My dog scratches and bleeds from allergies. What treatments are left?

Question

Kiley has had “allergies” since she was 2. We have tried EVERYTHING, she still scratches her face/chest/neck & chews her paws until it bleeds every single day. We have done natural items like apple cidar vinager, black tea baths several different shamppos oatmeal, etc lavendar. we have done creams benadryl, mange spray, resq. We have done allergy testing given her the shots for a full years course. Cytopoint, zyrtec, apoquel, chorohexidine wipes. Food and detergent changes. Any recomendations?? Pet's info: Dog | Mixed Breed | Female | spayed | 5 years old | 51 lbs

Megan, DVM, CVA · Accepted Answer

Poor girl! Allergies are so frustrating but can be rewarding if you can find what works best for her. I would strongly talk to your vet about long term steroids and anti-fungals. Steroids long term are not ideal for her liver and kidneys but if it is the only thing that will keep her comfortable then it may be the only choice. If you don't want to do that, you can also try apoquel and cytopoint together. I have success with this combo as well and have been told by a dermatologist that it is safe to do together. From the picture, it looks like she is covered in yeast and needs some anti-fungal medicine as well. I personally like terbinafine and recently had a dermatologist tell me it is okay to use long term. I have 2-3 dogs currently on it long term and it has helped a lot. Talk to your vet about proper dosing for Kiley. I usually do it daily for 1-2 months then decrease the dose to every Monday and Tuesday long term. I would also be bathing her with a medicated shampoo like miconahex-triz 2-3 times per week. If you don't already, put her on some omega-3 fatty acids. Also, I know you mentioned some food changes but if you haven't tried a food trial with a PRESCRIPTION hypoallergenic food, I would also talk to your vet about this as well. Once you get the itching and yeast under control, you may be able to switch her to from the steroid to apoquel or cytopoint and they may work better. I hope this helps!

My dog scratches and bleeds from allergies. What treatments are left?

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