Thanks again E'Lise! I forwarded your reply to the vet. We'll be implementing your suggestions ASAP. Peace and harmony prevail :) Marta

Thank you E'Lise, The two are part of a multicat household (8 adult to geriatric cats) . Environmental enhancements, behavioral program and manipulations, and Feliway are in place. The Pheromone therapy was instated a few days ago with limited improvement. There is no realistic way to do separation and reintroduction, without further increasing stress and wellbeing in the complex multi-cat home equilibrium... Being that the current dosage of Paroxetine seems to me on the low end (maybe insufficient) recomendation scale and given these two cats are quite corpulent :) I thought they may be underdosed. Reading your uptake on BID dosing I further thought they may benefit from a BID schedule. I will consult with the DMV treating them of course, but since he's not very profficient in behavioral therapies I wanted to present him with your oppinion. Thanks again, Marta Esterkin Feline behavior and environment consultant Israel.  

We currently have two cats - each weighing more than 6 kg. - that have been on a single daily dose of 5 mg. Paroxetine per cat for about a year, with unsatisfactory results. There is still a high level of intercat aggression that has actually increased over the past two months. Would you recomend increasing the dosage? going to a BID schedule and if so at what dosage? Thanks!