Researchers from the Royal Veterinary College working in collaboration with the University of Cambridge have found that anti-epileptic drugs (AEDs) increase appetite in dogs with epilepsy, causing many of them to become overweight. 

The researchers say that although increased appetite has been reported as a side effect of many AEDs in veterinary literature, the effect had not been quantified or studied in detail.

To assess the phenomenon in greater detail, the research team analysed food motivation through a validated Dog Obesity Risk Assessment questionnaire created by University of Cambridge1.

The study compared 222 dogs diagnosed with idiopathic epilepsy with a control population of 7,086 healthy dogs.

The survey was designed to determine if epilepsy and AEDs were associated with increased food motivation, weight gain and decreased activity, and to assess if and how caregivers managed weight gain in this population.

The data revealed that dogs with idiopathic epilepsy receiving AEDs had significantly higher food motivation in comparison to healthy dogs – they had increased interest in food, were less selective about food, were more interested in food between meals, and wanted more food than usually offered.

In response, carers of dogs on medication put greater effort into restricting how much their dogs ate, particularly of human food.

Despite this, these dogs had significantly greater fat mass.

More than half of owners of dogs with epilepsy always used treats to administer their dog’s ASD medication (53%) and did not compensate for it by reducing the dog’s main food ration (34%).

Given the epilepsy treatment often involves medication two or three times a day, this has the potential to increase calorie intake substantially, an issue compounded by epileptic dogs also being less active.

The researchers say it's important that vets and nurses advise owners to monitor their dog's weight and help them manage it. 

Dr Anna Morros-Nuevo of the University of Cambridge, and primary author of this study, said: "Idiopathic epilepsy, and in particular seizure episodes, have such an overwhelming impact on these dogs' families that side effects such as weight gain often get overlooked, both by vets and the pet's families.

"But unfortunately, obesity has lifelong negative impact on health and quality of life, since it predisposes dogs to suffer from joint problems and respiratory diseases, as well as metabolic disorders and urinary incontinence.

"Obese dogs have also been shown to have a shorter lifespan than dogs with a normal weight.

"While ASD are non-negotiable for many of these dogs, their caregivers and veterinarians should be aware of the lifelong impact of their side effects and manage them carefully.

"We hope these findings will help to increase awareness for both veterinary professionals and dog carers of the side effects of ASD and their impact for the patient."

Reference

  1. Morros-Nuevo, A., Packer, R. M. A., Reagan, N. & Raffan, E. ‘Caregiver-reported increased food motivation and adiposity in dogs receiving antiseizure dogs’, Vet Record, 195(12) doi: http://doi.org/10.1002/vetr.4907 

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