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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 28493
Experience:  University of California at Davis graduate veterinarian with 45 years of experience
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My Great Dane,has dry eye and diagnosis of auto immune

Customer Question

My Great Dane,has dry eye and diagnosis of auto immune disease of eye, has extreme amount of mucous constantly. Is there more I can do, please?
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 1 year ago.

You're speaking to Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply.

Expert:  Dr. Michael Salkin replied 1 year ago.

Yes, Rebecca, if cyclosporine 0.2% dosed every 8-12 hours isn't helpful you have four medical options...

1) Increase the concentration of cyclosporine to a 2% solution.

2) Switch to tacrolimus 0.02-0.03% ointment or aqueous suspension every 12 hours.

3) Consider pilocarpine at 1 drop of 2% pilocarpine/22 lbs of body weight on food every 12 hours until increased tearing or systemic side effects (e.g., vomiting, diarrhea, anorexia, salivation, bradycardia/slow heart rate) are seen. Pilocarpine is expected to be more effective in neurogenic dry eye rather than autoimmune dry eye.

4) Increase the frequency of dosing of an artificial tear; control secondary bacterial infection with a topical broad spectrum antibiotic such as bacitracin-neomycin-polymyxin antibiotic solution every 6-8 hours; consider anti-inflammatories if severe conjunctivitis and/or corneal vascularization/pigmentation are present such as dexamethasone 0.1% solution topically every 6-8 hours - only in the absence of corneal ulceration.

Consider parotic duct transposition if no response to lacrimostimulants is seen. Please respond with further questions or concerns if you wish.