Older pets can develop Cognitive Dysfunction Syndrome (CDS), which, as mentioned above, is similar to dementia in humans. Confusion, anxiety, and nighttime restlessness can lead to uncharacteristic aggression. This is typically seen in pets above the age of 11-12 years old, and the most common signs include pacing at night, forgetting familiar routines (for example, they may start toileting in inappropriate places), staring at walls and getting "lost" in familiar places.
If you're looking to support your pet’s brain function, you could consider these options
Supplement for supporting brain function in older dogs – This supplement is designed to promote cognitive health in aging dogs.
Supplement for supporting brain function in older cats – Help your feline friend maintain their cognitive function with this specially formulated supplement.
These products are widely recommended by us veterinarians to help manage the symptoms of CDS in pets. Important: when considering or using supplements for Cognitive Dysfunction Syndrome, it's very important to have realistic expectations. These products can support brain function and help alleviate some symptoms of cognitive decline but, by all means, they are not a cure-all. The effectiveness of supplements may vary from pet to pet, and results are generally seen gradually over time.
7. Medication Side Effects: Could the Treatment Be the Problem?
Finally, it is important to note that some prescription medications can cause behavioral changes, including aggression.
Medications That May Trigger Aggression:

Steroids (e.g., prednisone, dexamethasone)

Propalin:
this is a medication commonly used to treat urinary incontinence in dogs. It is highly safe and effective, but in some cases, it can trigger irritability, restlessness and even aggression (this is, however, rare. During the course of my career, I had to stop this medication in two animals because of Propalin-induced aggression.
Anti-seizure medication: anti-seizure medications are extremely important in helping control seizure in epileptic pets, but in some cases they can caused increased anxiety or irritability, and even aggression in some pets.
Certain Painkillers or sedatives can cause confusion and consequent aggression.

What to do: if you notice aggression after starting a new medication, talk to your vet about alternative options.
What Should You Do If Your Pet Becomes Aggressive?
It can be frightening to see your beloved and docile pet suddenly showing signs of aggression, but please try not to panic (I am aware this is easier said than done) and, most importantly, avoid punishment (It can escalate aggression. Use positive reinforcement instead.)
First of all, it is important to rule out any medical causes, as discussed above. Schedule a vet check-up for a full health evaluation.
If the vet examination doesn't find any obvious medical problem, try to observe for any triggers. Try to note when and where the aggression occurs (does it always occur when you touch them while they eat? this means they don't want to be touched while they eat?). If the trigger is simply identified and you can easily avoid it, the job is easily done.
However, unfortunately, in many cases, the situation is not so easy to fix. Please, in such cases, before someone gets seriously hurt, consider professional help . A veterinary behaviorist or trainer can help with behavioral modification.
When to See a Vet Immediately
There are cases where "waiting out" is just wrong, and the only thing you can do is to contact your local vet for an immediate appointment. These include cases where:
• The aggression appears suddenly with no clear trigger.
• Your pet shows neurological signs (seizures, confusion, staring at the empty space).
• The aggression is particularly severe or clearly worsening.
Final Thoughts: Sudden Aggression Is a Symptom, Not a Personality Change
As a vet, I always tell my clients that sudden aggression isn’t about “bad behavior”, it’s a sign that something is wrong.
Whether it’s pain, neurological disease, or fear, the key is to identify the root cause and address it early.