My cat has skin allergies. Should I use Prednisolone or Dexamethasone?

Question

hi there, my cat probably suffers from atopic dermatitis, we want to start cortisone treatment. how much dose and how much time should we give from which medicine? i know you will tell us to take our cat to a veterinarian, but the veterinarian in the country I live in is extremely overly expensive so we can not take it. According to research, prednisolone and dexamethasone substances are indicated in this disease but which is more appropriate to use? (my cat is female and 5kg, 2 years old). Pet's info: Cat | Mixed Breed | Female | unspayed | 2 years and 4 months old | 11 lbs

Jenny, DVM · Accepted Answer

Steroids can be indicating is allergic dermatitis but have extreme side effects when used at high doses or long term. I would not recommend this as a long term course. Any steroid over time leads to a resistance where it just won't work anymore and can lead to liver problems and diabetes in cats. Prednisolone is better tolerated and seems to work better in generally in cats compared to dexamethasone. There is a medicine called Atopica or Apoquel that is made for allergic skin disease and does what the steroids do just without the side effects and resistance, so you may be better trying one of those instead. All are prescription medicines so you will have to call your vet to see if they can fill this since they already have a medical report on her. I would stay on the hypoallergenic diet as this can take 2-3 months for max affect and treats count as far as food allergy go, so make sure those are hypoallergenic or don't give any. I would consider a treatment for mange and fleas also. It is not common in cats but causes them to be itchy and it is hard to prove and super easy to just treat to be safe.

My cat has skin allergies. Should I use Prednisolone or Dexamethasone?

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