I worry about putting people off giving Metacam as pain relief. I am a big fan of metacam although know of the potential kidney damage caused by long term use. It has been a god send to our lot over the years. I've checked on NOAH and there is no mention of it possibly causing aggression in cats which it should do if the Metacam website mentions this. The only behavioural changes I have come across have been positive ones (following pain relief) so thankfully it appears the reaction Pabby experience was rare.
You say Metacam was banned in the States. Do you know why at all? I have read the NOAH entries for both Metacam and Onsoir (extracts below) and can't quite figure out what difference there is in adverse effects on kidneys. I've not come across Onsoir before but see they are tablets rather than liquid.
MetacamTypical adverse reactions of NSAIDs such as loss of appetite, vomiting, diarrhoea, faecal occult blood, lethargy and renal failure have occasionally been reported. In very rare cases elevated liver enzymes have been reported. These side effects are in most cases transient and disappear following termination of the treatment but in very rare cases may be serious or fatal.
OnsoirUse in cats with impaired cardiac, renal or hepatic function or in cats that are dehydrated, hypovolaemic or hypotensive may involve additional risks. If use cannot be avoided, these cats require careful monitor- ing. Use this veterinary medicinal product under strict veterinary monitoring in cats with a risk of gastroin- testinal ulcers, or if the cat previously displayed intolerance to other NSAIDs. Mild and transient diarrhoea, soft faeces or vomit- ing were commonly reported. In very rare cases, lethargy may be observed.
Sending every best wish to you and Pabby and Tori for that matter