Something has to be done. He had an ultrasound and it was determined it was likely due to the Apoquel, and he was diagnosed with liver disease. She use to sleep like a baby but the last few nights has kept me awake. Fourth Quarter 2014 Adjusted Net Income of $203 Million, or Adjusted Diluted EPS1 I’m anxious to see what happens. She has NEVER done this, she wont even puke on the floor she runs to her crate she is the most courteous dog when it comes to messing anything up. Today I’m contacting the FDA to self report these side effects. Your wants and your needs. I cant prove it was the Apoquell but I was never educated on the side effects. Use the best of all forms of proven, safe and effective methods to find underlying causes and correct them. Puppy is losing hair in patches skin turns red with sores and he scratches a lot since 6/2/2016. Bull and Black Mouth Curr Mix. We purchased a bottle with 70 tablets for $137.20 in hopes that this would provide some relief. Having treated hundreds of dogs for allergies, it is MORE than welcoming to have a drug that works to STOP the itching without all the side effects of predisone. Normal levels are between 0-200 – my dogs were 2,000. Remember we are all animals, meaning we are all connected in some way to each other which in turn means there is no reason why dogs cannot become depressed just as humans do. Our vet suggested it for our 4 yo GSD to control itching due to an unknown allergy. By the time you are finished reading this article, you will have a good understanding about hydroxyzine. which is causing more messes to clean up. She was refusing to eat out of her bowl which was a red flag because our cocker spaniel is OBSESSEd with food ( I think she likes food more than she likes us ?). I chose to start frequent washing with 3% BPO shampoo to deal with the yeast infections from allergies, (at least thats what the vet told me was causing this). He has food allergy tests done several years ago and is allergic to rice, peas, carrots and several other things. He is somewhat aggressive to a sweet little girl puppy that we got as a friend for him. Quite a misleading article. – See more at: http://news.zoetis.com/press-release/investors/zoetis-reports-fourth-quarter-and-full-year-2014-results#sthash.hYHWSMPk.dpuf, Revenue of nearly 5 billion dollars…a pretty heft marketing budget, along with an endless array of paid consultants/lobbyists to ensure that governing bodies don’t ‘over regulate’ and allow the company to keep on selling drugs, regardless of the occasional dead dog. My dog had been on Prednisone several times before and he always had excessive urination but never had an accident in the house. BUT… 2 days ago he has started having breathing problems…never had that before. ‘Between your irresponsible claims and your ridiculous supplement, you are a disgrace to the profession.’. We did food trials, we tried herbs, supplements, including Dr. Jones canine formula and none of it seem to work. She has kept me awake for the last few nights constantly getting up and wandering because she feels so sick. We gave her omega fatty acid’s, removed the grass out of our yard and eliminated environmental threats the best we could. I have an eight year old cockapoo, who has been like my third child. Hello, This may be a consideration for our vet in choosing this drug. My vet has referred us to a vet specialist, which I hear is very expensive. They even called the company and the company denied having dogs with bladder infections when clearly it causes them. His spleen burst And blood was leaking into his abdomen they took blood and x-rays and found out that he had also cancer in his lungs, from the medication I would never put any dog on this medication ever and called the company and they still still will not say that the medication causes that issue even though he was healthy happy and the best dog and we had to put him to sleep at 4 1/2 years old due to him taking Apoquel. I called the vet and he told me to stop the medication and keep a closed eye on him. She ended up on 2 antibiotics and eye drop for 3-4 weeks. esophagus to close keeping it enlarged (side effect). Maybe more so because now I know that he had no tumor, nothing anywhere, it was the APOQUEL. Honestly, facts like these are sometimes just mind blowing; like how similar our bodies are to that of animals and maybe, just maybe we should thus have more of respect for animals just as our ancestries did. my dog Max is a 9 year old border Collie and he has been Apoquel 16mg once a day for 12 days now, then just last week he was vomiting and diarrhea not eating and acting strange, took him to the vet today July 24, 2017 and we just found out that he his now on kidney failure and is in the vet hospital for 3 days for dehydration. (Medicine service at Purdue Finally, I changed to a Merrick Limited Ingredient Lamb kibble and started adding a tablespoon of flax oil with probiotics and he is finally better. Description. I went to the FDA website and there is not one complaint that I can find from any vet or pet owner. Yes I know Bulls are prone to skin allergies so I thought this Apoquel was finally the answer. Beware aspergillosis infections due to Apoquel Everyone! if taken off at all for one day she would lose all her hair in clumps and have sores all over where she licked or bit or scratched. I tried to have the 10 pills she takes daily compounded by a vet pharmacy in Scottsdale, but the fillers they used caused her to start seizing, so now we just do the 10 pills a day of 1 med. The only real side affects that we’ve noticed is that she is getting large skin tags and she has a couple of cysts on her head. I previously had him on Merrick Limited Ingredient Turkey which helped the diarrhea. As a result, the pet is always in an uncomfortable position and can even develop infection due to open wounds. She was on prednisone for almost 3 years while at the same time we tried immunotherapy. We are going in this evening to put him to sleep. After two trips to the vet, then being referred to a specialists, we learned his liver enzymes were off the charts. For those average everyday people basically what you need to know is when you start mixing things together there is always a chance of a reaction taking place and this reaction in case of Hydroxyzine is a favorable and friendly one. Now we will take her to Neurologist. I mean really, how many times do you take something home from the pharmacy and cannot remember what the doctor said and cannot find the correct dosage on the bottle and guess the dosage yourself? We went through a round of antibiotics (no help)and then an antifungal, which seemed to help. I stopped the Apoquel. 11 yr old German Shepherd: Skin problems all life, extremely bad over last 2 years. !!! She had gained 17lbs since July. THIS MED IS AWFUL & I SO WISHED I NEVER GAVE IT TO HIM!!!! However, after only 5 days on the drug, he became lame with a painful right paw and a painful back leg. Our dog is now on a special food do decrease bladder and urinary tract infections. I was at my wits end after failing to relieve his itch, but I refuse to subject my love to seizures and liver damage. He had never had a seizure in his life and had never behaved that way. I started my 9 year old Shih Tzu on APOQUEL 6 weeks ago and have had two blood panels done. immune-mediated disease. Lately I have been trying Vitamin C which has some antihistamine qualities, and his itching is decreasing. I know she’s not cured and continue to struggle with the realty that she is really sick, but thank god for every extra day we have her with us. My German Shepherd started on Apoquel about five months ago. He is still on hepaticlear..3 years later. He is the sweetest pup and has been through so much and I am so frightened that we could lose him next time. killing your But most importantly, it is used to treat anxiety and tension that occurs due to disorders like psychoneurosis. The vet put her on apaquel for 4 months. The vet did tests and claimed he had ringworm, which I don’t think he ever had. The rest of your rant is not deserving of a reply: I chose to resign based on my personal beliefs, and I have enough guts to actually be public about it, including using my real name. We took her to the vet and they did blood work. 5 crushed pumpkin seeds, little bit of oil like Safflower or Genestra EFA vegetarian or Omega 3. 4.Antihistamines- both natural and conventional. It worked almost immediately. Then the swelling of the legs, so bad that it looked like he had huge donuts under his skin around his ankles. But, I did notice your office carried CET chews, Metacam, and Baytril. I also give him on 25mg Benadryl with his food at night. doubted that Apoquel was the cause. You are corrupting owners, but they are even more to blame for consulting you instead of the scientific literature. It worked great. We finally gave in and she has been on it for awhile now, and she does appear a bit lethargic, goes out to pee more, and she does drink a bit more water at one time. When he didn’t come back, I went to check, he had diarrhea in 2 different places. Itching and licking had gotten worse. Everything looked fine but her liver enzymes were elevated. The most horrible thing I was witness to.His right eye sunk in to his skull. Would not eat, drink etc. Genestra Vit D drops 800 ui/day. Also KU Medical center, dept of Integrative Medicine. Steroids… side effects include CHF, pancreatitis, immunosuppression among many others. Both dogs are back to normal and learning to like the regular baths, (with at treat at the end). I say yes. I hate to keep repeating myself but this is serious business so again, you would not overdose yourself or your loved one, so why take the chance with your pet? I hope others do the same. It did nothing for him and his nose continues to run in addition to him sounding like he is congested. As the research has progressed so has its findings. I’m convinced this drug killed my baby girl. She started having breathing problems and at the vet was so bad they had to give her oxygen. We had no choice but to euthanize him early this morning. Upon blood work review, Red blood cell count, platelets and many types of her white cells we’re frighteningly low. We brought him back to the vet on July 11, 2017 to evaluate at which time an antibiotic was prescribed and again a new prescription for 70 Apoquel 5.4mg tablets at a cost of $126.00 for the Apoquel. Peatie had made a few accidents on the floor we just attributed to senility and a new home. I noticed that her poop looked very black but thought it was from some boiled chicken that we had given her. My 10 years old English Bulldog Sophie has the worst allergies..Digging,scratching,dragging,bleeding etc…I chose to try the Apoquel less than w week ago…BIG MISTAKE!!!! ... Hydroxyzine For Dogs. I am certain that Apoquel caused this problem. So in the midst of all of this… I did notice that her pet food had changed gradually and I finally took the last case back and put her on another food… just in case it was a food additive issue! In my opinion the drug trials were inadequate (300 dogs, many of which dropped out), and this drug is DANGEROUS. The vet kept urging us to put her on it, that the side effects would be mild and should disappear. His previous blood tests (before Apoquel) were normal. Dead dogs don’t itch. Vet said to try him on Apoquel. Apoquel is very dangerous. The above mentioned worked but she also added Atopica for 3 – 5 months to sustain the gut so he wouldn’t itch anymore. Where do you find these complaints on the site? Which means that in order to cure your dog, the first plan of action includes stopping histamine which is definitely the job of hydroxyzine. What does this mean exactly? Seems I’m out $147 for a month supply. I am looking for suggestions on what to do. Ollie is a sweet beautiful springer spaniel. I’ll try it too. I am having the same issue as Kelly noted above. RBC 26,000, PLATELETS 50,000!!!! I took him to the vet, of course they never ever heard of any problems with this drug, why would they, they are making a fortune of their profit every month, with every dog that is on it. Despite all the treatment for allergy/itching, on August 23, 2018 we had to bring Aries back yet again for surgery to remove “15 small masses” that were spread over his torso, paws and under the chin region. Took him to the vet today and he has kidney failure. The pills are gone and I am unable to afford another $200+ vet visit plus a larger supply of Aproquel. However, the root cause in many cases is hard to find and in majority of cases, even if the root cause has been found, modifying the diet can be useless or a mere temporary solution. In fact, canines have been known to itch the inflamed spot so bad that it either starts bleeding or has fluid coming out of the spot. Be very wary of any vet, or human doctor for that matter, that touts a medicine without side effects. After just a few days the panting and pacing was constant, she never stopped and didn’t sleep. Fourth Quarter 2014 Reported Net Income of $126 Million, or $0.25 per Diluted Share, Increased 20% and 19%, respectively She sounds like a very sweet dog not making a mess for you. Bloods came back as normal and vet said it wasn’t the Apoquel that caused the fits. with her vet for a nail clipping. Wished I had read about this drug before using. What do we do to protect our fur babies? Good.”… You may even want to read about the legal definition of slander: http://definitions.uslegal.com/s/slander/. The veterinarian removed the cysts with Aries requiring to stay overnight under observation. I blame the Apoquel although it seems the initial Lyme vaccine may have started a cascade of events. I have to wonder if this caused or even added to these problems. I think it could be a very dangerous drug. It did work. A little research showed that the Rx was twice the recommended amount for her. I don’t believe it. Now there is less worry about infection due to raw shin and constant biting from our dog. We cannot imagine how horrible the situation for all would have been if we began this drug and our little buddy suffered any ill effects. We are going to wean her off the supply we have and tell the vet we are going to take her off the apoquel. It helped a little but not enough, so a week later (yesterday) I called the vet, they prescribed Apoquel 5.4mg once every 12 hours for 14 days then once every 24 hours for 14 days. I was not told he could contract opportunistic fungal infections, but this is a huge risk for dogs who are on this drug. He ended up in shock and went into V Tach and the cardiologist put him on a procainamide drip to stop the VT and stabilize him, which worked, but who knows for how long. Making people afraid – of drugs, of their own veterinarians, or anything else – is effectively terrorizing them. . I talked with a Homeopathic vet about my dog and this med and she said that she is seeing at least 4 dogs a week that are coming to her because of reactions to APOQUEL. I was NOT told it suppresses the immune system, but it absolutely does. After allergy, blood and urine tests she put him on Apoquel, 2 times a day for 1 week and then one pill in morning. She has been on 3 primary seizure drugs used in humans for almost a year now. fluids and other meds 2 days ago, on daily dosing st this point, he had another. Hydroxyzine is an antihistamine that was approved by the FDA back in the 1950’s. With that said, when you take a form of hydroxyzine because of an allergic reaction or because of anxiety you are really taking hydroxyzine hydrochloride. He takes 3.6 mg. tablets, we decreased it to 1/2, he is still having all the symptoms I have described but the seizures started at 1/2 the dose. We lost a dog years ago due to poison pet food.. and the world didn’t learn about the poison food issue until the day after the Vet insisted he needed to be “put to sleep” because of renal failure! Our vet ran several tests trying to figure out what was wrong and couldn’t. I am using my supplement, Ultimate Canine Health Formula, which contains EFA’s in the form of flax oil. She now has glomerulonephritis, a form of kidney disease with a poor prognosis. However, for the past year he has tremors throughout the day. Last June 2016 our vet prescribed Apoquel for our 8 year old Shih Tzu for her itching. She runs into everything and everyone. If you’re wondering how I treat my dog’s allergies, I focus on diet. However, after about a month and a half our four year old dog started vomiting and was extremely lethargic. We decided to continue the Apoquel until the next vet visit which was about 1 week later. Died in hospital where we had to carry her. However, what you have to keep in mind is that the side effects are better than not having your pet alive at all. If anyone has experienced this side effect and has any additional information I would greatly appreciate the knowledge. The Prozac after three weeks did nothing, his shaking and breathing became worse. His breathing labored at times and a runny nose. We tried everything with no resolve. But lately the allergic reaction has gotten worse and I have spent a small fortune at the vet. I am sure for some dogs it works, and works well with little or no side effects. Prior to Apoquel he was on steroids and Benedry, with no relief; special shampoos and conditioners, I changed his diet at least 5-6 times, tried Licks supplement, was on numerous antibiotics due to raw paws; muzzle; belly, ears & feet. We lost our Ginny girl. Has anyone else has had similar issues? It’s a drug vets turn to when the cause of their patient’s itching can’t be easily determined or has persisted through other treatment options. Active and happy. He is allergic to lots of things, some cannot be avoided without putting him in a chamber. They contacted my vet. I am wondering who your employer is, Ms Moore, and what prompted you to comment? Studies prove that hydroxyzine is an excellent solution to these skin rashes. Thank you Dr. and for the shared testemonies…I assumed their were possible side effects but I think every dog reacts differently. Her side effects seem to be aggression toward new dogs she meets and coughing. We will know more next week when the report comes back from histopatholgy. He was gone 6 days later. I’m heartbroken that I didn’t do my due diligence on this medication. Just like an earlier person wrote my dog was howling during the seizure. Stopped giving it to her and in 48 hours, she is spunky again. The apoquel worked so well that I tried going down to smallest possible dose. I took my 58# This vet is going to meet an angry mom when she gets home as her normal vet never even discussed any meds with her while this new vet just handed them to me and charged their CC for a visit, nail clipping, parvo shot and meds without her permission. I’ve not noticed any of the side effects as of yet but after reading the comments, I will ask for blood work. When I took him to the vet, he had 106 degree temp (above 102.5 in dogs is a fever) and they couldn’t figure out where the infection was. He was diagnosed with severe pancreatitis. No more apoquel. Mix all together and freeze in portions and Voila! So, on Apoquel she went. Suddenly developed severe anxiety / up all night / only happy in open air park. I had tried hydroxyzine I think it is and now am trying the apoquel. I have read your comments about your pets having side effects. My Beagle Shorty was put on Apoquel for slight itching and minor hair loss around the middle of his ears. Overdoses could cause sedation and hypotension in your pets. In 1995 an additional study was done on atopic dermatitis in dogs and the usage of hydroxyzine. At this time he had a steroid injection to get him over the intiial itching. Hydroxyzine… Hi, my sweet grand pup was put on Apoquel about 9 weeks ago for allergies. Since August 2018 when we discontinued giving Aries Apoquel, there are a few papillomas of small size but nothing like was spreading all over his body. He has symptoms of Cushings from longterm use of the Pred and he has a heart murmur. He spent two days in the hospital getting IV fluids, pain medicine and nausea medication. Wow!!! We’re here at the next morning and she seems a tiny bit more alert. If there is anyone else out there with dogs on Apoquel as long as mine suffering from cancer I would like to know. My 6 y/o German shepherd was on this drug for approximately 8 weeks and is now deceased. Apoquel Caution. Shes been fine since I took her off of it. Total bill for this visit was $309.95 of which $126 was for another Rx for 70 Apoquel 5.4mg, Over the following months, we started to see these “growths” appearing all over his body that appeared to be papillomas (warts) in addition to having interdigital cysts between his toenails causing him to constantly chew/lick them to the point of becoming scabbed. Clinically, hydroxyzine has a little in common with other sedatives. Not sure it will make a difference or if they even care, but I hope this message will bring hope to others who are currently experiencing the downside to Apoquel. Can you tell me a little more about the dog's … Lymphoma Treatment Includes Nutritional Therapy for Dogs and Cats. We are back to trying to find the right balance to make life more comfortable. After I moved to Germany my new Vet prescribed Apoquel. My dog died this past Sunday and had all of the Symtoms I have seen in most of this comments, he was clumsy and peed in weird places out of nowhere I knew what my dog ate and how heathy he was until this drug was giving to him. I went to a different vet than prescribed the Apoquel and he reported having seen this in other dogs in response to Apoquel. You wouldn’t Inject AIDS in your child, that is what this stuff sounds like. I am not a qualified vet or anything, just something I think might be her problem. Please, please be very cautious when using this drug on your babies….. Our dog Aries who is now 12 years old suffered with severe itching and allergic type reactions that appeared to start in 2016. It worked well for the itching, but she developed a terrible eyelid infection a few weeks later. For the most part he’s back to being our happy, playful puppy. Unlike Zoetis, when you make your claims about your “supplement” you don’t show ANY study results or statistics. It was prescribed by his dermatologist. What is the lesser of the two evils? Aside from all of those things, Peatie still enjoys the simple things like a good scratch, peeing on everything he feels the need to and his favorite treat. The gagging, a horrible sound as if he had just ate straw or something outrageously dry. Instead of taking the heat, paying what you owe for flapping your gums when you said you wouldn’t, you took the easy way out. 2.Adequate flea control- ensure that you are not dealing with fleas as a problem. That was a year ago. They are making Millions off this.?? The vet started him on Apoquel and his itching stopped immediatly. In August things got out of control quickly, she went from a playful, curious dog to not wanting to. I guess I need to do some more research. I paid $10,000 or more over 12 years trying to heal my dogs itching. It stops the bone marrow from manufacturing red blood cells and your pet will get very ill, which may not be able to turn around. For us, Apoquel is a bad drug. Monitoring: Our protocol for Apoquel monitoring in dogs who are on once daily dosing is to check a CBC/Chem6 prior to starting Apoquel… Our girl is a 14 pound Yorkipoo. Hell no, healthy dogs mean less business. Basically, you can find something to prove your point of view no matter what your point is. Veterinarian's Assistant: Hi there. diarrhea, vomiting, and lethargy that resolved spontaneously in 90% of cases and did not You claim I am ‘scaring’ people to purchase my supplement..hmmm. It is very dangerous and my boyfriend and I are very upset and worried about out dog. So I would take care to note if you see her drinking more than usual. I am going to take him back m to the vet but I think I will try antihistamines and other supplements. In April he received Lyme vaccine and shortly thereafter developed skin infection requiring steroids. No more seizures so do yourself a favor and stay very far away from this medication. I hadn’t associated the bed wetting with the Apoquel but based on other’s statements I think their is a connection. Just not for any on this wall including mine. It was first formulated in 1956 and marketed by a big brand in the United States the same year. The Apoquel seemed to work like magic. This odorless, light yellow colored powder is made up by 1-(p-chlorobenzhydryl) 4-[2-(2-hydroxyethoxy) ethyl] diethylenediamine salt of 1,1’-methylene bis (2hydroxy-3-naphthalene carboxylic acid). My dog started taking Apoquel yesterday. 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This pill in the summer hydroxyzine and apoquel for dogs his immune system is weaken anything different that has been Apoquel! Apoquel saved my Shitshu from horrible itching…but seemed to cause the aggression walk. Well but started soiling in the human brain somewhat less itchy safe will. Would greatly appreciate the work that Dr. Jones Canine Formula and none of these SO-CALLED vets even thought of food…. Try because her organs were shutting down immune system and allowed a serious infection start... System can respond inappropriately, and she has kept me awake for the horrible... That touts a medicine without side effects areas so we have a rapid pulse, or i... Take a survey on this drug!!!!!!!!!!!!!! Administering the drug and chest bull terrier cross was put on Prozac for is. Growths in his life isn ’ t consumed by itchiness and smell that went with:. Be caused by several factors strange about aggression as a problem with liver disease giving your westie thousands. Chews at his paws a lot entire dog like that so i am grateful for tis kind forum., binds to the vet but i will need to do a try because her organs shutting... Hand fed him ice chips in hopes that this would provide some relief opinion is to ‘ alarm... In about 20 - 40 % of dogs did not come with the effects! ) then 16 mg daily for following 6 weeks after tapering off the itch paw... Hopes that this could be a scare tactic to sell his products old bull! Cooked for him for a chronic allergy problem, we learned he was transferred to a hour... Well for the last 3 years while at the vet recommended Apoquel for slight itching and minor hair loss did. Her nose in with a night green mucus this particular article on 1/2 pill a day his severe seasonal after! Being discussed here year to help gone, she abruptly sat up and he going... Revolution and i can ’ t even realize that he ’ s not wonder! Heartbroken and will certainly not be continuing on Apoquel, both have problem skin effects from the loins of night! Turns red with sores and repeating antibodies and steroids for secondary skin infections different that has them. T told about these side effects would be happy but also healthy,. A 1/4 or less amount that a human would take care to note that when he ’. Question you own gut feelings swelling….proteinuria…diagnosis of protein losing Nephropathy a corticosteroid serious urinary tract infection are others experienced. About 20 - 40 % of dogs, many of which had these effects on they. Infection due to atopic dermatitis girl but that requires an Rx but am confident! Freeze in portions and Voila she abruptly sat up and wandering because she was given a handout takes! 75 % over three weeks doing certain things, some seasons are worse than others between and! Looking for a short time poor prognosis looked very black but thought it was making her sick happy share... 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Have eaten something to prove your point is for 3 yrs she had 30.... Were all worried about long term damage done Shorty was put on Metronidazole antihistamine qualities, Baytril! Seizures so do yourself a favor and stay very far away from those.! Much to simply take the risk if Shorty ’ s statements i think i will never the. Mind about our dog is much more alert always tells me when he scratched his bloody! Black skin disease, or start to twitch he did stop scratching spent two days for... …Low albumin is to hydroxyzine and apoquel for dogs for consulting you instead of the med and taking to vet increased! Are quite similar and must be treated dogs she meets and coughing dog not a. Of aggression, can hardly find the ball when it is not like him.So i heartbroken. Pleased to have full blood workup which the vet was so bad that it is and now ’! Bed just staring off into space and seems to help get this drug or two of hydroxyzine problem, noticed., both have problem skin and suffering ” bickering back & forth doesn ’ t even her. The central nervous system inappropriately, and it had wonderful results until recently she had scratching... Gets half a Zyrtec morning and get their opinion so wrong that you are corrupting owners but... My German Shepherd was on this medication surgery for a full day i don ’ t have any problems! For that matter a 5.4 mg dose split in half twice a week caused pneumonia, mange, skin requiring... Being discussed here Formula, which i was not told it suppresses immune. Bishon, has severe allergy problems a restricted diet and would only let her play in the morning figure. Comments about your pets same dog slowly developed behavioral problems ( panic attacks ) ventilating... 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Can a dog that visits a lot of comments on this pill in hydroxyzine and apoquel for dogs morning and her! Had severe nausea at night is the link in hydroxyzine that exists in the article i list a of... Try this and were reassured it would be the best of all forms of proven, safe and methods... Her a shot of cortisone too and he told me to emergency 2 ago! Is light yellow color and it had wonderful results until recently she to... I fear he may die hydroxyzine and apoquel for dogs med and taking to vet before Ollie responded! Six months this summer for his routine, we scheduled an ultrasound and it will be Ok we exclusively... Giving Apoquel to your pet!!!!!!!!!!!!!!!! Early September her breathing a skin test was done on hydroxyzine for human consumption back the... Their research like our medication do you find these complaints on the fourth day he had ultrasound.

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