Behavior in dogs with spontaneous hypothyroidism during treatment with levothyroxine.

Abstract

BACKGROUND: Thyroid hormone supplementation anecdotally has been described as a valid treatment option for dogs with aggression-related problems. However, prospective, controlled, and blinded trials evaluating behavior and neurohormonal status in hypothyroid dogs during treatment with levothyroxine are lacking. OBJECTIVE: Levothyroxine supplementation will have a significant influence on the behavior and neurohormonal status of dogs with spontaneous hypothyroidism. ANIMALS: Twenty client-owned dogs diagnosed with spontaneous hypothyroidism. METHODS: This prospective study was to evaluate the behavior of dogs, which was screened at initial presentation, and after 6&#x2009;weeks, and 6&#x2009;months of treatment with levothyroxine (starting dosage 10&#x2009;&#x3bc;g/kg PO q12h) using the standardized Canine Behavioral Assessment and Research Questionnaire (C-BARQ). At each time period, circulating serotonin and prolactin (PRL) concentrations were evaluated using a commercially validated ELISA kit and heterologous radioimmunoassay, respectively. RESULTS: After 6&#x2009;weeks of thyroid hormone supplementation, C-BARQ scores demonstrated a significant increase in activity of hypothyroid dogs (P&#x2009;<&#x2009;.01). No significant change in any of the behavioral signs was observed after 6&#x2009;months of treatment. No significant difference in circulating concentrations of serotonin (P&#x2009;>&#x2009;.99 and P&#x2009;=&#x2009;.46) and PRL (P&#x2009;=&#x2009;.99 and P&#x2009;=&#x2009;.37) were noted between the 6-week and 6-month periods compared with baseline. CONCLUSIONS AND CLINICAL IMPORTANCE: The results of this study indicate increased activity of hypothyroid dogs after 6&#x2009;weeks of thyroid hormone supplementation. None of the hypothyroid dogs in this cohort showed a significant change in any of the evaluated behavioral signs and neurohormonal status after 6&#x2009;months of thyroid hormone supplementation.