Using Apocaps CX/CXE with Prednisone or Other Oral Anti-inflammatory Prescription Medications
In general, with a little caution and, of course, under your veterinarian's supervision, Apocaps® CX and Apocaps® CXE can be used alongside prednisone, NSAIDs, or other anti-inflammatories.
The reason for caution is simple: prescription anti-inflammatories are hard on the tummy. Apocaps won't "interfere" with these prescriptions, but adding it to the mix might increase the risk of tummy upset in your pup.
Apocaps® CX may have a mild anti-inflammatory effect in some dogs, so many veterinarians use a reduced dose, to decrease the possibility of upset tummy (like nausea, vomiting, or diarrhea). In general, we recommend reducing the dose of Apocaps® CX to a half or quarter dose if you are using prednisone or any NSAIDs.
For instance, if your dog is supposed to get three pills three times daily, you might give two pills in the morning, and two in the evening.
We also recommend giving Apocaps® CX with a full meal in these cases, to buffer the stomach.
Your veterinarian may prefer to lower the dose of the prescription and use Apocaps at the full labeled dose, but that decision is made on a case-by-case basis, and your veterinarian needs to be in charge of it. Never change your dog's medication doses without checking with your veterinarian!