A. I presume if he is on apoquel then this is a dog with allergic skin disease. There are many different treatment strategies to treat this frustrating problem and consistency is important which is difficult when medication is not always available. I cannot recommend specific medications especially when I do not have a full history and any other disease issues or adverse reactions he may have had in the past. Steroid based sprays and medications can provide some relief but do have a risk of side effects; cyclosporin capsules can work in some dogs but take a long time to reach maximum effect; dietary management with hydrolyzed diet can be very successful in dogs with adverse food reactions (royal canin hypoallergenic); diets enriched with natural anti-oxidants and fatty acids (royal canin skin support) can give significant relief in non-food sensitive dogs; medicated shampoos and lotions can help depending on various infections and imbalances which can arise; chiropractic or acupuncture care can improve skin circulation and balance. It is a balancing act and not all measures will hep all patients all of the time
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