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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 24396
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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I have an 8.4 lb dog. She has been experiencing severe itching

Customer Question

I have an 8.4 lb dog. She has been experiencing severe itching and had red irritated skin in places behind front legs, ears, rear end, etc.). Went to vet 8 days ago. No fleas were seen. She was given prednisone 1/4 of a 5mg pill. By Monday itching was worse. Called and was told to get children's Benadryl and give 1/2 tsp. Helped some with itching but she got no better and began hiding under beds. Friday returned to different vet and he saw fleas. showed them to me. Quite a few. Started on Nexgard and Temaril-p (decreasing dose started on 1/2 pill every 12 hours for three days. She still seems to be itching and when I checked I saw a flea on her. Can I use Frontline topical and nexgard or won't that help?
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 1 year ago.
Aloha! You're speaking to Dr. Michael Salkin
I'm sorry that your question wasn't answered in a timely manner. Frontline is safe to add to Nexguard therapy but it shouldn't be necessary. Instead, I would concentrate on environmental control. Hiring a professional fumigator should be considered but you can treat your indoor environment with an over the counter premise spray containing an insect growth regulator (IGR) such as methoprene which can be found in Siphotrol Premise Spray (please see here: The IGRs don't allow flea eggs and larvae to develop into adult fleas. I suspect that the increasing warmth at this time of year is encouraging flea egg hatches in your home. The IGRs will break up the life cycle of the flea and thus hasten remission of her flea saliva allergy.
Please respond with further questions or concerns if you wish.
Expert:  Dr. Michael Salkin replied 1 year ago.

I'm just following up on our conversation about your pet. How is everything going?

Dr. Michael Salkin