Trazodone for Dogs

Trazodone (brand name: Desyrel) is a prescription-only calming, anti-anxiety medication for dogs. It works on serotonin in the brain to help dogs relax and is commonly used in veterinary medicine off-label. Why it’s prescribed: most often for short-term situational anxiety or stress (such as veterinary or grooming visits, travel, fireworks/thunderstorms) and to help dogs rest calmly during recovery after surgery or when crate rest is needed. Your veterinarian can explain if trazodone is appropriate for your dog and how it fits with any other medications your pet takes.

Common owner questions and quick answers: • What is trazodone and why was it prescribed? It’s a prescription anti‑anxiety/sedation medicine often used to help dogs stay calmer for stressful events (vet visits, grooming, travel) or as part of a longer‑term behavior plan. Your veterinarian can discuss how it fits into your dog’s specific treatment plan. • How fast does it work and how long can effects last? Many dogs become calmer the same day after a dose; effects are short‑acting and typically wear off by the next day. Exact timing can vary—ask your veterinarian what to expect for your dog. • What side effects should I watch for? The most common are sleepiness, acting a bit wobbly, or mild stomach upset (vomiting/diarrhea). Rarely, dogs can become more agitated or disinhibited (less cautious). If side effects seem strong or concerning, contact the veterinary team for guidance. • Can it be used with other meds or supplements? Some combinations can be risky, especially with other medicines that affect serotonin (for example, certain antidepressants like fluoxetine or selegiline), tramadol, or other sedatives. Do not add, stop, or combine medications without veterinarian approval. • What is serotonin syndrome and when is it an emergency? It’s a rare but serious reaction that can happen if serotonin builds up too much. Signs can include severe agitation, tremors, vomiting/diarrhea, very high body temperature, trouble breathing, seizures, or collapse. If these occur after trazodone or a medication mix‑up, seek emergency veterinary care immediately.

What owners most often report after trazodone: sleepy or groggy dog, lower energy, relaxed behavior, sometimes slightly wobbly/unsteady walking, and occasionally enlarged pupils. Mild stomach upset (one-time vomiting or soft stool/diarrhea) can occur. These effects are usually temporary. Your veterinarian can discuss what’s typical for the individual dog and how long effects should last. Call us the same day for: excessive sedation (hard to wake, won’t get up to eat/drink), repeated vomiting or diarrhea (more than once), pronounced wobbliness or stumbling, persistent restlessness or agitation, unusual aggression, very fast or irregular heartbeat, or a prolonged/painful erection in male dogs. If any side effect lasts into the next day or is worrying to the owner, we should route the case to the veterinarian for guidance. Emergency—send to the nearest emergency hospital now if the dog shows signs consistent with possible serotonin syndrome or severe reaction: sudden severe agitation, tremors/shaking, seizures, very high body temperature/feels hot, heavy panting or trouble breathing, excessive drooling, dilated pupils, disorientation, collapse, or blindness—especially if other serotonin-acting medicines may also be on board. The veterinarian can advise on next steps and medication risks once the pet is stable.

Forms and how to give: Trazodone is usually given by mouth as a tablet. It can be given with or without food; if a dog gets an upset stomach when it’s given on an empty stomach, the next dose can be offered with a small meal or treat. Compounded options (for example, flavored liquids or smaller tablets) may be available if a dog won’t take pills—your veterinarian can discuss what’s appropriate and write a prescription for a compounding pharmacy. Pilling tips: Hide the tablet in a small bite of safe food (pill pockets, a small meatball of the dog’s regular wet food, or a tiny smear of peanut butter—check that it is xylitol‑free). Cornell advises checking first because not all medicines are compatible with cheese or dairy. If food-hiding fails, a pet “piller” device can help place the tablet at the back of the tongue. Never crush or alter a medication unless the veterinarian says it’s okay. Keep the experience calm and quick, and follow with praise and a treat. Troubleshooting: If the dog vomits right after a dose, do not give an extra dose—call the clinic for guidance. Repeated vomiting, severe agitation, tremors/seizures, trouble breathing, collapse, or multiple sudden symptoms after trazodone (especially if the pet is also on other behavior medicines) are red‑flag signs—seek emergency veterinary care immediately. For ongoing difficulty giving the medication, ask the veterinarian about compounding or alternative administration strategies.

Trazodone is an Rx‑only anxiety/sedation medicine used extra‑label in dogs, so every refill must be approved by a veterinarian with a valid client‑patient relationship on file. Do not promise refills; route all requests for veterinary review. As a general workflow, allow 1–2 business days for processing and ask clients to request refills several days before running out. A recheck may be required if the pet is overdue for an exam per clinic policy, there have been side effects, behavior changes, or any recent medication changes; the veterinarian can discuss the timing of rechecks and whether a refill is appropriate. When taking a refill request, collect: pet’s name and DOB, owner’s name and contacts, medication name ("trazodone"), how it’s being used (daily or only for stressful events), how many doses remain, any new medications/supplements, and any side effects since last fill. Confirm pick‑up vs. pharmacy name/phone/fax. For online pharmacies, verify the pharmacy request came to the clinic (fax/portal) and that a current prescription is on file; advise that clinic approval time is separate from the pharmacy’s shipping time. Your veterinarian can confirm the refill plan and any need for follow‑up. Escalate immediately to a veterinarian if the caller reports concerning signs possibly linked to trazodone or drug interactions (e.g., severe restlessness/agitation, tremors or seizures, high body temperature, trouble breathing, collapse/unresponsiveness). If severe signs are happening now, direct the caller to the nearest emergency hospital while notifying the veterinarian.

Escalate to a veterinarian immediately (treat as an emergency) if a dog on trazodone shows any of the following: agitation or sudden restlessness; trembling/shivering, rigid or twitching muscles; very sleepy/unresponsive; loss of coordination or collapse; vomiting or diarrhea (especially with weakness); dilated pupils, sudden vision changes, or loud/vocal crying; heavy panting or trouble breathing; a very fast or irregular heartbeat; high body temperature/feels hot; seizures. These can indicate a severe reaction or serotonin syndrome. If an overdose or double-dosing is suspected, involve a veterinarian or emergency hospital at once and ask the client to bring all medication bottles. Also escalate urgently for suspected allergic reactions: hives, facial/muzzle or eyelid swelling, vomiting, difficulty breathing, pale gums, or collapse. Report other serious effects the same day, such as severe or worsening sedation, marked stumbling, sudden aggression or extreme agitation, or a painful, persistent penile erection (priapism). Risk is higher when trazodone is combined with other medicines that affect serotonin (for example, SSRIs, SNRIs, TCAs), MAOIs (e.g., selegiline/amitraz), or tramadol. Your veterinarian can discuss which signs may be expected versus concerning and how to reduce interaction risks.

Key interactions to flag with trazodone: serotonergic drugs (for example fluoxetine or other SSRIs, clomipramine/other antidepressants, selegiline/MAOI, and tramadol) because together they can raise serotonin and, rarely, lead to serotonin syndrome. Also flag sedatives/CNS depressants (gabapentin, acepromazine, benzodiazepines) because they can add to drowsiness and low blood pressure. Certain antibiotics and antifungals (macrolides like erythromycin; azoles like ketoconazole/itraconazole) and some heart‑rhythm–affecting medicines (cisapride, ondansetron, some fluoroquinolones/macrolides) may increase the chance of heart rhythm problems or raise trazodone levels. NSAIDs and aspirin may increase bleeding risk. Your veterinarian can discuss whether a specific combination is appropriate for that pet and what monitoring is needed. Common OTC items owners report with trazodone: diphenhydramine (Benadryl), melatonin supplements, aspirin, and cough/cold products containing dextromethorphan. These can add sedation (diphenhydramine, melatonin), raise bleeding risk (aspirin), or contribute to serotonin effects (dextromethorphan). Ask for exact product names/strengths and ingredients from the label. Do not advise starting or stopping anything; escalate to the veterinarian for review before the next dose of trazodone if any of these are in use. Urgent red‑flag signs of a possible interaction (serotonin syndrome or severe over‑sedation) after combining medications include agitation or restlessness, tremors/stiffness, vomiting/diarrhea, very dilated pupils, panting/fast heart rate, high body temperature, trouble walking, trouble breathing, or seizures. If any of these are reported, instruct the caller to seek emergency veterinary care immediately and notify the veterinarian.

Store trazodone tablets at room temperature (68–77°F/20–25°C). Short trips between 59–86°F (15–30°C) are acceptable. Keep tablets in the original, tightly closed, light‑resistant container with a child‑resistant cap. Protect from moisture and light; avoid bathrooms, windowsills, hot cars, and freezing temperatures. Do not cut or crush tablets unless the veterinarian has specifically directed it. Use the expiration or beyond‑use date printed on your clinic label; the human product labeling does not list a shorter “after opening” time for tablets. If the medication was repackaged by the clinic or prepared as a compounded liquid, storage and dating may differ—follow the label and ask the veterinarian if unsure. For disposal, use a drug take‑back program when possible. If no take‑back is available, and since trazodone is not on FDA’s flush list, mix unwanted tablets with an unpalatable substance (used coffee grounds, cat litter), seal in a bag, and place in household trash; remove personal information from labels. If a child or another pet may have swallowed the medication—or if the dog gets into the bottle and shows severe signs like collapse, trouble breathing, extreme agitation, tremors, or seizures—seek emergency care immediately and contact a pet poison control center. Your veterinarian can discuss any situation‑specific storage or disposal questions.

For most dogs on trazodone, there is no routine lab work required. At dispensing, confirm the veterinarian’s follow‑up plan to check that the medication is helping and to review any side effects—especially if trazodone will be used long‑term or along with other behavior medications. If the chart does not list a plan, route a message to the veterinarian to set the timing. Bloodwork or other tests may be recommended by the veterinarian based on the dog’s other health conditions (for example, liver, kidney, or heart disease) or other medications. Ask owners to watch for typical effects like sleepiness or mild stomach upset, and to contact the clinic if these are persistent or troubling. Your veterinarian can discuss individualized monitoring needs and any recommended recheck schedule. Escalate immediately for red‑flag signs of possible serotonin syndrome or severe adverse effects: trouble breathing, seizures, collapse, severe disorientation or lack of coordination, or multiple signs such as vomiting/diarrhea plus marked behavior changes. Advise owners to seek emergency care now for these signs. For pronounced but non‑emergency concerns (e.g., oversedation, worsening agitation or aggression), arrange a same‑day call‑back from the veterinary team.

Trazodone is a prescription calming/anti‑anxiety medication (SARI class) that veterinarians commonly use in dogs for short‑term stress (e.g., vet visits, travel) or as part of a longer behavior plan. Its use in pets is extra‑label. Effects typically begin within about 1–2 hours. Your role: confirm the pet, medication, and prescriber; avoid any dosing, timing, or stop/start advice; and route medical questions to the clinical team. What owners may notice: sleepiness or mild GI upset can occur. Red‑flag reactions that require immediate escalation include signs consistent with serotonin syndrome—such as vomiting/diarrhea with severe agitation or restlessness, tremors or seizures, overheating, trouble breathing, profound disorientation, collapse, or if trazodone was combined with other serotonergic drugs. If these are described, direct the client to the nearest emergency clinic now and notify the veterinarian. For interaction or refill questions, collect a medication list (including collars/supplements) and hand off to the veterinarian.