Librela is a once monthly injection for arthritis in dogs. . It binds to the pain receptors in the joint space and blocks pain. . The reported side effects have been minimal such as lethargy, skin irritation, GI signs ( transient vomiting/diarrhea). Some worse side effects such as an allergic reaction or elevation in a kidney enzyme (BUN) have been reported in a low percentage of pets. . Overall the side effects of this are much better than daily NSAID therapy and we can use this product in pati
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