Apoquel For Dogs
By their very nature, dogs tend to lick, scratch and chew themselves!
But if your dog is suffering from unrelenting itching behavior due to skin allergies, relief can’t come soon enough for you and your dog to get back to a life of doing what you love.
Unfortunately when dermatitis causes an itch that just won’t go away, your dog’s repetative scratching & chewing behaviors can eventually damage your dog’s skin–causing painful skin lesions.
This pattern sets up a vicious cycle of irritation which is hard to break; and even harder to treat.
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If your dog is constantly itching & scratching or biting his skin, it might be time for serious medical intervention.
Apoquel For Dogs Allergies
Oclacitinib, brand name Apoquel®, is an FDA approved immune suppressant drug often prescribed by veterinarians for dogs to control the itch and inflammation associated with allergic and atopic dematitis.
Apoquel is ideal for both short or long-term treatment for pruritus (intense itching) and can help to offer relief without many of the side effects associated with steroids. In most dogs, Apoquel starts to relieve unpleasant symptoms within 4 hours, and effectively controls itching within 24.
However, the antipruritic effects of the Apoquel wear off quickly, within 12-24 hours, so the medication needs to be given daily in most cases.
In additon, Apoquel is only intended for dogs over 12 months in age and weighing more than 6.6 lbs.
How Does Apoquel Work?
When a dog suffers from allergies which cause dermatitis, there are two parts to treating them:
- Identifying the allergen so they can be protected from future exposure to it, and
- Relieving the discomfort of their symptoms in the mean time.
Veterinarians will recommend Apoquel for the second part – relieving the discomfort of itching.
Apoquel is an oral tablet that works differently than other allergy medications like steroids, antihistamines or cyclosporine for dogs. Apoquel goes straight to the source to help relieve itching and inflammation at its core—addressing the underlying cause of irritation to soothe allergic reactions.
In simple terms, Apoquel changes how the immune system reacts. But let’s break that down a little bit more.
Apoquel is an FDA approved immune suppressant drug in the selective Janus kinase (JAK) inhibitor class, which targets pruritogenic (itch creating) cytokines. The main active ingredient in Apoquel is oclacitinib maleate.
Specifically, when oclacitinib enters the bloodstream it blocks particular enzymes called Janus kinases. They’re the real troublemakers when it comes to the itchiness and inflammation associated with atopic dermatitis.
Apoquel works to control pruritus by inhibiting primarily JAK-1 and JAK-3 signaling that would normally occur when a cytokine binds to a receptor on the surface of the cell. This includes blocking the effects of inflammatory cytokines released from activated lymphocytes (IL-2, -4, -6, -13) as well as IL-31, a cytokine directly involved in the sensation of itch.
Unfortunately, while Apoquel can reduce your dog’s itching skin and make his allergy more tolerable, what it means longterm is the very serious adverse effect of demolishing essential functions of your dog’s internal disease-fighting immune systems.
Side Effects Of Apoquel For Dogs
Apoquel is the latest in a line of drugs used to help dogs with itchy skin caused by allergic or atopic dermatitis. Released in 2013 by Zoetis, the animal medicine arm of pharmaceutical giant Pfizer, Apoquel was developed as an alternative for dogs who didn’t benefit from earlier drug therapies or who couldn’t tolerate their side effects.
So far no anti-itching drug (including Apoquel) has been created which is completely effective or completely free from side effects.
What are the potential side effects of Apoquel?
You may have tried other treatments to relieve your dog’s allergic itch. So getting the right treatment early on can help avoid unnecessary suffering and the out-of-pocket expenses associated with treatments that just don’t do the trick.
Adverse reactions reported in a masked field study included diarrhea, vomiting, anorexia, new cutaneous or subcutaneous lumps, and lethargy.
In most cases, diarrhea, vomiting, anorexia, and lethargy spontaneously resolved with continued dosing.
Here are common adverse reactions seen in dogs taking Apoquel:
- Elevated liver enzymes ALT & ALKP
- Drug interactions
- Rapid Panting
- New cutaneous / subcutaneous lump
Low numbers of dogs in studies with Apoquel developed demodicosis (skin mites), neoplasia (abnormal cell growth), pneumonia, bloody diarrhea, skin and ear infections, UTIs, and histiocytomas. Interestingly, in early studies, a few dogs developed polydipsia (increased drinking), increased appetite, and aggression, similar to what may be seen with steroids.
But the biggest concern about Apoquel is that it may exacerbate neoplastic conditions and increase susceptibility to infection, including demodicosis (mange).
Apoquel Interrupts Life-Sustaining JAKs
Apoquel’s mechanism is to interrupt JAKs … and prevent them from working properly.
According to the manufacturers description of Apoquel, dogs taking Apoquel had decreased leukocytes (neutrophil, eosinophil, and monocyte counts) and serum globulin, and increased cholesterol.
Essentially, Apoquel undermines your dog’s immune system from ensuring adequate inflammatory response measures to fight against tumor formation.
JAK’s are key elements in controlling both growth and development and policing (monitoring) of cancer cells. They are responsibile for forming white & red blood cells and ensuring antibody-producing B-cells and T-cell surveillance wtihin your dog’s body to find and destroy abnormal cells that have become cancerous–before they become tumors.
These JAK’s communicate with each other and share information to keep your dog’s body healthy.
By preventing JAKs from working, Apoquel undermines your dog’s protective immune system and cancer protection response.
Without JAKs your dog’s immune system cannot function correctly. JAK-1 is a crucial messenger. It’s needed to destroy invading parasites, fungi, bacteria and viruses. JAK-2 is central to the production of bone marrow stem cells. These cells then become red and white blood cells and platelets. Your dog’s antibody system (B cells) and its killer-cell system (T cells) need JAK-3 in order to function properly at full capacity.
Apoquel Dosage For Dogs
Apoquel is dosed according to your dog’s weight. Remember, Apoquel is ONLY for dogs 6 lbs and over; so the recommended initial dosage for dogs 6.6 – 9.9 lbs is 1/2 of a 3.6 mg tablet.
The dosage for dogs 10-14.9 lbs is ½ of a 5.4 mg tablet, twice daily. The dosage for dogs 15-19.9 lbs is one 3.6 mg tablet twice daily.
The dosage for dogs 20-29.9 lbs is one 5.4 mg tablet twice daily. The dosage for dogs 30-44.9 lbs is ½ of a 16 mg tablet twice daily.
The dosage for dogs 45-59.9 lbs is two 5.4 mg tablets twice daily. The dosage dogs 60-89.9 lbs is one 16 mg table twice daily.
The dosage dogs 90-129.9 lbs is 1½ 16 mg tablets twice daily. The dosage for dogs 130-175.9 lbs is two 16 mg tablets daily.
IMPORTANT SAFETY INFORMATION: Apoquel should not be given to dogs younger than 12 months or those with serious infections. Do not use Apoquel in breeding, pregnant, or lactating dogs. APOQUEL may increase the chances of developing serious infections, and may cause existing parasitic skin infestations or pre-existing cancers to get worse.
And for concerned pet parents who have tried multiple therapies without success, APOQUEL has still not been tested in dogs receiving other medications, including corticosteroids and cyclosporine commonly used to treat skin conditions in dogs.
Alternative To Apoquel For Dogs
If your dog is rolling, rubbing and scratching his skin excessively, has recurrent ear problems (such as head shaking or ear discharge with odor), or skin rashes and hair loss, you need to find allergy relief…FAST!
Natural Alternative To Apoquel For Dogs
For those pet parents who are looking for a more natural way to treat their dog’s allergy symptoms without the worry of destroying their dog’s immune response system, there is new evidence that CBD (Cannabidiol) from full spectrum hemp can help alleviate your pet’s itching and scratching allergy symptoms without the negative immune suppressive side effects.
Dog Allergies Medicine – CBD For Pet Allergies
Academic research centers in the United States are currently studying the effects of using CBD-rich products to treat a wide range of canine conditions including; chronic pain, cancer, diabetes, cardiovascular disease, as well as effective therapeutic intervention for canine allergies.
Cannabidiol (CBD) is a non-intoxicating, non-psychogenic component of the hemp plant that holds enormous therapeutic potential for our pets with Atopic Dermatitis.
CBD oil as a treatment for Allergic Dermatitis seems to work by modulating the cellular inflammatory response. In particular, CBD acts as a neuro-immune modulator, or signaling molecule, for communication between cellular structures, tissues and organ systems specifically involved with inflammation & allergic responses.
Specifically, Cannabidiol curbs inflammation by suppressing the infiltration and functional activity of T cells and macrophages localized at the site of inflammation; thereby preventing the cascade of cellular immune/allergic responses that result in your dog’s sorrowful itching & scratching behavior.
Previous studies concluded that endocannabinoid receptors are “up-regulated” in dogs with atopic dermatitis (skin allergies), which suggests they can respond to this inﬂammatory condition by producing chemical substances that can reduce inﬂammation–the major cause of the symptoms of allergies.
But just like other herbal medicines, CBD may not have an immediate, instantaneous effect on this condition. By using a daily CBD phytonutrient supplement it’s possible to suppress or at least moderate the agonizing effects of chronic inflammation for animals who suffer from skin inflammation “hot-spots” and allergic dermatitis.
Better still, the positive effects of CBD for dogs extend well beyond the physical care of your pet. Full spectrum CBD oil is a safe, holistic pet food supplement that can also improve mental, emotional and behavioral related canine issues like noise phobias and Seperation Anxiety as well as musculo-skeletal & mobility problems like osteoarthritis.
Although CBD seems to be a potent new therapy to positively influence the inflammatory response and eliminate the tormenting symptoms of allergies in our furry friends; using CBD for K9 allergies is far more effective when used in conjunction with dietary changes and family home-environment improvements to avoid needless contact exposure to potential external allergens that are at the root-cause your dog’s unneccessary itching symptoms.