I N C E P T I O N A I

Top 5 Prescription NSAIDs for Dogs in Canada 2025: Meloxicam, Carprofen, Deracoxib, Firocoxib, Robenacoxib - A Veterinarian-Recommended, Evidence-Based Guide

Veterinary nonsteroidal anti-inflammatory medications (NSAIDs) are prescription drugs used to control pain, fever, and systemic inflammation in dogs. Commonly prescribed for osteoarthritis, postoperative pain, and injury, these agents help improve mobility and quality of life when used under veterinary supervision. Canadian pet owners often choose an NSAID based on demonstrated efficacy, dosing convenience, formulation options (tablet, chewable, or injectable), safety profile for their dog, cost and availability, and recommendations from their veterinarian. Because NSAIDs can affect the gastrointestinal tract, kidneys, and liver, reliable monitoring, individualized dosing, and clear communication with a licensed Canadian veterinarian are essential to minimize risks and achieve the best outcomes.

1

Previcox (firocoxib) chewables are valued for once‑daily COX‑2 selective activity and a favorable safety profile, offering a balance of targeted anti‑inflammatory effect and competitive pricing versus some newer prescription options. Compared to other chewables on this list, Previcox is often chosen when veterinarians want COX‑2 selectivity with simple daily dosing and predictable pharmacokinetics, while still providing a cost advantage over niche mechanism drugs like EP4 antagonists.

4.6
Show More Prescription Nonsteroidal Anti-Inflammatory Oral Tablets and Chewables for Dogs
  • Once-daily dose

  • Long-lasting relief

  • Once-daily dose

  • Long-lasting relief

Review Summary

91%

"Previcox chewables are widely regarded as highly effective, palatable, and well tolerated for long-term arthritis management, with many owners reporting fewer side effects than with older NSAIDs."

  • Pocket-sized popularity

  • Firocoxib chewable designed to be COX-2 selective to reduce inflammation with potentially fewer GI effects.

  • Pocket-sized popularity

  • Firocoxib chewable designed to be COX-2 selective to reduce inflammation with potentially fewer GI effects.

Time-Saving Convenience

Previcox (firocoxib) chewables are valued for once‑daily COX‑2 selective activity and a favorable safety profile, offering a balance of targeted anti‑inflammatory effect and competitive pricing versus some newer prescription options. Compared to other chewables on this list, Previcox is often chosen when veterinarians want COX‑2 selectivity with simple daily dosing and predictable pharmacokinetics, while still providing a cost advantage over niche mechanism drugs like EP4 antagonists.

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$60-140 CAD

2
BEST PRESCRIPTION NONSTEROIDAL ANTI-INFLAMMATORY ORAL LIQUID SUSPENSIONS FOR DOGS

Metacam Oral Suspension 1.5mg/mL

Metacam Oral Suspension 1.5mg/mL

Metacam is positioned as the market-leading, reference-brand meloxicam oral suspension due to its long record of veterinary clinical use and regulatory approvals; clinics favor it for consistent manufacturing standards and comprehensive pharmacovigilance. While typically priced higher than generics on this list, Metacam’s brand recognition and proven label dosing make it the preferred choice for practices that prioritize predictable supply and documented clinical data over lower-cost alternatives.

4.4
Show More Prescription Nonsteroidal Anti-Inflammatory Oral Liquid Suspensions for Dogs
  • Precise dosing

  • Rapid relief

  • Precise dosing

  • Rapid relief

Review Summary

88%

"Metacam is widely praised for reliably reducing pain and inflammation in dogs with good palatability and easy dosing; a minority of users report occasional gastrointestinal upset or reduced appetite. Overall reviewers value its effectiveness and consistent formulation as a veterinary‑prescribed product."

  • Tail-wag approved

  • Brand-name meloxicam 1.5 mg/mL formulated specifically for canine use.

  • Tail-wag approved

  • Brand-name meloxicam 1.5 mg/mL formulated specifically for canine use.

Increased Safety & Security

Time-Saving Convenience

Recreational Enjoyment

Metacam is positioned as the market-leading, reference-brand meloxicam oral suspension due to its long record of veterinary clinical use and regulatory approvals; clinics favor it for consistent manufacturing standards and comprehensive pharmacovigilance. While typically priced higher than generics on this list, Metacam’s brand recognition and proven label dosing make it the preferred choice for practices that prioritize predictable supply and documented clinical data over lower-cost alternatives.

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$45-85 CAD

3
BEST PRESCRIPTION NONSTEROIDAL ANTI-INFLAMMATORY INJECTABLES FOR DOGS

Metacam 5 mg/mL Solution for Injection

Metacam 5 mg/mL Solution for Injection

Metacam (meloxicam) holds a best-in-class position because of its long track record in dogs, predictable pharmacology and a well-established safety profile for perioperative and short-term postoperative pain control, making it a financially sensible choice for clinics that value reliability. Compared with the other injectables on this list it offers broad clinical familiarity and typically lower monitoring burden than older nonselective options like ketoprofen (Anafen), though it is less COX-2 selective than firocoxib (Previcox) and robenacoxib (Onsior). Its combination of efficacy, availability and often-competitive pricing versus branded COX-2 agents helps explain its widespread veterinary use for prescription injectable NSAID therapy in dogs.

4.3
Show More Prescription Nonsteroidal Anti-Inflammatory Injectables for Dogs
  • Rapid relief

  • Gentle on tummy

  • Rapid relief

  • Gentle on tummy

Review Summary

86%

"Metacam injectable is widely reported to provide reliable pain relief and anti-inflammatory effect in dogs with generally good tolerability; some long‑term users caution about gastrointestinal or renal side effects and recommend monitoring."

  • Vet-favorite wink

  • Active ingredient meloxicam; widely used NSAID for pain and inflammation in dogs.

  • Vet-favorite wink

  • Active ingredient meloxicam; widely used NSAID for pain and inflammation in dogs.

Increased Safety & Security

Recreational Enjoyment

Time-Saving Convenience

Metacam (meloxicam) holds a best-in-class position because of its long track record in dogs, predictable pharmacology and a well-established safety profile for perioperative and short-term postoperative pain control, making it a financially sensible choice for clinics that value reliability. Compared with the other injectables on this list it offers broad clinical familiarity and typically lower monitoring burden than older nonselective options like ketoprofen (Anafen), though it is less COX-2 selective than firocoxib (Previcox) and robenacoxib (Onsior). Its combination of efficacy, availability and often-competitive pricing versus branded COX-2 agents helps explain its widespread veterinary use for prescription injectable NSAID therapy in dogs.

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$40-120 CAD

4

Rimadyl (carprofen) is a long-established oral NSAID with extensive clinical use and brand recognition, often chosen for its predictable analgesic profile and palatable chewable format that helps with owner compliance compared to topical-only approaches. Against topical Surpass it provides systemic control for multi-joint disease, and versus other chewable competitors it frequently competes on price and generic availability, giving it a favorable financial position for clinics managing chronic osteoarthritis. While systemic by nature, Rimadyl’s large safety database can reduce perceived risk for prescribers when compared to newer agents.

4.5
Show More Prescription Nonsteroidal Anti-Inflammatory Topical Gels and Sprays for Dogs
  • Tasty chew- treaty

  • Quick relief- zoom

  • Tasty chew- treaty

  • Quick relief- zoom

Review Summary

88%

"Rimadyl chewables are frequently praised for fast, consistent pain relief and good palatability, with many long-term users seeing clear improvement despite occasional reports of GI or liver-related side effects."

  • Mobility boost- bounce

  • Carprofen chewable tablets commonly used for osteoarthritis and post-operative pain relief

  • Mobility boost- bounce

  • Carprofen chewable tablets commonly used for osteoarthritis and post-operative pain relief

Recreational Enjoyment

Time-Saving Convenience

Rimadyl (carprofen) is a long-established oral NSAID with extensive clinical use and brand recognition, often chosen for its predictable analgesic profile and palatable chewable format that helps with owner compliance compared to topical-only approaches. Against topical Surpass it provides systemic control for multi-joint disease, and versus other chewable competitors it frequently competes on price and generic availability, giving it a favorable financial position for clinics managing chronic osteoarthritis. While systemic by nature, Rimadyl’s large safety database can reduce perceived risk for prescribers when compared to newer agents.

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$80-200 CAD

5

Previcox (firocoxib) is a highly COX-2 selective NSAID commonly used for once-daily management of canine osteoarthritis, known for its predictable dosing and favorable long-term safety profile. As a market leader for COX-2–specific therapy, Previcox competes by offering reliable efficacy combined with strong value where generics are available, often undercutting the cost of some branded short-term or perioperative options while maintaining a focused COX-2 benefit.

4.6
Show More Prescription Nonsteroidal Anti-Inflammatory Products by Active Ingredient for Dogs
  • Fast joint relief

  • Chewable palatable

  • Fast joint relief

  • Chewable palatable

Review Summary

88%

"Previcox (firocoxib) is often rated as well tolerated and effective for long-term osteoarthritis management, with many owners noticing improved mobility and few reported GI problems thanks to its COX-2 selectivity. Reviewers commonly cite good safety and tolerability, making it a frequent choice for chronic use under veterinary guidance."

  • Stable daily rhythm

  • Highly COX-2 selective NSAID indicated for osteoarthritis pain control in dogs with once-daily dosing.

  • Stable daily rhythm

  • Highly COX-2 selective NSAID indicated for osteoarthritis pain control in dogs with once-daily dosing.

Time-Saving Convenience

Previcox (firocoxib) is a highly COX-2 selective NSAID commonly used for once-daily management of canine osteoarthritis, known for its predictable dosing and favorable long-term safety profile. As a market leader for COX-2–specific therapy, Previcox competes by offering reliable efficacy combined with strong value where generics are available, often undercutting the cost of some branded short-term or perioperative options while maintaining a focused COX-2 benefit.

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$60-150 CAD

What the Research Says: Safety and Effectiveness of Canine NSAIDs

Clinical trials and systematic reviews support the use of NSAIDs for reducing pain and improving function in dogs with osteoarthritis and for controlling postoperative pain when administered appropriately. Evidence highlights that efficacy, onset of action, and side effect profiles differ across drugs and formulations. Best-practice guidelines recommend baseline bloodwork, individualized dosing, and periodic monitoring to detect renal, hepatic, or gastrointestinal adverse effects early. Veterinary regulators in Canada require prescriptions and emphasize practitioner oversight to ensure safe use.

Efficacy: Randomized controlled trials show meaningful reductions in pain and lameness scores for dogs with osteoarthritis when treated with approved canine NSAIDs compared with placebo.

Postoperative analgesia: Studies support short-term NSAID use to decrease acute postoperative pain and improve recovery after soft tissue and orthopedic procedures.

Safety profile: COX-2 selective agents may reduce gastrointestinal side effects in some patients, but selectivity is not a guarantee of safety; individual factors matter.

Monitoring recommendations: Veterinary guidance and retrospective studies recommend baseline hematology and biochemistry, with follow-up testing during long-term use or if clinical signs arise.

Risk factors: Older dogs, dehydrated patients, or dogs with preexisting renal or hepatic disease have higher risk for adverse events; concomitant use of corticosteroids or multiple NSAIDs is contraindicated.

Regulatory context: Health Canada and veterinary authorities require prescription status and professional oversight; approved drugs have species-specific dosing and label instructions.

In the Canadian context, prescription NSAIDs remain a cornerstone of canine pain management when prescribed and monitored by a veterinarian. We hope this overview helped you understand why Meloxicam, Carprofen, Deracoxib, Firocoxib, and Robenacoxib are frequently recommended options in 2025. If you did not find exactly what you needed, refine or broaden your search above, or consult your veterinarian for a personalized plan tailored to your dog.