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Allergy treatment recommendations

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96 views 6 replies 6 participants last post by  techinstructor  
#1 ·
Poor Natty has struggled with allergies all his life. He was on Hydroxyzine from the time he was about 5 months old until early August of this year. Even when on the Hydroxyzine, he still had periodic flare-ups of skin sores and yeast on his belly or foot pads. I managed this with Keto-C shampoo washes as needed. He has also been on Apoquel for the past year and the skin issues have been greatly reduced. In August, when I inadvertently ran out of Hydoxyzine, I kept him off of it to see how he fared. The result was a huge change in his personality. He's far more alert and playful. He acts like a normal 7 year old dog. I don't want to put him back on this medication.

The problem is that he is still struggling with histamine responses. He had a bout of vomiting from gastric reflux a month or so ago. The vet suspected that stopping the Hydroxyzine was the cause (He was already on a Select Protein Rx kibble and taking Omeprazole.) She suggested trying Chlorpheniramine in lieu of the Hydroxyzine. The reflux issues seem to be under control but another issue has flared. He is losing hair around his eyes (maybe a little around his muzzle too) and constantly wants to rub his face on something. He's had this happen periodically before, and it usually clears up on its own. This time it seems worse and I noticed this morning that he's rubbed a place raw above his right eye. I am aware that this could be a flare-up of demodex mites. I think it is directly related to allergies and his immune response. Ironically his yeast issues on his belly and feet seems to be gone for now.

He's never been "allergy" tested; there are no specialist nearby and this is expensive. Also I strongly suspect environmental allergies and these are things that are not easily avoided, so this route didn't seem to be especially useful to me.

I'm looking for suggestions as to how others have treated dog allergies. If his eyes continue to get worse, I'll most likely make another vet appointment, though it'll probably take a week to get one of the vets I want. Meanwhile if you know of anything that would help his poor skin, please let me know.

This was from 2 days ago.
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#2 ·
I’m dealing with some allergies now too. Treating with shots is expensive but someone told me a simple blood test is much less, so I may ask my vet to run one. I will never use the dermatologist again. She was awful and I hated going there. Once I know what is causing symptoms, I might be able to avoid the worst triggers. I never tested my last allergic dog and regretted the discomfort I may have be able to alleviate. We did one Cytopoint shot which stopped all the scratching but not the eye thing going on. It’s also even more expensive than it was and may not be that safe.
 
#3 ·
Agis has environmental allergies we did meds and then one of whatever that shot is - didn't last long (not even a month) and was crazy expensive for the return on investment. As a wild shot I got some locally produced bee pollen (could use locally produced honey too) and add a pinch to each meal. Never had a hot spot since and he doesn't take any other medication or anything.
 
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#6 ·
I have a dog with allergies currently. My choice was not to use Apoquel or Cytopoint based on the research I did.

My regular vet drew blood and sent it out for Heska allergy testing. Based those results a custom immunotherapy is formulated. They do offer both a daily oral treatment or an injectable serum. When this didn't provide the relief I was hoping for I requested a referral to a dermatologist.

Derm did additional testing and created a different allergy serum that is working better. In addition to shots every 10 days, Sabre takes generic Zyrtec daily.

One of Sabre's big issues is with food storage mites. Switching her to a raw diet helped tremendously.

When she has a bad flair we've also used Temeril-P (combo antihistamine/low dose prednisone) and an antibiotic. We used this initially while derm was formulating the allergy serum and once since. We've been seeing derm for about 3 or 4 years.

She's already on an omega 3 supplement for her joints. I have multiple topical treatments to use as well. If you're interested in more detailed info on the topicals let me know & I'll send it to you.

Allergies are miserable. I hope you find a treatment plan that helps Natty.
 
#7 ·
I called the vet and asked about treating for Demodex (with Ivermectin). She didn't think Demodex was the problem since it mostly affects young dogs, so I have to make an appointment. As I expected, it will be two weeks before I can see my vet unless I want to see a different one. Since this is a long term problem, I decided to wait the two weeks. Meanwhile, I decided to give him Loratadine 10mg in the middle of the day, since he gets the Chlorpheniramine morning and night. I actually found ONE study (on humans) where this combination had increase efficacy for allergy symptoms. I could always give him Hydroxyzine if things get worse. I also put some Mometamax (steroid, anti-fungal, antibiotic) otic ointment on his raw place, being very careful not to get it in his eye. I think this helped a little.

Thanks for sharing Sabre's Mom. Yes, allergies are miserable and so many of the drugs that can effectively treat them have negative side effects. I avoided Apoquel for a long time, but it really has reduced his skin issues, so I think in the long run that it is good. I am also reluctant to try Cytopoint. Prednisone is probably the most wonderful/horrible drug on the planet. It's amazing what it can do and also amazing the side effects it can have. Treating allergies is a complex problem; it is hard to find the right balance.