Behavior Modifying Drugs Flashcards
Benzodiazepines
- amplify the effects of GABA causing patients to be less reactive to surroundings and less responsive to provocative stimuli
- cats becomes excessively friendly, sleepy or uncoordinated
- interupt learning and short term memory thus not to be use in conjunction for behaviour modification (Develop physiologic and behavioural dependency)
- USES: sporadic events that cause pain or anxiety (thunderstorms, fireworks, etc)
- include diazepam, alprazolam, chlordiazepoxide, flurazepam, clorazepate, oxazepam and triazolam.
Diazepam
VALIUM
- benzodiazepines (GABAergic)
- -cause idiosyncratic, fulminant hepatic necrosis in cats given oral diazepam
- measure baseline ALT and AST before therapy and after started
Alprazolam
XANAX
- benzodiazepine (GABAergic)
- Good for aggression
- 3-5 weeks to get effect
- high doses can cause profound lethargy and incoordination
Chlordiazepoxide
LIBRIUM
- benzodiazepines (GABAergic)
- appetite stimulant and anxiolytic effects in cats
Flurazepam
DALMANE
-appetite stimulant and anxiolytic effects in cats AND dogs.
Clorazepate
TRANXENE
- benzodiazepine (GABAergic)
- hydrolysed to diazepam metabolite (long half life)
- good for thunderstorm phobias, compulsive grooming and wool sucking
Oxazepam
SERAX
- benzodiazepine (GABAergic)
- appetite stimulant in cats and dogs
Triazolam
HALICON
-aggession in cats
Buspirone (Buspar)
-partial serotonin agonist
and dopamine receptor antagonist.
-causing them to be less anxious and more social in social situations
-good for cats for txing urine marking/spraying
-no dependence developed
-2-4 weeks for effect
-may cause aggression
Tricyclic antidepressants (TCAs)
- inhibit serotonin and NE reuptake and relieve primary or secondary anxiety
- block muscarinic, histaminic and adrenergic receptors
- modulate glucocorticoid receptor and enhance GR-mediated gene transcription (clomipramine best at this)
- inhibit steroid transporter than extrudes cortisol.
- used as antidepressants and anxiolytics and to treat inappropriate elimination, stereotypes, narcolepsy and incontinence.
- get relapse off drug tho
- couple weeks to get steady state
- gluconuration in liver to metabolize (cats sensitive)
- narrow therapeutic index
- toxicity at low doses
- profound cardiac effects
- IV lipid emulsion effective antidote for overdoses in dogs and cats.
- imipramine, amitriptyline, clomipramine
- long elimination HL so need to do washout
Imipramine (Tofranil)
- TCA
- used for separation anxiety and aggression in dogs
- used to treat narcolepsy in dogs and horses
Amitriptyline (elavil)
- TCA
- used for inappropriate urination in cats
- some anti inflammatory activity (useful when feline lower UT disorder is causing problem)
Clomipramine
ANAFRANIL, CLOMICALM
- separation anxiety in dogs mainly
- useful in treating phobias and panic disorders and inappropriate urination in cats
Selective serotonin reuptake inhibitors (SSRIs)
- specifically inhibit the serotonin reuptake
- fewer anticholinergic effects and less cardiotoxicity than TCAs’
- fluoxetine, paroxetine, sertraline and fluvoxamine
- long elimination HL’s thus need to do washout
Fluoxetine
RECONCILE (prozac)
- -SSRI
- inhibits reuptake of serotonin and up regulates GABA receptors
- decreases aggression (due to elevated serotonin)
- racemic mixture (S-enant better SSRI)
- effective in reducing spraying in cats
- controls separation anxieity, dominance aggression and txing acral lick granulomas in dogs
Trazodone
- serotonin antagonist/reuptake inhbitor (SARI)
- used in combo with other serotonergic meds in dogs
- when used with SSRIs get a synergistic effect that is safe
- cant be given with MAOI inhibitors tho
- at low doses antagonizes 5HT, H1 and alpha 1 receptors (hypnotic effects)
- attenuates the inhibitory tone of GABA NTs in cerebral cortex (increase serotonin []s (thus diff mech of action than others)
Selegiline (Anipryl)
- MAO inhibitor (irreversible)
- used for dogs in “canine cognitive disorder” (decreased catecholamines in CNS and NTion deficiency)
- stops MAO from catabolizing catecholamines (mostly dopamine)
- may increase dopamerinergic activity by increasing synthesis and release of dopamine into the synapse and interfering with reuptake too.
Phenothiazines
tranquilizer mech: antagonize dopamine.
- dopamine blockage in limbic system responsible for antipsychotic and calming effects of these drugs
- adverse effects: hypotension and extrapyramidal signs (pseudoparkingsons) in horses (=muscle rigidity, spasms, and restlessness frenzy)
- include acepromazine, chlorpromazine, fluphenazine
Acepromazine
- phenothiazine group
- popular general tranquilizer
- cant use in show animals (prolapse of nictitating membrane (3rd eyelid) in horses and dogs and penile prolapse in horses)
Chlorphromazine (Thorazine)
- phenothiazine group
- illicitly used in show cattle and barrel horses for tranq.
- dont give IV to horses because causes extrapyramidal reactions
- cattle: decrease ACTH and gonadotropin release (wrecks embryo transfer procedures)
- 48 hr hangover, persists in tissues
Fluphenazine (Modecate, prolixen)
- -depot formation of phenothiazine
- used as liquid lunge line in show and race horses (unethical)
- severe extrapyramidal signs 12 hrs post admin.
- diphenydramine or benztropine mesylate can be used to reestablish ACH-dopamine balance
Reserpine
- rauwolfia alkaloid
- prevents re-uptake of NE
- abused in horse world for sedative effects (low oral doses go undetected)
- antihypertensive effects are long lasting
- dont administer with other hypertensives (fatal low BP)
Narcotic antagonists
- useful in endorphin-releasing behaviours such as lick granulomas and cribbing in horses.
- includes naltrexone
Naltrexone (trexan)
- pure narcotic antagonist with NO agonist properties
- used in tx of acral lick dermatitis in dogs (relapse when stop use)
- IV will suppress stereotypes in horses (expensive)
Feline Facial Pheromone
FELIWAY
- spray contains analogs of naturally occurring facial pheromones that control urine marking.
- calming effect
Dog appeasing pheromone
DAP
- chemical developed to calm dogs
- synthetic analogue of hormone produced by nursing canine mothers that is supposed to “promote calm and secure behaviour”
- uses: sep anxiety, astraphobia, fear of fireworks, or excessive barking.