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Hi, I can help you with your question today.
Unfortunately, we can see flare ups of itchiness with Atopica. Whenever this occurs, we need to look for underlying infections (bacteria or yeast) and treat those first. If we find no sign of infection (checking a skin cytology under the microscope), then we can use short courses of steroids to control the ongoing itch. It's also important to be careful about foods and fleas, as the itch caused by these allergies is not always well controlled with Atopica.
It would be best to have him evaluated by your regular vet to check his skin for infection as I described. Based on those results, we will be able to either treat the pyoderma or start additional medication to control the itch.
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