Behavioral Medicine

Image of a yellow tabby cat with behavior problems, willingly taking medicine and pills, transforming into a happy and relaxed state.

The idea of giving cats pills for their behavior might sound like a modern trend, but it’s been around for a while. Vets and pet owners often want quick fixes without much hassle, and a nerve pill seems like the magic solution. However, there’s still a lot to discover in this field.

The Prescription Predicament

Veterinarians are accustomed to prescribing medications, and many find comfort in the medical treatment approach. The challenge arises when it comes to behavior-modification techniques. Not all practitioners are at ease with these methods. It’s crucial to remember that medication should only be a supplement for treating abnormal behavior, not a means to suppress normal behavior.

Not Just Another Prescription

Using drugs for behavior issues is still considered “off-label,” so it’s essential to get the owner’s consent. Clients need to be actively involved in monitoring the initial effects of the drug to ensure it’s working properly and not causing any side effects. Unlike common belief, a particular drug doesn’t work universally for a specific problem or every animal, and the right dosage can vary.

From Euthanasia to Advances

Believe it or not, the first drugs used for behavior problems were probably for euthanasia. Even today, euthanasia solutions top the list for dealing with behavior issues in cats surrendered to animal shelters. But there’s good news—neuropharmacology has seen some significant advances, with more in the pipeline.

The Quest for the Perfect Pill

The dream drug for behavior problems would work wonders for all pets, have no side effects, kick in quickly, be super safe, not mess with normal functions, have a moderate lifespan in the system, and maintain a consistent therapeutic level in the blood. Unfortunately, this perfect pill remains elusive. However, researchers are making progress in understanding how different drug groups affect neurotransmitters.

The major players in normal behavior are five neurotransmitters: acetylcholine, dopamine, GABA, norepinephrine, and serotonin. They each have distinct roles, and imbalances can lead to behavior issues. For example, dopamine deals with movement and repetitive behaviors, while serotonin influences mood, appetite, and more.

Understanding normal and abnormal brain function is no easy feat.

Human Drugs in Pet Behavior?

Yes, you read that right. Some human drugs are being tested for behavior problems in animals. While this opens up possibilities, there’s still a long way to go in finding the right solutions.

Image of cat paw beside pills, symbolizing behavioral problems and the use of medication or drugs for treatment.

Understanding anxiety in cats can be as tricky as decoding a secret language, but just like humans, the source often lies within. Unlike fear, which relates to a specific event, anxiety in pets is a more internal struggle. Picture it as a furry friend having its own version of a panic attack, with symptoms ranging from restlessness to hours of unease.

Antianxiety drugs have been in the pet playbook for quite some time. They fall into two categories: sedative hypnotics and sedative autonomics.

Benzodiazepines: The Cool Cats of Calm

In the world of antianxiety drugs, benzodiazepines take the crown, especially in humans. Why? It’s all about their mechanism of action. These drugs team up with GABAA receptors, acting like a backstage pass to the brain’s chill-out zone. Low doses ease anxiety, while high doses may lead to confusion. However, their popularity doesn’t mean they’re without quirks. In cats, side effects like sedation, increased appetite, and even fatal liver issues have been linked to these cool cats of calm.

Buspirone: The Gentle Giant

Meet buspirone, the azapirone making waves in the antianxiety scene. It’s as effective as benzodiazepines but takes a bit longer to kick in. Unlike its sedative counterparts, buspirone is less likely to make your furry friend doze off. Its magic lies in boosting serotonin levels for that mood lift. However, it’s not without its feline foibles, including increased aggression, mild sedation, and some digestive drama. As buspirone gains traction as an antianxiety option, it’s becoming a rising star in the pet medication lineup. In the quest to decode pet anxiety, this drug plays its part, bringing us one step closer to a happier, stress-free pet life.

Lithium: The Moody Moderator

Lithium, once a star in human medicine, is making its debut in veterinary care, mainly for dogs. It tinkers with neurotransmitters and stabilizes serotonin levels, acting as a mood stabilizer. While it might not be as popular in human medicine today, its role in the veterinary world is just starting to unfold.

Present Players in the Pet Pharmacy

Phenobarbital, diazepam, and amitriptyline are the MVPs of the pet pharmacy. Phenobarbital, a double-duty drug, tackles seizures and their behavioral side effects. Diazepam, though effective, comes with liver concerns, making it less popular. Amitriptyline, a Tricyclic Antidepressant (TCA), steps into the spotlight in the following section.

Understanding pet behavior can sometimes feel like decoding a puzzle, especially when it comes to antidepressant medications. Let’s simplify the complex world of these drugs and explore how they can address behavior issues in our furry friends.

Tricyclics and SSRIs: Beyond Depression:

While these drugs are known as antidepressants, they’ve become attention-grabbers in the realm of animal behavior. Tricyclics (TCAs) and Selective Serotonin Reuptake Inhibitors (SSRIs) are the main players, often used to tackle more than just depression in veterinary medicine.

TCAs: The Mood Modulators:

TCAs, like amitriptyline and clomipramine, operate by enhancing brain serotonin levels, providing relief from anxiety in cats. They vary in sedation levels.  Navigating potential side effects, from nausea to sedation, requires careful consideration.

Carbamazepine: More Than an Epilepsy Solution:

Originally an antiepileptic, carbamazepine is finding its place in managing emotional states. While it may calm fear-aggressive cats, it could also trigger increased aggression. Its impact on various neurotransmitter systems demands attention to potential side effects like dizziness and nausea.

MAOIs: A Less Common Path:

Monoamine Oxidase Inhibitors (MAOIs), like selegiline, bring a specific focus on serotonin and dopamine. In cats, it’s used for hyperadrenocorticism and cognitive disorders, with potential side effects ranging from atropine-like responses to liver damage.

SSRIs: Elevating Serotonin, Easing Anxiety:

SSRIs, including fluoxetine, are akin to TCAs in antidepressant effects but often preferred for treating anxiety with depression. Their slow buildup of serotonin at the synaptic level reduces anxiety levels. However, be cautious with concomitant use with other medications and the potential for side effects like nausea and anxiety.

Stimulants: A Minor Role in Pet Behavior:

Stimulants, such as amphetamine and methylphenidate, have a modest place in managing hyperactivity. Their use in veterinary behavior treatment is limited, with reported toxicosis in cats. Understanding the risks, like hypertension and cardiac arrhythmias, is crucial.

Exploring the world of antipsychotic drugs in veterinary medicine unveils a spectrum of medications designed to address specific challenges in our pets’ behavior.

Phenothiazines: The Sedative Approach:

Among antipsychotic drugs, phenothiazines like acetylpromazine, promazine, and chlorpromazine take the lead. Frequently used as hypnotics, especially for long trips or during thunderstorms, their primary benefit lies in sedation rather than direct antianxiety effects. Careful consideration of side effects, including altered hormonal balance and lowered seizure threshold, is essential.

β-Blocking Drugs: Beyond Antipsychotic Origins:

Originally employed as antipsychotics, β-blocking drugs have found their way into behavior therapy. Metabolized by the liver and highly lipid-soluble, these drugs have an extended onset of action. In humans, they’ve been utilized to address situational anxieties like stage fright. However, side effects such as bradycardia, depression, and hypotension necessitate careful consideration, especially in pets with concurrent diseases.

Understanding the nuances of antipsychotic drugs for pets requires a balanced approach. While these medications can offer sedative benefits, their diverse mechanisms of action and potential side effects highlight the importance of tailored and cautious use. 

Various drugs classified as hypnotic demonstrate the ability to induce or facilitate the induction of sleep. While many of these drugs have applications beyond psychotherapy, this exploration focuses on their significance in the cat behavior context.

Antihistamines: A Sedative Perspective

Antihistamines, known for their roles in allergy relief, have piqued interest in veterinary medicine. Despite lacking controlled studies to evaluate their impact on behavior, these drugs exhibit sedative effects on the central nervous system. This property becomes particularly useful in situations inducing mild apprehension, such as car trips.

However, caution is crucial due to potential anticholinergic or atropine-like effects. Issues like hyperthyroidism, urinary retention, or glaucoma warrant careful consideration. Furthermore, ongoing developments aim to design new drugs in this category with minimized H1 affinity, enhancing their safety and efficacy.

While the hypnotic effects of these drugs in veterinary medicine show promise, the lack of comprehensive studies calls for a cautious approach. Veterinarians and pet owners must collaborate to determine the most suitable options based on individual needs and potential contraindications.

Opiate receptors, with three distinct subtypes (µ, δ, and κ) distributed throughout the brain, play a crucial role in various responses. Psychotherapeutic strategies utilize opiate antagonists to block these receptors, addressing issues like self-mutilation in cats. Chronic use, however, may lead to receptor upregulation, especially in the µ subtype.

Narcotic antagonists, including naloxone, serve as valuable diagnostic aids in veterinary medicine. While short-acting, substances like pentazocine and naltrexone offer extended effects. Administering naloxone to drug-naive cats can impact consumption behavior.

Progestins, once primary in addressing behavior problems, act on cytosolic androgen receptors, inhibiting the steroid 5α-reductase. This reduces plasma testosterone levels, demonstrating efficacy in curbing sexually dimorphic behaviors and stress-related issues like urine spraying.

The decision to use progestins involves weighing potential side effects, including appetite increase. Serious effects range from depression to immunosuppression. As safer alternatives emerge, progestins have seen reduced use in veterinary practices.

Cyproheptadine: An antihistaminic, antiserotonergic, anti-cholinergic, and sedative agent, effective in treating anorexia and urine spraying in cats.

Feline Facial Pheromone: A synthetic analog alleviating anxiety in cats through mimicking the pheromone associated with facial rubbing.

Melatonin: Explored for day-night reversals and cognitive dysfunction syndrome, with considerations for hepatic interactions.

These alternatives provide nuanced approaches to feline behavioral challenges, reflecting the evolving landscape of veterinary interventions.

Frequently Asked Questions

Administering pills to cats can be done using wet food or “pill pockets,” which are soft treats with a hollow center for concealing pills. Cats are often enticed by the taste and texture. Alternatively, you can use other cat-friendly treats or employ the “pilling” technique, placing the pill at the back of the cat’s throat and encouraging them to swallow. Each method may require practice and patience.

Using “pill pockets” (soft treats with a hollow center), hiding them in wet food, or employing the “pilling” technique by placing the pill at the back of the cat’s throat and encouraging them to swallow.

Yes definetely. But make sure the exact amount is being given.

Do not try that. You can not properly adjust the amount.

To give a cat liquid medicine with a syringe, gently hold the cat’s head, place the syringe in the side of the mouth, and administer the medication slowly. Reward your cat with a treat or positive reinforcement afterward for a more positive experience.