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Dr. Deb
Dr. Deb, Dog Veterinarian
Category: Dog
Satisfied Customers: 10922
Experience:  I have been a practicing veterinarian for over 30 years.
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We have ***** ***** Terrier, 2, 5 years old. Second summer

Customer Question

Hi – we have ***** ***** Terrier, 2, 5 years old. Second summer in a row she has allergy and symptoms are sometimes very strong (occasional suffocation and coughing, very strong itching and skin redness with biting, especially her paws) we are worrying for her health.
Veterinary gave her human medication named "Pronison", produced in Serbia. It is synthetic corticosteroid and its composition and activity similar to the adrenal gland cortex. Vet prescribed her 20 mg daily
Since she is small dog (7,5 kg) and medication is very strong we are worrying if this is proper medicine for her.
Thanks in advance for your help
Submitted: 2 years ago.
Category: Dog
Expert:  Dr. Deb replied 2 years ago.
Hello, I'm Dr. Deb. I recently came online and see that your question about your JRT hasn't been answered. I'm so sorry that you've had to wait for a response, but if you still need assistance, I'd like to help if I can. Since Prednisone is the active ingredient in Pronison, I would assume that it would be dosed the same way as. If that's the case, then 20 mg is way too high a dose for a 7.5 kg dog to take for skin allergies. This amount of drug for a dog this size is what would be used to suppress the immune system. The dose for skin issues would be much lower and would be considered an anti-inflammatory dose.The dose I would prescribe if this were my case would be about 2 -2.5 mg twice a day although it's going to be very difficult to cut 20 mg tablets into tenths. This drug should be tapered rather than abruptly discontinued; my protocol in this situation would be to give 2 mg twice a day for 3-5 days (or until the allergies are controlled) and then reduce the dose by 1/2 to 1 mg twice a day for 3-4 days, then 1 mg once a day for 3-4 days and then 1 mg every other day for 3-4 days. I hope this helps although, again, my apologies for the delayed reply. Deb
Customer: replied 2 years ago.

Thanks for your answer, but it not always just a skin allergy, but occasionally suffocation and coughing that is our main concern

Expert:  Dr. Deb replied 2 years ago.
You're more than welcome although I'm sorry that I've been off my computer and have just now gotten back to you. It's possible that she's experiencing post-nasal drip secondary to inflamed sinuses if her coughing is only present when she's also itchy. I'd expect her to respond to pred if this is the case. I still think the dose of 20 mg is too high for her even if this isn't the problem. Other possible explanations for intermittent coughing in a dog this age might include cardiovascular issues, collapsing trachea, name a few possible causes. If it's a persistent problem unrelated to her allergies, then a chest x-ray might be a good idea. Deb