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My 6 yr. old pug is suffering from itching all over. I gave

My 6 yr. old pug...
My 6 yr. old pug is suffering from itching all over. I gave her a benedryl doesn't seem to work. I sprayed her with Hartz hydrocortisone itch spray--doesn't seem to work. What can I do for her?
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Answered in 3 minutes by:
9/28/2013
Dr. Andy
Dr. Andy, Medical Director
Category: Dog Veterinary
Satisfied Customers: 30,113
Experience: UC Davis graduate, emphasis in dermatology, internal medicine, pain management
Verified
Welcome! My name isXXXXX am a 2003 graduate, and currently a Medical Director of a veterinary hospital.

I am sorry to hear about this concern.
My primary concern with this amount of itching would be issues like:
- environmental allergies
- food allergies
- mange (mites) less likely
- secondary skin infections can cause a lot of itching.

Allergies will 80% of the time be an environmental allergy, with only 20% or less representing food allergies. Some pets, suffer from both environmental and food allergies:
Atopy (environmental allergies)

If you want to actual diagnose what in the environment may be causing the allergy, you can do an allergy test. Now, you don’t have to shave half the body and do the old grid test on the skin. There is now a blood test that looks for allergies to weeds, trees, grasses!, molds, even house dust mites. You can read more about it here:

Testing for Environmental Allergies


If your veterinarian does not offer VARL,
VARL testing
they may offer a comparable company to perform the blood test like Heska.


It is important to also recognize, once the skin is inflamed or has an odor, there is likely a secondary yeast or bacterial skin infection present. It is critical for any secondary infection to be treated aggressively, as the infection itself will contribute to the pruritus (itching or increased licking).


Now, I did say that up to 20% of pets can actually have food allergies. So, to rule-out food allergies you need to do a diet trial.
Summary: The primary protein in most dog foods is lamb, chicken, or beef. The primary carbohydrate is rice or corn. So, you need to change both. The most popular alternative diets are Venison and Potato, Duck and Potato, or Fish and Potato. It is available in prescription formulas (i.e. Science Diet D/D) or you can find some similar foods at the big pet stores like PetSmart or PetCo. I always recommend picking a “limited-ingredient diet” from your vet to ensure you are doing the trial properly. Just make sure that when they say Venison is the "main ingredient" they don't sneak in other stuff like lamb meal or fish meal. A non-prescription option would include Dick Van Patten's brand called Natural Balance. Keep in mind, holistic or all-natural foods are not necessarily any better when trying to remove a food allergy. Chicken is chicken, and rice is rice. When you perform a diet trial, you must stick with the food for 2-3 months to see if there is any benefit. NO OTHER treats or human food can be given during this time period. Remember, a grain-free diet is not necessarily any better. Over 75% of the time, it is the protein in the diet that is the problem. Lastly, even a limited ingredient diet, as explained above, is not good enough. Sometimes, you need to use a food that is processed in such a way, that the body cannot react to it. A popular choice is Science Diet Z/D low allergen or Ultra allergen. They utilize hydrolyzed protein. The body cannot react to the protein in the food.
Food Allergies


TREATMENT OPTIONS (A small representative list - some suggestions you may have already tried)
1. Steroids. Veterinarians will either give an injection that can last from hours to weeks, or send home oral steroids like prednisone or dexamethasone. Steroids can be safe if not used long-term (several months) and if used as directed by your veterinarian. Frequently, the oral steroids will be weaned down to the lowest dose necessary to keep the allergy suppressed.


2. Antihistamines. A prescription of hydroxyzine is common. Sometimes, over-the-counter Benadryl will help. However, for many allergies, antihistamines alone frequently are not good enough to control allergies. But, if your pet is already on steroids, they can help to reduce the necessary dose to keep the comfortable.


Benadryl can be given at a dose of 1mg per pound of body weight. Keep in mind, Benadryl tablets and liquids come in different sizes. So, an approximately 25 pound dog can get a full 25mg tablet or a half of a 50mg tablet. I usually avoid the liquid Benadryl in larger dogs (you would have to give too much of it). You can give Benadryl every 8-12 hours.

Another antihistamine to consider is zyrtec (cetirizine). It's advantage is that it is only given once a day. The dose is about 1mg per 2 pounds of body weight. So, a 20 pound dog would get a 10mg dose. It comes over the counter as 5mg or 10mg tablets. Another resource suggests starting with no more than 10mg even for medium to larger dogs.

3. Essential fatty acid supplements. Definitely, if you plan to give an antihistamine long-term, combine it with an EFA.
I prefer the veterinary products, which are already dosed for pets. Your vet should carry a product on their shelf, or over-the-internet you can look for Aller G3, 3V caps, EFA-z, or Derm caps.


4. Atopica. A immunosuppressive medication, that help regulate the way your pet’s body reacts to allergens. Neat stuff. It is important to note that it can take several weeks before benefit is observed, and tends to be a bit more expensive than typical allergy treatments. Read the link below for more information. Although Atopica is not readily available, your veterinarian can order a generic cyclosporine. Not quite as good, but it is an alternative.


5. Your vet should also carry some special sprays and shampoos designed for whatever skin condition your pet may have. One of my favorite product lines is called Douxo. They carry various shampoos designed to calm the skin, treat bacteria infections, and help with seborrhea (dry, scaly or scabby skin)
Douxo products


6. Lastly, oral antibiotics and/or anti-yeast medication, if indicated. Generally, your vet will recommend a simple skin cytology test to see what is on the surface of the skin. This should be inexpensive, and can be perform in the hospital. This is a key test especially when the skin is itchy, as secondary infections will actually exacerbate the degree of pruritis (itching) of your pet.

So, notice above, benadryl is often needed up to 3 times a day to be effective, but I also provided some dosing information for trying over the counter zyrtec. I actually have my own dog with environmental allergies currently on zyrtec. But, otherwise, the quickest solution would be to get into the vet for either a steroid shot or some oral steroids to help out.

Sorry to hear about Abby. I know it can be frustrating to seeing them itch so much. I hope that information has been helpful.
Please remember to select Reply to Expert, if for any reason you need further clarification, have more questions, or were expecting a different type of answer. My goal is to try and provide you the best answer possible.
Dr. Andy

Dr. Andy
Dr. Andy, Medical Director
Category: Dog Veterinary
Satisfied Customers: 30,113
Experience: UC Davis graduate, emphasis in dermatology, internal medicine, pain management
Verified
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