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<?xml-stylesheet type="text/xsl" href="https://www.vetsurgeon.org/utility/feedstylesheets/rss.xsl" media="screen"?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" xmlns:wfw="http://wellformedweb.org/CommentAPI/"><channel><title>Canine cognitive dysfunction syndrome</title><link>https://www.vetsurgeon.org/f/clinical-questions/11604/canine-cognitive-dysfunction-syndrome</link><description> I&amp;#39;m after some bright ideas please regarding this case... 
 16y.o. MN Shih Tzu. Generally physically well, grade 2 systolic murmur but asymptomatic. Progressive cognitive dysfunction over last few months, manifesting primarily as disturbed sleep patterns</description><dc:language>en-US</dc:language><generator>Telligent Community 10</generator><item><title>Re: Canine cognitive dysfunction syndrome</title><link>https://www.vetsurgeon.org/thread/63396?ContentTypeID=1</link><pubDate>Thu, 10 May 2012 14:03:38 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:48d9c010-0cb6-4917-a2f7-6880a84bbff8</guid><dc:creator>Mark Hedberg</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;mariette asselbergs&amp;quot;]
&lt;p&gt;I would agree on the painkillers but why an x ray? &amp;nbsp;What do &amp;nbsp;you expect to see in an 16 year old skeleton? &amp;nbsp;Bone wear and tear. What counts is if painkillers help or not.&lt;/p&gt;
&lt;p&gt;Mariette&lt;/p&gt;
&lt;div style="CLEAR:both;"&gt;&lt;/div&gt;
[/quote]&lt;/p&gt;
&lt;p&gt;The reason I suggested xrays is because not every owner knows what their dog does 24/7. For instance if a dog had injured himself at night or had an accident when the owners were out of the house. Again, I cheerfully admit it&amp;#39;s unlikely, but just a possibility. You can&amp;#39;t know what&amp;#39;s in there if you don&amp;#39;t look! It&amp;#39;s of course a clinical judgement, and I agree I wouldn&amp;#39;t xray every dog. Still, if you need clinical data you need clinical data.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Canine cognitive dysfunction syndrome</title><link>https://www.vetsurgeon.org/thread/63392?ContentTypeID=1</link><pubDate>Thu, 10 May 2012 13:13:59 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:93f3d006-a7f2-4354-aad7-074a2a990440</guid><dc:creator>Julian Earl</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Kate Richardson&amp;quot;]
&lt;p&gt;Diazepam just before bed? &lt;/p&gt;
&lt;div style="CLEAR:both;"&gt;&lt;/div&gt;
[/quote]&lt;/p&gt;
&lt;p&gt;Owners or the dog?&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Canine cognitive dysfunction syndrome</title><link>https://www.vetsurgeon.org/thread/63367?ContentTypeID=1</link><pubDate>Thu, 10 May 2012 00:57:02 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:e2f37dc8-10fc-4d5b-8e24-3be52ffd111e</guid><dc:creator>Kate Richardson</dc:creator><description>&lt;p&gt;Diazepam just before bed? &lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Canine cognitive dysfunction syndrome</title><link>https://www.vetsurgeon.org/thread/63361?ContentTypeID=1</link><pubDate>Wed, 09 May 2012 23:54:11 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:c4ceb1ff-e3c3-426b-a1a5-3fe4f920bc72</guid><dc:creator>Julie Innes</dc:creator><description>&lt;p&gt;Feel a bit sad reading this, as I finally put my old dog to sleep last year with similar symptoms &lt;img src="https://www.vetsurgeon.org/emoticons/v2/Crying_smiley.gif" alt="Very sad" /&gt;&lt;/p&gt;
&lt;p&gt;He would pace, constantly, and had no awareness of who any of us were. I tried selgian, vivitonin, NSAIDs, tramadol, all to no avail. He pottered on for about a year but was eventually becoming too&amp;nbsp;distressed and confused, despite being relatively fit and &amp;quot;well&amp;quot; (for a 16 and a half yo dog) Hard decision to make, and every sympathy with the owners. Hope you do find something that works- will watch with interest&amp;nbsp;(just in case my 12 yo dog starts going the same way in the next few years)&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Canine cognitive dysfunction syndrome</title><link>https://www.vetsurgeon.org/thread/63356?ContentTypeID=1</link><pubDate>Wed, 09 May 2012 22:58:57 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:3a505390-ecf6-4b5c-be19-37411d08afa6</guid><dc:creator>Michael Woodhouse</dc:creator><description>&lt;p&gt;Kennel the dog outside. &lt;img src="https://www.vetsurgeon.org/emoticons/v2/Thumbs_up.png" alt="Thumbs up" /&gt;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Canine cognitive dysfunction syndrome</title><link>https://www.vetsurgeon.org/thread/63341?ContentTypeID=1</link><pubDate>Wed, 09 May 2012 20:26:00 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:3b37eae7-44ad-4c11-bc50-6f6631475c3f</guid><dc:creator>james herriot lied</dc:creator><description>&lt;p&gt;Aktivait.&lt;/p&gt;
&lt;p&gt;Surprising how often / well it works. Selgian was originally marketed as a treatment for cds, alongside the sponsored cds website, but it seems that - in the UK at least - this has been largely dropped in favour of BT efficacy.&lt;/p&gt;
&lt;p&gt;Vivitonin is another drug for which the marketing&amp;nbsp;direction seems to have shifted - it&amp;#39;s now seen as an effective bronchodilator in its own right, and the hard-to-quantify effects on cerebral blood flow and cognitive function seem to have taken a back seat.&lt;/p&gt;
&lt;p&gt;Really, truly - give aktivait a go.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Canine cognitive dysfunction syndrome</title><link>https://www.vetsurgeon.org/thread/63336?ContentTypeID=1</link><pubDate>Wed, 09 May 2012 20:12:14 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:5b9c924f-9f77-4002-b95b-ce8b6578694e</guid><dc:creator>Rachael Winder</dc:creator><description>&lt;p&gt;Sorry, should have mentioned. The dog has been trialled with both tramadol and nsaids for couple weeks at a time with no improvement. He will sleep for several hours at a time duing the day as long as someone is nearby, according to the owner. From what they are saying his behaviour almost seems like a form of separation anxiety- when owners are around ( although they work, there are various family members about most of the day) he will settle, is content, will sleep and behave normally, but when they settle for the night he seems restless and distressed.&lt;/p&gt;
&lt;p&gt;Thanks for the help :-)&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Canine cognitive dysfunction syndrome</title><link>https://www.vetsurgeon.org/thread/63332?ContentTypeID=1</link><pubDate>Wed, 09 May 2012 19:49:10 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:f257def8-85dd-43f0-9099-5e7a9faf4641</guid><dc:creator>Claire McConnell</dc:creator><description>&lt;p&gt;I personally would try vivitonin - although it does not work in all dogs it has probably helped a lot in about (real aproximation here) 40% of thepatients I have tried it in. I accept 40% isn&amp;#39;t amazing but I have had a couple of near PTS patients due to owners finding it difficult to tolerate situations anymore and it has &amp;quot;saved&amp;quot; some of them an dimproved qol of both owner and pet.&lt;/p&gt;
&lt;p&gt;But also agree to look for pain/trial nsaids etc&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Canine cognitive dysfunction syndrome</title><link>https://www.vetsurgeon.org/thread/63323?ContentTypeID=1</link><pubDate>Wed, 09 May 2012 17:40:04 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:cc2231cb-607f-4132-94bb-6a5cc7017ac8</guid><dc:creator>mariette asselbergs</dc:creator><description>&lt;p&gt;I would agree on the painkillers but why an x ray? &amp;nbsp;What do &amp;nbsp;you expect to see in an 16 year old skeleton? &amp;nbsp;Bone wear and tear. What counts is if painkillers help or not.&lt;/p&gt;
&lt;p&gt;Mariette&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Canine cognitive dysfunction syndrome</title><link>https://www.vetsurgeon.org/thread/63315?ContentTypeID=1</link><pubDate>Wed, 09 May 2012 16:39:14 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:af7acf41-fab7-4bb0-b97e-2652fd063da5</guid><dc:creator>Bob Russell</dc:creator><description>&lt;p&gt;Dogs that are restless at night should definitely be assessed for pain. I have had quite a few dogs over the years that settle and sleep well after introducing some pain relief.&lt;/p&gt;
&lt;p&gt;Agree with Mark wholeheartedly!&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Canine cognitive dysfunction syndrome</title><link>https://www.vetsurgeon.org/thread/63310?ContentTypeID=1</link><pubDate>Wed, 09 May 2012 15:50:54 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:0733cb4b-a42a-4cb9-a332-826494dba05e</guid><dc:creator>Mark Hedberg</dc:creator><description>&lt;p&gt;What&amp;#39;s the bed like? You don&amp;#39;t mention any history of arthritis, maybe he&amp;#39;s sore and can&amp;#39;t get comfortable. Just because they don&amp;#39;t limp doesn&amp;#39;t automatically mean no pain; maybe an xray?&lt;/p&gt;
&lt;p&gt;(Perhaps this is unlikely but I was caught out once in a similar case&amp;nbsp;so I tend to be wary in old dogs of diagnosing cognitive dysfunction without a good look at the bones!)&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: Canine cognitive dysfunction syndrome</title><link>https://www.vetsurgeon.org/thread/63307?ContentTypeID=1</link><pubDate>Wed, 09 May 2012 15:26:32 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:6db6aad6-666a-479e-94db-c0817d4bd404</guid><dc:creator>Sarah Wheadon</dc:creator><description>&lt;p&gt;We&amp;#39;ve used a dose of alprazolam at bedtime in a couple of cases. It&amp;#39;s worked well and gave one of our receptionist&amp;#39;s dogs 3 months of good quality life he wouldn&amp;#39;t have had otherwise. &amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item></channel></rss>