Register
Medicines reference
Active substance

Trazodone

Serotonin antagonist and reuptake inhibitor. Registered in Georgia: 2 veterinary products and 2 human medicines. Forms: drops (oral), modified release (retard / SR), scored tablet.

Dose and use

Doses

Each dose comes with its source. Check the label of the product you use.

Active substance Trazodone
Before use

Safety information

Known Contraindications

  • Critical
    Hypersensitivity to the active substance or to any of the excipients.
    Sources: ANSM SPC
  • Critical
    Alcohol intoxication and intoxication with hypnotics.
    Sources: ANSM SPC
  • Critical
    Do not use trazodone during acute myocardial infarction or an equivalent unstable acute cardiac event. Overdose can cause tachycardia and hypotension.
    Sources: ANSM SPC
  • Warning
    Caution should be exercised in the event of hepatic impairment or severe renal impairment.
    Sources: ANSM SPC
  • Warning
    Use trazodone cautiously in severe renal impairment or hepatic impairment.
    Sources: ANSM SPC

Known Drug Interactions

Latin name
Trazodone
Georgian name
ტრაზოდონი
Authorisation status
Authorised veterinary medicine
An authorised veterinary medicine containing this substance exists. Whether a particular use is on-label depends on the species and the indication - see each dose rule.
Registered in Georgia
4 of 8 forms
Human medicines in Georgia
Trittico, Trumio
Human medicines with this substance in the Georgian register of medicines (Ministry of Health), checked on 18 Oct 2026. They are human medicines, not veterinary products; strengths and forms differ.
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
All forms and registration8

Registration in Georgia and abroad: the register, number, validity and source are behind (i).

Express Uspocoin 24 mg tablets, Scored tablet

N2/N6 for cats and small dogs
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Short-term situational fear and anxiety before a predictable stressor
6.1/10
Situational / acceptable
vetman assessment

Express Uspocoin

24 mg tablets, N2/N6 for cats and small dogs
Assessed clinical scopeDog · Short-term situational fear and anxiety before a predictable stressor · By mouth
Care settingVeterinarian-selected pre-event oral medication, integrated with low-stress handling and a behaviour plan
vetman score 6.1/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, veterinary · № 000166 | 000176 | 000177 · Verified on 23 Oct 2026

A practical exact small-dog presentation with credible class efficacy; coarse low-weight dosing and limited exact-formulation evidence keep it situational.

Regulatory and scientific credibility5.5/10

Exact current instruction and Georgian veterinary registrations verify identity, strengths, species and dose tables. Independent exact-formulation evidence and internationally recognised exact-product authorisation remain limited.

Clinical efficacy6.0/10

Randomised canine studies support trazodone for veterinary-visit and travel stress at broadly comparable active exposure, but the exact succinate formulation and every broad label scenario lack strong independent replication.

Safety and tolerability6.0/10

Canine single-dose evidence is reasonably reassuring, but sedation, ataxia and examination changes are expected possibilities; serotonergic, cardiovascular, seizure, organ-disease and reproductive restrictions remain clinically important.

Clinical practicality7.5/10

A palatable scored tablet and one pre-event dose are practical, but half-tablet steps create coarse exposure at low weights and food timing plus possible redosing require a written plan.

Full-course cost-effectiveness-

A current, presentation-specific Georgian full-course price comparison was not verified; cost is excluded from the denominator.

Important safety and use flags

  • Complete assessed role: short-term situational fear/anxiety around predictable transport, veterinary or grooming visits, loud events and separation. It is not a stand-alone treatment for chronic behavioural disease, aggression or an uninvestigated medical cause.
  • Dose by the exact current table 60 minutes before the stressor. The label permits a repeat only after 6-8 hours when needed; do not shorten the interval or turn episodic use into an unsupervised daily course.
  • Each tablet contains 24 mg trazodone succinate, equivalent to 18.24 mg trazodone—not 24 mg trazodone base. Use only label-supported half-tablet steps and weigh small patients accurately.
  • Give no later than 30 minutes before the main meal or 2-4 hours after it. Immediate post-meal administration delays the effect; record timing so apparent failure is not automatically redosed.
  • Do not use in pregnancy, lactation or neonates, or in patients with cardiovascular disease, epilepsy, clinically important liver/kidney dysfunction or known hypersensitivity, as specified by the exact instruction.
  • Expect possible drowsiness, impaired coordination or altered neurologic examination; paradoxical agitation can occur. Trial the plan when safe, prevent falls/escape and do not assume a sedated animal is anxiety-free.
  • Avoid monoamine oxidase inhibitors and review SSRIs/SNRIs/TCAs, tramadol, mirtazapine and other serotonergic medicines. Agitation, tremor, hyperthermia, diarrhoea, tachycardia or rigidity requires urgent assessment for serotonin toxicity.
  • Review CYP3A4 inhibitors/inducers, CNS depressants, antihypertensives and QT-prolonging medicines. Extra caution is required with hypotension, arrhythmia risk or concurrent procedural sedatives; the exact product lacks broad combination trials.
  • Pre-event medication complements low-stress handling, environmental control, desensitisation/counterconditioning and diagnosis of pain or disease. It must not be used simply to suppress defensive behaviour for a forced procedure.
  • Georgia lists the exact 24 mg and 120 mg veterinary presentations through 3 August 2027. This confirms Georgian registration, not FDA/EU/GB approval or equivalence to a trazodone-hydrochloride product.
Assessment sources
Assessed: 23 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Short-term situational fear and anxiety before a predictable stressor
5.6/10
Weak evidence support
vetman assessment

Express Uspocoin

24 mg tablets, N2/N6 for cats and small dogs
Assessed clinical scopeCat · Short-term situational fear and anxiety before a predictable stressor · By mouth
Care settingVeterinarian-selected pre-event oral medication, integrated with low-stress handling and a behaviour plan
vetman score 5.6/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, veterinary · № 000166 | 000176 | 000177 · Verified on 23 Oct 2026

A convenient exact feline presentation with a plausible trazodone effect, but limited and inconsistent independent feline evidence keeps it a cautious situational option.

Regulatory and scientific credibility5.5/10

Exact current instruction and Georgian veterinary registrations verify identity, strengths, species and dose tables. Independent exact-formulation evidence and internationally recognised exact-product authorisation remain limited.

Clinical efficacy4.5/10

A small feline crossover trial supports pre-visit trazodone, but a 2025 review judged the overall evidence weak; the exact succinate product relies mainly on sponsor-linked studies and its base-equivalent dose is below the best-known 50 mg trial in many cats.

Safety and tolerability5.5/10

Single-dose feline studies are generally reassuring but small; sedation, ataxia or paradoxical agitation remain possible, while exact-label exclusions cover cardiovascular disease, epilepsy, organ dysfunction, pregnancy, lactation and neonates.

Clinical practicality7.5/10

A palatable scored tablet and one pre-event dose are practical, but half-tablet steps create coarse exposure at low weights and food timing plus possible redosing require a written plan.

Full-course cost-effectiveness-

A current, presentation-specific Georgian full-course price comparison was not verified; cost is excluded from the denominator.

Important safety and use flags

  • Complete assessed role: short-term situational fear/anxiety around predictable transport, veterinary or grooming visits, loud events and separation. It is not a stand-alone treatment for chronic behavioural disease, aggression or an uninvestigated medical cause.
  • Dose by the exact current table 60 minutes before the stressor. The label permits a repeat only after 6-8 hours when needed; do not shorten the interval or turn episodic use into an unsupervised daily course.
  • Each tablet contains 24 mg trazodone succinate, equivalent to 18.24 mg trazodone—not 24 mg trazodone base. Use only label-supported half-tablet steps and weigh small patients accurately.
  • Give no later than 30 minutes before the main meal or 2-4 hours after it. Immediate post-meal administration delays the effect; record timing so apparent failure is not automatically redosed.
  • Do not use in pregnancy, lactation or neonates, or in patients with cardiovascular disease, epilepsy, clinically important liver/kidney dysfunction or known hypersensitivity, as specified by the exact instruction.
  • Expect possible drowsiness, impaired coordination or altered neurologic examination; paradoxical agitation can occur. Trial the plan when safe, prevent falls/escape and do not assume a sedated animal is anxiety-free.
  • Avoid monoamine oxidase inhibitors and review SSRIs/SNRIs/TCAs, tramadol, mirtazapine and other serotonergic medicines. Agitation, tremor, hyperthermia, diarrhoea, tachycardia or rigidity requires urgent assessment for serotonin toxicity.
  • Review CYP3A4 inhibitors/inducers, CNS depressants, antihypertensives and QT-prolonging medicines. Extra caution is required with hypotension, arrhythmia risk or concurrent procedural sedatives; the exact product lacks broad combination trials.
  • Pre-event medication complements low-stress handling, environmental control, desensitisation/counterconditioning and diagnosis of pain or disease. It must not be used simply to suppress defensive behaviour for a forced procedure.
  • Georgia lists the exact 24 mg and 120 mg veterinary presentations through 3 August 2027. This confirms Georgian registration, not FDA/EU/GB approval or equivalence to a trazodone-hydrochloride product.
Assessment sources
Assessed: 23 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Trazodone18.24 mg/tablet
Formulation Type
Scored tablet
Administration route
By mouth
Registration
Georgia Yes, veterinary
In force until 03 Aug 2027
Veterinary (National Food Agency)
In the register: ექსპრეს უსპოკოინი® ტაბლეტები
№ 000166 | 000176 | 000177
Verified on: 23 Oct 2026
EU No
UK No
US No
Verified on: 23 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Express Uspocoin 120 mg tablets, Scored tablet

N6 for medium and large dogs
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog
6.2/10
Situational / acceptable
vetman assessment

Express Uspocoin

120 mg tablets, N6 for medium and large dogs
Assessed clinical scopeDog · Short-term situational fear and anxiety before a predictable stressor · By mouth
Care settingVeterinarian-selected pre-event oral medication, integrated with low-stress handling and a behaviour plan
vetman score 6.2/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, veterinary · № 000165 · Verified on 23 Oct 2026

A practical exact medium/large-dog presentation with credible class efficacy; product-specific independence and safety transparency keep it situational rather than first-tier.

Regulatory and scientific credibility5.5/10

Exact current instruction and Georgian veterinary registrations verify identity, strengths, species and dose tables. Independent exact-formulation evidence and internationally recognised exact-product authorisation remain limited.

Clinical efficacy6.0/10

Randomised canine studies support trazodone for veterinary-visit and travel stress at broadly comparable active exposure, but the exact succinate formulation and every broad label scenario lack strong independent replication.

Safety and tolerability6.0/10

Canine single-dose evidence is reasonably reassuring, but sedation, ataxia and examination changes are expected possibilities; serotonergic, cardiovascular, seizure, organ-disease and reproductive restrictions remain clinically important.

Clinical practicality8.0/10

One scored palatable tablet strength covers the label’s medium/large-dog bands and is given 60 minutes before the event; half-tablet steps and the over-40 kg rule still require exact weight-based selection.

Full-course cost-effectiveness-

A current, presentation-specific Georgian full-course price comparison was not verified; cost is excluded from the denominator.

Important safety and use flags

  • Complete assessed role: short-term situational fear/anxiety around predictable transport, veterinary or grooming visits, loud events and separation. It is not a stand-alone treatment for chronic behavioural disease, aggression or an uninvestigated medical cause.
  • Dose by the exact current table 60 minutes before the stressor. The label permits a repeat only after 6-8 hours when needed; do not shorten the interval or turn episodic use into an unsupervised daily course.
  • Each tablet contains 120 mg trazodone succinate, equivalent to 91.2 mg trazodone—not 120 mg trazodone base. Above 40 kg, follow the exact stepped label rule rather than extrapolating a continuous mg/kg formula.
  • Give no later than 30 minutes before the main meal or 2-4 hours after it. Immediate post-meal administration delays the effect; record timing so apparent failure is not automatically redosed.
  • Do not use in pregnancy, lactation or neonates, or in patients with cardiovascular disease, epilepsy, clinically important liver/kidney dysfunction or known hypersensitivity, as specified by the exact instruction.
  • Expect possible drowsiness, impaired coordination or altered neurologic examination; paradoxical agitation can occur. Trial the plan when safe, prevent falls/escape and do not assume a sedated animal is anxiety-free.
  • Avoid monoamine oxidase inhibitors and review SSRIs/SNRIs/TCAs, tramadol, mirtazapine and other serotonergic medicines. Agitation, tremor, hyperthermia, diarrhoea, tachycardia or rigidity requires urgent assessment for serotonin toxicity.
  • Review CYP3A4 inhibitors/inducers, CNS depressants, antihypertensives and QT-prolonging medicines. Extra caution is required with hypotension, arrhythmia risk or concurrent procedural sedatives; the exact product lacks broad combination trials.
  • Pre-event medication complements low-stress handling, environmental control, desensitisation/counterconditioning and diagnosis of pain or disease. It must not be used simply to suppress defensive behaviour for a forced procedure.
  • Georgia lists the exact 24 mg and 120 mg veterinary presentations through 3 August 2027. This confirms Georgian registration, not FDA/EU/GB approval or equivalence to a trazodone-hydrochloride product.
Assessment sources
Assessed: 23 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Trazodone91.2 mg/tablet
Formulation Type
Scored tablet
Administration route
By mouth
Manufacturer (register)
Scientific Innovative Enterprise Astrafarm Ltd, Russia
Manufacturer and country as in the veterinary medicines register (National Food Agency), row 709, 19 Oct 2026.
Registration
Georgia Yes, veterinary
In force until 03 Aug 2027
Veterinary (National Food Agency)
In the register: ექსპრეს უსპოკოინი® ტაბლეტები
№ 000165
Verified on: 23 Oct 2026
EU No
UK No
US No
Verified on: 23 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Trittico 25 mg/ml, Drops (oral)

oral drops, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Off-label oral trazodone for short-term situational anxiety, veterinary-visit or transport stress, hospital/confinement stress and facilitation of low-stress handling in dogs
6.7/10
Situational / acceptable
vetman assessment

Trittico

25 mg/ml, oral drops, human medicine
Assessed clinical scopeDog · Off-label oral trazodone for short-term situational anxiety, veterinary-visit or transport stress, hospital/confinement stress and facilitation of low-stress handling in dogs · oral
Care settingVeterinary-prescribed home premedication or monitored hospital use within a diagnosis-led behaviour and low-stress-handling plan
vetman score 6.7/10 Situational / acceptable
Evidence confidence: Medium Georgia: No · Verified on 15 Oct 2026 Off-label use

Off-label immediate-release trazodone is a useful, evidence-supported situational anxiolytic/sedative adjunct in selected dogs. Match the exact formulation and dose to the patient, trial it before the event, review serotonergic/QT/CNS-depressant combinations and keep environmental and behavioural management central.

Regulatory and scientific credibility6.5/10

The exact human drops are identifiable in a current regulator SPC and EU authorisation data; the 60 mg/ml form is also currently registered in Georgia, while the 25 mg/ml form is not. Veterinary use is off-label and the species studies used immediate-release oral trazodone rather than these exact liquid presentations.

Clinical efficacy7.0/10

Randomised controlled trials show meaningful reductions in selected stress and anxiety behaviours during veterinary visits, travel and shelter care, and observational evidence supports hospital use. Outcomes are not uniformly positive across every behaviour or postsurgical-confinement study, so it is a useful situational adjunct rather than a universally reliable sedative.

Safety and tolerability6.0/10

Oral veterinary studies generally found acceptable short-course tolerability, but sedation, ataxia, gastrointestinal effects, paradoxical excitation, tachycardia or hypotension and rare priapism remain relevant. Serotonin syndrome, additive CNS depression and QT-risk interactions require medication review; evidence is mostly from healthy or selected dogs.

Clinical practicality7.5/10

The lower-concentration liquid can improve dose titration for small patients and those unable to take tablets, but the exact measuring device, mg-to-ml conversion and human-formulation excipients must be checked. A supervised trial dose and trigger-based timing remain necessary.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • No Trittico presentation is authorised for dogs or cats; every veterinary use is off-label and requires an individual diagnosis, documented rationale and informed monitoring.
  • Avoid monoamine oxidase inhibitors and linezolid or methylene blue. Other serotonergic drugs, including SSRIs, tricyclics, tramadol, mirtazapine and metoclopramide, can precipitate serotonin syndrome and require explicit specialist review.
  • Review CNS depressants, anaesthetics, antihypertensives and QT-prolonging or CYP3A4-altering drugs. Effects may include excess sedation, hypotension, altered exposure or arrhythmia risk.
  • Monitor sedation, ataxia, gastrointestinal signs, agitation or behavioural disinhibition, heart rate and blood pressure when indicated. Stop and assess urgently for tremor, hyperthermia, marked autonomic signs, collapse or suspected serotonin syndrome.
  • Safety is insufficiently defined in pregnancy, lactation, very young animals and patients with major hepatic, renal or cardiovascular disease. Start conservatively and individualise or choose an alternative.
  • Use within a behaviour and low-stress-handling plan, not as a substitute for diagnosis, pain control, environmental modification or trained handling. A calm-looking but fearful patient still requires careful assessment.
  • Verify the exact mg/ml concentration, measuring device, drop calibration and excipients before prescribing. Dose in millilitres from the stated concentration; do not assume that one drop is interchangeable between the two products.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Off-label oral trazodone for short-term pre-visit or transport anxiety, procedural sedation and facilitation of low-stress handling in cats
6.0/10
Situational / acceptable
vetman assessment

Trittico

25 mg/ml, oral drops, human medicine
Assessed clinical scopeCat · Off-label oral trazodone for short-term pre-visit or transport anxiety, procedural sedation and facilitation of low-stress handling in cats · oral
Care settingVeterinary-prescribed home premedication or monitored hospital use within a diagnosis-led behaviour and low-stress-handling plan
vetman score 6.0/10 Situational / acceptable
Evidence confidence: Medium Georgia: No · Verified on 15 Oct 2026 Off-label use

Off-label immediate-release trazodone can help selected cats with pre-visit anxiety or procedural sedation, but trials are small and results are less consistent than in dogs. Prefer a readily measurable dose, trial it before the event, review interacting drugs and combine it with cat-friendly handling.

Regulatory and scientific credibility6.0/10

The exact human drops are identifiable in a current regulator SPC and EU authorisation data; the 60 mg/ml form is also currently registered in Georgia, while the 25 mg/ml form is not. Veterinary use is off-label and the species studies used immediate-release oral trazodone rather than these exact liquid presentations.

Clinical efficacy6.0/10

Small randomised studies support sedation and reduced transport/examination anxiety, including positive 50 mg and 5 mg/kg trials. Other small work found no examination-behaviour advantage at the tested time point, and current feline guidelines describe the evidence as conflicting; benefit is plausible but less secure than in dogs.

Safety and tolerability5.5/10

Small feline studies generally found sedation without serious short-term events, but they cannot define uncommon-event, repeated-use, geriatric, organ-disease or reproductive safety. Sedation, ataxia, gastrointestinal effects, cardiovascular change and serotonin syndrome remain relevant, especially with other serotonergic or CNS-depressant drugs.

Clinical practicality7.0/10

The lower-concentration liquid can improve dose titration for small patients and those unable to take tablets, but the exact measuring device, mg-to-ml conversion and human-formulation excipients must be checked. A supervised trial dose and trigger-based timing remain necessary.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • No Trittico presentation is authorised for dogs or cats; every veterinary use is off-label and requires an individual diagnosis, documented rationale and informed monitoring.
  • Avoid monoamine oxidase inhibitors and linezolid or methylene blue. Other serotonergic drugs, including SSRIs, tricyclics, tramadol, mirtazapine and metoclopramide, can precipitate serotonin syndrome and require explicit specialist review.
  • Review CNS depressants, anaesthetics, antihypertensives and QT-prolonging or CYP3A4-altering drugs. Effects may include excess sedation, hypotension, altered exposure or arrhythmia risk.
  • Monitor sedation, ataxia, gastrointestinal signs, agitation or behavioural disinhibition, heart rate and blood pressure when indicated. Stop and assess urgently for tremor, hyperthermia, marked autonomic signs, collapse or suspected serotonin syndrome.
  • Safety is insufficiently defined in pregnancy, lactation, very young animals and patients with major hepatic, renal or cardiovascular disease. Start conservatively and individualise or choose an alternative.
  • Use within a behaviour and low-stress-handling plan, not as a substitute for diagnosis, pain control, environmental modification or trained handling. A calm-looking but fearful patient still requires careful assessment.
  • Verify the exact mg/ml concentration, measuring device, drop calibration and excipients before prescribing. Dose in millilitres from the stated concentration; do not assume that one drop is interchangeable between the two products.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Trazodone25 mg/ml
Formulation Type
Drops (oral)
Administration route
By mouth
Manufacturer
Angelini · Italy
Registration
Georgia No
EU Yes, human
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Trittico 50 mg, Scored tablet

film-coated tablet, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Off-label oral trazodone for short-term situational anxiety, veterinary-visit or transport stress, hospital/confinement stress and facilitation of low-stress handling in dogs
7.2/10
Good
vetman assessment

Trittico

50 mg, film-coated tablet, human medicine
Assessed clinical scopeDog · Off-label oral trazodone for short-term situational anxiety, veterinary-visit or transport stress, hospital/confinement stress and facilitation of low-stress handling in dogs · oral
Care settingVeterinary-prescribed home premedication or monitored hospital use within a diagnosis-led behaviour and low-stress-handling plan
vetman score 7.2/10 Good
Evidence confidence: Medium Georgia: No · Verified on 15 Oct 2026 Off-label use

Off-label immediate-release trazodone is a useful, evidence-supported situational anxiolytic/sedative adjunct in selected dogs. Match the exact formulation and dose to the patient, trial it before the event, review serotonergic/QT/CNS-depressant combinations and keep environmental and behavioural management central.

Regulatory and scientific credibility7.0/10

The exact human immediate-release tablet is identifiable in a current regulator SPC and EU authorisation data; the 50 mg and 100 mg forms are not currently registered in Georgia. Veterinary use is off-label, but multiple species-specific controlled studies and professional guidelines support the active ingredient and route.

Clinical efficacy7.5/10

Randomised controlled trials show meaningful reductions in selected stress and anxiety behaviours during veterinary visits, travel and shelter care, and observational evidence supports hospital use. Outcomes are not uniformly positive across every behaviour or postsurgical-confinement study, so it is a useful situational adjunct rather than a universally reliable sedative.

Safety and tolerability6.5/10

Oral veterinary studies generally found acceptable short-course tolerability, but sedation, ataxia, gastrointestinal effects, paradoxical excitation, tachycardia or hypotension and rare priapism remain relevant. Serotonin syndrome, additive CNS depression and QT-risk interactions require medication review; evidence is mostly from healthy or selected dogs.

Clinical practicality8.0/10

A scored 50 mg tablet is easy to dispense and closely matches common single-dose study regimens, especially in cats and medium-to-large dogs. Home premedication remains simple, but a supervised trial dose and timing 1-2 hours before the trigger improve predictability.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • No Trittico presentation is authorised for dogs or cats; every veterinary use is off-label and requires an individual diagnosis, documented rationale and informed monitoring.
  • Avoid monoamine oxidase inhibitors and linezolid or methylene blue. Other serotonergic drugs, including SSRIs, tricyclics, tramadol, mirtazapine and metoclopramide, can precipitate serotonin syndrome and require explicit specialist review.
  • Review CNS depressants, anaesthetics, antihypertensives and QT-prolonging or CYP3A4-altering drugs. Effects may include excess sedation, hypotension, altered exposure or arrhythmia risk.
  • Monitor sedation, ataxia, gastrointestinal signs, agitation or behavioural disinhibition, heart rate and blood pressure when indicated. Stop and assess urgently for tremor, hyperthermia, marked autonomic signs, collapse or suspected serotonin syndrome.
  • Safety is insufficiently defined in pregnancy, lactation, very young animals and patients with major hepatic, renal or cardiovascular disease. Start conservatively and individualise or choose an alternative.
  • Use within a behaviour and low-stress-handling plan, not as a substitute for diagnosis, pain control, environmental modification or trained handling. A calm-looking but fearful patient still requires careful assessment.
  • Use the exact tablet strength and scored fraction needed for the patient. Do not extrapolate human depression dosing; veterinary situational regimens are patient- and trigger-specific.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Off-label oral trazodone for short-term pre-visit or transport anxiety, procedural sedation and facilitation of low-stress handling in cats
6.6/10
Situational / acceptable
vetman assessment

Trittico

50 mg, film-coated tablet, human medicine
Assessed clinical scopeCat · Off-label oral trazodone for short-term pre-visit or transport anxiety, procedural sedation and facilitation of low-stress handling in cats · oral
Care settingVeterinary-prescribed home premedication or monitored hospital use within a diagnosis-led behaviour and low-stress-handling plan
vetman score 6.6/10 Situational / acceptable
Evidence confidence: Medium Georgia: No · Verified on 15 Oct 2026 Off-label use

Off-label immediate-release trazodone can help selected cats with pre-visit anxiety or procedural sedation, but trials are small and results are less consistent than in dogs. Prefer a readily measurable dose, trial it before the event, review interacting drugs and combine it with cat-friendly handling.

Regulatory and scientific credibility6.5/10

The exact human immediate-release tablet is identifiable in a current regulator SPC and EU authorisation data; the 50 mg and 100 mg forms are not currently registered in Georgia. Veterinary use is off-label, but multiple species-specific controlled studies and professional guidelines support the active ingredient and route.

Clinical efficacy6.5/10

Small randomised studies support sedation and reduced transport/examination anxiety, including positive 50 mg and 5 mg/kg trials. Other small work found no examination-behaviour advantage at the tested time point, and current feline guidelines describe the evidence as conflicting; benefit is plausible but less secure than in dogs.

Safety and tolerability6.0/10

Small feline studies generally found sedation without serious short-term events, but they cannot define uncommon-event, repeated-use, geriatric, organ-disease or reproductive safety. Sedation, ataxia, gastrointestinal effects, cardiovascular change and serotonin syndrome remain relevant, especially with other serotonergic or CNS-depressant drugs.

Clinical practicality8.0/10

A scored 50 mg tablet is easy to dispense and closely matches common single-dose study regimens, especially in cats and medium-to-large dogs. Home premedication remains simple, but a supervised trial dose and timing 1-2 hours before the trigger improve predictability.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • No Trittico presentation is authorised for dogs or cats; every veterinary use is off-label and requires an individual diagnosis, documented rationale and informed monitoring.
  • Avoid monoamine oxidase inhibitors and linezolid or methylene blue. Other serotonergic drugs, including SSRIs, tricyclics, tramadol, mirtazapine and metoclopramide, can precipitate serotonin syndrome and require explicit specialist review.
  • Review CNS depressants, anaesthetics, antihypertensives and QT-prolonging or CYP3A4-altering drugs. Effects may include excess sedation, hypotension, altered exposure or arrhythmia risk.
  • Monitor sedation, ataxia, gastrointestinal signs, agitation or behavioural disinhibition, heart rate and blood pressure when indicated. Stop and assess urgently for tremor, hyperthermia, marked autonomic signs, collapse or suspected serotonin syndrome.
  • Safety is insufficiently defined in pregnancy, lactation, very young animals and patients with major hepatic, renal or cardiovascular disease. Start conservatively and individualise or choose an alternative.
  • Use within a behaviour and low-stress-handling plan, not as a substitute for diagnosis, pain control, environmental modification or trained handling. A calm-looking but fearful patient still requires careful assessment.
  • Use the exact tablet strength and scored fraction needed for the patient. Do not extrapolate human depression dosing; veterinary situational regimens are patient- and trigger-specific.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Trazodone50 mg
Formulation Type
Scored tablet
Administration route
By mouth
Manufacturer
Angelini · Italy
Registration
Georgia No
EU Yes, human
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Trittico 60 mg/ml, Drops (oral)

oral drops, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Off-label oral trazodone for short-term situational anxiety, veterinary-visit or transport stress, hospital/confinement stress and facilitation of low-stress handling in dogs
6.5/10
Situational / acceptable
vetman assessment

Trittico

60 mg/ml, oral drops, human medicine
Assessed clinical scopeDog · Off-label oral trazodone for short-term situational anxiety, veterinary-visit or transport stress, hospital/confinement stress and facilitation of low-stress handling in dogs · oral
Care settingVeterinary-prescribed home premedication or monitored hospital use within a diagnosis-led behaviour and low-stress-handling plan
vetman score 6.5/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-045969 · Verified on 15 Oct 2026 Off-label use

Off-label immediate-release trazodone is a useful, evidence-supported situational anxiolytic/sedative adjunct in selected dogs. Match the exact formulation and dose to the patient, trial it before the event, review serotonergic/QT/CNS-depressant combinations and keep environmental and behavioural management central.

Regulatory and scientific credibility6.5/10

The exact human drops are identifiable in a current regulator SPC and EU authorisation data; the 60 mg/ml form is also currently registered in Georgia, while the 25 mg/ml form is not. Veterinary use is off-label and the species studies used immediate-release oral trazodone rather than these exact liquid presentations.

Clinical efficacy7.0/10

Randomised controlled trials show meaningful reductions in selected stress and anxiety behaviours during veterinary visits, travel and shelter care, and observational evidence supports hospital use. Outcomes are not uniformly positive across every behaviour or postsurgical-confinement study, so it is a useful situational adjunct rather than a universally reliable sedative.

Safety and tolerability6.0/10

Oral veterinary studies generally found acceptable short-course tolerability, but sedation, ataxia, gastrointestinal effects, paradoxical excitation, tachycardia or hypotension and rare priapism remain relevant. Serotonin syndrome, additive CNS depression and QT-risk interactions require medication review; evidence is mostly from healthy or selected dogs.

Clinical practicality6.5/10

The concentrated liquid may reduce administered volume in large dogs, but small feline or canine doses require very small, error-prone volumes. Confirm the measuring device, mg-to-ml conversion and excipients, and use a supervised trial dose before the target event.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • No Trittico presentation is authorised for dogs or cats; every veterinary use is off-label and requires an individual diagnosis, documented rationale and informed monitoring.
  • Avoid monoamine oxidase inhibitors and linezolid or methylene blue. Other serotonergic drugs, including SSRIs, tricyclics, tramadol, mirtazapine and metoclopramide, can precipitate serotonin syndrome and require explicit specialist review.
  • Review CNS depressants, anaesthetics, antihypertensives and QT-prolonging or CYP3A4-altering drugs. Effects may include excess sedation, hypotension, altered exposure or arrhythmia risk.
  • Monitor sedation, ataxia, gastrointestinal signs, agitation or behavioural disinhibition, heart rate and blood pressure when indicated. Stop and assess urgently for tremor, hyperthermia, marked autonomic signs, collapse or suspected serotonin syndrome.
  • Safety is insufficiently defined in pregnancy, lactation, very young animals and patients with major hepatic, renal or cardiovascular disease. Start conservatively and individualise or choose an alternative.
  • Use within a behaviour and low-stress-handling plan, not as a substitute for diagnosis, pain control, environmental modification or trained handling. A calm-looking but fearful patient still requires careful assessment.
  • Verify the exact mg/ml concentration, measuring device, drop calibration and excipients before prescribing. Dose in millilitres from the stated concentration; do not assume that one drop is interchangeable between the two products.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Off-label oral trazodone for short-term pre-visit or transport anxiety, procedural sedation and facilitation of low-stress handling in cats
5.8/10
Weak evidence support
vetman assessment

Trittico

60 mg/ml, oral drops, human medicine
Assessed clinical scopeCat · Off-label oral trazodone for short-term pre-visit or transport anxiety, procedural sedation and facilitation of low-stress handling in cats · oral
Care settingVeterinary-prescribed home premedication or monitored hospital use within a diagnosis-led behaviour and low-stress-handling plan
vetman score 5.8/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-045969 · Verified on 15 Oct 2026 Off-label use

Off-label immediate-release trazodone can help selected cats with pre-visit anxiety or procedural sedation, but trials are small and results are less consistent than in dogs. Prefer a readily measurable dose, trial it before the event, review interacting drugs and combine it with cat-friendly handling.

Regulatory and scientific credibility6.0/10

The exact human drops are identifiable in a current regulator SPC and EU authorisation data; the 60 mg/ml form is also currently registered in Georgia, while the 25 mg/ml form is not. Veterinary use is off-label and the species studies used immediate-release oral trazodone rather than these exact liquid presentations.

Clinical efficacy6.0/10

Small randomised studies support sedation and reduced transport/examination anxiety, including positive 50 mg and 5 mg/kg trials. Other small work found no examination-behaviour advantage at the tested time point, and current feline guidelines describe the evidence as conflicting; benefit is plausible but less secure than in dogs.

Safety and tolerability5.5/10

Small feline studies generally found sedation without serious short-term events, but they cannot define uncommon-event, repeated-use, geriatric, organ-disease or reproductive safety. Sedation, ataxia, gastrointestinal effects, cardiovascular change and serotonin syndrome remain relevant, especially with other serotonergic or CNS-depressant drugs.

Clinical practicality5.5/10

The concentrated liquid may reduce administered volume in large dogs, but small feline or canine doses require very small, error-prone volumes. Confirm the measuring device, mg-to-ml conversion and excipients, and use a supervised trial dose before the target event.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • No Trittico presentation is authorised for dogs or cats; every veterinary use is off-label and requires an individual diagnosis, documented rationale and informed monitoring.
  • Avoid monoamine oxidase inhibitors and linezolid or methylene blue. Other serotonergic drugs, including SSRIs, tricyclics, tramadol, mirtazapine and metoclopramide, can precipitate serotonin syndrome and require explicit specialist review.
  • Review CNS depressants, anaesthetics, antihypertensives and QT-prolonging or CYP3A4-altering drugs. Effects may include excess sedation, hypotension, altered exposure or arrhythmia risk.
  • Monitor sedation, ataxia, gastrointestinal signs, agitation or behavioural disinhibition, heart rate and blood pressure when indicated. Stop and assess urgently for tremor, hyperthermia, marked autonomic signs, collapse or suspected serotonin syndrome.
  • Safety is insufficiently defined in pregnancy, lactation, very young animals and patients with major hepatic, renal or cardiovascular disease. Start conservatively and individualise or choose an alternative.
  • Use within a behaviour and low-stress-handling plan, not as a substitute for diagnosis, pain control, environmental modification or trained handling. A calm-looking but fearful patient still requires careful assessment.
  • Verify the exact mg/ml concentration, measuring device, drop calibration and excipients before prescribing. Dose in millilitres from the stated concentration; do not assume that one drop is interchangeable between the two products.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Trazodone60 mg/ml
Formulation Type
Drops (oral)
Administration route
By mouth
Manufacturer
Angelini · Italy
Registration
Georgia Yes, human
EU Yes, human
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Trittico 75 mg, Modified release (retard / SR)

prolonged-release tablet, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Off-label adjunct for short-term situational anxiety, veterinary-visit or transport stress, hospital/confinement stress and facilitation of low-stress handling in dogs
4.8/10
Weak evidence support
vetman assessment

Trittico

75 mg, prolonged-release tablet, human medicine
Assessed clinical scopeDog · Off-label adjunct for short-term situational anxiety, veterinary-visit or transport stress, hospital/confinement stress and facilitation of low-stress handling in dogs · By mouth
Care settingVeterinary-prescribed home premedication or monitored hospital use within a diagnosis-led behaviour and low-stress-handling plan; trial before the target event.
vetman score 4.8/10 Weak evidence support
Evidence confidence: Low Georgia: Unknown · Verified on 23 Oct 2026 Off-label use

A traceable and accurately thirdable human product, but the prolonged-release profile has no directly applicable canine efficacy, timing or dose study. Prefer a dose-accurate immediate-release presentation when trazodone is selected for situational use.

Regulatory and scientific credibility4.0/10

The exact 75 mg human prolonged-release product, active salt, equal thirds and current EU human authorisation are transparent, but veterinary use is unauthorised, the exact strength is only historically listed in Georgia and absent from the current in-force register, and no target-species study validates this release profile. The formulation-mismatch evidence gate caps this axis at 4.0.

Clinical efficacy4.0/10

Several controlled dog studies support immediate-release oral trazodone for selected situational stress roles, but no study validates prolonged-release Trittico 75 mg. Altered onset and peak exposure are central to pre-event efficacy, so ingredient evidence cannot be treated as exact-form evidence.

Safety and tolerability5.5/10

Short-course immediate-release dog studies are generally reassuring, but exact prolonged-release exposure and repeated-use safety are unknown. Sedation, ataxia, GI/paradoxical behaviour, hypotension, arrhythmia/QT risk, serotonin syndrome, seizure and rare priapism require selection and monitoring.

Clinical practicality6.5/10

The tablet accurately divides into 25 mg thirds and home oral administration is feasible, correcting the former half-tablet metadata. However, it must not be crushed and no validated veterinary onset, timing or mg/kg schedule exists; immediate-release alternatives are more predictable for event-linked use.

Full-course cost-effectiveness-

A current Georgian exact-pack price and validated veterinary course were not verified; cost is excluded from the denominator.

Important safety and use flags

  • Human prolonged-release product; no dog/cat authorisation. Immediate-release veterinary studies do not establish this formulation’s onset, peak exposure, dose or pre-event timing.
  • The tablet divides into three equal 25 mg hydrochloride portions, not halves. Split only at the two score lines and never crush; physical thirds do not make it immediate-release.
  • Do not combine with an MAO inhibitor. Allow two weeks after stopping an MAOI before trazodone and one week after stopping trazodone before an MAOI unless a specialist source requires longer.
  • Explicitly review SSRIs, SNRIs, tricyclics, tramadol, mirtazapine, metoclopramide, linezolid, methylene blue and other serotonergic agents. Agitation, tremor, hyperthermia, autonomic instability, diarrhoea or seizure may indicate serotonin syndrome.
  • Review CNS depressants, anaesthetics/muscle relaxants, antihypertensives, QT-prolonging medicines and CYP3A4 inhibitors/inducers. Strong inhibitors can increase exposure; carbamazepine can reduce it.
  • Monitor sedation, ataxia, GI signs, paradoxical excitation or disinhibition, heart rate and blood pressure when indicated. Trial the intended dose before the target event and do not assume sedation equals resolved fear.
  • Use cautiously or choose an alternative with cardiovascular/QT/conduction disease, hypotension, seizure history, severe hepatic/renal disease, narrow-angle glaucoma or raised intraocular pressure, or urinary retention. Acute myocardial infarction is the exact cardiac contraindication in the human label.
  • Stop and assess urgently for syncope, arrhythmia, seizure, marked hypotension, jaundice/hepatic signs or priapism. Prolonged-release overdose can have delayed effects and has no specific antidote.
  • Pregnancy/lactation, breeding, juvenile, geriatric, repeated-use and major-comorbidity safety are not established for this exact veterinary use; individualise conservatively.
  • Use only within a diagnosis-led environmental, behavioural and low-stress-handling plan. It is not a substitute for analgesia, treatment of medical causes, trained handling or an appropriate immediate-release option.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Off-label adjunct for short-term pre-visit or transport anxiety, procedural sedation and facilitation of low-stress handling in cats
4.5/10
Weak evidence support
vetman assessment

Trittico

75 mg, prolonged-release tablet, human medicine
Assessed clinical scopeCat · Off-label adjunct for short-term pre-visit or transport anxiety, procedural sedation and facilitation of low-stress handling in cats · By mouth
Care settingVeterinary-prescribed home premedication or monitored hospital use within a diagnosis-led behaviour and low-stress-handling plan; trial before the target event.
vetman score 4.5/10 Weak evidence support
Evidence confidence: Low Georgia: Unknown · Verified on 23 Oct 2026 Off-label use

A traceable human product whose 25 mg thirds improve handling, but the prolonged-release profile lacks feline efficacy, timing and dose validation and is a poor fit for many cats. Prefer a measurable immediate-release plan with cat-friendly handling.

Regulatory and scientific credibility4.0/10

The exact 75 mg human prolonged-release product, active salt, equal thirds and current EU human authorisation are transparent, but veterinary use is unauthorised, the exact strength is only historically listed in Georgia and absent from the current in-force register, and no target-species study validates this release profile. The formulation-mismatch evidence gate caps this axis at 4.0.

Clinical efficacy4.0/10

Small feline studies provide mixed support for immediate-release trazodone in pre-visit sedation/anxiolysis, but none validates prolonged-release Trittico 75 mg. The formulation transfer compounds already limited feline sample sizes and consistency.

Safety and tolerability5.0/10

Small immediate-release feline studies cannot define uncommon, prolonged-release, repeated, geriatric or organ-disease risk. Sedation/ataxia, GI or cardiovascular change, serotonin syndrome, seizure and interaction burden require conservative selection and monitoring.

Clinical practicality5.5/10

Equal 25 mg thirds are more flexible than an indivisible 75 mg unit, but still coarse for many cats. No validated feline onset/timing exists for the prolonged-release profile, which is poorly matched to predictable pre-event dosing.

Full-course cost-effectiveness-

A current Georgian exact-pack price and validated veterinary course were not verified; cost is excluded from the denominator.

Important safety and use flags

  • Human prolonged-release product; no dog/cat authorisation. Immediate-release veterinary studies do not establish this formulation’s onset, peak exposure, dose or pre-event timing.
  • The tablet divides into three equal 25 mg hydrochloride portions, not halves. Split only at the two score lines and never crush; physical thirds do not make it immediate-release.
  • Do not combine with an MAO inhibitor. Allow two weeks after stopping an MAOI before trazodone and one week after stopping trazodone before an MAOI unless a specialist source requires longer.
  • Explicitly review SSRIs, SNRIs, tricyclics, tramadol, mirtazapine, metoclopramide, linezolid, methylene blue and other serotonergic agents. Agitation, tremor, hyperthermia, autonomic instability, diarrhoea or seizure may indicate serotonin syndrome.
  • Review CNS depressants, anaesthetics/muscle relaxants, antihypertensives, QT-prolonging medicines and CYP3A4 inhibitors/inducers. Strong inhibitors can increase exposure; carbamazepine can reduce it.
  • Monitor sedation, ataxia, GI signs, paradoxical excitation or disinhibition, heart rate and blood pressure when indicated. Trial the intended dose before the target event and do not assume sedation equals resolved fear.
  • Use cautiously or choose an alternative with cardiovascular/QT/conduction disease, hypotension, seizure history, severe hepatic/renal disease, narrow-angle glaucoma or raised intraocular pressure, or urinary retention. Acute myocardial infarction is the exact cardiac contraindication in the human label.
  • Stop and assess urgently for syncope, arrhythmia, seizure, marked hypotension, jaundice/hepatic signs or priapism. Prolonged-release overdose can have delayed effects and has no specific antidote.
  • Pregnancy/lactation, breeding, juvenile, geriatric, repeated-use and major-comorbidity safety are not established for this exact veterinary use; individualise conservatively.
  • Use only within a diagnosis-led environmental, behavioural and low-stress-handling plan. It is not a substitute for analgesia, treatment of medical causes, trained handling or an appropriate immediate-release option.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Trazodone75 mg
Formulation Type
Modified release (retard / SR)
Administration route
By mouth
Manufacturer
Registration
Georgia Unknown EU Yes, human
UK Not confirmed
Verified on: 23 Oct 2026
US Not confirmed
Verified on: 23 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
Information not fully verified The two score lines permit three equal 25 mg trazodone-hydrochloride portions. Do not crush. No exact prolonged-release dog or cat regimen, onset or pre-event timing is established. Veterinary 2–7.5 mg/kg situational regimens come from immediate-release trazodone evidence and must not be placed in the calculator for this formulation. Human prolonged-release PK peaks at about four hours, but that does not validate veterinary timing. Prefer a dose-accurate immediate-release veterinary plan when trazodone is selected.

Trittico 100 mg, Scored tablet

film-coated tablet, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Off-label oral trazodone for short-term situational anxiety, veterinary-visit or transport stress, hospital/confinement stress and facilitation of low-stress handling in dogs
7.1/10
Good
vetman assessment

Trittico

100 mg, film-coated tablet, human medicine
Assessed clinical scopeDog · Off-label oral trazodone for short-term situational anxiety, veterinary-visit or transport stress, hospital/confinement stress and facilitation of low-stress handling in dogs · oral
Care settingVeterinary-prescribed home premedication or monitored hospital use within a diagnosis-led behaviour and low-stress-handling plan
vetman score 7.1/10 Good
Evidence confidence: Medium Georgia: No · Verified on 15 Oct 2026 Off-label use

Off-label immediate-release trazodone is a useful, evidence-supported situational anxiolytic/sedative adjunct in selected dogs. Match the exact formulation and dose to the patient, trial it before the event, review serotonergic/QT/CNS-depressant combinations and keep environmental and behavioural management central.

Regulatory and scientific credibility7.0/10

The exact human immediate-release tablet is identifiable in a current regulator SPC and EU authorisation data; the 50 mg and 100 mg forms are not currently registered in Georgia. Veterinary use is off-label, but multiple species-specific controlled studies and professional guidelines support the active ingredient and route.

Clinical efficacy7.5/10

Randomised controlled trials show meaningful reductions in selected stress and anxiety behaviours during veterinary visits, travel and shelter care, and observational evidence supports hospital use. Outcomes are not uniformly positive across every behaviour or postsurgical-confinement study, so it is a useful situational adjunct rather than a universally reliable sedative.

Safety and tolerability6.5/10

Oral veterinary studies generally found acceptable short-course tolerability, but sedation, ataxia, gastrointestinal effects, paradoxical excitation, tachycardia or hypotension and rare priapism remain relevant. Serotonin syndrome, additive CNS depression and QT-risk interactions require medication review; evidence is mostly from healthy or selected dogs.

Clinical practicality7.5/10

The scored tablet permits 50 mg increments and is practical for many dogs, but is less flexible for cats and small dogs. Home premedication is simple; a supervised trial dose and timing 1-2 hours before the trigger improve predictability.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • No Trittico presentation is authorised for dogs or cats; every veterinary use is off-label and requires an individual diagnosis, documented rationale and informed monitoring.
  • Avoid monoamine oxidase inhibitors and linezolid or methylene blue. Other serotonergic drugs, including SSRIs, tricyclics, tramadol, mirtazapine and metoclopramide, can precipitate serotonin syndrome and require explicit specialist review.
  • Review CNS depressants, anaesthetics, antihypertensives and QT-prolonging or CYP3A4-altering drugs. Effects may include excess sedation, hypotension, altered exposure or arrhythmia risk.
  • Monitor sedation, ataxia, gastrointestinal signs, agitation or behavioural disinhibition, heart rate and blood pressure when indicated. Stop and assess urgently for tremor, hyperthermia, marked autonomic signs, collapse or suspected serotonin syndrome.
  • Safety is insufficiently defined in pregnancy, lactation, very young animals and patients with major hepatic, renal or cardiovascular disease. Start conservatively and individualise or choose an alternative.
  • Use within a behaviour and low-stress-handling plan, not as a substitute for diagnosis, pain control, environmental modification or trained handling. A calm-looking but fearful patient still requires careful assessment.
  • Use the exact tablet strength and scored fraction needed for the patient. Do not extrapolate human depression dosing; veterinary situational regimens are patient- and trigger-specific.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Off-label oral trazodone for short-term pre-visit or transport anxiety, procedural sedation and facilitation of low-stress handling in cats
6.4/10
Situational / acceptable
vetman assessment

Trittico

100 mg, film-coated tablet, human medicine
Assessed clinical scopeCat · Off-label oral trazodone for short-term pre-visit or transport anxiety, procedural sedation and facilitation of low-stress handling in cats · oral
Care settingVeterinary-prescribed home premedication or monitored hospital use within a diagnosis-led behaviour and low-stress-handling plan
vetman score 6.4/10 Situational / acceptable
Evidence confidence: Medium Georgia: No · Verified on 15 Oct 2026 Off-label use

Off-label immediate-release trazodone can help selected cats with pre-visit anxiety or procedural sedation, but trials are small and results are less consistent than in dogs. Prefer a readily measurable dose, trial it before the event, review interacting drugs and combine it with cat-friendly handling.

Regulatory and scientific credibility6.5/10

The exact human immediate-release tablet is identifiable in a current regulator SPC and EU authorisation data; the 50 mg and 100 mg forms are not currently registered in Georgia. Veterinary use is off-label, but multiple species-specific controlled studies and professional guidelines support the active ingredient and route.

Clinical efficacy6.5/10

Small randomised studies support sedation and reduced transport/examination anxiety, including positive 50 mg and 5 mg/kg trials. Other small work found no examination-behaviour advantage at the tested time point, and current feline guidelines describe the evidence as conflicting; benefit is plausible but less secure than in dogs.

Safety and tolerability6.0/10

Small feline studies generally found sedation without serious short-term events, but they cannot define uncommon-event, repeated-use, geriatric, organ-disease or reproductive safety. Sedation, ataxia, gastrointestinal effects, cardiovascular change and serotonin syndrome remain relevant, especially with other serotonergic or CNS-depressant drugs.

Clinical practicality7.0/10

The scored tablet permits 50 mg increments and is practical for many dogs, but is less flexible for cats and small dogs. Home premedication is simple; a supervised trial dose and timing 1-2 hours before the trigger improve predictability.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • No Trittico presentation is authorised for dogs or cats; every veterinary use is off-label and requires an individual diagnosis, documented rationale and informed monitoring.
  • Avoid monoamine oxidase inhibitors and linezolid or methylene blue. Other serotonergic drugs, including SSRIs, tricyclics, tramadol, mirtazapine and metoclopramide, can precipitate serotonin syndrome and require explicit specialist review.
  • Review CNS depressants, anaesthetics, antihypertensives and QT-prolonging or CYP3A4-altering drugs. Effects may include excess sedation, hypotension, altered exposure or arrhythmia risk.
  • Monitor sedation, ataxia, gastrointestinal signs, agitation or behavioural disinhibition, heart rate and blood pressure when indicated. Stop and assess urgently for tremor, hyperthermia, marked autonomic signs, collapse or suspected serotonin syndrome.
  • Safety is insufficiently defined in pregnancy, lactation, very young animals and patients with major hepatic, renal or cardiovascular disease. Start conservatively and individualise or choose an alternative.
  • Use within a behaviour and low-stress-handling plan, not as a substitute for diagnosis, pain control, environmental modification or trained handling. A calm-looking but fearful patient still requires careful assessment.
  • Use the exact tablet strength and scored fraction needed for the patient. Do not extrapolate human depression dosing; veterinary situational regimens are patient- and trigger-specific.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Trazodone100 mg
Formulation Type
Scored tablet
Administration route
By mouth
Manufacturer
Angelini · Italy
Registration
Georgia No
EU Yes, human
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Trittico 150 mg, Modified release (retard / SR)

prolonged-release tablet, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Off-label oral trazodone for short-term situational anxiety, veterinary-visit or transport stress, hospital/confinement stress and facilitation of low-stress handling in dogs
5.2/10
Weak evidence support
vetman assessment

Trittico

150 mg, prolonged-release tablet, human medicine
Assessed clinical scopeDog · Off-label oral trazodone for short-term situational anxiety, veterinary-visit or transport stress, hospital/confinement stress and facilitation of low-stress handling in dogs · oral
Care settingVeterinary-prescribed home premedication or monitored hospital use within a diagnosis-led behaviour and low-stress-handling plan
vetman score 5.2/10 Weak evidence support
Evidence confidence: Low Georgia: Yes, human · № რ-034329 · Verified on 15 Oct 2026 Off-label use

A well-identified human product, but its prolonged-release profile has no directly applicable dog/cat efficacy study and is poorly matched to rapid situational premedication. Prefer an immediate-release presentation with a deliverable patient-specific dose when trazodone is selected.

Regulatory and scientific credibility5.5/10

The exact human prolonged-release product has verifiable Georgian and EU authorisation and transparent human regulatory status, but no veterinary authorisation or directly applicable target-species trial of this release profile was found. Immediate-release trazodone evidence cannot be assumed to establish onset or exposure for this formulation.

Clinical efficacy4.5/10

Controlled veterinary studies support immediate-release oral trazodone, not this prolonged-release presentation. Its altered release may change onset and peak effect, which are central to pre-visit and situational use; veterinary clinical efficacy for this exact formulation remains indirect.

Safety and tolerability5.5/10

Oral veterinary studies generally found acceptable short-course tolerability, but sedation, ataxia, gastrointestinal effects, paradoxical excitation, tachycardia or hypotension and rare priapism remain relevant. Serotonin syndrome, additive CNS depression and QT-risk interactions require medication review; evidence is mostly from healthy or selected dogs.

Clinical practicality5.5/10

Once-daily human use does not translate into a validated veterinary pre-visit schedule. The scored tablet may be halved but must not be crushed, and 75 mg increments plus delayed release limit individual titration, especially in cats and small dogs.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • No Trittico presentation is authorised for dogs or cats; every veterinary use is off-label and requires an individual diagnosis, documented rationale and informed monitoring.
  • Avoid monoamine oxidase inhibitors and linezolid or methylene blue. Other serotonergic drugs, including SSRIs, tricyclics, tramadol, mirtazapine and metoclopramide, can precipitate serotonin syndrome and require explicit specialist review.
  • Review CNS depressants, anaesthetics, antihypertensives and QT-prolonging or CYP3A4-altering drugs. Effects may include excess sedation, hypotension, altered exposure or arrhythmia risk.
  • Monitor sedation, ataxia, gastrointestinal signs, agitation or behavioural disinhibition, heart rate and blood pressure when indicated. Stop and assess urgently for tremor, hyperthermia, marked autonomic signs, collapse or suspected serotonin syndrome.
  • Safety is insufficiently defined in pregnancy, lactation, very young animals and patients with major hepatic, renal or cardiovascular disease. Start conservatively and individualise or choose an alternative.
  • Use within a behaviour and low-stress-handling plan, not as a substitute for diagnosis, pain control, environmental modification or trained handling. A calm-looking but fearful patient still requires careful assessment.
  • This is a prolonged-release tablet: do not crush. Halving only at the score does not make its onset equivalent to immediate-release trazodone, and the release profile has not been validated in dogs or cats.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Off-label oral trazodone for short-term pre-visit or transport anxiety, procedural sedation and facilitation of low-stress handling in cats
4.6/10
Weak evidence support
vetman assessment

Trittico

150 mg, prolonged-release tablet, human medicine
Assessed clinical scopeCat · Off-label oral trazodone for short-term pre-visit or transport anxiety, procedural sedation and facilitation of low-stress handling in cats · oral
Care settingVeterinary-prescribed home premedication or monitored hospital use within a diagnosis-led behaviour and low-stress-handling plan
vetman score 4.6/10 Weak evidence support
Evidence confidence: Low Georgia: Yes, human · № რ-034329 · Verified on 15 Oct 2026 Off-label use

A well-identified human product, but its prolonged-release profile has no directly applicable dog/cat efficacy study and is poorly matched to rapid situational premedication. Prefer an immediate-release presentation with a deliverable patient-specific dose when trazodone is selected.

Regulatory and scientific credibility5.0/10

The exact human prolonged-release product has verifiable Georgian and EU authorisation and transparent human regulatory status, but no veterinary authorisation or directly applicable target-species trial of this release profile was found. Immediate-release trazodone evidence cannot be assumed to establish onset or exposure for this formulation.

Clinical efficacy4.0/10

Controlled veterinary studies support immediate-release oral trazodone, not this prolonged-release presentation. Its altered release may change onset and peak effect, which are central to pre-visit and situational use; veterinary clinical efficacy for this exact formulation remains indirect.

Safety and tolerability5.0/10

Small feline studies generally found sedation without serious short-term events, but they cannot define uncommon-event, repeated-use, geriatric, organ-disease or reproductive safety. Sedation, ataxia, gastrointestinal effects, cardiovascular change and serotonin syndrome remain relevant, especially with other serotonergic or CNS-depressant drugs.

Clinical practicality4.5/10

Once-daily human use does not translate into a validated veterinary pre-visit schedule. The scored tablet may be halved but must not be crushed, and 75 mg increments plus delayed release limit individual titration, especially in cats and small dogs.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • No Trittico presentation is authorised for dogs or cats; every veterinary use is off-label and requires an individual diagnosis, documented rationale and informed monitoring.
  • Avoid monoamine oxidase inhibitors and linezolid or methylene blue. Other serotonergic drugs, including SSRIs, tricyclics, tramadol, mirtazapine and metoclopramide, can precipitate serotonin syndrome and require explicit specialist review.
  • Review CNS depressants, anaesthetics, antihypertensives and QT-prolonging or CYP3A4-altering drugs. Effects may include excess sedation, hypotension, altered exposure or arrhythmia risk.
  • Monitor sedation, ataxia, gastrointestinal signs, agitation or behavioural disinhibition, heart rate and blood pressure when indicated. Stop and assess urgently for tremor, hyperthermia, marked autonomic signs, collapse or suspected serotonin syndrome.
  • Safety is insufficiently defined in pregnancy, lactation, very young animals and patients with major hepatic, renal or cardiovascular disease. Start conservatively and individualise or choose an alternative.
  • Use within a behaviour and low-stress-handling plan, not as a substitute for diagnosis, pain control, environmental modification or trained handling. A calm-looking but fearful patient still requires careful assessment.
  • This is a prolonged-release tablet: do not crush. Halving only at the score does not make its onset equivalent to immediate-release trazodone, and the release profile has not been validated in dogs or cats.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Trazodone150 mg
Formulation Type
Modified release (retard / SR)
Administration route
By mouth
Manufacturer
Angelini · Italy
Registration
Georgia Yes, human
EU Yes, human
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

All of this shows in vetman as you prescribe

The dose for the patient's weight, registration in Georgia and controlled status, right on the prescription.