Why does my dog still have skin bumps and itch after vet treatment?

Question

My almost 1.5 year lab mix has seemed to always have some type of skin issue for the past year or so. little pus/ red bumps on her belly & licks belly often. She has been biting & licking her back right paw. I took her to the vet about 3wks ago & said she may have had fleas-noticed some flea poop in her fur-was on a natural spray & not a medicated flea and tick treatment-now on bravecto-Gave her apoquel, antibiotic & powder. Only give apoquel every few days when licking more often. Cause/help??? Pet's info: Dog | Mixed Breed Large (61lb +) | Female | spayed | 1 year and 4 months old | 75 lbs

Jenna Beyer, DVM, MBA, cVMA · Accepted Answer

There are a few causes for the bumps you are seeing. Fleas are still a possibility. Bravecto is an excellent preventative, but it can still take 3 months for all of the fleas in Elli Mae's environment to die. She could still have a bacterial infection. Sometimes these infections need a second antibiotic or a longer round to effectively treat. I have occasionally used antibiotics for 3-4 weeks to get infection under control. Unfortunately, apoquel does not work very well on an as-needed basis. It works much better when given regularly. It is typically prescribed for twice daily use and tapering to once daily use. It is safe for long-term use. You can also try a medicated shampoo as a treatment, like Dechra DermaBenSs Shampoo which will help to flush the follicles. If the problem continues for another week, I would recommend a re-check with your vet.

Why does my dog still have skin bumps and itch after vet treatment?

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