Treat for ectoparasites.The current recommendation is to treat ectoparasites as a first step, even if no ectoparasites are visualized during the initial examination.
Antipruritic andAnti-inflammatory Medications
Treat pruritus.
Cyclosporine
Only treatment approved for long-term management of feline allergic disease.
Effective in up to 78% of cats and over 50% of patients able to be reduced to every other day or less.
Can take 4-6 weeks to see full efficacy.
Common, often transient, predominantly gastrointestinal side effects.
The cat should be fed a cooked diet, maintained on effective internal and external parasite control, and kept indoors due to risk of fatal infectious disease exposure (e.g., toxoplasmosis).
Glucocorticoids
Rapid onset of action that makes it a good treatment for acute flare-ups.
Sides effects are common. Long term side effects can include diabetes, exacerbating of pre-existing heart disease, and iatrogenic hypercortisolism.
