I went to a talk last night given by a Dermatologist, a specialist in treating skin and ear issues in dogs and cats. I was happy to hear the new information about Atopica, a drug used to control signs of allergies, itching and inflamed ears.
Since I have been also using nutrition to treat many cases, I was hoping to hear about elimination diets and other ways to treat our itchy friends. Turns out the vet giving the talk had been hired by the company making the drug we talked about most of the night. This is really common in veterinary education. The emphasis may be dictated by the sponsor.
However, the specialist gave a good talk with good info. His perspective was that steroids commonly used for itchy dogs and cats will ultimately shorten their life. He lectured that we should use Atopica and other “less harmful” drugs to control the itch and fight infections .
In my practice, I use prednisone, cortisone spray, or cortisone injections on a temporary “as needed” basis for really itchy times.Nothing relieves really itchy dogs like cortisone. However in the last ten years I first try to use healthy oils, whole healthy human food, hypoallergenic commercial food, or even home cooked dog food combined with medication to relieve those dogs with bad skin or ear problems. When I make sure dogs are fed the right kinds of things, they often need less medication or none at all!.
If a dog does need medication, I often combine cortisone with antibiotics or other medications to control itch and infection. If a dog does not get better with a 2-4 weeks of cortisone, antibiotics, and a better diet, I consider allergy testing for pollens and molds. At that time, I also consider using Atopica. However, after adding oils and feeding a better diet, not too many dogs need constant medication or Atopica. But if a dog needs it, it’s good to have on the shelf.
How do you know what your dog is allergic too? If a dog chews its butt or anal area, then the problem is usually fleas or food allergy. If they constantly chew or lick on their feet, then hay fever is suspected.Ear problems can be a sign of food allergies or hay fever. So if you treat an itchy butt dog with flea control and the itching subsides, then food allergy might be the cause. An elimination diet testing for food allergy may relieve itching for both the ears and butt. That may mean food allergy is the cause.
Dog Dish Diet on this website comes with a how-to elimination diet download. You can crock pot ingredients easily and economically to find out which ones relieve symptoms and are healthiest for your dog
To rule out flea allergy and control fleas, he recommended using Capstar every other day for a month. It is a short lived medication that is good at immediately killing adult biting fleas that cause the itch. ( Most people can’t really afford to use Capstar in this way because it costs 80.00 per month, but it really kills the fleas) Most people choose topical or oral monthly flea control.He also mentioned that he liked Comfortis, Trifexis, and Advantage monthly flea treatments, but that the kill is slower and allows more bites before the fleas die.He mentioned that Frontline was having a lot of problems controlling fleas. That just goes to show you that natural selection is working. (Over time fleas resistant to Frontline are taking over and Frontline will become less and less effective)
Once flea allergy is ruled out, then food allergy,hay fever (atopic skin disease), or other parasites or infections are suspected to be causing the problem.
Mange, yeast infection, mange, or staph infections can also lead to itching and misery. These infections follow flea, food, and atopy or hay fever allergies. That’s the reason we try to find out what is causing the allergies. If the cause of the itching is stopped, then these infections can’t happen. We can do that with flea treatments, avoiding food allergens, or helping treat atopic skin problems or hay fever.For example, allergies to food may inflame the skin and yeast infections will set in. Those that have had it know how itchy a yeast infection can be. It can itch just like athlete’s foot and are commonly located in the neck and foot area. Staph infections can lead to red, bloody, moist, painful hotspots almost anywhere.
After years of talking to clients and treating these problems, I suspect that most vets aren’t always treating the root of the problem. If the itchy dog eats better less medication is needed. Affected animals often respond to healthy fats and oils, antioxidants, and less chemicals in the food. I spend a bit more time with my clients exploring nutritional solutions before I start the clients on the medication merry go round. Nutritional changes will not help every pet, but the money and misery saved make it worth trying.
Check out my book, Dog Dish Diet. The second edition just came out this week as a Kindle Ebook. I hope to get the paper edition updated soon. However if you order the book from this website, I will send you a word doc or pdf download that covers the new material. If you try my suggestions in the book, your dog may be able to get off the medication merry-go-round. Just like with us, the better you eat, the better your health will be.
The new info on Atopica is that it has just been approved for use on cats. Atopica may be helpful in treating many skin issues that cats routinely are given injections of long-acting steroids for. If your cat has real itchy skin, ulcers on the lips, crusty skin, or red areas on the skin, then Atopica may really make a big difference and help your cat feel a lot better.
Flea allergies, hay fever or atopic skin disease, or food allergy can make cats miserable.Flea allergies cause an itchy body near the tail, belly, or crusts all over the cat. Food allergy is not as common, but causes a red itchy face or ears. Hay fever and food allergies can cause itchy ears and can be mistaken for a chronic ear mite infection.
First rule out flea problems by using Revolution or Advantage to treat the fleas and you can try to feed a canned cat food with no grains. However, most cats are so finicky that changing the food is almost impossible. At any rate, if flea control and a different diet don’t help, then consider Atopica. It is a better choice than repeated injections of long acting cortisone for really itchy crusty skin issues.
By the way, Atopica is also a good choice for dogs that don’t improve after flea control and a better diet. Atopica has less side effects than daily prednisone or repeated cortisone injections. It can be more expensive, but for some suffering dogs it’s worth it. The dermatologist mentioned that he uses half the amount of Atopica mixed with ketoconazole for those dogs that need relief. That is a new dose and type of combined use for Atopica in dogs