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Metacam is a type of drug called a non steroidal anti inflammatory drug (NSAID). As we discussed in a previous blog (NSAID: good versus evil), NSAIDs block cyclooxygenase (COX) enzymes that are important in the formation of prostaglandins, prostacyclin and thromboxane. Prostacyclin, thromboxane, and many of the prostaglandins are inflammatory mediators that cause the heat,