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Dog

Good morning!Hey so how long until I...

Resolved • Response time 6 minutes

24 May 2022

Good morning!
Hey so how long until I take back? Vet didn’t give us steroid relief…Thank you!
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24 May 2022

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Dog Specialist's response
24 May 2022
Dr. Deb
Dr. Deb
Associate Veterinarian

Good morning, Kim.

It looks as if he's still bothering that upper right eye, doesn't it, which is unfortunate.  If he's still itchy/rubbing, then I probably wouldn't wait since he may just make it worse.  He very well may need steroid to reduce the inflammation.  Deb

24 May 2022
Dog Specialist's response
24 May 2022
Dr. Deb
Dr. Deb
Associate Veterinarian

By the way, It's quite possible that a topical ointment which include steroids may be sufficient to resolve the problem but if he's still itchy elsewhere, then systemic steroids may be needed.  If you send your vet this picture, they may very well dispense medication without having him seen; it might be worth seeing if this is an option although I know you don't mind taking him back, if necessary.  Deb

24 May 2022
Customer reply
24 May 2022
Thank you! It’s just frustrating.
24 May 2022
Customer reply
24 May 2022
Are systemic steroids rough on him?
24 May 2022
Dog Specialist's response
24 May 2022
Dr. Deb
Dr. Deb
Associate Veterinarian

I absolutely understand your frustration.  Most dogs tolerate anti-inflammation doses of steroids just fine and shouldn't cause him any issues; they're often needed to get this sort of condition under control.

Unfortunately, I've got a doctor's appointment so I'll be off my computer for just a bit.  But you know I'll get back to you as soon as I can if you have additional questions.  So sorry for the inconvenience:(  Deb

24 May 2022
Customer reply
24 May 2022
No worries. Hope you’re fine! I sooooo appreciate all your kind help.
24 May 2022
Dog Specialist's response
24 May 2022
Dr. Deb
Dr. Deb
Associate Veterinarian

Kim,

I'm back home now so if you have additional questions/concerns, just let me know.  My appointment was strictly routine so all's good:)

Deb

 

24 May 2022
Customer reply
24 May 2022
Great! They’ll see him at 430 today so fingers crossed he’ll get some relief.
24 May 2022
Dog Specialist's response
24 May 2022
Dr. Deb
Dr. Deb
Associate Veterinarian

My finger, toes and eyes are crossed:)  I know you'll keep me posted after the visit.

Given vet hospital schedules these days, I'm impressed that they were able to see him so soon which is, obviously, great for you both:) Deb

24 May 2022
Customer reply
25 May 2022
Hi! Ok so she’s throwing the kitchen sink at this boy!
Apoquel. Steroid ointment. Oral ABX. And Benadryl. Should be much improved in 2-3 days. Agree?
25 May 2022
Dog Specialist's response
25 May 2022
Dr. Deb
Dr. Deb
Associate Veterinarian

Thanks for the update.  Well, it certainly sounds as if they have everything covered, doesn't it:) 
I suppose I understand why Benadryl was recommended although in my experience, it's not a medication which is effective for all dogs who suffer from seasonal allergies.  In general, antihistamines don't work as well in dogs as they do in people especially if the allergies are pretty intense.  But, having said that, they can help some patients and aren't harmful so, hopefully he'll be one of those who benefits.

Personally, I might have considered dispensed systemic steroids but I don't like to second guess in these types of situations since I'm not on scene.

I would agree  that you should expect to see improvement within a relatively short period of time.  Deb

25 May 2022
Customer reply
25 May 2022
Thank you so much! She said because he had the shot Friday she’d use oral steroids as the last resort.
He’s finally sleeping. He hates the cone! I also waited on the simplicef until morning in case he has gastric upset. She said it’s one that has the fewest side effects. I wanted to get your thoughts on that too.
Thank you again so much!!
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25 May 2022
Dog Specialist's response
25 May 2022
Dr. Deb
Dr. Deb
Associate Veterinarian

Oh, the poor fella looks a little miserable for sure:(

I like cephalosporins (the class of drug which Simplicef falls into) for issues involving the skin and have had very few issues with its use in my patients.  The majority tolerate it just fine although as you mentioned, gi upset can sometimes be seen (which is true for just about anything given orally).  I often recommend a probiotic for my patients when I dispense antibiotics but I seem to recall that he's already taking one?  Or am I not remembering that correctly?

Deb

25 May 2022
Customer reply
25 May 2022
I do give him fortiflora when he needs. That’s a great idea!! I’ll give that to him with meals to help with the ABX. Thank you for easing my mind. Truly appreciate you! I’ll keep you posted!
25 May 2022
Dog Specialist's response
25 May 2022
Dr. Deb
Dr. Deb

Sounds like a good plan to me and always glad to help if I can:)

I'll look forward to hearing from you with an update about this latest issue with him but right now I'm headed off to bed:)

Take care, Deb

Dr. Deb
Dr. Deb
Associate Veterinarian
Avg. question only $30
I have owned, bred and shown dogs for over 40 years.
25 May 2022
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