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曲唑酮作为辅助药物治疗犬焦虑症:56例(1995 - 2007年)

Use of trazodone as an adjunctive agent in the treatment of canine anxiety disorders: 56 cases (1995-2007).

作者信息

Gruen Margaret E, Sherman Barbara L

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606, USA.

出版信息

J Am Vet Med Assoc. 2008 Dec 15;233(12):1902-7. doi: 10.2460/javma.233.12.1902.

Abstract

OBJECTIVE

To evaluate efficacy of trazodone hydrochloride as an adjunctive treatment for anxiety disorders as well as treatment protocol, dose range, concurrent drug use, adverse events, and therapeutic response in dogs unresponsive to other pharmacologic agents.

DESIGN

Retrospective case series.

ANIMALS

56 dogs with anxiety disorders treated at a referral veterinary behavior clinic.

PROCEDURES

Medical records of dogs with anxiety disorders adjunctively treated with trazodone were retrospectively evaluated with respect to signalment, primary and secondary behavioral diagnoses, physical examination results, hematologic data (CBC and serum biochemical panel), pharmacologic management, and outcome.

RESULTS

Overall, trazodone, used as an adjunctive agent in combination with other behavioral drugs, was well tolerated over a wide dose range and enhanced behavioral calming when administered on a daily or as-needed basis.

CONCLUSIONS AND CLINICAL RELEVANCE

Although further controlled studies of dose range, efficacy, and safety are needed, trazodone may provide an additional therapeutic option for use in dogs that are unresponsive to conventional treatment.

摘要

目的

评估盐酸曲唑酮作为焦虑症辅助治疗药物的疗效,以及其治疗方案、剂量范围、合并用药、不良事件,以及对其他药物治疗无反应的犬的治疗反应。

设计

回顾性病例系列研究。

动物

56只在转诊兽医行为诊所接受治疗的焦虑症犬。

步骤

对使用曲唑酮辅助治疗焦虑症犬的病历进行回顾性评估,内容包括特征、主要和次要行为诊断、体格检查结果、血液学数据(全血细胞计数和血清生化指标)、药物治疗及结果。

结果

总体而言,曲唑酮作为辅助药物与其他行为药物联合使用时,在较宽的剂量范围内耐受性良好,每日给药或按需给药时可增强行为平静效果。

结论及临床意义

尽管需要进一步进行剂量范围、疗效和安全性的对照研究,但曲唑酮可能为对传统治疗无反应的犬提供额外的治疗选择。

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