Hi again,Thank you for your patience. It certainly sounds like Josie has had some long term issues with her gum inflammation and subsequent oral pain! This condition does seem to happen for some cats, and removing the teeth generally seems to be the answer. It is quite likely that if the other remaining canine teeth are removed (despite being solid), that the inflammation will settle even further. It is also a good idea to have Josie's jaw xrayed to ensure there aren't any remaining tooth roots from her other teeth left in, as this can cause ongoing inflammation as well. Steroid injections and oral steroids do tend to the settle the inflammation in these cases enough to allow more comfortable eating. When using steroids, we can't really use other anti inflammatory drugs however, including aspirin - so definitely do not give Josie any aspirin. In fact, it doesn't take a lot of aspirin to be toxic to cats either, so it's best just to avoid that idea altogether. The steroids sound like they are doing their thing for the most part, however it is also important to realize that long term, there is a high chance that Josie could develop secondary issues as a result of these - such as diabetes
. Definitely follow up with your vet again first thing on Monday and ask if a higher dose of Prenisolone could be used. Generally a dose of around 0.2mg/lb of body weight up to twice daily can be used, but the higher the dosage, the more like the side effects of the drug (both short and long term). Hopefully Josie keeps eating without an issue over the weekend. If she does 'crash', then you could consider 1/4 of a 5mg prednisolone tablet twice daily until you can follow up with your vet. Ideally, just stick with the prescribed dose for Josie unti you can see Dr Robin. I hope this helps, and do steer clear of giving aspirin to your girl. It isn't very helpful for cats in general, and would definitely not be an option in tandem with your girl's steroids. If you have more questions or if I can help in any other way, please do not hesitate to ask! If you would like to accept my answer, please press RATE OUR CONVERSATION (I am not compensated in any other way). Bonuses are always welcome. Thanks! I hope to work with you again soon!Kind Regards,Dr EPS: If you have additional questions after you rate the question, you are welcome to request me for additional conversations if I am on-line or by beginning your question "Dr. E..." or "Pet-doc..." and others will leave the questions for me.