Attempt to restore epidermal ceramides by a diet rich in linoleic acid?
Herbal therapy
Herbal therapy using medicinal herbs currently is being explored in veterinary medicine. Several studies indicate benefit from an extract made from a mixture of Rehmannia glutinosa, Paeonia lactiflora, and Glycyrrhiza uralensis (Phytopharm).
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HEALx Booster http://www.hbf-uk.co.uk/booster.html
Booster is a certified organic red palm fruit oil
( I realize this is for ferrets but they are mammals the same as your puppy. Ask your vet or if you can afford it give it a try.
“HEALx for itchy ferrets In some ferrets with itchy skin we have been using HEALx Sunshine Factor and in some cases Booster HEALx if there is any infectious suspicion. I suppose their content of Omega 3 and 6 together with vitamin A and E help with any problem affecting skin. Apart from that, they get great fur and accept it amazingly well.
1 killogram = 2.2 lbs
| Sample dosage
amounts
| Weight
Booster Daily
Dose
| under
2.2kg
0.5-1.5ml
| under
4.5kg
1-3ml
| under
11.5kg
2.5-7.5ml
| under
22.5kg 5-15ml
| under
34kg
7.5-22.5ml
| under
45kg
10-30ml
|
Topical Therapy
A. Shampoos can remove allergens before allergy can be initiated.
Shampoo therapy must be gentle in order to remove surface allergens, bacteria, and yeast with minimal disruption to the epidermal lipid barrier. The ideal shampoo for the management of an allergic animal should be gentle, lipid barrier sparing, and prevent surface bacterial and yeast overgrowth.
B. Antimicrobial shampoos are beneficial for animals with recurrent surface bacterial overgrowth or bacterial and/or
Malassezia infection.C. Glycotechnology, the use of sugars in topical products, is encouraging because of the potential benefits of preventing microbial adherence and by reducing the inflammatory response to allergy challenge.
Microbial carbohydrate receptors (lectins) recognize specific sugars on host cell membranes thus preventing adherence. Sugars also can down regulate inflammation by inhibiting the secretion of pro-inflammatory cytokines. Allermyl
R shampoo (Virbac) offers this newtechnology.D. Shampoos, rinses or sprays containing oatmeal can offer soothing, antipruritic benefit. Relief
R (DVM/IVX), Epi-SootheR (Virbac)E. Longevity of residual topical products after shampooing, has been disappointing. Available products contain oatmeal, corticosteroids (hydrocortisone), and antihistamines.
F. Topical low-dose (.015%) triamcinolone (Genesis
TM Spray [Virbac]) sprays can be beneficial, but care must be taken not to induce topical application iatrogenic hyperglucocorticoidism.G. Tacrolimus (Protopic
R [Astellas Pharma) and topical pimecrolimus (ElidelR [Novartis]) are topical macrolide immunomodulatory agents related to Cyclosporine A. Tacrolimus shows promise in the management of dogs with atopic dermatitis, especially if affected body area is small. Roxanne