Hmm, well I guess there are two separate questions here:
a) Is combining them a good idea?
Well, it's not a bad
idea in terms of a dangerous one, but I don't think it will be helpful at all. Fluoxetine
, like all SSRIs, takes a while until its effects come on, so that, depending on the amount your friend's dog has left, or the time span during which he considers taking it, it wouldn't even get to producing a noticeable effect. Also, more generally, if a benzo
doesn't work against said dog's anxiety, throwing in an SSRI
not make the situation any better.
b) How can your friend's dog deal with his residual anxiety?
If said dog considers adding another drug
to treat his anxiety, this would probably indicate that he's not satisfied with his anxiety treatment. There are basically two things I'd have to say: psychological interventions
have great efficacy in treating a huge variety of anxious disorders. So, if your dog has not seen a psychologist so far, or does no longer see one regularly, I would really suggest he'd enter some form of psychotherapy. If he has already seen a psychologist, but wasn't satisfied, he can try a different one, and maybe a different treatment approach as well. CBT (cognitive behavioral therapy) is generally a good start though. Besides that, other drug-based treatment approaches
may be more promising than his current one. Of course, the "gold standard" for treatment of anxiety, alprazolam
) is an option, but so are other drugs
. Do you have opipramol in the United States? It's a promising non-benzo drug for anxiety. In any case, any change to your friend's dog's medication should be done in close cooperation with a psychiatrist (please don't have him go to his GP for this issue, he needs a specialist).