My dog is very itchy after allergy immunotherapy. Is this normal?

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/

Hello, and thanks for your question about Mya. Allergies are very common in dogs, and they can be frustrating to control! I recommend asking your vet about Cytopoint, which is a monthly injection, and Apoquel, which is a daily pill. These are very effective non-steroid allergy medications that can either be given individually or (in more severe cases) together. For young dogs like Mya, I usually prefer the cytopoint injections, and then add Apoquel if necessary. If the a strict feeding trial with the Royal Canin Ultramino diet didn't help, then her allergies are less likely to be related to food, and are more likely environmental. Of course, also make sure she's kept current on a high quality flea/tick preventative, to make sure an external parasite can't be complicating things! And if a skin scrape has never been done, that may be advised as well - I've had skin mites get misdiagnosed as allergies before! If it comes to it, I've certainly had patients who did best on steroids - and that can be done pretty safely if you're weaning to the lowest effective every-other-day dose. Hopefully this helps! Of course, I'd defer on all points to a vet who has seen Mya in person!

I'm so sorry that you are dealing with this with Sarge. Allergies can be just miserable for everyone involved. Allergy hyposensitization injection can take up to 12 months to work, but it is less likely that you will see a significant improvement if you haven't seen anything after 6 months. I am including more information on allergy injections below. https://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=2430 Apoquel is certainly expensive, but steroids are not, so you may consider steroids temporarily. You may also ask your veterinarian about a Cytopoint injection which will be more expensive than steroids, but might be a better option. https://www.zoetisus.com/products/dogs/cytopoint/ Unfortunately, allergies are going to be a lifelong problem for Sarge if you are dealng with environmental allergies, so it might be worth the time and money to consult with a veterinary dermatologist to find the best long term solution for Sarge. Hopefully you can find a dermatologist near you here. https://www.acvd.org/tools/locator/locator.asp?ids=16_Find_Dermatologist Good luck! I hope that was helpful. Thanks for using PetCoach.

I would try a prescription hypoallergenic diet. Your vet will be able to recommend the one they think will work best for her like science diet Z/D or purina HA. This will be your best shot to rule out any food allergies. I recommend to do a minimum of a 12 week food trial with NOTHING else except for the Z/D. Even her heartworm prevention, if you give it, needs to be hypoallergenic. Unfortunately, most of the oral ones have chicken or beef flavoring in them. For treats, you can take the canned version of whatever food you choose and put a small amount into an ice cube tray and freeze them. Then popped them out and put them in a bag in the freezer for treats. I would also consider putting her on both apoquel and cytopoint at the same time to help control itching. I would also talk to your vet about whether or not they think there is any yeast on her. Yeast can be very itching. There is a anti-fungal that can be given long term and be safe. It is called terbinafine. I had a dermatologist to give it once a day for 4 weeks then every Monday and Tuesday long term to keep the yeast under control in my really allergic patients. Your vet will be able to determine the best dose and whether or not she even needs this. Finally, if this doesn't help, I would strongly recommend to find a veterinary dermatologist in your area to see if they can do different types of treatment. Most dermatologists can do skin allergy testing and get her started on allergy injections if needed. I hope this helps!

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!

I'm sorry that Hatty is so uncomfortable with the itching. I am glad to hear that you have consulted with a dermatologist. Allergies and skin problems secondary to the allergies can be very frustrating to treat. Unfortunately, as I am sure you are aware, allergies are something that need to be managed long-term. I'm wondering if the dermatologist talked to you about either Apoquel or Cytopoint. They are fairly new to the market, but I have had a lot of success treating dogs with allergies using these medications. Apoquel is a pill and Cytopoint is an injection. I would recommend talking to the dermatologist or your regular veterinarian to see about trying one or both of these. They can be used together if the dog is very itchy. Bathing with a hypoallergenic or a medicated shampoo can also help dogs with topical allergies. I hope this helps and that Hatty gets some relief soon.

Fighting secondary skin infections and allergies is tough. Drugs like prednisone and Apoquel are used to control inflammation. In some cases, we add a drug in an effort to taper prednisone if long term immunosuppression is needed. Ideally, long term immunosuppressives should be avoided but in some cases are needed. You should consider discussing referral to a veterinary dermatologist for intradermal skin testing.