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Hello, my name is***** and I'd like to help you and Bruno. A few questions to better assess the situation:
1. Were the hot spots diagnosed by your vet?
2. Ivomec is to treat skin mites, was Bruno diagnosed with demodex or sarcoptic mange?
3. Any other medications prescribed besides antibiotics? Most hot spots require that the underlying allergy be controlled (anti-histamines, steroids, etc)
Moist skin or oily skin? There is a skin condition called Seborrhea that produces too much oil on the skin. Dogs with seasonal allergies, low thyroids, flea allergy dermatitis and food allergies can have it. It creates and causes the hot spots.
Cephalexin is only going to treat a true skin infection, this sounds like an underlying skin condition that is not being controlled. Unfortunately, without a hands on physical exam, I cannot tell you for sure what is going on. You can start with 1 mg per pound of Benadryl every 12 hours to try to address underlying allergies. If you haven't bathed him recently, that will help (just make sure you towel dry him well, GS hair will hold moisture) and make sure you apply a good flea product like Advantix II (after the bath, not before).
If he were my patient, I would recommend checking his thyroid, then treating the potential allergies that are causing the oily skin. Unfortunately, antibiotics alone will not fix this.
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Hello, I wanted to follow up regarding Bruno. I hope I was able to answer your questions, if so, please accept my answers and kindly rate me (that is how I am compensated for my time). If not, please reply back and I am happy to answer further questions. Thank you.