Simparica isn't working for dog's sarcoptic mange. What else can I do?

Thanks for using PetCoacb! Simparica can be taken longterm. Usually a dog with sarcoptic mange is retested after 2 treatments and considered mite free after testing negative 2 months in a row though this protocol may vary depending on the veterinarian. Medications such as prednisone can be used to decrease the itch in the meantime. Good luck and have a great day!

Thanks for using Petco Pet Education Center, formerly Petcoach! Usually with antibiotics as most of the time there is a secondary infection present. If your veterinarian suspects a secondary infection, they could prescribe antibiotics. You can also use an e-collar to prevent self trauma. Good luck!

Simparica is a once a month flea and tick preventive medication and giving it daily will soon overdose your dog and possibly cause severe health problems and death. So please, give Simparica only as instructed on the label. A one time application will likely be enough to kill the mange. If not, ask your vet to prescribe Bravecto (one-time application) for your dog. You can give Omega 3 fatty acids daily.

While Simparica is licensed for flea and tick control it likely has a similar effect on mites (similar to Bravecto). Apoquel will not heal allergies, but it will relieve itching caused by allergies in many cases.

Prescription monthly Nexgard flea and tick preventative also kills mange and is approved for a 4 month old dog (monthly Simparica and Bravecto every 12 weeks also work off label to kill mange but are labeled for dogs 6 months and older). She can be just on monthly Nexgard without the ivermectin therapy but both are safe as well. I recommend inquiring with your vet about monthly Nexgard for Winter and seeing if she may have underlying allergies as well which can predispose dogs to getting mange. Prescription Apoquel pills or monthly Cytopoint allergy injections Injections are both very effective in treating itchiness from environmental allergies (typically characterized by paw licking, scratching, chronic anal gland issues, chronic ear infections). Good luck!

Hello. I am so sorry for your concerns with Harley. Unfortunately, you must have a terrible flea problem in your area. Everything you are doing is appropriate & good, but it can take 3 months of constant battle to eliminate a current flea problem. Continue the Simparica, & retreat your yard & home as needed. You can bathe Harley weekly with a an anti-itch shampoo, one that contains either 1% hydrocortisone or pramoxine. They also make leave on conditioners & mousse's you might try. Because Simparica ( & all other oral & topical flea products ) require the flea to bite in order to die, you can also use a flea shampoo along with the anti-itch shampoo for an immediate knockdown of the fleas on Harley. I would also consider a injection of Cytopoint, which is immunotherapy that your veterinarian can administer. This will do nothing for fleas, but may help the irritation from the flea bites. Hopefully, this will all help. Thanks for contacting Petco Pet Education Center, formerly Petcoach.

It probably is demodectic mange. I suggest you talk to your vet about putting him on Nexgard or Bravecto. Both are oral flea tablets that coincidentally also treat demodex. Easy to do and relatively inexpensive. They are prescription drugs though so you need to get them from your vet. So much easier than all the things you are doing and it works better. Hope this helps. Best wishes.