Previcox (firocoxib) is a COX-2 selective non-steroidal anti-inflammatory drug (NSAID) manufactured by Boehringer Ingelheim for the treatment of pain and inflammation associated with osteoarthritis and orthopaedic surgery in dogs. Its COX-2 selectivity means it provides effective pain relief with a lower risk of gastrointestinal side effects than older NSAIDs.
Price Comparison
Previcox tablets (per month supply for a medium dog, 57mg daily):
- From your vet: £25–£55 per month
- Online pharmacies (with prescription): £15–£32 per month
- Prescription fee: £10–£25
Previcox comes in 57mg and 227mg tablets. The 227mg tablets can be split for medium and large dogs, making them more economical per mg. Online savings of 40–50% are typical.
What Does Previcox Treat?
- Osteoarthritis pain and inflammation in dogs
- Post-operative pain following orthopaedic and soft tissue surgery
Species and Forms
- Dogs only: Chewable tablets in 57mg and 227mg sizes
- Dosing: 5mg/kg once daily
- Not licensed for cats — cats should not be given Previcox
Side Effects
- Gastrointestinal issues: vomiting, diarrhoea, reduced appetite, and rarely gastric ulceration
- Kidney effects: long-term NSAID use requires regular kidney monitoring (blood tests every 6–12 months)
- Liver effects: occasional elevated liver enzymes — monitor with blood tests
- Should not be used in dogs with kidney disease, liver disease, heart failure, or GI ulceration
- Should not be combined with other NSAIDs or corticosteroids
Previcox vs Metacam
- Efficacy: Both are effective; some dogs respond better to one or the other
- Form: Previcox is a chewable tablet; Metacam is a liquid (easier to dose precisely)
- COX-2 selectivity: Previcox is more COX-2 selective, theoretically offering better GI safety
- Price: Previcox is typically slightly more expensive than Metacam/Loxicom
Prescription Requirements
Previcox is POM-V. Obtain a written prescription to buy from online pharmacies at 40–50% less than vet prices.
How to Save
- Written prescription: Save 40–50% by buying online
- 227mg tablets split: Splitting larger tablets is often cheaper per mg than buying 57mg tablets
- Compare Metacam/Loxicom: If your dog tolerates meloxicam, generic Loxicom is cheaper
- Compare pharmacy prices: Use VetCost to compare across pharmacies
Last updated: March 2026. Sources: VMD product datasheet, CMA provisional decision (October 2025), VetCost pharmacy data.