| Problem | First-line | Second-line | |---------|------------|--------------| | Noise phobia (acute) | Sileo (dexmedetomidine gel) | Trazodone + melatonin | | Generalized anxiety (chronic) | Fluoxetine (dog) | Paroxetine (cat) | | Vet visit anxiety (pre-appointment) | Gabapentin (cat: 50-100mg PO night before + 2h prior) | Trazodone (dog) | | Cognitive dysfunction | Selegiline, propentofylline | Diet + SAMe + melatonin |
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