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Question

My 8 year old shih-tzu has flea allergies. Her tummy gets really pink, she scratches and digs constantly and chews and licks her feet. I get a shot at the vet for her of a long acting steroid shot. She had one in August and it didn't seem to work well. I live in Kentucky and the fleas are bad this year. The frontline doesn't seem to be working. She's around other dogs during the day that don't use the frontline. The vet put her on short term prednisone therapy. 5 mg for 5 days, 1/2 5 mg for 5 days, then 1/2 5 mg every other day for 5 days. She stopped itching after the second dose and was a very happy little girl. She was eating good and was more playful.. maybe because she felt better. I was wonderingf if I could put her back on it until flea season is over with..usually the first frost. I know the long term possible effects, but spoke with a fellow employee that had their dog on it for years and their dog lived to ve 14. She's just miserable and depressed and not eating.

Submitted: 47 days ago.
Category: Dog
Value: $15
Status: CLOSED
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Optional Information

Pet's Sex: Female
Pet's Age: 8

Already Tried:
Childrens benadryl which didn't help. After stopping it after 3 days she got a severe sinus cold. Don't want to use that again.

Posted by Dr. Tanis 47 days ago.

Info Request

Have you tried any different flea products other than Frontline?

 

Is she around any cats at all?

 

Thank you.

 

Dr. Tanis!

47 days ago.

Reply

Yes,she is around 3 cats which are on frontline as well. She stays with my parents during the day and they have 4 dogs which are not on frontline. I have basically been trying to treat the symptoms with anti itch spray with hydrocortisone spray, and putting neosporin on her feet and bandaging them. She's used to that! I've looked at other flea meds, but they are dangerous to cats, so that is why I haven't used them.

Posted by Dr. Tanis 47 days ago.

Answer

The fleas are bad EVERYWHERE this year, you have my sympathies.

 

In my hands, Advantage is a better flea killing treatment than Frontline, and it is safe to use on and around cats. You might try a switch to Advantage - especially if you have not used it before, your fleas might be VERY sensitive to it. When you apply it, be sure you are getting it down to skin level - I have some clients who even shave a small spot in the fur on the back of their flea allergy to apply it to make sure it gets to the skin.

 

Second, for your flea allergy dog, you may want to consider using Comfortis. This is an oral drug and is only for dogs, but is safe to use on dogs that are around cats. It is given once a month. This will give double protection to your dog, and make sure that any fleas that are not killed by the Advantage are killed off by the Comfortis.

 

Finally, to answer your question, I have used low doses of pred longterm in some dogs, specifically flea allergy dogs, and even more specifically, in my sister in law's flea allergy Shih Tzu! We got him weaned down where he was only getting a half of a 5mg tablet every 2nd or 3rd day. You have to understand that there ARE significant health problems that can result from being on long-term pred - hormone issues, other kinds of skin issues, increased drinking and urination, liver issues, etc.

 

However, if a low dose of pred keeps the dog comfortable, and you otherwise have the fleas well under control, I would approach your vet about it.

 

Good luck!

 

Dr. Tanis!

47 days ago.

Reply

Thank you. What is Comfortis and where do I get it. Does it help alleviate the itching? Is it safe to use in conjunction with the prednisone,or should I not use both at the same time if I choose to get her back on the prednisone. Are there any side effects to look for from the Comfortis or does it work in the same manner as the Frontline and Advantage? My vet told me that even if the Frontline works, the fleas still get on the dogs, and if they bite her, she will still have the skin reaction.

Accepted Answer

The Comfortis is an oral tablet that kills fleas when they jump on your dog and before they lay eggs. Yes, the flea could still have a chance to bite your dog, but it is less likely if you are killing them off effectively. Here is the website for more info:

 

http://www.comfortis4dogs.com/

 

Advantage kills fleas within 3-5 minutes of them jumping on the dog, it is a contact kill - ie the flea has to contact it to die, just like with Frontline.

 

http://advantage.petparents.com/aboutAdvantage.cfm

 

You can also alternate Advantage and Frontline every 2 weeks - apply one, then apply the other 2 weeks later, and rotate that way. That helps in some cases as well. No flea treatment is perfect, unfortunately - too bad, or there would be no more fleas!

 

Both are safe to use with the prednisone if you need it. The only side effect I have heard is that Comfortis should be given with food because otherwise they may vomit up the pill if given on an empty stomach. You do not need a prescription for Comfortis or Advantage, and you can find them from many online pet supply sources.

 

Good luck with your dog.

 

Dr. Tanis!

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Expert: Dr. Tanis
Pos. Feedback: 100.0 %
Accepts: 
Answered: 10/6/2009

Dog Veterinarian

10 years experience in small animal emergency medicine

47 days ago.

Reply

Thank you so much for your time. I will try the Comfortis and Advantage before I go back to the prednisone. I will use that as a last resort. I'm always happy with this site. It has always been very helpful. You've been great. Thanks again.

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