Title page for ETD etd-04192002-163244

Type of Document Master's Thesis
Author Gulikers, Keven Peter
Author's Email Address kguliker@vt.edu
URN etd-04192002-163244
Title Evaluation of the effects of clomipramine on the canine hypothalamic-pituitary-thyroid axis
Degree Master of Science
Department Veterinary Medical Sciences
Advisory Committee
Advisor Name Title
Panciera, David L. Committee Chair
Monroe, William Edward Committee Member
Wilcke, Jeffrey R. Committee Member
  • thyroxine
  • tricyclic antidepressant
  • thyroid
  • hormone
  • clomipramine
  • canine
Date of Defense 2002-04-08
Availability unrestricted
Tricyclic antidepressants have been shown to alter thyroid function in man and laboratory animals, but have not been evaluated in the dog. The effect of administration of clomipramine on canine thyroid function was studied in a prospective protocol in which 14 mature, healthy dogs were administered clomipramine (3 mg/kg PO q12h) for 112 days. Thyroid-stimulating hormone (TSH), total thyroxine (T4), total 3,5,3' triiodothyronine (T3), free thyroxine (fT4), and 3,3',5' triiodothyronine (reverse T3; rT3) concentrations were measured on selected days. Thyrotropin-releasing hormone (TRH) response tests were performed concurrently. Repeated measures analysis of variance was applied to test for effects of day of treatment; when significance (p < 0.05) was noted, it was further investigated using orthogonal polynomial trends. Significant decreases were found in serum T4 (26 ± 1.2 to 17 ± 0.5 nmol/L, p < 0.001), fT4, (29 ± 2.4 to 19 ± 1.3 pmol/L, p < 0.0002), and rT3 (1.2 ± 0.1 to 0.83 ± 0.08 nmol/L, p < 0.0001) concentrations. The effect of time on serum T3 concentration was also significant (p < 0.0001), but no consistent trend could be identified. No significant effect of time was noted in either pre- or post-TRH TSH concentrations.

The results of this study indicate that significant and substantial decreases in T4 (35%), fT4 (38%), and rT3 can occur during clomipramine administration. Long-term administration of clomipramine may result in a misdiagnosis of hypothyroidism if a dog is tested while taking this medication and, since decreased serum fT4 occurs, hypothyroidism may result.

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