My dog has a severe rash & scabs despite Apoquel. Is it allergies?

If this is consistent all year round I would be more suspicious of food allergies vs environmental. I would put Millie on a prescription diet that has hydrolyzed protein. That way if it works after a full 3 months then it is food allergies. During this time she can receive no other food or treats. If she does te food will not work. If it is during the seasons then there are great new medications that can be used. There is a daily pill called apoquel or a monthly injection called cytopoint. I would discuss this with your veterinarian especially if she isn't resolving. Thank you for using Boop by Petco.

Thank you for submitting your question regarding Millie. I would start by placing an E-collar on her to prevent any further self trauma to her skin. Bathing her with a moisturizing shampoo and conditioner such as an oatmeal or fatty acid based formula can help to soothe the skin. She will need to see her veterinarian though for more longterm management of skin. There are prescription medications to control the itching and help keep her more comfortable. Apoquel and Cytopoint are two options to control the itching if it is due to allergies. I hope this information helps!

Thanks for using Boop by Petco! I'm sorry to hear Millie is having skin issues. Skin lesions like you are describing can be due to a variety of causes, including allergies, contact irritation, heat, an infection, or another underlying issue. While I do think a diet trial may be helpful, dogs typically are allergic or sensitive to proteins in food, not grains, so a switch in the protein basis of the diet (including all treats!) may be beneficial. I would recommend having it re-evaluated by a veterinarian, and further diagnostics (such as a cytology, which examines the skin under the microscope) done to determine what may be causing it, so a long-term plan can be made. Good luck!

It sounds like Milo is getting a skin infection secondary to his allergies, which is very common. Apoquel works very well for controlling itch but doesn't treat infections. He may need an antibiotic to treat the pimples and crusts in addition to the apoquel, or a medicated shampoo.

Thanks for using Boop by Petco! This is possibly due to allergies. It really comes down to figuring out what is causing her allergies so that they can be treated or the specific allergen avoided. A secondary infection is likely and also needs to be addressed. She does look improved after being on the antibiotic shampoo and this is because of being treated for the secondary infection. However, the allergies have to be addressed or else these infections will continue to recur. There are many things that can cause allergies though in most cases they can be broken down into 3 big categories: flea, food and environmental allergies. Allergies are usually worked up in a stepwise fashion starting with flea allergies as this is the easiest and cheapest to take care of. If not on a flea preventative, then it would be a good idea to get started on one. If already on one then it would be a good idea to change to something else (there are many new products out in the market). If not improved

It looks as if your dog has a skin infection, most commonly caused by an allergy, a skin mite (Demodex) or fleas. The allergy could be a due to a protein in your dog’s food or an environmental allergy like to dust, pollens, grasses, etc. The allergy causes your dog to itch and chew at the skin which breaks down the skin barrier. This then leads to infection. Skin infections are typically characterized by large areas of hair loss, redness, crusting, flaking, and pustules. A thorough skin examination by your veterinarian should be able to determine the cause of the itch so it can be treated appropriately. Your dog will most likely need antibiotics to help clear up the infection and possibly an allergy/anti-itch medication like Apoquel, Atopica, or Cytopoint to give some relief while the infection clears up. A medicated shampoo may be beneficial as well. I would also recommend he be on a good flea control routinely too. Once the infection has resolved a long term allergy medication

With a history of allergies that are currently being treated, what I am seeing in the photo is likely due to the allergies. Many times I will see skin rash formation with allergy cases. It is important to remember that apoquel does not treat allergies it alleviates the itching by blocking the itch receptors in the body. I would suggest adding an additional allergy treatments to alleviate symptoms like this. I would suggest using a shampoo such as Douxo PS calm shampoo and bathe twice weekly until resolved. I would also recommend starting welactin omega-3 fish oil and essential 6 Spot On By dermoscent. I would also recommend using a spray called malacetic conditioning spray and apply to the area until resolved.

Hi there and thank you for using pet coach to address your concern. Apoquel is a good drug to help with itching but it will not treat the cause of the itching. What you are seeing could be a skin infection. I would recommend a course of an oral antibiotic and the below recommended products that can be found online or at your local pet store. You will need to get the antibiotic prescribed through your veterinarian. I hope this helps! Please let me know if you have any other questions or concerns. 1. Welactin omega 3 fish oil 2. Essential 6 spot on by dermoscent 3. Douxo PS calm shampoo and bathe twice weekly until the infection is resolved 4. Malacetic conditioning spray and apply to the area until resolved

Thanks for using Boop by Petco! The main thing with allergies is that the allergic component needs to be addressed or medications like Apoquel are only going to help just to some extent. It really comes down to figuring out what is causing her allergies so that they can be treated or the specific allergen avoided. There are many things that can cause allergies though in most cases they can be broken down into 3 big categories: flea, food and environmental allergies. Allergies are usually worked up in a stepwise fashion starting with flea allergies as this is the easiest and cheapest to take care of. If not on a flea preventative, then it would be a good idea to get started on one. If already on one then it would be a good idea to change to something else (there are many new products out in the market). If not improved in 1-3 months then it is time to move on and check for food allergies by switching to a novel diet (new protein and new carbohydrate). If that does not seem to be

Thanks for using Boop by Petco! This is possibly due to allergies. A secondary infection is likely and also needs to be addressed. There are many things that can cause allergies though in most cases they can be broken down into 3 big categories: flea, food and environmental allergies. Allergies are usually worked up in a stepwise fashion starting with flea allergies as this is the easiest and cheapest to take care of. If not on a flea preventative, then it would be a good idea to get started on one. If already on one then it would be a good idea to change to something else (there are many new products out in the market). If not improved in 1-3 months then it is time to move on and check for food allergies by switching to a novel diet (new protein and new carbohydrate). If that does not seem to be the issue then you are left out having to check for environmental allergies which require blood and/or skin tests. Allergies can be very frustrating to deal with at first but so rewardi