PetMeds® Using Cortisone to Help Itchy Dogs and Cats

 
Filed under Dr. Dym's Vet Blog

Skin allergies are amongst the most frustrating health problems exhibited by both dogs and cats, and are likely the most common reason for veterinary visits outside of wellness exams.  Pets present with various manifestations of self trauma from licking, biting or scratching at themselves. Commonly affected areas include the lower back, feet, ears, chest and abdomen. However, any area of the body can be affected.  Many pets can develop secondary yeast or bacterial infections of the skin or ear canals, which often add to the discomfort. 

basset-hound

The most common causes of allergies include flea bite allergens, inhalant/contact allergies, and food allergies. That’s why it is necessary for veterinarians to address the potential underlying causes or the problem will recur. While such a workup and treatment often takes time and patience, animal guardians are often most insistent about relieving their pets of itching discomfort as quickly as possible. While shampoo therapy, antihistamines, antibiotics and dietary changes can offer sometimes gradual relief, depending upon which of the above underlying causes are involved, it is often only the prescription of cortisone by injection or oral medication that often is the only class of medicine that offers dramatic and quick relief which animal guardians are demanding. Various concerns expressed by both veterinarians and animal guardians center around the short and more importantly long term potential side effects of cortisone. These include its suppressive effect on the immune system and increased risk of infection, to thinning/weakening of the bones, ligaments and skin, as well as weight gain, excessive thirst, urination and appetite. 

If cortisone is overused or misused, some animals have an increased risk of diabetes as well. And while most veterinarians will always offer other options, including other drugs like Cyclosporine or Atopica, as well as even referral to veterinary dermatologists for allergy testing on long term skin/ear cases, many animal guardians simply do not have the money in today’s economy for these more expensive treatment options.

Repeated injections of long acting cortisone derivatives like Depo-Medrol have much more of a risk for the side effects mentioned above. However, if cortisone is used appropriately, most safely by the oral route and tapered to the lowest effective dose,  many pets can be maintained during their allergy seasons or even longer on every other to every third day oral therapy. When Prednisone or Prednisolone is prescribed in this manner, and the pet is monitored periodically by the veterinarian, most pets do indeed tolerate long term oral cortisone safely, and animal guardians are able to offer their animals relief of frustrating skin problems that bother both them and their animal companions.  And when other adjunctive treatments such as shampoo therapy, omega 3 fatty acid therapy, as well as other supplements like Proanthozone and Vetri-DMG, many pets can eventually have their cortisone doses lowered and discontinued.

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Read Related Posts on PetMeds Blog:

  1. Giving Your Dog or Cat Cortisone (Prednisone/Prednisolone)
  2. PetMeds® Common Causes of a Smelly Pet
  3. Natural Allergy Treatment Alternatives for Pets (NAET)
  4. PetMeds® Rashes on Dog’s or Cat’s Skin
  5. PetMeds® Relieving Your Dog’s Skin Allergies

2 Comments

  1. Posted August 14, 2010 at 7:33 am | Permalink

    A dog’s skin allergies can be very difficult to diagnose and treat. You must go through all types of testing and be prescribed a lot of drugs to treat allergies in your dog. i have read all the reasons and treatment of allergies mentioned in this website.

    [Reply]

  2. Posted November 27, 2010 at 10:20 am | Permalink

    Yes. Using the correct shampoo can provide the much needed relief for a dog with itchy, irritable skin due to allergies.

    Some brands of natural dog shampoo contains essential oils that has skin healing properties. It helps to reduce the itchiness and soothe inflamed skin.

    [Reply]

    Dr. Michael Dym, VMD veterinarian Reply:

    Thank you for sharing. Topical therapy is quite helpful in my opinion in removing contact allergens that can contribute to itchy dogs. Shampooing a few times weekly can be quite helpful during itchy seasons.

    [Reply]

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