My dog has severe itching despite many treatments. What's next?

Question

Seeking options for dog will severe itching. He chews his paws and tail and scratched his belly. He has a Serestro collar and no fleas have been seen, nor ticks. I've tried the following - Prednisone, Apoquel, Citopoint injection. He's been allergy tested for grass, weeds and fungus. I've bathed him with oatmeal shampoo, T-Gel and used a solution of isopropyl alcohol, boric acid and gentian violet. He was on a month supply of antibiotics as well. His hot spots have improved with the gent viol. Pet's info: Dog | English Shepherd | Male | neutered | 2 years and 11 months old | 88 lbs

Angel Alvarado, LVT · Accepted Answer

If he scratches and is itchy year round, it could be a food allergy or an indoor allergen. Discuss desensitization injections (allergy shots), hydrolyzed diets, antihistamine use and food elimination trials with your veterinarian. https://www.petcoach.co/article/food-trials-for-allergies-in-pets-what-to-expect https://www.petcoach.co/article/what-is-a-novel-protein-pet-food/ https://www.petcoach.co/dog/condition/food-allergies/

My dog has severe itching despite many treatments. What's next?

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