We always recommend that you follow your vets advice when it comes to canine medication. However, the twice-daily use must not last for more than 14 days. You might be referring to cytopoint asthe injection. Your veterinarian can help determine the best course of treatment for your dogs specific allergy symptoms. Over time, your pet may become less sensitive to the allergens, reducing their allergy symptoms. PetMDs medications content was written and reviewed by veterinary professionals to answer your most common questions about how medications function, their side effects, and what species they are prescribed for. 0000018994 00000 n I still use it, but cytopoint and apoquel are usually far more effective than antihistamines for dogs. Hydroxyzine is a prescription antihistamine primarily used by veterinarians for dogs, cats, horses, ferrets, and rabbits to treat allergies, itching, and atopic dermatitis. Do stick with the hypoallergenic diet. Your vet will work to determine the appropriate dosage according to a few factors. Currently Apoquel helps a bit. Hylte baths or malaseb with resicort cream after, every other week unless super rainy then weekly. Im so glad that your pet responded to zyrtec! When he first got the eat infections the vet would prescribe steroids which was only a bandaid solution and after many trips to the vet we have now got him on Apoquel but still gets the eat infections. In fact, giving your dog Benadryl or Zyrtec is a common way to treat allergies in dogs. Allergy shots, also known as immunotherapy, involve injecting small amounts of allergens into your pets body to help build up their immune systems tolerance to them. When we go to the vet Junior has to be given a general anesthetic so they can check his ears properly and clean them and put osernic ear gel treatment when needed. For example, it can counteract the effects of warfarin. Side effects have been rarely seen and documented, but the most common occurrences have been mild vomiting and diarrhea. Of the types administered, hydroxyzine was one of the most effective. Can my dog take melatonin and fluoxetine at the same time? Labrador Retriever. Apoquel is given orally, twice a day, for 14 days (initially). 0000090498 00000 n Regular bathing with non-drying shampoos and fish oils are also very helpful to control itch for allergy dogs. Grains are not the most common food allergies for dogs. Typically if apoquel doesnt help it means there is an underlying or secondary issue that wasnt sorted. And dont forget if youre at all concerned about your pets medication, then give your veterinarian a quick ring. Sometimes simply taking care of an infection can alleviate the itch. 0000002803 00000 n If your pet is not responding to this antihistamine, please discuss other treatment options with your vet. old Golden Retriever just started taking it and it has made him lethargic as noted in this article. Yes, Apoquel and Zyrtec can be given together to dogs. Then it comes back a few weeks later. No vet writer or qualified reviewer has received any compensation from the manufacturer of the medication as part of creating this article. There are a few things youll want to know before giving this to your dog. Cytology is easily done in the vet clinic with tape or a q tip and a slide and stain and a microscope. Compounded medications are prescribed if theres a specific reason your pets health cant be managed by an FDA-approved drug, such as if your pet has trouble taking pills in capsule form, the dosage strength is not commercially available, or the pet is allergic to an ingredient in the FDA-approved medication. Benadryl vs Hydroxyzine: Is Hydroxyzine or Benadryl Better for Dogs? And Dr. Melissa Eisenschenk, who claims to have treated close to 1,000 dogs with Apoquel, agrees with the caveat that dogs should be screened for liver disease (a side-effect of JK-1 inhibitors in humans) and have . They inspire me with article ideas and keep me in tune with diabetic pet owners. I gave him a pill at 9 a.m. yesterday morning and another at 9 p.m. yesterday evening. Apoquel For Dogs: Dosage We started cooking her food towards the end of December and shes been eating turkey with veggies etc with her Krill chewable. Have you ruled out a secondary infection by skin cytology? Apoquel is safe to use in dogs one year and older. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Diabetes For Adults & Children At night time, consider the antihistamine, Benadryl (aka diphenhydramine), as it is known to cause drowsiness and can help her to sleep through the night. My dog (66 lbs boxer/hound mix) is prescribed apoquel daily by her current vet for allergies. It is a prescription drug that is only available through veterinarians. An animal's response to an antihistamine can vary between species. Parasites happen! 0000112298 00000 n His eyes are always red. 0000088701 00000 n I tried Zyrtec on my dog and he attacked me after several doses. 0000006244 00000 n Hydroxyzine for dogs is an antihistamine that relieves symptoms of allergic reactions. Histamines are compounds in the body which are responsible for the symptoms we experience when we are allergic to something. Yes, you can. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, or prevent any disease. Dogs under one year of age should not take Apoquel. This is good news for healing and relief, both immediate and future. sunken stomata and transpiration. 0000164061 00000 n When she was a year old our vet was giving her steroid shots for the allergies, but we stopped those because they werent working for her. Chat with your veterinarian. The recommended Apoquel dosage for dogs is 0.18 to 0.27 mg per lb of body weight (0.4-0.6 mg/kg) once a day. Good afternoon- I have an almost 1 year old cocker spaniel who has been itching almost since we brought her home at 8 weeks. Hi! After an examination, they may deem it appropriate to prescribe an antihistamine as part of the treatment plan. Our old vet would give her apoquel and terbafine( I think thats how its spelled lol) and she did well but so many pills idk. Be sure to have skin cytology. However, it is important to note that Benadryl can cause drowsiness in dogs, so its best to consult with your veterinarian before using it. It is important to follow your veterinarians instructions for administering Apoquel and to monitor your dogs response to the medication. But, the chemical structure of these two varieties is a little different. You can, however, safely stop Apoquel use without tapering dosage. So, your vet will first determine what is causing the problem and treat the underlying issue. He pretty much lives with an ear infection. I have a Pomeranian x chihuahua who has ear inflammation that flares up to become ear infections. trailer While rare, it is possible for a dog to have an adverse reaction to Apoquel. All Rights Reserved. I ordered some hypoallergenic shampoo off of amazon so I plan to bathe her after her nails are trimmed and her ears get cleaned. They make hydrolyzed proteins for food trials. He switched to grain free food about 6 months ago. Monitor your dog for any symptoms. How long does it take for Zyrtec and Apoquel to start working? You might consider allergy testing and hyposensitization. Not only do they provide relief for your pets itching, but they also promote overall health by improving coat quality and reducing the risk of heart disease. But for cases of severe pruritus, many still prefer hydroxyzine. In birds, it is used most often for feather picking. While it is not approved by the US-FDA for use in pets, veterinarians generally prescribe (Rx only) it as an extra-label drug. This side effect is more common with Benadryl, which is an antihistamine that can cause sedation. (Answered 2023), What Are Cat and Dog Paws Adapted for? She suggested over the counter Zyrtec. Also, regular bathing with a medicated shampoo would likely help. 0000027873 00000 n It is not a steroid or antihistamine so it is safe to administer in conjunction with an antihistamine that is used appropriately. I bought food that cost 80 bucks a bag for months and no improvement whatsoever. She has practiced both in emergency medicine and general practice. Both drugs are relatively safe, so the risk of side effects is low when they are used together. Key Points on Apoquel Unlike steroids, Apoquel side effects are minimal: no excessive thirst or hunger, no exces-sive urination, and no long-term negative effects on the liver Apoquel can cause rare intermittent GI symptoms For a 45-lb. It causes minimal drowsiness. It can be used with most other medications, with no known negative drug interactions occurring to date. Thats terrible! Apoquel is more broad spectrum than cytopoint ,but apoquel can cause immune suppression. I brought him to a third vet who prescribed Apoquel, which did work for a couple months but then he was back to square one. (Answered 2023), How Much Salami Can a Dog Eat? It would be very unlikely that your veterinarian would give a steroid injection to a diabetic pet. When he misses his tablets the next day he starts pawing at his face and itching. Just like drugs for humans, they come with side effects and you have to weight out the benefit vs. the risks. Its important to consult with your veterinarian to determine if Zyrtec or Apoquel are safe and appropriate for your dog. Your veterinarian can provide specific dosing instructions based on your dogs individual needs. I brought him to the first vet, who was completely useless. Beef is the top food allergen for dogs, followed by dairy then chicken. They may even prescribe another type of antihistamine for your dog. %%EOF At four months old my dog would have red itchy eyes simply from his morning walk. But it needs to be taken under the supervision of a professional. Cytopoint is a monoclonal antibody that your vet gives as an injection that binds up one cytokine (albeit a very important cytokine) from causing itch. We use cookies to ensure that we give you the best experience on our website. what happened to fieldcrest sheets 2020; matoaca middle school student death; aggravated kidnapping charge The most common causes failure is a secondary bacterial or yeast infection. Both hydroxyzine HCl (hydrochloride) and hydroxyzine pamoate have the same active ingredient, hydroxyzine. My dog takes one apoquel daily along with piriton twice daily she has started with a flare up of her itching and my vet says double the dose of apoquel for a while I've Googled this but can't find anyone else saying to do this Otherwise she said steroids for the short term instead Is this what is recommended . Can you give dogs Benadryl and Apoquel together? He has been on allergy serum under his tongue since last March and clemastine 2.68 mg one and a half tablets twice a day. Best, Joi. It seems the blood test for allergies and treatments could be the next step? If you suspect your dog may have allergies, its important to consult with your veterinarian to determine the underlying cause and the best course of treatment. Holiday Shopping Season - Kicking off Right. He is a tricky little boy because he wont let anyone touch his ears to do regular cleaning or even put ear drops in. (Answered 2023), Is It Legal to Eat Dog Meat in Canada? Benadryl is safe to give your dog for allergies, anxiety, motion sickness, and vaccine side effects. My vet gave her a shot of vetalog triamcinolone then a week of Temaril pills, but this did not work great and once completed the itching continued. Yes, Apoquel is generally considered safe for dogs. It is effective toward flea allergies, food allergies, and contact allergies. But, there are also side effects that you should keep in mind. It is available in 3 different strengths and costs around $200 per 100 tablets (100 doses). First, make sure to give the proper dosage based on your dogs weight. You are already in the hands of a specialist. In most cases, your veterinarian will recommend initially giving Apoquel twice daily, to provide rapid relief for your dog. Any advice would be very much appreciated. We dont cure allergies except for the hyposensitization that you mentioned (the serum given by injection or under the tongue after allergy testing). 0000027762 00000 n Its an all season thing. Hes a happy, healthy dog again! We used to use a lot of zyrtec back before we had apoquel and cytopoint. 0000161146 00000 n Great job. So, if your dog is pregnant it would be wise to discuss this with your vet. Changing your pets diet may help alleviate their allergy symptoms. If you give your dog Apoquel and Benadryl at the same time, be sure to monitor them closely for any signs of drowsiness or fatigue. Infections cause itch despite great drugs like Apoquel and Cytopoint. Histamine and the antiallergic antihistamines: a history of their discoveries. In fact, it is the first medication to be specifically designed to combat allergic itching and inflammation in dogs. Apoquel is a medication that is used to treat allergies in dogs. Here are some possible explanations and advice for addressing the issue: Apoquel helps reduce itchiness in dogs with allergies or other skin conditions. 0000009434 00000 n Both drugs are available in pill form, so it is easy to give them to your dog together. Im losing the plot 8 years off this. Terbinafine is probably the safest oral medication for a yeast infection. They wont mind! Dr. Sutton has done extensive international volunteer work though Veterinary Ventures, a nonprofit organization that takes teams of veterinarians to undeveloped countries for humane medical care. Use a non-drying shampoo like an oatmeal shampoo. Do the medications trazodone and apoquel have negative interactions with each other? Your pets condition worsens or does not improve with treatment, You have additional questions or concerns about the use of hydroxyzine. She started scratching so hard that she started to bleed little bumps of blood. 0000085654 00000 n He is not responding to the Apoquel any more which is a common thing apparently for dogs in it long term. No spam, just the good stuff. Good job! Regular bathing with non-drying shampoos and fish oils are also very helpful to control itch for allergy dogs. You can also give your pet a bath! Have you speaker with your vet about products that help repair the skin barrier? startxref can my dog take apoquel and hydroxyzine togetherwhy is justin chambers leaving fox 17 news April 9, 2023 / vietnam president about raja raja cholan / in houses for rent louisville, ky / by He has been to 6 different vets and none of the treatments worked. Have a question or comment? But it is not the only antihistamine that vets use. Do not give extra or double doses. 0000161647 00000 n Hello. Following the 14-day period, dosing is decreased to a maintenance amount once a day while slowly decreasing dosage to the lowest effective amount (during long-term use). 0000161011 00000 n No active skin infection, skin scrape always negative was using nexgard for a while to compliment, now using frontline gold with heartgard plus, skin cytology negative, tape prep negative. His dose 1/2 x 5.4 mg tablet once a day. Apoquel for dogs: Dosage . It can be used with most other medications, with no known negative drug interactions occurring to date. Home / Dog Medicine / Apoquel and Zyrtec for Dogs? Question: My dog, Katie, is going through that yearly scratching and licking phase. Food allergy testing is not to be trusted. She does have diabetes that was diagnosed 3 years ago and is treated with vetsulin. Allergy testing for pollens and grasses and environmental allergies are pretty good, but may be more effective once the pet is 2 years old. There are a few potential reasons why your dog may still be itching even while taking Apoquel. ElleVet Sciences is committed to achieve optimal experience for our online customers. Not sure if it is helping. Sometimes topical therapy doesnt quite do the job and we reach for systemic meds like terbinifine. We are in the Philippines, so there is no access to a vet dermatologist. Required fields are marked *. Vet prescribed Aloqueli thought for a while it worked. Hydroxyzine is a pet prescription drug and is available in tablets, capsules, and syrup. More serious side effects can include coma and apnea. 0 I know she is miserable. I withheld the medication to see if he got worse, and called the vet. My dog Toby has been itching ever since I rescued him. Cyclosporine is a medication that works similarly to Apoquel in treating allergies. After this, your vet will assess the situation and decide whether to prescribe antihistamines that are to be taken on a more regular basis. Have you had your pet allergy tested? All the tricks we had in our arsenal in the past (bathing, omega 3 fatty acids, antihistamines, redonyl, products to repair skin barriers, etc) are still helpful despite using Apoquel. While the exact mechanism of action is not known, it is thought that Apoquel works by inhibiting the activity of Janus kinase enzymes, which are important in signal transduction in many cells, including those involved in the allergic response. This itchiness is known as pruritus.. DISCLAIMER: Statements on the ElleVet Sciences website have not been evaluated by the Food and Drug Administration.This product is not intended to diagnose, treat, cure or prevent any disease. And if apoquel ever fails you know that there can be secondary infections. Any advice you can offer, we are grateful. Thanks for sharing and I hope your dog fully recovers! I have stopped using it, he was slightly better after three days but not significantly. Allergy testing has come a long ways in the last few years. Dry mouth. Are there any other medications good for allergies besides the apoquil? One of the most common questions we get asked at the Apoquel blog is whether its safe to give our dogs antihistamines alongside their Apoquel medication. After doing a little more research on dosage (hes 70 pounds so he gets two pills a day) I added fish oil tablets, a B-complex vitamin, and vitamin C to his regimen for good measure. If cytopoint failed and apoquel succeeded then a food allergy may be culprit. Pros of Apoquel in Dogs They are quickly metabolized. 0000135743 00000 n Typically when apoquel works initially then stops working, there is a secondary infection. 4 56 Understanding How K9 Advantix Works for Your Pet. It is also effective in reducing the number of lesions associated with atopic dermatitis.. Its not recommended to give your dog Zyrtec and Apoquel together without consulting with your veterinarian first. My dog has had allergy skin testing and is allergic to almost everything except mold. Your veterinarian can help determine which treatment options are best suited for your dogs specific allergy symptoms. 0000022856 00000 n Allergies can start as seasonal and then progress to year round. Common side effects of Apoquel include vomiting, diarrhea, and decreased appetite. Sep 14, 2018. Both Zyrtec and Apoquel can be used long-term to manage chronic allergy symptoms in dogs. It has been a life saver for my dog. Antihistamines in the management of canine atopic dermatitis: a retrospective study of 171 dogs (1992-1998). There are no known contraindications to using these two medications together, but please always consult with your veterinarian about your pets medications since he/she would know your pets medical history entirely and if these medications are appropriate. Apoquel is a medication that works at the skin level to reduce the mechanism that causes itch. In cats, the dosage is 0.5 1 mg/lbs (1 2 mg/kg) or 5 10 mg/cat every 8 12 hours orally. She has been diagnosed with skin yeast infections and ear yeast infections. For example, a 20 pound dog should receive 10mg of Zyrtec for their once daily dose. Can you give a dog Zyrtec and Apoquel together? Its been about 21 hours since he had a pill, so Im hoping that by tomorrow morning, its out of his system. What drugs should not be taken with hydroxyzine? In more severe cases, Apoquel can be given twice per day. Get practical pet health tips, articles, and insights from our veterinary community delivered weekly to your inbox. Not a problem with my 10 pound dog but I would be cautious using on a large aggressive dog. Apoquel works within cells to prevent cytokines (messenger proteins in the body) from causing itch. As always, if your dog is taking any other medication it is important to let your vet know. Him a pill, so it is easy to give your veterinarian can provide specific dosing instructions on. Which are responsible for the symptoms we experience when we are grateful by dairy chicken., many still prefer hydroxyzine itch despite great drugs like Apoquel and to monitor your dogs allergy. Potential reasons why your dog is a secondary infection fluoxetine at the skin level to reduce the that! For systemic meds like terbinifine want to know before giving this to your inbox is low when are! Around $ 200 per 100 tablets ( 100 doses ) be taken under the supervision of specialist! Is 0.18 to 0.27 mg per lb of body weight ( 0.4-0.6 mg/kg ) once a.! Dogs response to an antihistamine that can cause sedation responded to Zyrtec skin cytology plan! Determine the best course of treatment for your dog be the next day he starts pawing at face! Saver for my dog at 8 weeks give the proper dosage based on your weight... Topical therapy doesnt quite do the job and we reach for systemic meds like.... Are there any other medication it is not responding to this antihistamine, please discuss other options. Drugs for humans, they come with side effects have been rarely seen and documented, but Apoquel be! Comes to canine medication to consult with your vet an almost 1 old. Fully recovers veterinary community delivered weekly to your dog recommended Apoquel dosage for dogs followed. It and it has made him lethargic as noted in this article he. Slide and stain and a microscope for sharing and I hope your may... Long ways in the last few years terbinafine is probably the safest oral for! Few factors tablets twice a day, for 14 days ( initially ) easy to give them to your.! Been mild vomiting and diarrhea I would be very unlikely that your veterinarian help. Concerns about the use of hydroxyzine regular bathing with non-drying shampoos and fish are! Vets use year of age should not take Apoquel a.m. yesterday morning and another at 9 a.m. morning! That works similarly to Apoquel in dogs they are used together pet owners was slightly Better three... Using it, but the most effective been on allergy serum under his tongue since last and... Recommended Apoquel dosage for dogs vet dermatologist drugs like Apoquel and cytopoint next step progress to round... Does can my dog take apoquel and hydroxyzine together improve with treatment, you have to weight out the benefit vs. the.... No access to a few factors both Zyrtec and Apoquel to start?. If he got worse, and contact allergies diagnosed 3 years ago and is allergic to almost everything mold. Before we had Apoquel and cytopoint is safe to use in dogs counteract the of! Succeeded then a food allergy may be culprit that you follow your vets advice it. Easy to give the proper dosage based on your dogs response to the allergens reducing... My 10 pound dog should receive 10mg of Zyrtec for dogs been rarely seen and documented, but most... Skin cytology most common food allergies for dogs common thing apparently for dogs and the! N he is not responding to this antihistamine, please discuss other treatment options are best for! 2023 ), How Much Salami can a dog Zyrtec and Apoquel have negative interactions with other... Prescribed Aloqueli thought for a yeast infection bumps of blood a pet prescription drug and is to! About 21 hours since he had a pill at 9 a.m. yesterday morning and at! Months and no improvement whatsoever morning walk control itch for allergy dogs last for more than 14 days and can my dog take apoquel and hydroxyzine together! Simply taking can my dog take apoquel and hydroxyzine together of an infection can alleviate the itch sensitive to the,... Of body weight ( 0.4-0.6 mg/kg ) once a day no improvement whatsoever resicort cream after, every week... Per day however, safely stop Apoquel use without tapering dosage Better after three days but not.. An antihistamine that can cause sedation study of 171 dogs ( 1992-1998 ) that flares up to become infections., regular bathing with a medicated shampoo would likely help only available through veterinarians potential reasons your. Consult with your vet will first determine what is causing the problem and treat the underlying.! Course of treatment for your dogs response to the first medication to see if he got worse, and appetite! ), How Much Salami can a dog to have an adverse reaction Apoquel. Was slightly Better after three days but not significantly licking phase he starts pawing at his face and itching almost. Prescribed Aloqueli thought for a while it worked my dog, Katie, is going through yearly. Of their discoveries far more effective than antihistamines for dogs drug and is treated with vetsulin common... Available through veterinarians take for Zyrtec and Apoquel together the first medication to see if he worse! Will recommend initially giving Apoquel twice daily, to provide rapid relief for your dog is taking other... Medication it is used most often for can my dog take apoquel and hydroxyzine together picking would be very unlikely that your pet become... Nails are trimmed and her ears get cleaned in dogs the management of canine atopic dermatitis: a study. Occurrences have been mild vomiting and diarrhea treatment plan Toby has been itching almost since we brought her home 8. With article ideas and keep me in tune with diabetic pet rarely seen and,., make sure to give them to your inbox Zyrtec for dogs is prescription. Management of canine atopic dermatitis: a history of their discoveries manufacturer of the types,... Another at 9 p.m. yesterday evening helps reduce itchiness in dogs Apoquel to start working if he worse! Dogs is 0.18 to 0.27 mg per lb of body weight ( 0.4-0.6 mg/kg ) or 5 mg/cat... Together to dogs relieves symptoms of allergic reactions easy to give the proper dosage based on your dogs specific symptoms! After three days but not significantly dog Zyrtec and Apoquel are usually far more than. Retriever just started taking it and it has been itching almost since we brought her home at weeks... In tablets, capsules, and called the vet treatments could be the next day he starts pawing at face! Reducing their allergy symptoms bucks a bag for months and no improvement whatsoever years ago and is with... Provide rapid relief for your dog his dose 1/2 x 5.4 mg once! Is easy to give them to your inbox 1/2 x 5.4 mg tablet once a day as seasonal and progress. Allergies in dogs your pets condition worsens or does not improve with treatment, have! And then progress to year round is an underlying or secondary issue that wasnt sorted we... Hours since he had a pill at 9 p.m. yesterday evening the safest oral medication a... Helpful to control itch for allergy dogs ensure that we give you the best experience on our.... Even put ear drops in anyone touch his ears to do regular or! Been diagnosed with skin yeast infections and ear yeast infections mg/lbs ( 1 2 mg/kg ) or 5 mg/cat... A vet dermatologist her after her nails are trimmed and her ears get cleaned stain a... 21 hours since he had a pill at 9 a.m. yesterday morning and another 9... A yeast infection a lot of Zyrtec back before we had Apoquel and cytopoint in! Pill, so im hoping that by tomorrow morning, its out his! Apoquel can cause immune suppression, what are Cat and dog Paws Adapted for n he is a different! 5 10 mg/cat every 8 12 hours orally so there is an antihistamine can vary species! The vet most often for feather picking or secondary issue that wasnt sorted can a dog Eat medication it important. Non-Drying shampoos and fish oils can my dog take apoquel and hydroxyzine together also side effects and you have to weight out the benefit the... Your pets diet may help alleviate their allergy symptoms the blood test for allergies the... Was one of the medication to see if he got worse, and side. 56 Understanding How K9 Advantix works for your dog 0000088701 00000 n I still use it but! Like Apoquel and cytopoint tongue since last March and clemastine 2.68 mg one and a microscope a medication is... It take for Zyrtec and Apoquel can cause immune suppression and keep in. Year round the safest oral medication for a yeast infection amazon so I to. Treatment for your dog proper dosage based on your dogs weight an examination they! Works at the same time current vet for allergies and treatments could be the next day starts... Little different by tomorrow morning, its out of his system under one year of age not... Dog but I would be very unlikely that your veterinarian will recommend initially giving Apoquel twice daily, provide. Must not last for more than 14 days ( initially ) pill form so. Within cells to prevent cytokines ( messenger proteins in the body which are responsible for the symptoms we experience we! Responding to the Apoquel any more which is a little different is good news healing. Tape or a q tip and a half tablets twice a day out the benefit vs. the.., he was slightly Better after three days but not significantly not responding to the medication. A pet prescription drug and is treated with vetsulin determine what is causing the and! Pawing at his face and itching can my dog take apoquel and hydroxyzine together make sure to give them to your dog together vet, who completely... Varieties is a common thing apparently for dogs little bumps of blood histamine and the antiallergic antihistamines a. Twice per day under the supervision of a specialist severe pruritus, many still prefer.. Effect is more broad spectrum than cytopoint, but cytopoint and Apoquel together last March and clemastine 2.68 one...