Analyze Diet
Veterinary surgery : VS2026; doi: 10.1111/vsu.70168

Trazodone administration does not affect platelet concentration or function in horses.

Abstract: To determine the effect of a clinically relevant dose of trazodone on platelet count and function in healthy horses. Methods: Prospective, controlled, cross-over study. Methods: Ten healthy horses. Methods: Horses were administered either 7 mg/kg trazodone orally in corn syrup or an equal amount of corn syrup (control), every 12 h for 2 weeks. After 2 weeks, horses underwent at least a 2-week washout period before being administered the alternate treatment (trazodone or control). Blood was collected before the first treatment administration (day 0) and after 2 weeks of treatment for each phase of the study. Complete blood cell counts, platelet function assays, and plasma trazodone concentrations were assessed. Data were analyzed using repeated measures ANOVA with significance set at p < .05. Results: No differences in platelet count or tests of platelet function were observed at any time point after trazodone or control treatment. There were no adverse effects of trazodone administration appreciated on repeat physical examinations or daily ataxia scoring. Conclusions: No inhibitory effects of trazodone on platelet function in horses were detected. Conclusions: This study suggests administration of oral trazodone at 7 mg/kg prior to surgery is unlikely to impair platelet function in healthy horses.
Publication Date: 2026-10-25 PubMed ID: 42928479DOI: 10.1111/vsu.70168Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

Overview

  • This study investigated whether administering the drug trazodone at a clinically relevant dose affects platelet count or function in healthy horses.
  • The results showed that trazodone administration did not alter platelet concentration or impair platelet function, suggesting it is safe to use in terms of platelet activity in horses.

Study Purpose

  • To evaluate the effect of oral trazodone, given at 7 mg/kg, on platelet numbers and function in horses.
  • To determine if trazodone affects blood clotting properties, which is important for the safety of using this drug before surgery.

Methods

  • Study design: A prospective, controlled, cross-over study.
  • Subjects: Ten healthy horses participated in the study.
  • Treatment protocol:
    • Horses received oral trazodone at 7 mg/kg mixed in corn syrup every 12 hours for two weeks.
    • For control phases, horses received the same volume of corn syrup without drug.
    • After the first two-week treatment phase, horses had a washout period of at least two weeks before switching to the alternate treatment.
  • Blood sampling: Samples were taken before the first treatment (day 0) and after two weeks of treatment for each phase.
  • Evaluations performed:
    • Complete blood cell counts to assess platelet concentration.
    • Platelet function assays to assess how well platelets clump together and function.
    • Plasma levels of trazodone to confirm drug exposure.
  • Data analysis: Repeated measures ANOVA was used to compare results over time and between treatments, with significance set at p < 0.05.

Results

  • No significant changes in platelet count were found after administration of trazodone compared to control treatment.
  • Platelet function tests showed no inhibition or impairment related to trazodone use.
  • Physical examinations and ataxia (coordination) scoring daily showed no adverse effects from trazodone.

Conclusions

  • Trazodone administered orally at 7 mg/kg twice daily for two weeks does not affect platelet concentration or function in healthy horses.
  • This suggests trazodone is unlikely to increase bleeding risk due to platelet dysfunction if given prior to surgery.
  • These findings support the safe use of trazodone for behavioral or other clinical indications without concern for platelet-related complications in healthy equine patients.

Cite This Article

APA
Phillips NAI, Goggs R, Pinn-Woodcock TL, Colbath AC. (2026). Trazodone administration does not affect platelet concentration or function in horses. Vet Surg. https://doi.org/10.1111/vsu.70168

Publication

ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English

Researcher Affiliations

Phillips, Nicole A I
  • College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Goggs, Robert
  • College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Pinn-Woodcock, Toby L
  • College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Colbath, Aimee C
  • College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.

Grant Funding

  • American College of Veterinary Surgeons Foundation

References

This article includes 31 references
  1. Swanton WE, Johnson R, Zhao Q, Schroeder C. Oral trazodone results in quantifiable sedation but does not result in a xylazine‐sparing effect in healthy adult horses.. Am J Vet Res 2024;85(11):ajvr.24.07.0185.
    doi: 10.2460/ajvr.24.07.0185google scholar: lookup
  2. Shin JJ, Saadabadi A. Trazodone. StatPearls StatPearls Publishing; 2026.
  3. Knych HK, Mama KR, Steffey EP, Stanley SD, Kass PH. Pharmacokinetics and selected pharmacodynamics of trazodone following intravenous and oral administration to horses undergoing fitness training.. Am J Vet Res 2017;78(10):1182‐1192.
    doi: 10.2460/ajvr.78.10.1182google scholar: lookup
  4. Davis JL, Schirmer J, Medlin E. Pharmacokinetics, pharmacodynamics and clinical use of trazodone and its active metabolite m‐ chlorophenylpiperazine in the horse.. J Vet Pharmacol Ther 2018;41(3):393‐401.
    doi: 10.1111/jvp.12477google scholar: lookup
  5. Grech J, Chan MV, Ochin C. Serotonin‐affecting antidepressant use in relation to platelet reactivity.. Clin Pharma and Therapeutics 2022;111(4):909‐918.
    doi: 10.1002/cpt.2517google scholar: lookup
  6. Katasonov AB, Beliaev BS, Brusov OS, Zlobina GP, Faktor MI. Activity of platelet serotonin receptors of patients with endogenous depression before and after treatment with antidepressive agents.. Zh Nevropatol Psikhiatr Im S S Korsakova 1989;89(12):75‐78.
  7. Pollock BG, Laghrissi‐Thode F, Wagner WR. Evaluation of platelet activation in depressed patients with ischemic heart disease after paroxetine or nortriptyline treatment.. J Clin Psychopharmacol 2000;20(2):137‐140.
  8. Benjamin EJ, Nelson OL, Baumwart R, Haines J. Adverse effects of trazodone in dogs on primary hemostasis and electrocardiogram: a single‐blinded placebo‐controlled crossover study.. J Vet Intern Med 2023;37(6):2131‐2136.
    doi: 10.1111/jvim.16841google scholar: lookup
  9. Perry PJ, Garvey MJ, Dunner DL, Rush AJ, Kyhl J. A report of trazodone‐associated laboratory abnormalities.. Ther Drug Monit 1990;12(6):517‐519.
  10. Izzi B, Tirozzi A, Cerletti C. Beyond Haemostasis and thrombosis: platelets in depression and its Co‐morbidities.. Int J Mol Sci 2020;21(22):8817.
    doi: 10.3390/ijms21228817google scholar: lookup
  11. Hobbs K, Luethy D, Davis J. The effects of orally administered trazodone on ambulation and recumbency in healthy horses.. J Vet Intern Med 2023;37(5):1899‐1906.
    doi: 10.1111/jvim.16821google scholar: lookup
  12. Kazama T, Hector RC, Hess AM, Rezende ML. Cardiopulmonary effects of oral trazodone administration prior to isoflurane anesthesia in healthy horses.. Am J Vet Res 2025;86(6):ajvr.25.01.0029.
    doi: 10.2460/ajvr.25.01.0029google scholar: lookup
  13. Joseph EJ, Love L, Mayakis M, Varner K. Preanesthetic administration of trazodone does not impact anesthetic recovery scores in horses.. Animals (Basel) 2025;15(19):2907.
    doi: 10.3390/ani15192907google scholar: lookup
  14. Watts AE, Ness SL, Divers TJ. Effects of clopidogrel on horses with experimentally induced endotoxemia.. Am J Vet Res 2014;75(8):760‐769.
    doi: 10.2460/ajvr.75.8.760google scholar: lookup
  15. Brooks MB, Divers TJ, Watts AE. Effects of clopidogrel on the platelet activation response in horses.. Am J Vet Res 2013;74(9):1212‐1222.
    doi: 10.2460/ajvr.74.9.1212google scholar: lookup
  16. Stokol T, Serpa PBD, Zahid MN, Brooks MB. Unfractionated and low‐molecular‐weight heparin and the phosphodiesterase inhibitors, IBMX and cilostazol, block ex vivo equid herpesvirus type‐1‐induced platelet activation.. Front Vet Sci 2016;3:99.
    doi: 10.3389/fvets.2016.00099google scholar: lookup
  17. Stokol T, Serpa PBS, Brooks MB, Divers T, Ness S. Subcutaneous Administration of low‐Molecular‐Weight Heparin to horses inhibits ex vivo equine herpesvirus type 1‐induced platelet activation.. Front Vet Sci 2018;5:106.
    doi: 10.3389/fvets.2018.00106google scholar: lookup
  18. Nilsen OG, Dale O. Single dose pharmacokinetics of trazodone in healthy subjects.. Pharmacol Toxicol 1992;71(2):150‐153.
  19. Jay AR, Krotscheck U, Parsley E. Pharmacokinetics, bioavailability, and hemodynamic effects of trazodone after intravenous and oral administration of a single dose to dogs.. Am J Vet Res 2013;74(11):1450‐1456.
    doi: 10.2460/ajvr.74.11.1450google scholar: lookup
  20. Fagiolini A, González-Pinto A, Miskowiak KW, Morgado P, Young AH, Vieta E. Role of trazodone in treatment of major depressive disorder: an update.. Ann General Psychiatry 2023;22(1):32.
  21. Balsara JJ, Jadhav SA, Gaonkar RK, Gaikwad RV, Jadhav JH. Effects of the antidepressant trazodone, a 5‐HT2A/2C receptor antagonist, on dopamine‐dependent behaviors in rats.. Psychopharmacology 2005;179(3):597‐605.
    doi: 10.1007/s00213-004-2095-0google scholar: lookup
  22. Cook EH, Fletcher KE, Wainwright M, Marks N, Yan S, Leventhal BL. Primary structure of the human platelet serotonin 5‐HT2A receptor: identity with frontal cortex serotonin 5‐HT2A receptor.. J Neurochem 1994;63(2):465‐469.
  23. Kagaya A, Mikuni M, Yamamoto H, Muraoka S, Yamawaki S, Takahashi K. Heterologous supersensitization between serotonin2 and alpha 2‐adrenergic receptor‐mediated intracellular calcium mobilization in human platelets.. J Neural Transm Gen Sect 1992;88(1):25‐36.
    doi: 10.1007/bf01245034google scholar: lookup
  24. Gilbert-Gregory SE, Stull JW, Rice MR, Herron ME. Effects of trazodone on behavioral signs of stress in hospitalized dogs.. J Am Vet Med Assoc 2016;249(11):1281‐1291.
    doi: 10.2460/javma.249.11.1281google scholar: lookup
  25. Brogden RN, Heel RC, Speight TM, Avery GS. Trazodone: a review of its pharmacological properties and therapeutic use in depression and anxiety.. Drugs 1981;21(6):401‐429.
  26. Mercado CP, Kilic F. Molecular mechanisms of SERT in platelets: regulation of plasma serotonin levels.. Mol Interv 2010;10(4):231‐241.
    doi: 10.1124/mi.10.4.6google scholar: lookup
  27. Nakamura K, Kariyazono H, Moriyama Y. Effects of sarpogrelate hydrochloride on platelet aggregation, and its relation to the release of serotonin and P‐selectin.. Blood Coagul Fibrinolysis 1999;10(8):513‐520.
  28. Fujio M, Kuroita T, Sakai Y, Nakagawa H, Matsumoto Y. N‐[1‐(2‐phenylethyl)pyrrolidin‐3‐yl]‐1‐adamantanecarboxamides as novel 5‐HT2 receptor antagonists.. Bioorg Med Chem Lett 2000;10(21):2457‐2461.
  29. Marcinkowska M, Kubacka M, Zagorska A, Jaromin A, Fajkis-Zajaczkowska N, Kolaczkowski M. Exploring the antiplatelet activity of serotonin 5‐HT2A receptor antagonists bearing 6‐fluorobenzo[d]isoxazol‐3‐yl(propyl) motif– as potential therapeutic agents in the prevention of cardiovascular diseases.. Biomed Pharmacother 2022;145:112424.
  30. Miglio A, Falcinelli E, Cappelli K. Effect of regular training on platelet function in untrained thoroughbreds.. Animals (Basel) 2024;14(3):414.
    doi: 10.3390/ani14030414google scholar: lookup
  31. Colomer‐Selva R, Tvarijonavciute A, Franco‐Martínez L. Physiological factors affecting platelet‐rich plasma variability in human and veterinary medicine. Front Vet Sci 2025;12:1571373.

Citations

This article has been cited 0 times.