My Lhasa Apso has severe allergies. What diet can replace Apoquel?

Question

I have a Llapso Apso and she taking allergy pill apoquel and I really don't like the idea of giving her this pill. I really wanted to know what diet is best for her? I tried several expensive dried foods and wet foods. Can beef and chicken by itself and some with veggies but she itch and bite her paws until they would bleed. Limited ingredients some with gabanza beans some peas. I believe starch causes her to itch to. I've even cooked chicken and beef fed it by itself and with veggies. Pet's info: Dog | Lhasa Apso | Female | unspayed | 18 lbs

Dr. B. DVM, DACVIM (Oncology) · Accepted Answer

Allergies in dogs can be caused by food but also commonly to environmental allergens. So, a lot of dogs need multimodal treatment. A diet trial for food allergy means you either have to feed a hydrolyzed diet (like hills Z/D or purina HA as examples) or a novel diet (with protein and carb sources that are uncommon, like Royal canin venison/potato). A diet trial requires feeding only that diet for 2 months. No other food, treats, etc. You also need to watch for ingredients in meds, like beef in some heartworm prevention, etc. Chicken, beef, and lamb are very common food allergens. Keep in mind lack of response to a food trial either means that food has an allergen or food allergy is not the cause. I agree with you that all other measures should be tried before Apoquel, and if itching is her main issue you can talk to your vet about a Cytopoint injection to help this. Another option is to see a dermatologist. I hope this helps and thank you for using Petco Pet Education Center, formerly Petcoach!

My Lhasa Apso has severe allergies. What diet can replace Apoquel?

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