Clomipramine in dogs: pharmacokinetics, neurochemical effects, and efficacy in compulsive disorder
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Canine compulsive disorder is a syndrome of abnormal conflict behaviours, possibly associated with central neurochemical dysfunction. There is no proven treatment for the disorder, but the human anti-compulsive drug, clomipramine, has been reported to be effective. Three experiments investigated biological and behavioural effects of clomipramine in dogs. Experiment 1 was a pharmacokinetic study. Six dogs received one oral dose (3 mg/kg) of clomipramine. After dosing, blood was taken at 0, 15, 30, 45 min, 1, 2, 4, 8, 12h, and then 12-hourly up to 120h. The dogs then received 28 daily doses (3mg/kg q 24 h); on d28, they were sampled as before. There was inter-dog variability in the elimination half-life of clomipramine (1-9h) and its metabolite, desmethylclomipramine (1-4h). Experiment 2 used six other, behaviourally normal dogs to assess the effect of clomipramine (3 mg/kg q 24 h PO) on turnover of serotonin, dopamine and norepinephrine, as indicated by concentrations of the respective metabolites in cerebrospinal fluid (CSF). The experiment had a randomised, placebo-controlled, crossover design. CSF was taken after 1, 2, 4 and 6 weeks on each treatment; there was a 2-week washout period between treatments. No effect on neurotransmitter turnover was detected. Experiment 3 was a randomised, placebo-controlled, double-blind, crossover clinical trial of clomipramine (3 mg/kg q 12h PO). Cases of canine compulsive disorder were diagnosed by a clinical ethologist, following telephone interviews with owners. An independent rater also interviewed owners, using formal criteria to diagnose compulsive disorder. Diagnostic agreement between the ethologist and the criteria was low