My dog on Atopica has pustules. Is it a side effect or allergies?

In most cases these skin infections, called bacterial pyoderma, are allergy-related. The antibiotics will help, but as you've experienced the skin problems will come back if the primary allergic disease isn't controlled. The hydroxyzine Becher took was an antihistamine, and that may have helped control the itchiness, however it sounds to me that he needs something a bit stronger to control the allergies and thus the skin infections. Talk to your vet about using Apoquel or Atopica on him; these are great drugs with minimal side effects that really help allergic dogs.

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 Petco Pet Education Center, formerly Petcoach! This is possibly due to allergies. It really comes down to figuring out what is causing his allergies so that they can be treated or the specific allergen avoided. A secondary infection is likely and also needs to be addressed. There are medications such as Apoquel or prednisone which may help with the itch. 

 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 rewarding at the end when we are able to treat them effectively!


This medication does not usually cause stomach bleeding but can cause vomiting. I would definitely let your vet now about the brown coloration, and if it happens again you can save the vomit and bring it to your vet for them to look at. If you're not already doing it, Keeping this medication in the freezer can help decrease stomach upset!

Hello. Atopica does not typically have a side effect of lethargy. Overdoses or adverse reactions can result in lethargy, so if she continues to be letthargic I would have her checked. Your vet may need to check her white blood cell levels or her liver values. I hope she feels better soon!

I am sorry to hear about your pup. One of our major rule-outs/possible causes in these cases is an allergy. We can have allergies to things in the environment like grass, pollen, dust (called atopy) or food allergies. We can also have flea bite hypersensitivity where just one or two flea bites can make a dog break out all over and itch. Often a secondary skin infection with bacteria or yeast develops in these cases, which require antibiotic therapy. There are some lower cost antibiotics available ahttp://m.humanesociety.org/animals/resources/tips/trouble_affording_veterinary_care.htmls generic drugs at many grocery stores, so if you let your vet know your financial limitations, they can try to find the most cost effective options. Sometimes once the secondary infection is under control the itching may be managed with a lower cost drug like an antihistamine such as hydroxyzine, benadryl, or zyrtec, along with a fatty acid supplement. Being on an effective flea preventative is also crucial in these cases. You can read more about allergies at https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4952662 . I would look around to see if there are any low cost clinics in your area. Sometimes the human society or APL or ASPCA will have these. Some vet clinics will also take payment plans or work with companies like Care Credit to offer payment plans. You can read more about ideas to help pay for vet care at http://m.humanesociety.org/animals/resources/tips/trouble_affording_veterinary_care.html

Atopica works most effectively when given on an empty stomach. That said, I have recommended to some patients to initially give it with food until some of the GI upset has resolved, knowing that the medication will not be as effective. Once the GI signs resolve, we then give it on an empty stomach. You should speak with your vet before trying this approach. I hope Lily is able to tolerate her Atopica and feel better soon!