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Jess K
Jess K, Dog Veterinarian
Category: Dog Veterinary
Satisfied Customers: 1205
Experience:  Licensed Veterinarian
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My 3.5 year old female Bernese Mt Dog scratches a lot and

Customer Question

My 3.5 year old female Bernese Mt Dog scratches a lot and has had 2 hot spots in the last 3 years.
Is there something I can do to support skin issues?
Submitted: 12 days ago.
Category: Dog Veterinary
Expert:  Jess K replied 12 days ago.

Hello, this is Dr. Jess. I am sorry to hear about Sassy!!! Can you tell me, does the scratching seem to be the same year round, or does it seem worse certain times of the year?

Has she been on any medications for the itching yet?

Customer: replied 12 days ago.
The scratching seems to be year round. No medications, just fish oil in kibble.
Expert:  Jess K replied 12 days ago.

Ok. If the itching is on the mild side and she is only getting skin infections rarely, then the first step (in addition to the fish oil) would be starting a daily antihistamine. We often start with hydroxyzine (this is prescription only) or cetirizine (zyrtec). Diphenhydramine (benadryl) is another option, but I don't feel like we see as much success with it as the other antihistamines. The hydroxyzine is usually the most cost effective choice in a larger dog. I would recommend calling your vet and asking if they feel a trial of antihistamine would be appropriate for your pup, and they can prescribe their preference to start her on. It may take a few weeks to see results.

Expert:  Jess K replied 12 days ago.

Sometimes we need to try a few different antihistamines before we find one that works. If none seem to be effective, then the next steps would include:

-considering a special diet trial- if the problem is year round, it is possible it could be a food allergy

-considering a trial of the drug Atopica or Apoquel, which are immune system modulators that can help with allergies

-considering allergy testing and starting allergy shots to try to desensitize your pup to environmental allergens (the allergy testing/shots doesn't work for food allergies).

Expert:  Jess K replied 12 days ago.

Here is an article that goes over some of our options for itch relief as well FYI:

Please let me know if this link comes through for you, and if you have any additional questions.