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Medication must be used in conjunction with ____ _____
Behavior modification
When are behavior drugs utilized?
Severe and ongoing issues
Targets neurotransmitters in the brain
What are the 7 major neurotransmitters targeted in behavioral medication
Dopamine
Serotonins
Norepinephrine
Glutamate
Acetylcholine
GABA
Histamine
Can functions of behavior medicine overlap?
Yes
What is the function of neurotransmitters
Inhibitory or excitatory behavior
Agonist drug
Drug that takes the place of neurotransmitter and causes enhanced cellular activity
Antagonist drug
Drug that will take the place of a neurotransmitter and block cellular activity
Why is it important to pay attention when using multiple behavior drugs?
they can effect multiple neurotransmitters at once which can lead to an overdose if not monitored
How does the placebo effect translate to veterinary medicine
Owners can believe they see a positive or negative effect that is not truly happening on veterinary observation or lab work
Majority of behavior drugs are metabolized in the ______ and some are excreted through the ______
Liver
Kidneys
Why is it important to wean behavioral drugs
Animals can become dependent on the drug and quitting cold turkey can cause major side effects
Why must you be careful of extra-label drugs
Drugs used extra-label can have effects that are not clearly listed which can lead to side effects
Clinical signs of serotonin syndrome
Agitation, confusion, shivering, panting, and tremors
Why is it important to start serotonin increasing drugs slowly
They take a while to truly build up serotonin and starting a higher dose too quickly will cause side effects that may make the owner want to stop the medication
What is the treatment for serotonin syndrome
Stop using the drug and optionally Cyproheptadine as a serotonin antagonist
_______ reactions can happen with any drug
Idiosyncratic
Signs of idiosyncratic reactions
Episodes of frantic, repetitive, manic movements
Agitation or restlessness
Depression
Skin reaction
Phenothiazines
One of the first classes of drugs for behavior, antipsychotics
Dopamine antagonist (decrease dopamine)
Examples of phenothiazines
Acepromazine and fluphenazine