). Robenacoxib versus meloxicam for the management of pain and inflammation associated with soft tissue surgery in dogs: A randomized, non-inferiority clinical trial. BMC Vet Res, 9, 92. https://doi.org/10.1186/1746-6148-9-92 CR - Gurney, M. A. (2012). Pharmacological options for intra-operative and early postoperative analgesia: An update. J Small Anim Pract, 53, 377–386. https://doi.org/10.1111/j.1748-5827.2012.01243.x CR - Hanson, P. & Maddison, J. (2008). Nonsteroidal anti-inflammatory drugs and chondroprotective agents. Small Animal Clinical Pharmacology, 5, 287. CR - Hernández-Avalos, I., Valverde, A., Ibancovichi-Camarillo, J. A., Sánchez-Aparicio, P., Recillas-Morales, S., Osorio-Avalos, J., Rodríguez-Velázquez, D. & Miranda-Cortés, A. E. (2020). Clinical evaluation of postoperative analgesia, cardiorespiratory parameters and changes in liver and renal function tests of paracetamol compared to meloxicam and carprofen in dogs undergoing ovariohysterectomy. PLoS One, 15, e0223697. https://doi.org/10.1371/journal.pone.0223697 CR - Hu, X. Y., Luan, L., Guan, W., Shi, J., Zhao, Y. B. & Fan, H. G. (2017). Tolfenamic acid and meloxicam both provide an adequate degree of postoperative analgesia in dogs undergoing ovariohysterectomy. Vet Med-Czech, 62, 333–341. https://doi.org/10.17221/143/2016-VETMED CR - Kalchofner Guerrero, K. S., Campagna, I., Bruhl-Day, R., Hegamin-Younger, C. & Guerrero, T. G. (2016). Intraperitoneal bupivacaine with or without incisional bupivacaine for postoperative analgesia in dogs undergoing ovariohysterectomy. Vet Anaesth Analg, 43, 571–578. https://doi.org/10.1111/vaa.12348 CR - Karakaya Bilen, E., Karadağ, M. A., Akgül, G. & Gülendağ, E. (2025). Comparison of acute phase and haemostatic responses following ovariohysterectomy via midline or flank approach in dogs. Pak Vet J, 45(2), 866–872. http://doi.org/10.29261/pakvetj/2025.152 CR - Kim, Y. K., Lee, S. S., Suh, E. H., Lee, L., Lee, H. C., Lee, H. J. & Yeon, S. C. (2012). Sprayed intraperitoneal bupivacaine reduces early postoperative pain behavior and biochemical stress response after laparoscopic ovariohysterectomy in dogs. Vet J, 191, 188–192. https://doi.org/10.1016/j.tvjl.2011.02.013 CR - Kona-Boun, J. J., Cuvelliez, S. & Troncy, E. (2006). Evaluation of epidural administration of morphine or morphine and bupivacaine for postoperative analgesia after premedication with an opioid analgesic and orthopedic surgery in dogs. J Am Vet Med Assoc, 229, 1103–1112. https://doi.org/10.2460/javma.229.7.1103 CR - Kum, C., Voyvoda, H., Sekkin, S., Karademir, U. & Tarimcilar, T. (2013). Effects of carprofen and meloxicam on C-reactive protein, ceruloplasmin, and fibrinogen concentrations in dogs undergoing ovariohysterectomy. Am J Vet Res, 74, 1267–1273. https://doi.org/10.2460/ajvr.74.10.1267 CR - Lascelles, B. D. X., Cripps, P. J., Jones, A. & Waterman-Pearson, A. E. (1998). Efficacy and kinetics of carprofen, administered preoperatively or postoperatively, for the prevention of pain in dogs undergoing ovariohysterectomy. Vet Surg, 27, 568–582. https://doi.org/10.1111/j.1532-950X.1998.tb00533.x CR - Leece, E. A., Brearley, J. C. & Harding, E. F. (2005). Comparison of carprofen and meloxicam for 72 hours following ovariohysterectomy in dogs. Vet Anaesth Analg, 32, 184–192. https://doi.org/10.1111/j.1467-2995.2005.00207.x CR - Mastrocinque, S., Almeida, T. F., Tatarunas, A. C., Imagawa, V. H., Otsuki, D. A., Matera, J. M. & Fantoni, D. T. (2012). Comparison of epidural and systemic tramadol for analgesia following ovariohysterectomy. J Am Anim Hosp Assoc, 48, 310–319. https://doi.org/10.5326/JAAHA-MS-5795 CR - Mastrocinque, S. & Fantoni, D. T. (2003). A comparison of preoperative tramadol and morphine for the control of early postoperative pain in canine ovariohysterectomy. Vet Anaesth Analg, 30, 220–228. https://doi.org/10.1046/j.1467-2995.2003.00090.x CR - McCann, M. E., Andersen, D. R., Zhang, D., Brideau, C., Black, W. C., Hanson, P. D. & Hickey, G. J. (2004). In vitro effects and in vivo efficacy of a novel cyclooxygenase-2 inhibitor in dogs with experimentally induced synovitis. Am J Vet Res, 65, 503–512. https://doi.org/10.2460/ajvr.2004.65.503 CR - Morgan, C. J. A. & Curran, H. V. (2012). Ketamine use: A review. Addiction, 107, 27–38. https://doi.org/10.1111/j.1360-0443.2011.03576.x CR - Nenadović, K., Vučinić, M., Radenković-Damnjanović, B., Janković, L., Teodorović, R., Voslarova, E. & Becskei, Z. (2017). Cortisol concentration, pain and sedation scale in free roaming dogs treated with carprofen after ovariohysterectomy. Vet World, 10, 888–894. https://doi.org/10.14202/vetworld.2017.888-894 CR - Nunamaker, E. A., Stolarik, D. F., Ma, J., Wilsey, A. S., Jenkins, G. J. & Medina, C. L. (2014). Clinical efficacy of sustained-release buprenorphine with meloxicam for postoperative analgesia in beagle dogs undergoing ovariohysterectomy. J Am Assoc Lab Anim Sci, 53, 494–501. CR - Pollmeier, M., Toulemonde, C., Fleishman, C. & Hanson, P. D. (2006). Clinical evaluation of firocoxib and carprofen for the treatment of dogs with osteoarthritis. Vet Rec, 159, 547–551. https://doi.org/10.1136/vr.159.17.547 CR - Reid, J., Nolan, A., Hughes, J., Lascelles, D., Pawson, P. & Scott, E. (2007). Development of the short-form Glasgow Composite Measure Pain Scale (CMPS-SF) and derivation of an analgesic intervention score. Anim Welfare, 16, 97–104. https://doi.org/10.1017/S096272860003178X CR - Slingsby, L. S. & Waterman-Pearson, A. E. (2001). Analgesic effects in dogs of carprofen and pethidine together compared with the effects of either drug alone. Vet Rec, 148, 441–444. https://doi.org/10.1136/vr.148.14.441 CR - Srithunyarat, T., Höglund, O. V., Hagman, R., Olsson, U., Stridsberg, M., Lagerstedt, A. S. & Pettersson, A. (2016). Catestatin, vasostatin, cortisol, temperature, heart rate, respiratory rate, scores of the short form of the Glasgow Composite Measure Pain Scale and visual analog scale for stress and pain behavior in dogs before and after ovariohysterectomy. BMC Res Notes, 9, 219. https://doi.org/10.1186/s13104-016-2193-1 CR - Teixeira, R. C. R., Monteiro, E. R., Campagnol, D., Coelho, K., Bressan, T. F. & Monteiro, B. S. (2013). Effects of tramadol alone, in combination with meloxicam or dipyrone, on postoperative pain and the analgesic requirement in dogs undergoing unilateral mastectomy with or without ovariohysterectomy. Vet Anaesth Analg, 40, 641–649. https://doi.org/10.1111/vaa.12080 CR - Tsai, T. Y., Chang, S. K., Chou, P. Y. & Yeh, L. S. (2013). Comparison of postoperative effects between lidocaine infusion, meloxicam, and their combination in dogs undergoing ovariohysterectomy. Vet Anaesth Analg, 40, 615–622. https://doi.org/10.1111/vaa.12064 CR - Ugwu, N., Eze, C. & Udegbunam, R. (2017). Evaluation of haematological and serum biochemical changes associated with constant rate infusion tramadol hydrochloride as an adjunct to ketoprofen in laparotomized and ovariohysterectomized dogs. Comp Clin Path, 26, 1135–1140. https://doi.org/10.1007/s00580-017-2498-z CR - Wilson, J. E., Chandrasekharan, N. V., Westover, K. D., Eager, K. B. & Simmons, D. L. (2004). Determination of expression of cyclooxygenase-1 and -2 isozymes in canine tissues and their differential sensitivity to nonsteroidal anti-inflammatory drugs. Am J Vet Res, 65, 810–818. CR - Yilmaz, O., Korkmaz, M., Jaroszewski, J. J., Yazici, E., Ulutas, E. & Saritas, Z. K. (2014). Comparison of flunixin meglumine and meloxicam influence on postoperative and oxidative stress in ovariohysterectomized bitches. Pol J Vet Sci, 17, 493–499. https://doi.org/10.2478/pjvs-2014-0071 CR - Zanuzzo, F. S., Teixeira-Neto, F. J., Teixeira, L. R., Diniz, M. S., Souza, V. L., Thomazini, C. M. & Steagall, P. V. M. (2015). Analgesic and antihyperalgesic effects of dipyrone, meloxicam or a dipyrone-meloxicam combination in bitches undergoing ovariohysterectomy. Vet J, 205, 33–37. https://doi.org/10.1016/j.tvjl.2015.05.004 UR - https://doi.org/10.53424/balikesirsbd.1740346 L1 - https://dergipark.org.tr/en/download/article-file/5046389 ER -