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Nutramax Cosequin Maximum Strength (DS) Plus MSM Soft Chews Joint Health Dog Supplement

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  • 60-count
  • 120-count
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Cosequin plays an important role in maintaining optimal joint function. Healthy articular (joint) cartilage is crucial to joint utility. Cosequin helps support cartilage production and protect existing cartilage from breakdown. Cosequin is the only glucosamine sulfate supplement that has been shown safe, effective, and bioavailable in peer-reviewed, published, controlled, U.S. veterinary studies.

Key Benefits

  • Cosequin maximum strength with MSM contains glucosamine and chondroitin for mobility, cartilage and joint support, as well as omega-3’s for a healthy skin and coat
  • Supports cartilage production and protects existing cartilage from breakdown
  • Use Cosequin to help your pet be healthy to climb stairs, rise, and jump
  • \#1 veterinarian brand for joint support
  • Moist and tasty soft chews that your pup will love


WARNING: For use in animals only. Keep out of the reach of children.
For use in animals only. Keep out of the reach of children.

Note: Nutramax recently updated their packaging on this product. It's the same great formula, just a new look and name!

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  • Item Number
  • Brand
  • Breed Size
    All Breeds, Small Breeds, Medium Breeds, Large Breeds
  • Lifestage
  • Made in
    United States
  • Supplement Form
    Soft Chew

Nutritional Info


Each Soft Chew Contains: Glucosamine Hydrochloride Minimum (600 mg**), Methylsulfonylmethane (MSM) Minimum (400 mg**), Cosequin Contains Fchg49 Glucosamine and Sodium Chondroitin Sulfate, Nutramax Laboratories Proprietary Veterinary Researched Specifications. ***Reported On A Hydrous Basis.

Feeding Instructions

Weight Initial 4 - 6 Week Administration Daily Feeding (soft chews) Maintenance Level Daily Feeding (soft chews)
< 10 lbs We recommend Cosequin Minis, a convenient soft chew option for small dogs We recommend Cosequin Minis, a convenient soft chew option for small dogs
10 - 29 lbs 1 1/2
30 - 59 lbs 2 1
> 60 lbs 3 1 - 2

The recommended initial administration period is 4 - 6 weeks; however, some dogs may respond sooner. The number of soft chews may then be reduced to the maintenance level.

Frequently Asked Questions

What is Cosequin® for Dogs?

Cosequin is a patented, scientifically researched nutritional supplement dispensed by thousands of veterinarians to help dogs maintain healthy joints. As dogs age, it is common for their joints to become less flexible which impacts their mobility and quality of life. You may have noticed that your dog has difficulty walking up stairs or jumping on the bed. While he used to be eager to play, now he is content to rest. Even at younger ages some dogs are subject to joint health concerns which affect flexibility and mobility. Cosequin contains TRH122®* chondroitin sulfate, FCHG49®* glucosamine and manganese ascorbate. These ingredients have been scientifically formulated to support and maintain the health of your dog's joints. Published studies have shown that the specific combination of ingredients in Cosequin works together to maintain the structure of the cartilage in your dog's joints while inhibiting the enzymes that break down cartilage. It is very important to note that the published studies on Cosequin do not apply to other brands.

When is the use of Cosequin® recommended?

Early action is always the best advice. Different breeds of dogs age at different rates. With regular check-ups your veterinarian can talk with you about your dog’s aging process. Your veterinarian may discuss weight control, selective use of medications, exercise and the administration of Cosequin. It is important to have your dog examined by your veterinarian if you notice the dog having difficulties climbing stairs, jumping into the car, going for walks or even getting up. Your veterinarian can advise you if Cosequin can help. Your veterinarian may also suggest using Cosequin as a protective measure. This can be important for maintaining an active life for many dogs, especially large breeds and working dogs of all sizes. Cosequin may also be used to help support cartilage following joint surgery.

My pet just started taking Cosequin®. What should I notice?

Observe your dog closely, and notice whether he seems more comfortable performing everyday activities such as climbing up stairs, going for walks, or even getting up. Most people will observe gradual changes in their dog’s comfort level. In a published survey of over 3,000 veterinarians, over 80% of dogs administered Cosequin improved significantly in their mobility, level of comfort, and attitude. Overall, the veterinarians rated Cosequin as good to excellent.

How long does it take Cosequin® to work?

Since Cosequin is a supplement and provides nutrients to maintain your dog’s joint health, it works more gradually than drugs. Improvement on Cosequin can range from gradual to dramatic. Following the administration schedule on the label for your dog’s weight, we recommend an initial administration period of four to six weeks. Some dogs may show a response in a shorter period of time.

Should I give Cosequin® to all of my dogs?

Research in dogs administered Cosequin has shown that if Cosequin is given prior to an injury, the animal returns to normal function much more quickly. In light of this research, Cosequin is recommended to protect cartilage in dogs that are overweight, working breeds, and large breeds, as well as the average "weekend warrior". In order to gain the protective benefits of Cosequin in healthy animals, a low level of Cosequin may be used. The level for these pets varies, but the suggested maintenance level given every other day may be adequate.

Are there any side effects?

A safety study in dogs demonstrated no adverse effects of Cosequin administration on blood work parameters, including complete blood count, biochemical, and clotting values. Some dogs may experience a mild gastrointestinal upset such as that which occurs when switching foods. If this is the case, you can try offering Cosequin with a meal.

Should I exercise my dog while he is on Cosequin®?

Exercise is important for optimal joint function as well as weight control for the overall health of your pet. Joint movement is needed to circulate fluid around the cartilage as well as to bring nutrients and to remove waste products. It has been shown that when joints are immobilized, cartilage structures break down at a rapid rate. Consult with your veterinarian, but in most cases, moderate exercise is recommended. Walking on sand or another soft surface or even swimming will help circulate needed nutrients and reduce excessive stress to the cartilage. It is important not to push your pet but to exercise at a comfortable pace.

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Bringing Relief to Your Dog's Joints

Cosequin is a specially formulated, scientifically researched joint-heath supplement that helps pets maintain healthy joints and cartilage. And it's effective, making Cosequin the #1 veterinarian recommended retail joint-health supplement brand!

Nutramax Cosequin Joint-heath Supplement
Watch for the Warning Signs

Watch for the Warning Signs

If your pup displays the following warning signs of joint pain and cartilage breakdown, Cosequin can help decrease or even eliminate them — allowing your dog to move around pain-free, while enhancing his quality of life.

  • Lower activity level
  • Difficulty sitting or standing
  • Stiff or uncomfortable when moving
  • Trouble getting up or down stairs
  • Decreased interest in interacting with toys, other animals or even you

Can Your dog Benefit From Cosequin?

All dogs can benefit from Cosequin, not just those with joint pain and cartilage breakdown. In fact, even younger dogs and those with no warning signs can supplement with Cosequin to help prevent future cartilage breakdown and enhance recovery when injury occurs.

All dogs can benefit from Cosequin
#1 Veterinarian Recommended Brand

Quality Ingredients, Real Results

Cosequin is manufactured in the USA using a proprietary combination of the highest quality ingredients — including high-purity glucosamine and low-molecular-weight chondroitin and manganese for enhanced absorption — following manufacturing standards adopted by the pharmaceutical industry.

  • Manufactured under strict quality standards
  • Each batch is tested to ensure it meets label claims
  • Available in a variety of formulas to meet your pet's needs

Triple Threat of Ingredients That Work



Blocks the naturally occurring enzymes that break down cartilage.



Acts as a building block of cartilage by keeping cells healthy and working properly.



Helps to optimize the production of cartilage components in joints.

About Nutramax Laboratories

Nutramax Laboratories has been researching and developing products for people and their pets since 1992. In that time they've become an industry leader, setting the bar for manufacturing and quality control, and creating products that make lives better — human and animal alike.

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About Nutramax

Customer Reviews

300 reviews 300 Reviews 4.6 out of 5 Stars

95% Recommend

95% of reviewersrecommend this product

4.6 / 5
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  • Have tried others...

    By on

    I wasted a lot of money trying other, mostly less expensive, joint supplements. These are simply the best on the market, in my opinion, and I will continue to buy only Cosequin from now on. My dog absolutely loves them. She gets two chews after dinner, and if she has left the room I yell "Cosequin" and she comes running back to get her meds. Those times I did switch to an inferior product, the change was noticeable. That convinced me. I buy the bigger bag when I can, and that saves me more money. Very good product.

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  • Increased mobility

    By on

    Busta aka Chubby is moving much easier than he was without the cosequin. He is almost 14 and needs to get on and off a boat all the time.He was to the point where he could not get on or off without help and now he is much better. He is still old and slow but we certainly saw an improvement after taking the cosequin.

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  • Helped my dog with luxating patella

    By on

    My dog is a 9lb miniature poodle with luxating patella and weak hind legs. Four months ago, he was running in the park and shrieked in pain, probably because his knee cap fell out. We've been giving him this chew every other day for the past four months, and he has never shown any more signs of pain. We'll keep feeding this chew.

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  • Very Bad smell

    By on

    The smell is overwhelming but the dogs love them! I will continue to buy them! I was using the other cosequin white round chewables before I just switched to these and I haven't noticed a huge difference in my dogs mobility, yet! I like to give things a good month of continued use. I'm not there yet.

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  • Great product!

    By on

    Before Cosequin I was very concerned that my dog was in pain. It was a struggle for her to stand after a small injury to her rear leg. Since starting these tablets, I am seeing a huge difference in my dogs mobility. Like she was a pup again! I will definitely continue with this product.

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  • Smitty's hips

    By on

    Our 8 year old lab Smitty was diagnosed with arthritic hips, as an additional supplement to his meds , coesquin seems to be helping . He is large and at 90# quite a handful. He is moving bettter and even has started walking more and with more ease. I'm very satisfied with this product.

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  • Works great!

    By on

    My 13 y/o dog has a very dry and crusty nose. It's only been about 2 weeks since she's been taking this supplement, and her nose is looking so much better. Can't say much about the difference it has made in her joints yet but I would recommend this to promote healthy skin.

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  • Affordable and Effective!

    By on

    My GSD has low grade hip dysplasia after being hit by a car and fracturing her pelvis as a younger dog. This is one of the few joint supplements where I can actually see a difference in her gait, comfort level and range of motion. And she loves the taste!

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  • My dog loves them

    By on

    I got these because my dog is getting a bit older and he has also had surgery to repair a torn ACL. It was recommended to start him on a supplement to help his joints stay healthy. He thinks they are a treat. It's the first thing he eats in his food bowl

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  • Keep them moving

    By on

    The dogs love this product. They eat them as if they were treats. We give then to all the dogs. It helps the older dogs move like they are younger and we expect it will help the younger dogs maintain themselves as they age.

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