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Dr. Kara
Dr. Kara, Board Certified Veterinarian
Category: Vet
Satisfied Customers: 15921
Experience:  Over 20 years of experience as a veterinarian.
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A few weeks ago my dog had reddish bumps on his paws the vet

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A few weeks ago my dog had reddish bumps on his paws the vet gave him an anti inflammatory injection and it cleared, was probably from long grass, his paws have flared up again am I able to give him a piriton tablet , he is a medium size ***** ***** ?
Submitted: 2 years ago.
Category: Vet
Expert:  Dr. Kara replied 2 years ago.
Hello, my name is***** and I have over 20 years of experience as a veterinarian. I am sorry to hear that your fellow has red, itchy bumps on his feet. These are usually related to an allergy.
The short answer is yes you can use piriton to try to help, and I will give you the dose, but I will give you some other suggestions too in case piriton doesn't help him or isn't enough to help.
For inhaled allergens (like grass pollen, dust mites or molds) and you can use a combination of antihistamines and high doses of omega-3 fatty acids. In combination fatty acids and antihistamines work synergistically, much better than either one alone. If his symptoms worsen seasonally I would think that inhaled allergens are a part of his problem.
You can try:
1)Benadryl (diphenhydramine only don't use the combination products with decongestants or acetaminophen as they can be toxicfor dogs) at 2mg to 4mg per kilogram of body weight every 8 to 12 hours.
OR 2)Claritin (loratidine) at 5mg per 12 kilograms of body weight once or twice daily.
OR 3)Hydroxyzine at 2mg per kilogram of body weight orally every 8 hours.
OR 4) Chlorpheniramine at 4mg to 8mg per dog once or twice daily.
Some dogs do better on one antihistamine rather than another. Pick one, give it a week trial and if it isn't working try another. Be aware antihistamines can cause sleepiness or hyperactivity in some dogs. These side effects do wear off with repeated use.
Omega-3 fatty acids are fish oil products. 3V by DVM or Derm Caps ES are good brand name products. Use the high end of the dosing schedule for your pup's weight. I recommend a dose based upon the EPA portion (eicosapentanoic acid) of the supplement as if we do that the rest of the supplement will be properly balanced. Give him 20mg to 40mg of EPA per kilogram of body weight per day. For example an 8 kilogram dog could take 160mg to 320mg of EPA per day.
Cool water spot baths with an oatmeal shampoo or chlorhexiderm shampoo (which is antibacterial and antifungal) and a conditioner with an antihistamine may help. The water rinses off allergens and the cool temperature soothes itchy skin.
Food allergy is very possible with him as food allergic dogs often have very itchy paws. Dogs can develop allergies to any protein or carbohydrate so even if he is only fed one thing that can be what he is allergic to. Dogs with food allergies tend to lick and scratch their paws, face and ears the most, but any of the "allergy reactive areas" can be affected. You could try a true hypoallergenic diet like Hills z/d or Purina Veterinary Diets HA. No treats, flavored medication or bones while on the diet and it must be used for a least 12 to 16 weeks to see the full effects.
Cortisone ointment applied to the very itchy places (as long as they aren't raw) twice daily may help as well if needed. Some sprays have alcohol which can be painful on raw skin and lead to more inflammation. I don't like oral steroids, though sometimes they are needed, but topicals directed at the problem areas can be very helpful and are less likely to cause side effects.
Another option if the antihistamines and omega 3's aren't enough is a product called Atopica. It suppresses the immune system a bit so it decreases allergic symptoms but it doesn't have as many harmful side effects as systemic steroids. Another option is a brand new drug called Apoquel (generic name oclacitinib) which interferes with the allergic pathway. It works very quickly to stop the symptoms of an allergy. Most dogs are reported to be much more comfortable in a day or so. If you are interested discuss these medications with your veterinarian as they are prescription products.
If it's been a while since his last exam parasites like cheyletiella or sarcoptes should be looked for as well if he isn't improving as as both lead to very itchy skin.
Please let me know if you have any further questions.
Dr. Kara, Board Certified Veterinarian
Category: Vet
Satisfied Customers: 15921
Experience: Over 20 years of experience as a veterinarian.
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