Non-Prescription Treatment Options Flashcards
Why Non-Prescription Options?
- Vets and owners are actively seeking prescription-free solutions to help minimize inappropriate behavior, phobia, fear, and anxiety seen in out pets
- Fear Free movement is creating an increased demand for prescription-free supplements
- Supplements can aid in training and behavior modification therapy by facilitating a calm and receptive attitude
Non-Prescription Options
- Neutraceuticals
- Therapeutic Diets
- external Devices/Garments
- Pheromones
- Essential oils/Aromatherapy
- Music
- Desensitization via recordings
- Massage, Acupressure and Acupuncture
- Environmental manipulation and enrichment
Neutraceuticals
- Natral, bioactive chemical compounds that have health-promoting, diesease preventing or general medicinl properties
- Vitamins
- Amino Acids
- Minerals
- Herbal or other botanical supplements
- Certain animal products
- Includes Functional foods
- foods that tout a specific health benefit based on their ingredients
Neutraceuticals in the US
- The term “nutraceutical” products are regulated as:
- Drugs
- Food ingredients
- Dietary supplements
- Not defined the same in different countries
- usually defined as a product isolated from foods that is sold in medicinal forms, but not associted with food
Neutraceutical Regulation
- No patent protection
- Can be used to cure or prevent disease
- ONLY pharmaceutical compounds have government sanction
- FDA regulates
- Nutraceutical are under a different set of regulations compared to food or drug products
- Dietary Supplement Health and Education Act (DSHEA) 1994:
- It is the manufacturer’s responsibility to ensure safety of nutraceutical before its marketed
-
Current Good Manufacturing Practice (CGMP) regulation Goals:
- Safety and labeling
- less emphasis on product clsims and intended use
FDA
- Authorized to take action against any unsafe product after it reaches market
Manufacturers Responsibility
- Have to make sure that the information on the product label is truthful and not misleading
- NOT obligated to register their poductswith the FDA NOR get FDA approval before producing or selling nutraceuticals
Quotes From Fear Free
- In the mind of the consumer they are different because they are ‘natura’ and that is something that a lot of people are looking for
- “Natural” doesn’t necessarily equal “safe”, the naural world is chock-full of poisonous substances. In some cases, clients may simply need some reassurance about the drug options
- When they think of a supplement, they don’t think it’s goint to affect their animals as strongly as they perceive a behavioral drug does
- What I tell my clients and veterinarians is, we try to use supplements from companies we trust - as much as you can trust a company….We try to use supplements made by pharmaceutical companies. Its not that I love pharmaceutical compnies, but I can hold someone responsible
- Whatever your source, read the research and evaluate the evidence yourself. Given the lack of regulation, you first need to know if a product has been properly tested for safety in dogs and cats..
Evaluating Nutraceuticals
according to Fear Free
-
Species used in the study
- was the research on dogs/cats or rats/mice
-
Condition studied
- If a study was narrowly focused on some aspect, for example separation anxiety, it may not work on other types of anxiety
-
What was evaluated
- Acutal behavior or physical measurements such as stress hormones
- both types have Pros and Cons
- Acutal behavior or physical measurements such as stress hormones
Nutraceuticals for Behavior Modification
- Rescue Remedy
- Harmonease
- Anxiety TFLN
- Anxitane
- Solliquin
- Composure and Composure Pro
- Hemp/CBD products
- Melatonin
Rescue Remedy Pets
- A blend of 5of the 38 Bach Original Flower Remedies
- Add 4 drops of rescue remedy to your pet’s food, water bowl, or on a treat. Repeat as needed. Can also be rubbed on the ears, nose, or paw
- Dosage of Rescue Remedy Pet dose not depend on weight or type of animal. It depends on the situation of stress. It is not a sedative, so find the dosage that works best for you and your pet
Harmonease (VPL)
- Harmonease is a natrual proprietary blend of a patented extract of Magnolia officinalis and a proprietary extract of Phellodendron amurense
-
Phellodendron amurense demonstrated significant anti-stress effects in rodent tests
- UNSAFE for pregnanc in people
- Magnolia officinalis contians a mixture of honokiol and magnolol both of which have been identified as modulators of the GABAA receptors for activity to decrease stress
- Dogs:
- Up to 50 lbs: 1/2 tablet 1x day
- Over 50 lbs: 1 tablet 1x day
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Anxxiety TFLN
Thunder, Fireworks, and Loud Noises
- Ingredients:
- Borate of Sodium - Washing soda
- Rhododendron chrysanthum
- Phosphorus
- German Chamomile
- Theridion curassavicum (Orange spider)
- In acute cases, can give every 15 minutes, up to 4 doses
- In chronic/long-term problems: 1 dose 3x daily
- ofen started 5-7 days before anxiety causing situation
- Once response seen reduce to 2x daily
-
If remedy is working well and dosing is not reduced, and aggravation of symptoms from overuse may occur
- Stopping for 3 days will reverse symptoms, then treatment can befin again as if using for the first time, weaning down as mentioned abobe
Anxitane
- Contains pre L-Theanine, aka Suntheanine, an amino acid that acts neurologically to help keep dogs and cats calm, relaxed, and well-behaved
- Fo optimal results, prescribe for at least 30 days for pets experiencing behavior changes in response to stress
- Flavored chewable tablets are palatable fro dogsand cats and allow for easy administration and better compliance
- All-natural nutritional supplement that is not-habit-forming
- WARNING: Not intended for use in animals with severe phobias, separation anxiety or in animals with a known history of agression
Zylkene
- Bovine-sourced hydrolyzed milk protein
- has calming properties
- lactose-free
- Helps balance reaction sin some situations
- Travel, moving, adoption, grooming, meeting new people, loud noises, etc
- Helps animals maintain normal and relaxed dispositions
- May also open pets’ receptivity to behavior modification training
- Capsules can be administered orally, or opened and added to a meal
- Can be used daily or as needed
- Shor-term: use 1-2 days before event/change
Composure
- A calming supplement to support relaxation in situations that cause nervousness, anxiety, or stress
- Active Ingredients per Chew:
-
Thiamine (Vit B1): 134mg
- affects CNS to help calm
-
Colostrum Calming Complex Biopeptide Blend 22mg
- supports stress reduction and cognitive function
-
L-Theanine 21mg
- helps body produce other AA to being neurotransmitters back to balance
-
Thiamine (Vit B1): 134mg
- Ingredients work synergistically to support relaxation without chaning your dog’s personality or energy levels
Composure Dosing
- Dose:
- Up to 50 lbs: 1 chew daily
- 51-100 lbs: 2 chews daily
- over 100 lbs: 3 chews daily
- Can be given daily or on an as needed basis
- Safe to double or triple the dose in times of increased stress
- CAUTION: Safety in pregnant animals or animals intended for breeding has NOT been proven
Composure Pro
- Per chew
- Thiamine (Vit B1) 100 mg (134mg in original)
- L-Tryptophan 75 mg (0 mg in original)
- Col. Calm. Complex Biopeptide Blend 25 mg (22 mg in original)
- L-Theanine 25 mg (21 in original)
L-Tryptophan
- An essential AA that helps the body make proteins and certain brain-signaling chemicals
-
The body changes L-tryptophan into serotonin
- serotonin helps control mood and sleep
- Has potential to cause serotonin syndrome when given with other serotonin level altering drugs
Solliquin
Nutramax
-
L-theanine:
- An AA found naturally in green tea.
- Directly stimulates the production of alpha brain waves, creating a state of deep relaxation, wakefulness, and mental awareness
-
Magnolia/Phellodendron:
- Combination appears to be synergistic
- Controls stress and anxiety more effectvely than either compound alone
-
Whey Protein Concentrate:
- Contains NMXSLQ05, a trademarked high quality protein source which supplements 10 AAs including precursors of glutathione and serotonin
Hemp Products (CBD oil)
- TNTC
- No Regulation on strength and potency
- CBD (Cannabidiol) does not contain THC
- Still illegal to use in some states
- May 24, 2018 it is not unlawful under state law to possess or sell products or substances containing any amount of Cannabidiol
- Some state only allow CBD that comes from industrial hemp
- Usually not just hemp in calming products
Melatonin
- A hormone supplement
- can be given alone or in combinaitno
- Used to treat:
- Sleep disorders
- Behavioral disorders
- Adjunct therapy as pre-visit medication for aggressive dogs
- Side effects are uncommon:
-
Changes in fertility
- Can decreasecortisol and estradiol levels
- Sleepiness
- Weight gain
-
Changes in fertility
Neutraceutical Herbs
- Chamomile
- Passion Flower
- Catnip
- Vaerian root
- Skullcap
Chamomile
- Matricaria chamomilla L
- Sedative effects
-
Mild blood thinner
- contains coumarin
- Rarly can trigger allergies
- ragweed, daisies, marigolds, or crysanthemums
- Drug Interactions (people)
- Sedatives, blood thinners, antiplatelet drugs, aspirin, NSAID painkillers (ibuprofen & naproxen), and other drugs
- Could interact with supplements like ginkgo biloba, garlic, saw palmetto, St. John’s wort, and valerian root
Passion Flower
- Passiflora incarnata L.
- Climbing vine native to the SE US
- Calming, sleep-inducing, muscle spasm-relieving effects
- Drug interactions:
- taking with other sedative medications might cause too much sleepiness
Catnip
-
Nepeta cataria
- Napetalactone is the active ingredient
- initial excitement phase and then calm
- Give about 15 minutes prior to stressful events
- Some cats become MORE AGGRESSIVE
- Not all cats respond:
- Response is heredita
- only 2/3 cats respond
- Kittens <12 weeks typically don’t respond
- Can have calming effects on dogs
Valerian Root
(Cats and Dogs)
-
Valeriana officinalis
- Flowering plant native to Europe and Asia
- Mild sedative and anti-anxiety effects
- Beleived to work via the receptors of the GABBA
- Block nerve stransmissions between neurons that stimulate activity
- Sudden discontinuation can cause withdrawal sypmtoms
- Drug Interactions
-
Anesthetics
- Shouldn’t be given 2 week prior to procedure
- Sedative or anit-epileptic drugs
- may make them more potent
- Antifungal drugs
- May have greater side effects when used with valerian
-
Anesthetics
Valerian Roots
(Cats only)
- The actinidine in valerian root acts as a stimulant to some cats
- Some cats that aren’t affected by catnip might show a reaction to valerian root
- Some don’t seem to react to valerian as well
- It may be possible for a cat exposed to be more aggressive than usual
- After initial play period, many cats will be calm and sleep
Skullcap
- Member of the mint family
- Scutellaria laterifolla
- Calming herb that doesn’t cause drowsiness
- Is especially effective for genera excitability, restlessness, nervous twitching and nervous tension in dogs and cats
- Used by some for epilepsy
-
Don’t confuse with autum skullcap (Galerina autumnalis)
- Highly poisonous mushroom
Hill’s Feline Stress Diets
-
Hydrolyzed casein (milk protein hydrolysate)
- a bioactive peptide, helps relieve anxiety
-
L-tryptophan
- Precursor of serotonin, a neurotransmitter that affects mood and decreases anxiety
- Omega-3 fatty acids, EPA and DHA, help reduce and control inflammation
- Antioxidants Vitamin E and beta-carotene help counteract oxidative stress and free radicals
Hill’s Prescription Diet i/d Stress Canine
-
Hydrolyzed casien (milk protein hydrolysate)
- a bioactive peptide, helps relieve anxiety in dogs
Royal Canin Canine Calm
-
a-casozepine
- a-S1 casein hydrolysate of milk origin
-
L-tryptophan
- Serotonin precursor which has an essential role in regulation of stress, sleep, and appetite
- For small dogs <15kg
Purina Pro Plan Vterinary Supplements Calming Care
-
A probiotic
- 6 weeks to see results
- strain BL999 to help dogs maintain calm behavior
- reduce excessive vocalization, umping, pacing, and spinning
Hill’s Prescription Diet b/d Canine
- High levels of Omega-3 fatty acids
- helps protect brain cells against free radical damage
Purina NC (NeuroCare) Canine Formula
- Enhanced with a unique blend of nutrients and medium chain triglyceride oil
- Omega-3 fatty acids help support brain health
Anxiety Wraps
- Applies gentle, constant pressure, similar to swaddling an infant
- Over 80% success rate as reported by throusands of families, vets, and trainers
- Independently studied by Dr. Temple Grandin and other scientists
Storm Defender Cape
- Reseaarch shows that dogs sense the static charge buildup before a thunderstorm
- This same charge, if big enough, produces lightning
- Dogs naturally try to escape the static charge by moving towards items that are electrically grounded
- Many thunderstorm-phobic dogs seek shelter in the basement, around the toilet, shower, tub or near pipes
- Also may try to hide underneath something
- Favorite spots are often the bathtub (if made of porcelain coated cast iron) or the car
- Cape:
- has a special metalic lining that discharges a dog’s fur and shields him from the static charge buildup reducing sensitivity
- Dog gets relief, and begins to learn that the secondary triggers (rain, wind, thunder, smells) are no longer to be feared
Calming Cap
- Reduces visual stimulation
- sleep mask for dogs
Mutt Muffs
- Reduces loud noises
- Pilot hearing protection inspired ear muffs
Doggles
- Tinted goggles to help decrease stimulation from flashes of lightning
- also for blind dogs to protect eyes
DOG Appeasing Pheromone
DAP, Adaptil
- Females secrete pheomones that comfort and reassure nursing puppies
- These “appeasement” pheromones hve the same calming efect on adult dogs
- DAP mimic these appeasement pheromones to reduce or eliminate stress in dogs of all ages
- Plug-ins, sprays, collars
Feliway and Feliway Classic
- Happy Messages
- When comfortable and happy, cats mark their territory as familiar by rubbing their face against corners, furniture, people, or other cats
- Odorless message known as Feline Facial pheromone
- When present inthe environment these “happy messages” provide comfort and security
- When comfortable and happy, cats mark their territory as familiar by rubbing their face against corners, furniture, people, or other cats
-
On-the-go:
- Spray at least 1x daily on areas where Cat is peeing or scratching
- Not on scratching post!
- Spray at least 1x daily on areas where Cat is peeing or scratching
- Best to wait 10 minutes before putting cat into a carrier or covering with a sprayed towel as the alcohol in the spray is irritating
- Spays, diffusers, wipes, collars
Feliway MultiCat
- Different from Feliway Classic
-
Synthetic copy of pheomones produced by mother cat during lactation
- reassures kittens and helps them bond
- Within one week, users noticed a reduction in conflict behaviors, even in households where conflict had been occuring for several years
- After one month of continuous use, 84% of pet owners reported signgicant improvement in their cats’ ability to get along
- Best for use in multi-cat households with intercat aggression issues
When to use Feliway Classic and Feliway MultiCat together?
- If the conflict between cats is associated with urine spraying or scratching, Both products are recommened
-
2 diffusers should be plugged in where cats spend the most time
- can be in the same room
Feliscratch by Feliway
- Clinically proven to spot and prevent both vertical and horizontal destructive scratching
- More than 80% of cats use their scratching posts within the first week
- More than 90% never started destructive scratching when adopted into a new home using Feliscratch
-
Redirects the cat to scratch the scratching post - not couches or curtains
- NOT a deterrant - apply to scratching post to attract!
Essential Oils
- NEVER put directly on pets
- Undiluted oils can be very toxic, especially to cats
- Apply to a towel, cloth, or bandana
- Keep cats out of theroom where aerosolixing diffusers are used
- Lavender Oil:
- Calming effects
- ThunderCloud:
- lavender, chamomile, egyptian gernium oil
Citronella
- Commonly used in bark collars as a deterrent
Auditory Enrichment via Music
- Causes positive behvioral and physiological changes in kenneled dogs
- Different Genres (Soft Rock/Reggae)
- increased Heart Rate Variability (HRV)
- More relaxed behaviors
- Increasing variety, minimizes extent of habituation to auditory enrichment
Loud Noise Desensitization
- Often combined with counter-conditioning
- Start with lowest volume that doesn’t invoke anxiety
- Many treats / praise / pet when staying calm
- Gradually increase volume
- Could be same day or wekk
- Be patient, do not increase too rapidly
- Revert back to lower volume immediately if signs of stress are seen
- Going too fast can create set-backs
Massage
- Natural pressure points for Dogs to decrease stress include Feet, ears, and top of the head
- As little as 15 minutes of massage can help decrease stress levels
Acupressure points in Cats
- Heart 7 & Pericardium 7
- Just above the cats “wrist” toward the back of the paw
- place thumb on the medial side, and index on lateral side, hold gently for ~30 seconds or until cat says enough
- Bai Hui Point:
- Between the 2 hip sockets where you can’t feel vertical bones, Scratch gently as long as the cat enjoys it
- Underside of the jaw bone down the neck
- not an actual pressure point, but very relaxing and calming
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Acupunture
- Licensed veterinary acupuncturists can treat pet stress
- stimulates the release of the body’s pain-relieving substances without any potentially adverse side effects
Environmental Manipulation
- Close blinds/use heavy drapes
- Play TV or stereo loudly
- White noise or calming music
- Allow to hide under desk, in closet, etc
- Keep in basement ot decrease visual stimulation and sounds
- Scat mats and other motion detectors
- Sticky Pays Pheromones
- Essential oils
Environmental Enrichment
- Exercise
- Toys
- Laser Pointers
- Scratching posts
- Food puzzles
- Stuffable Kongs
- Create Vertical Space
- cat trees
- Wall shelves
- Doggy Day Care
- Hammocks
- Window perches
- Tunnels
- Boxes
- Dog Parks
- Catios
- Paper Bags
- Electronic toys
Conclusions
- Many of these nonprescription products can help minimize inappropriate behavior, phobia, fear, and anxiety seen in our pets
- Knowing benefits as well as possible harmful effects are both equally important
- Have a good working knowledge base of common active ingredients and products can greatly aid in the management of your patients