My Cockapoo has severe allergies, Apoquel isn't helping. What's next?

Hi, thanks for using PetCoach! Poor Dove! Apoquel will stop working or not work well if the dog has a skin infection. It only helps control itching. If the apoquel was working and now it isn't that could be the cause. Yeast or bacterial skin infections are possible which can easily be determined with cytology (looking under the microscope). Apoquel is only labeled to be given twice daily for 2 weeks then decreased to once daily due to the risk of suppressing the immune system. I would have Dove rechecked by your Vet. I always recommend for my bad allergy patients to start an Omega 3 supplement and also use an antihistamine. Sometimes bathing in medicated shampoos can help as well (bathe twice weekly and leave the lather on for 10 mins before rinsing). I wish Dove the very best! https://www.petcoach.co/canigive/dog/zyrtec/ https://www.vrshealth.com/canine-products/omegadog/ https://www.drsfostersmith.com/product/prod_display.cfm?pcatid=27307

Hello. While Apoquel has been an absolutely wonderful addition to our ability to help allergic dogs, it is not 100% effective all the time & in every pet. I have had to add medications to the really tough cases, including using the injectable Cytopoint, adding antihistamines, or even very low doses of glucocorticoids. Talk to your vet to see what might be the next step for helping Zelda. You might also consider seeing a veterinary dermatologist to see what exactly she might be allergic to & if a desensitization protocol would be helpful. Good luck & thanks for using Petco Pet Education Center, formerly Petcoach.

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.

I would recommend getting some blood work on Precious and see if there is something system causing this like hypothyroidism or cushings disease. If everything is normal then I would recommend try Apoquel, which is a daily medication for allergies or Cytopoint which is a monthly injection for allergies. I would call your veterinarian to discuss these options with them. Thank you for using Petco Pet Education Center, formerly Petcoach.

Hi, thanks for using PetCoach! While apoquel is a great drug to stop scratching and to help atopic dermatitis it doesn't do anything in the face of a skin infection. Coco should be checked to see if she now has a yeast and or bacterial skin infection. There is also the option of doing an injection for scratching called cytopoint, which lasts 30-60 days (dog dependent). I would also consider adding Omega 3 fish oils and changing her diet to a non-chicken based novel protein diet (try venison, lamb, fish). Claritin, benadryl and zyrtec can be sued in dogs, see links below: https://www.petcoach.co/canigive/dog/benadryl/ https://www.petcoach.co/canigive/dog/zyrtec/ https://www.petcoach.co/canigive/dog/claritin/ https://www.vrshealth.com/canine-products/omegadog/ https://www.drsfostersmith.com/product/prod_display.cfm?pcatid=15235

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 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!