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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 29721
Experience:  University of California at Davis graduate veterinarian with 45 years of experience
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MY DOG HAS A SEVERE CASE OF YEAST ALL OVER HER. I CAN'T

Customer Question

HELLO
JA: Hi. How can we help?
Customer: MY DOG HAS A SEVERE CASE OF YEAST ALL OVER HER.
JA: I'll do all I can to help. What seems to be the problem with your dog?
Customer: I CAN'T AFFORD ALL THE VET BILLS IS THERE SOMETHING I CAN DO WITH HOME TREATMENTS
JA: Where does your dog seem to hurt?
Customer: ARE YOU A REAL PERSOM
JA: No. I'm the Veterinarian's Assistant.
Customer: PERSON
JA: Can you see anything that looks wrong or different?
Customer: OK,
JA: What?
Customer: SHE HAS YEAST ALL OVER HER BODY. IS THERE ANYTHING OVER THE COUNTER
JA: What is the dog's name and age?
Customer: I HAVE TRIED EVERYTHING AND NOTHING IS HELPING IT JUST LESSENS.
JA: Is there anything else the Veterinarian should be aware of about your dog?
Customer: TUTU 2 YEARS
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 1 year ago.

I'm sorry to hear of this with Tutu. I understand your frustration and financial constraints. I don't know everything you've tried so I'm going to post my complete synopsis of how generalized yeast infection (malasseziasis) is addressed. Pleast note that the only over the counter products of value are the shampoos I've mentioned. They can be found in pet/feed stores or at Tutu's vet hospital or online.

1. Any underlying cause (allergies/food intolerance, atopy, e.g., endocrinopathy/hypothyroidism, e.g., keratinization defect/seborrhea) must be identified and corrected.

2. For mild cases, topical therapy alone is often effective. The patient should be bathed every 2-3 days with shampoo that contains 2% ketoconazole, 1% ketoconazole/2% chlorhexidine (https://www.amazon.com/Keto-C-Ketoconazole-1-Chlorhexidine-Shampoo/dp/B00Q34IY6Y), 2% miconazole, 2-4% chlorhexidine, or 1% selenium sulfide (Selsun Blue). Shampoos that have two active ingredients provide better efficacy. Treatment should be continued until the lesions resolve and follow-up skin cytology reveals no organisms (approximately 4 weeks).

3. The treatment of choice for moderate to severe cases is ketoconazole or fluconazole 10 mg/kg orally with food every 24 hours. Treatment should be continued until lesions resolve and follow-up skin cytology reveals no organisms (approximately 4 weeks).

4. Alternatively, treatment with terbinafine 5-40 mg/kg orally every 24 hours or itraconazole (Sporanox) 5-10 mg/kg every 24 hours for 4 weeks may be effective.

The prognosis is good if the underlying cause can be identifed and corrected. Otherwise, regular once- or twice-weekly antiyeast shampoo baths may be needed to prevent relapse. Please respond with further questions or concerns if you wish.

Customer: replied 1 year ago.
thank you, ***** ***** get these meds from the vet. I feel so bad for her she is miserable
Expert:  Dr. Michael Salkin replied 1 year ago.

I understand. I'm pleased to hear that you'll do that. You can win this battle.

I can't set a follow-up in this venue so please return to our conversation - even after rating - with an update at your convenience. You can bookmark this page for ease of return.