Non-Steroidal Anti-Inflammatory AMA

I hereby decline the blood work my veterinarian has recommended for my pet every 6 months in order to maintain my animal on prescription medication. I understand the medication my animal is taking may have harmful side effects after prolonged use. I understand that blood work recommended would alert me to any of those harmful side effects before the medication did any permanent damage.

Medication(s): Carprofen, Deramaxx, Gallliprant, Loxicom

Wellness testing recommended: MEDICATION MONITORING PROFILE – includes a chemistry profile, CBC (complete blood count) and urinalysis. Recommended every 6 months.

Risks associated with medication: GI ulceration, elevated liver enzymes and renal failure.

Contraindications/Precautions: The above medication should not be given to animals with pre-existing liver or kidney disease. Do not give with other NSAIDS (need a wash-out period before starting a new medication), and steroids.

Discernable adverse reactions: vomiting, diarrhea, inappetence, and behavioral changes such as depression or lethargy.

I am aware of the consequences of not performing this blood work. My veterinarian or representative has spoken with me at length about these risks and has answered all my questions regarding my pet’s condition and the medication. I will make my veterinarian aware if any of these adverse effects occur and understand that blood work may need to be done at that time.


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