Overview
Systems Affected
Signalment
Signs
Primary Destructive Behavior
Secondary Destructive Behavior
Causes & Risk Factors
Differential Diagnosis
CBC/Biochemistry/Urinalysis
Usually normal
Other Laboratory Tests
As indicated to rule out medical condition.
Imaging
May be indicated if sudden onset in mature pet.
Diagnostic Procedures
Physical examination with attention to GI tract.
Treat underlying disease.
Primary Destructive Behavior
Secondary Destructive Behavior
Drugs
Tricyclic Antidepressants
Clomipramine: 13 mg/kg PO q12h
Selective Serotonin Reuptake Inhibitors
Fluoxetine: 0.52 mg/kg PO q24h
For situational anxiety (alone or together with SSRI or TCA)
Alprazolam: 0.010.1 mg/kg PO prior to event. Trazodone: 310 mg/kg PO prior to event. Clonidine: 0.010.05 mg/kg PO prior to event.
Contraindications/Possible Interactions
Patient Monitoring
Weekly follow-up during initial phase of treatment.
Expected Course and Prognosis
Age-Related Factors
Age of onset may aid in diagnosis.
Pregnancy/Fertility/Breeding
Preparturient destructive behavior (nesting).
Abbreviations
Author Ellen M. Lindell
Consulting Editor Gary M. Landsberg
Suggested Reading
Management problems in dogs. In: Horwitz DF, Mills DS, eds., BSAVA Manual of Canine and Feline Behavioural Medicine, 2nd ed. Gloucestershire, UK: BSAVA, 2009, pp. 8397.
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