MCS Home
Acetaminophen (Tylenol)Toxicity
Advances in Pain Control
Arterial Thromboembolism
Asthma
Blood Substitutes
Cancer
Care of Orphan Kittens
Cat Bite Abcesses
Catnip
Catnip, the Mysterious Herb
Chronic Renal Failure
Cloning–Should We or Shouldn’t We?
Congnitive Dysfunction Syndrome
Critical Nutritional Support
Cryptospordiosis
Dental Disease
Diabetes
Diabetes, Obesity, and Diet
Erythropoietin
Feline Infectious Peritonitis
Feline Leukemia Virus
First Aid
First Aid for Kittens
FIV–Feline Immunodeficiency Virus 
FIV-Vaccination Concerns and Questions
Fleas and Ticks
Foul-Smelling Felines
Gene Therapy
Genetic Disorders in Cats
Geriatric Health Care for Cats
Giardia
Hair Loss In Cats
Heartworm Disease in Cats
Helping Your Veterinarian
High Blood Pressure
Hot Weather Tips
Hypertrophic Cardiomyopathy
Inflammatory Bowel Disease
Keeping Your Kitten Healthy
Laser Surgery
Make the Diagnosis
Mammary Hyperplasia
Mammary Tumors in Cats
Mega colon
New Test for Renal Disease
Pain Management Using Metacam
Pancreatitis in the Cat
Pet Ownership for Immunocompromised People
PICA-When Cats Eat Weird Things
Polycystic Kidney Disease
Polydactylism (Extra Toes)
Portosystemic Shunts
Pregnancy Prevention
Ringworm
Seizures
Separation Anxiety In Cats
Severe Gingivitis/Stomatitis
Skin Disorders In Cats
Spaying and Neutering
Summer Parasite Control
The Difficulties in Diagnosing FIP
Therapy for Urine Spraying
Toilet Training your Cat
Tooth or Consequences
Top Ten Kitten Health Concerns
Toxicity of Over-the-Counter Drugs
Toxoplasmosis
Transdermal Medications
Transient Diabetes (Catnip)
Trimming Cat Nails
Urinary Tract Disease (FLUTD)
Urine Bile Acids - a New Test for Liver Dysfunction
Urine Spraying/Marking
Vaccinating Your Cat
Viral Upper Respiratory Infections
When Cats Drool
Your Cat's Eyes
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


 

Therapy For Urine Spraying

 


 

by Arnold Plotnick MS, DVM, ACVIM, ABVP

As a veterinarian specializing in cats, I am often asked to evaluate cats for problems that may have a behavioral basis.  Despite the fact that cats are known for their fastidiousness, problem urination is, by far, the most common behavioral problem for which I am consulted.  Problem urination can be divided into two main categories:  inappropriate urination (a change in litter box behavior, such that cats eliminate in inappropriate areas of the house), and urine spraying, in which cats use urine as a way to mark or delineate their territory.  Urine spraying is a normal behavior (at least for sexually intact males) that may be related to repelling other males, or gaining access to breeding females.  Cats diagnosed with inappropriate elimination typically do not use their litter box for urination, while cats displaying urine spraying or marking behavior still use their litter box for urination.  Urine spraying is a particularly frustrating problem for cat owners, as these cats often spray urine on walls, windows, furniture, appliances, beds, and clothing. 

Both environmental and pharmacologic approaches to the treatment of urine spraying have been employed in an effort to resolve this problem and restore harmony to the household.  Recently, advances have been made on both fronts (environmental and pharmacologic), allowing for greater success in treating this problem.

Much information on the causes of urine marking in cats was revealed in a study published in the December 15th, 2001 issue of the American Veterinary Medical Association journal.  Researchers from the Behavior Service at the University of California’s Veterinary Medical Teaching Hospital studied 47 cats with urine spraying behavior.  Not surprisingly, male cats outnumbered females significantly; 40 cats in the study were male (85%); only 7 were female.  Because urine marking is under hormonal control, only spayed females and neutered males were considered for the study, to eliminate hormonal influences as a causative factor for the problem behavior.  Owners of the cats were asked what they believed was the cause of their cats’ urine marking.  The 3 most common causes listed were: interactions with other cats outside the home (49%); interactions with other cats inside the home (28%); and restricted access to the outdoors (26%).  Other factors that were cited were relocation to a new home (9%), introduction of a new inanimate object to the home (6%), change in the owner’s daily schedule (6%), and a change in pattern of interaction between the owner and the cat (6%).  Approximately 21% of owners had no idea why their cat had started spraying.  Of the 47 cats in the study, 42 of them were from multi-cat households (89%). 

The main part of the study was an evaluation of behavioral/environmental management methods in the treatment of the condition.  Environmental management procedures used in the study consisted of providing enough litter boxes, scooping urine and feces from the litter box every single day, changing the entire litter weekly, and cleaning all urine marks with an enzymatic cleaner.  Environmental management was partially effective in resolving the problem of urine spraying.  For cats who marked their territory greater than 6 times a week, the number of urine marks that occurred during the environmental management phase was reduced from about 12.9 marks/wk to 10.7 marks/wk.  Female cats, however, responded much better than males to environmental management.  If you define a response as that being a 50% or more reduction in the number of spraying incidents per week, 71% of the females that marked more than 6 times a week responded, compared to only 36% of the heavily spraying males.  Although this study does suggest that attention to environmental and litter box hygiene can reduce marking frequency in cats, the results are far from satisfactory for most cat owners.  Clear, better environmental management techniques are needed.

When cats rub their chin and face on doorways, corners of furniture, and on your leg, they aren’t just being friendly.  This endearing behavior is an instinctive behavior that leaves behind a pheromone produced by glands located in the chin and lips.  Pheromones are substances that act as a form of chemical communication.  Pheromones mostly serve to attract a mate and give information about reproductive status, but they also are used to mark boundaries and territories.  Animal behaviorists have noted that when cats spray urine to mark their territory, they rarely mark the areas where they have been rubbing their chins.  Cats apply this facial pheromone to things they consider their own, and they have no urge to spray the areas that they’ve already marked with their chin and face.

A few years ago, a chemical copy of the feline facial pheromone became available as a synthetic spray.  The spray, Feliway, has been shown to be effective in reducing behavioral urine marking.  A recent study (reported in the journal Veterinary Medicine, February 2000) involving 57 households with urine-spraying cats showed that Feliway spray, used twice a day on the urine-marked areas for a one-month period was effective in reducing urine spraying in 57% of the households.  Only 9.3% of the households reported no beneficial effect.  In one-third of the households, urine spraying was completely resolved.  The number of urine marks per household was significantly decreased for each week of Feliway use, beginning with week 1, and continued throughout the four-week study.  The decrease in spraying occurred irrespective of age, number of cats in the household, duration of the problem, and gender of the cat.  The development of this facial pheromone, and its use in conjunction with established environmental control procedures, gives veterinarians and cat owners a powerful new tool to help control this frustrating problem.

Behavioral/environmental management is our first choice in treating urine spraying.  If this methodology fails, however, all hope is not lost.  Pharmacologic approaches to treatment are commonly employed when dealing with particularly tough behavior problems.  The drugs explored so far have not been very good at resolving the problem in all cats.  Drugs such as diazepam (Valium) and buspirone (Buspar) are effective in markedly reducing urine spraying in 55 to 75% of cats treated.  When the drugs are withdrawn, however, almost all cats receiving diazepam, and 50% of those receiving buspirone, resume urine marking. A recent report in the Journal of the American Veterinary Medical Association has shown that fluoxetine (Prozac) is very effective at reducing urine spraying in cats, and cats are less likely to relapse once the drug is discontinued. 

The study involved 20 neutered male cats with objectionable urine spraying behavior.  Owners recorded the number of urine spraying events before the start of the study.  Half of the cats received fluoxetine, and half received a fish-flavored placebo liquid.  Seventeen cats finished the 8-week long study, of which 9 received fluoxetine and 8 received placebo.  Cats receiving fluoxetine were monitored for the return of urine spraying behavior for four weeks after the drug was discontinued.  The average weekly spraying rate of cats receiving the fluoxetine (8.6 sprays/week) decreased significantly by week 2 (1.7 sprays/week) and continued to decrease over the 8-week period (0.4 sprays/week).  There was a great deal of variability with regard to the return of urine marking after drug withdrawal.  Some cats never sprayed again.  Others resumed spraying once the drug was removed.  A pattern was detected, however:  the cats that sprayed the most at the start of the study were the most likely to relapse four weeks after drug withdrawal.  Cats with a milder urine-spraying problem were less likely to relapse after the 8-week study.  More recent reports (2005) have shown that the tricyclic antidepressant clomipramine to be equally as effective as fluoxetine in controlling urine marking in cats.

It is a sad fact that some cats are euthanized or surrendered to animal shelters because of intractable urine spraying behavior.  The development of the synthetic feline facial pheromone and the recent discovery that fluoxetine (Prozac) and clomipramine (Clomicalm) are safe and effective in curbing urine spraying behavior allows veterinarians to devise better protocols for resolving this frustrating problem.

         

Updated 2/9/06