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===Psychoactive Drug Therapy===
 
===Psychoactive Drug Therapy===
Cats that are anxious, inhibited, or fearful may be unable to utilise an enriched or altered environment, or adapt to change. They may benefit from treatment with psychoactive medication.
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Cats that are '''anxious, inhibited''', or '''fearful''' may be unable to utilise an enriched or altered environment, or adapt to change. They may benefit from treatment with psychoactive medication.
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In the dog, '''selegiline''' is licensed for the treatment of behavioural problems with an underlying emotional cause (UK and EU license). It is not licensed for use in the cat, but could be used in accordance with CASCADE. This drug increases exploratory behaviour and decreases apprehension. It can take up to 8 weeks to reach efficacy, but typically some improvement is seen after 4-6 weeks in cats.
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In the dog, [[Selegiline|'''selegiline''']] is licensed for the treatment of behavioural problems with an underlying emotional cause (UK and EU license). It is not licensed for use in the cat, but could be used in accordance with CASCADE. This drug increases exploratory behaviour and decreases apprehension. It can take up to 8 weeks to reach efficacy, but typically some improvement is seen after 4-6 weeks in cats.
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Selegiline has minimal anxiolytic effects, so for cats with generalised anxiety or signs of panic a serotonergic drug such as fluoxetie or clomipramine may be preferable. Clomipramine is licensed for the treatment of separate anxiety in the dog, but not licensed for use in cats.  
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Selegiline has minimal anxiolytic effects, so for cats with generalised anxiety or signs of panic a serotonergic drug such as [[Selective Serotonine Reuptake Inhibitor Drugs|fluoxetine or clomipramine]] may be preferable. Clomipramine is licensed for the treatment of separation anxiety in the dog, but not licensed for use in cats.  
    
Neither selegiline nor serotonergic drugs have a specific indication for inappropriate elimination; they are used to alleviate underlying emotional problems that contribute to the problem. Long term drugs of this kind should be continued until the cat is fully utilising resources and has not eliminated in the house for 6-8 weeks.
 
Neither selegiline nor serotonergic drugs have a specific indication for inappropriate elimination; they are used to alleviate underlying emotional problems that contribute to the problem. Long term drugs of this kind should be continued until the cat is fully utilising resources and has not eliminated in the house for 6-8 weeks.
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| style="width: 20%; background-color: white;"|'''General environmental and social issues''':
 
| style="width: 20%; background-color: white;"|'''General environmental and social issues''':
 
| style="width: 80%; background-color: white;"|
 
| style="width: 80%; background-color: white;"|
* Increase amount, choice and distribution of resources available to the cat(s)  
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* Increase amount, choice and distribution of resources available to the cat(s).
 
* Locate resources for easy access by the various cats and factions within the household.
 
* Locate resources for easy access by the various cats and factions within the household.
 
* Give the cats indoor-outdoor access with a secure electronic coded cat door.
 
* Give the cats indoor-outdoor access with a secure electronic coded cat door.

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