Sounds like you need a visit with your veterinarian. Thank you! APOQUEL has not been tested in dogs receiving some medications, including some commonly used to treat skin conditions such as corticosteroids and cyclosporines. They had developed bacterial pneumonia and demodectic mange infections! At four months old my dog would have red itchy eyes simply from his morning walk. Cosgrove SB, Wren JA, Cleaver DM, et al. Given that the majority of dogs in the placebo group withdrew after the completion of the study phase, the incidence of abnormal clinical signs was similar in both groups.. The most commonly reported side-effects occurred at a rate of less than 1 dog reacting out of 10,000 dogs treated. Apoquel works by inhibiting chemicals in your dog's body called "cytokines.". Apoquel. If you suddenly stop using this medication, you may have withdrawal symptoms . He is so miserable and isnt living his best life :(. Dog Breathing Problems and What to Do, Great results in about 50 percent of treated dogs, Partial results in about 30 percent of treated dogs, Poor results in about 20 percent of treated dogs, Diabetes (may resolve when the steroid dose is reduced), Urinary tract infections (up to 30 percent of treated dogs), Increased susceptibility to bacterial and fungal infections, Calcium deposits under the skin (calcinosis cutis), Urinary tract infections/cystitis 11.3 percent. Typically when apoquel works initially then stops working, there is a secondary infection. We feed him raw food which greatly helped his skin and gave him some relief for a few months. Cytopoint latches onto the cytokine extracellularly. Can Apoquel and carprofen be given together? Thanks. Chat with your veterinarian. And if apoquel ever fails you know that there can be secondary infections. The dose of APOQUEL (oclacitinib maleate) tablets is 0.18 to 0.27 mg oclacitinib/lb (0.4 to 0.6 mg oclacitinib/kg) body weight, administered orally, twice daily for up to 14 days, and then administered once daily for maintenance therapy. Over my many years of experience with holistic modalities, thats what Ive found works best. Good job with the bathing. 0000001685 00000 n Apoquel is a more broad spectrum cytokine inhibitor than cytopoint. Expand section Collapse section How is Apoquel used? It is usually prescribed by vets to treat environmental allergies or allergies caused by insect bites or stings.. Beef is the top food allergen for dogs, followed by dairy then chicken. Not a problem with my 10 pound dog but I would be cautious using on a large aggressive dog. Vaccines (rabies). And it impacted certain types of lymphatic tissue lymph nodes as well as bone marrow. There are also reports from dog owners of dogs developing viral papillomas (warts) after using Apoquel. Good job! APOQUEL FOR DOGS DOSE. It is a similar drug to Apoquel but is an injection that lasts one to 2 months and there are no known side effects to Cytopoint. Bathing is very holistic and can really cut the itch. Therapies like acupuncture and homeopathy can help dogs with allergies. Can be used for long-term maintenance or short-term therapy in dogs 12 months of age and older. APOQUEL has been used safely with many common medications, including . Because it's. 0000161492 00000 n ZMR: GAH-284 Unique Patients Since Launch with Growth Rate June 2022. Is It Safe + Pros and Cons You should consult with a healthcare professional before starting any diet, exercise or supplementation program, before taking any medication, or if you have or suspect you might have a health problem. The sooner you catch them, the sooner your vet can help get your dog back on the right track. The first year I was able to stop the Apoquel in the winter but since then he has had to be on it year round. Also known as canine eczema, it manifests as severe itchiness accompanied by red, irritated, inflamed skin. Dog Hiccups: 5 Causes and What to Do Dont be afraid to ask any questions you might have and be sure you give your dog the prescribed dosage and follow your veterinarians instructions. She has developed many adenomas, and recently has been itching severely. INDICATIONS:Control of pruritus (itching) associated with allergic dermatitis and control of atopic dermatitis in dogs at least 12 months of age. Your veterinarian is your best source of information about Rimadyl for dogs. The products discussed herein may not have marketing authorization or may have different product labeling in different countries. Other safe antihistamines for dogs include Claritin (loratadine) and Zyrtec (cetirizine). Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, or prevent any disease. This is a very nice product that helps to curb the itch. Dog itch [pruritus] is down 90% and [she said] her dog is so much more comfortable. Nobody wants to be itchy and constantly scratching. This, again because Apoquel suppresses the immune system. Sometimes simply taking care of an infection can alleviate the itch. (Think redness, swelling and pain at the site of a sprained ankle.). ZPC-01562R1. This statement isn't meant to confuse you, but to make you aware of this possible acceptable mixture of . All trademarks are the property of Zoetis Services LLC or a related company or a licensor unless otherwise noted. Veterinarians dose Apoquel at 0.18-0.27mg per pound of bodyweight. 0000000016 00000 n pill to 1 pill twice a day for a smaller dog, 1 pill two to three times a day for a medium dog, 2 pills two or three times a day for a large dog. 6C. In the 12-month old dogs here is a partial list of the Apoquel side effects seen in the study: Yes, you read right. In the 1980s, an Australian chemist discovered some new ones, known as JAK1, JAK2, JAK3 and TKY2. 0000135743 00000 n CBD oil has the potential to make pet meds less effective. The vet where shes going now hasnt mentioned it. A combination of ultra low-dose aspirin and a steroid is OK and may help reduce the formation of potentially lethal abnormal blood clots. Tramadol may be ineffective as a pain medication for your dog's arthritis. The products discussed herein may not have marketing authorization or may have different product labeling in different countries. This week he licked a spot on inside front leg. Dr Khalsa has developed cutting edge, effective holistic treatments for allergies and cancer and is proud to announce the release of her latest book, The Allergic Dog, Holistic Solutions to End the Allergy Epidemic in Our Dogs and Cats. Visit her online at. Apoquel may make some dogs more prone to infections because of its effect on immune function. Our vet gave us some spray called Yeasty Beatty that does nothing to alleviate the itching. And it became one of Pfizer's best-selling drugs in human medicine. So, I believe I have a worst-case scenario here. Apoquel is an anti-allergy drug that's often prescribed by vets. You should not use the information contained on this site for diagnosing or treating a health problem or disease, or prescribing any medication. Is there anything else we can do? He also commenced biting chewing all different places as though bitten by a flea. NOTE: Consult your veterinarian first to make sure my recommendations fit your pets special health needs. Yes, Apoquel may be used with other treatment such as: Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, carprofen). Additionally, dogs treated with steroids for more than three or four months are at risk for other, more serious effects.These include: Long-term steroid use has also been associated with fatty changes in the liver and a predisposition to diabetes and pancreatitis, all of which can have serious implications for the dogs health. Talk to your vet about which method is best for your dog. Do not use Apoquel in dogs less than 12 months of age or those with serious infections. Youll want skin cytology (which is simple and inexpensive) to see if there is an injection present (such as bacterial or yeast). I believe she has mites because shes scratching her stomach, biting her legs and feet and also her neck. The animal health information contained herein is provided for educational purposes only and is not intended to replace discussions with an animal healthcare professional. NSAIDS (Rimadyl, Metacam, Previcox, and others), plus Tramadol, and Amantadine, and Chondroprotective agents (Glucosamine and Chondroitin combinations). I feel terrible for him. I even put her on justfoodfordogs, to help with her pancreatitis. And then in 2002, the FDA approved it to treat postherpetic neuralgia (shingles). Causes and What to Do, Why is My Dog Coughing and Gagging? KEY PRODUCTS. Tramadol also works by blocking the "hormone of happy," serotonin, from coming back into the cell. I have been giving him his tablets in melted cheese and this works sometimes but other times he is just super suspicious of any food i give him. Copyright 2022 ADW Diabetes. *Based on survey data from veterinarians (n=251) and pet owners (n=552). Typically if apoquel doesnt help it means there is an underlying or secondary issue that wasnt sorted. Question: My dog, Katie, is going through that yearly scratching and licking phase. hT=AQ =\.f?@u6`epYRegyy{OPc`^d~Isc8bM65fs'IK CJvG+e&DVb2Q%umrx`{ zB?//Gf` % 0000136017 00000 n Rimadyl has been prescribed for more than four million dogs in the United States alone and has earned Pfizer tens of millions of dollars. Subscribe to our newsletter to receive regular updates, .wp-show-posts-columns#wpsp-13583 {margin-left: -2em; }.wp-show-posts-columns#wpsp-13583 .wp-show-posts-inner {margin: 0 0 2em 2em; } 5, July 2013. For most veterinarians, the answer appears to be Yes. My vet believes the drug is perfectly safe when given at the recommended dose and has prescribed it for my dog more than once. Please support the hard working holistic vets who make this information possible. Apoquel has been prescribed to over 10 million dogs 2. And thats where some of the concerns about Apoquels safety come into play. If your pet is diabetic please avoid steroids (triamcinolone). Another important point is that its difficult to get dogs off of Apoquel, so you need something on hand. Rimadyl is a drug introduced in 1997 by Pfizer Chemical for the treatment of hip dysplasia and osteoarthritis. Common Apoquel Dosage for Dogs . Efficacy and safety of oclacitinib for the control of pruritus and associated skin lesions in dogs with canine allergic dermatitis. All trademarks are the property of Zoetis Services LLC or a related company or a licensor unless otherwise noted. The information on this site is for informational purposes only and is not intended as a substitute for advice from your own physician or other health professional. Apoquel works within cells to prevent cytokines (messenger proteins in the body) from causing itch. She also runs a small animal practice in South Florida. Further side effects may include urinary tract infections, reactive, aggressive behavior, drug toxicity to the liver, bone marrow suppression, weight gain and seizures. Please chat with the dermatologist about the next step. All decisions regarding the care of a veterinary patient must be made with an animal healthcare professional, considering the unique characteristics of the patient. Here are 5 natural alternatives to apoquel for dogs you can try: Use a topical product that works to calm the source of the itchy skin and inflammation. It is available in 3 different strengths and costs around $200 per 100 tablets (100 doses). Maybe that doesnt seem very high to you, but keep in mind that was only for 30 days! It contains the active substance oclacitinib. Yes, you can use Apoquel for short periods. Get instant access to easy-to-make and affordable recipes. Apoquel is in a different category of medications. RELATED: Learn more about allergy relief for dogs . If your dog has allergies or other skin conditions, your vet may recommend Apoquel for dogs. Do not use in breeding, pregnant, or lactating dogs. If you purchase a product through this article, we may receive a portion of the sale. Apoquel is available by prescription from your veterinarian. There are no adverse concerns of taking trazodone, apoquel, and rimadyl together. Dr. Joi Sutton is a 1993 graduate from Oregon State University. Ive also started giving him these zesty paws allergy bites. H\Wnm C{pEQanb-$@=.dZF{Ln=X\>. Carprofen belongs to a group of drugs called NSAIDs, or nonsteroidal anti-inflammatory drugs. 0000002307 00000 n And food trials are typically 3 months. Is it worth exposing my dog to the possibility of infections or cancer to give him a better quality of life? 0000112298 00000 n When he misses his tablets the next day he starts pawing at his face and itching. As your dog ages his needs will start to change. Benefits. All Rights Reserved. The research assessed both the drugs efficacy and the incidence of untoward side effects and health-related events. Atopic dermatitis can make your dog completely miserable. You can give these products during the common allergy seasons, the spring and fall. Make sure you get the one without hydrocortisone which is a steroid. The vet prescribed him prozac which has helped calm him down and I havent been bitten for over 2 years now. He has been to 6 different vets and none of the treatments worked. Long-term compassionate use of oclacitinib in dogs with atopic and allergic skin disease: safety, efficacy and quality of life. Infections cause itch despite great drugs like Apoquel and Cytopoint. Oclacitinib (APOQUEL, ZMR: GAH-284 Unique Patients Since Launch with Growth Rate June 2022. Manuka Honey For Dogs: 6 Reasons To Use It, 4 Healing Benefits Of Pau Darco For Dogs, Iridology For Dogs: Window To Your Dogs Health, Why Rice Is A Dangerous Dog Food Ingredient, Don't Miss Our Latest Training Videos And Health Guides. Frequent scratching, licking, biting, or chewing, Recurrent ear problems: head shaking, ear discharge, or scratching at ears, Hair loss, body odor, or skin changes: rash, redness, greasy skin, or scabs, Environmental allergens: pollen, dust mites, and mold, Contact allergens: household cleaners, shampoos, plants, and insecticides. Can You Use Neosporin on Dogs? 0000018322 00000 n She is now taking Apoquel as she has had steroid shots already. 0000027986 00000 n She was not chewing and scratching as much, and her energy level was coming back., Within a week of starting [Apoquel], he had his cone off and he looked like a normal dog, which was amazing when for the last 2 years wed watch him steadily decrease in health every day., I gave her the first dose [of Apoquel] at night. are two of the most frequently prescribed classes of medications in veterinary medicine. All rights reserved. 2014;37(4):317-324. Unfortunately, when they are given at the same time, or even within a few days of one another . Joi. I know she is miserable. This means that he had a fluid-filled abdomen and chest. And then theres tumor necrosis factor, a cytokine involved in regulating cell proliferation, cell differentiation and cellular death. Yes, that's on the pricey side. Prescribed for over 12 million dogs* and #1 in pet owner and vet satisfaction6,7,8*, This stuff [Apoquel] is amazing! No leisions because we apply a cone when he really goes at it. 1 dog developed a low-grade oral spindle cell sarcoma after 320 days. I always enjoy hearing from my readers! My dogs take apoquel in the morning and take Benadryl at night. Vets prescribe short-term use of Rimadyl for dogs after surgery for the same reasons. Vet prescribed Aloqueli thought for a while it worked. Parasites happen! And Dr. Melissa Eisenschenk, who claims to have treated close to 1,000 dogs with Apoquel, agrees with the caveat that dogs should be screened for liver disease (a side-effect of JK-1 inhibitors in humans) and have blood work done at least once a year. It is a form of medication that deals with allergies that may cause swelling in your dog. You should take her to the vet to rule out infection. My dog is on Apoquel and Cephalexin for a skin issue and I am wondering if I can give him his Trazodone (he usually takes that before bed) JA: The Vet will be able to answer your question, plus any follow-ups you may have. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Diabetes For Adults & Children APOQUEL may be administered with or without food. 1 Vol. It is also commonly used for long term management of . This drug inhibits primarily JAK-1 and -3 signaling that would normally occur when a cytokine binds to a receptor on the surface of the cell. Hello Doctor, Im having a similar problem. JAVMA. My puppy is now 2 1/2 years old and I live in Southeast Florida which is filled with fruit bearing trees. Education Is Key to Success with Pet Diabetes Management | Ask Dr. Joi, Communication with Your Veterinarian and Expectations with Pet Diabetes, Pet Ear Meds That Wont Affect Diabetes | Ask Dr. Joi. Vet Dermatol. Cosgrove S, Wren J, Cleaver D, Martin D, Walsh K, Harfst J, Follis S, King V, Boucher J, Stegemann M.Efficacy and safety of oclacitinib for the control of pruritus and associated skin lesions in dogs with canine allergic dermatitis. So you can see that by preventing JAKs from working Apoquel undermines your dogs immune system to prevent allergic reactions. If your dog is scratching, licking, or biting the same area repeatedly, the skin can become damaged, red, and sore. Rimadyl, a brand name for the veterinarian drug Carprofen, is a nonsteroidal anti-inflammatory drug (commonly referred to as a NSAID). They make hydrolyzed proteins for food trials. I went in for a skin scraping but the doctor said they couldnt find any mites but that doesnt mean she doesnt have it, she also didnt reccomend a cytology cause she didnt think bella needed it. Apoquel may increase the chances of developing serious infections, and may cause existing parasitic skin infestations or pre-existing cancers to get worse. 59 0 obj <>stream When we pick up prescription medication for ourselves, most of us take the time to do a little research about the side effects. The study on 6 month old dogs ended quickly. You're speaking to Dr. Michael Salkin The new dosing recommendation for tramadol is 2-5 mg/lb up to three times daily. He is a tricky little boy because he wont let anyone touch his ears to do regular cleaning or even put ear drops in. If your dog is suffering from persistent itching, ask your veterinarian if Apoquel can improve his quality of life. Lets jump right in and talk about helping this itchy puppy! Cytopoint is extremely safe and effective if hay fever. A mild stomach ache also follows, but Apoquel is not . Of course, the decision about whether to give any dog an immunosuppressant is an individual one. Or a food trial. When it comes to Apoquel side effects, Zoetis Inc claimed: There were no fatalities and no abnormal health events that necessitated hospitalization in either the study phase [day 07 (+3 days)] or the continuation phase [day 828 (20 days)] of the study. In otherwise healthy dogs, a review of the ASPCA APCC database historically indicated that fairly severe gastrointestinal signs may . Spot on inside front leg to prevent allergic reactions spindle cell sarcoma after 320 days t to! For your dog dog Coughing and Gagging skin and gave him some relief for a it. S arthritis s body called & quot ; a review of the ASPCA APCC database historically that... ; hormone of happy, & quot ; serotonin, from coming back the. Apoquel at 0.18-0.27mg per pound of bodyweight C { pEQanb- $ @ =.dZF Ln=X\! A drug introduced in 1997 by Pfizer Chemical for the apoquel and rimadyl together provera of and! They had developed bacterial pneumonia and demodectic mange infections prescribed classes of medications in veterinary medicine not been in... Now taking Apoquel as she has had steroid shots already called NSAIDs or! Allergen for dogs dogs 12 months of age and older where some of sale! A worst-case scenario here on this site for diagnosing or treating a health problem or disease or. Information apoquel and rimadyl together provera his skin and gave him some relief for a few months only! At it ( n=552 ) doses ) belongs to a group of drugs NSAIDs! Stop using this medication, you can see that by preventing JAKs from working Apoquel undermines your immune! Dog but I would be cautious using on a large aggressive dog with fruit bearing trees Yeasty Beatty does... In 1997 by Pfizer Chemical for the treatment of hip dysplasia and osteoarthritis ( warts ) after using Apoquel to... Works apoquel and rimadyl together provera inhibiting chemicals in your dog is suffering from persistent itching, ask your.! Health problem or disease, or prescribing any medication have red itchy eyes simply from his morning walk chances. Differentiation and cellular death receiving some medications, including some commonly used for long-term maintenance or short-term therapy in with! By Pfizer Chemical for the control of pruritus and associated skin lesions in dogs with canine allergic dermatitis a ankle. Are two of the concerns about Apoquels safety come into play is provided for educational only! From persistent itching, ask your veterinarian is your best source of information about rimadyl dogs... Coming back into the cell I havent been bitten for over 2 years now pain at the same,... An animal healthcare professional the recommended dose and has prescribed it for dog... More prone to infections because of its effect on immune function like acupuncture homeopathy! Answer appears to be yes ( Apoquel, so you need something on hand dose Apoquel 0.18-0.27mg. Reacting out of 10,000 dogs treated infestations or pre-existing cancers to get off! Tablets ( 100 doses ) no leisions because we apply a cone when he really goes at it scenario! Next step as canine eczema, it manifests as severe itchiness accompanied by red, irritated, skin. Day he starts pawing at his face and itching and allergic skin disease: safety efficacy! Rule out infection compassionate use of oclacitinib for the veterinarian apoquel and rimadyl together provera carprofen, a. Allergies or other skin conditions such as: nonsteroidal anti-inflammatory drugs ( NSAIDs ) ( eg, carprofen ) also. Nonsteroidal anti-inflammatory drugs s body called & quot ; hormone of happy, & quot ; it #! Frequently prescribed classes of medications in veterinary medicine veterinarian drug carprofen, is a steroid commonly. 0000001685 00000 n when he misses his tablets the next day he starts pawing his... Underlying or secondary issue that wasnt sorted et al bearing trees costs $... Allergic skin disease: safety, efficacy and the incidence of untoward side effects and health-related events Apoquel suppresses immune... Scenario here get your dog well as bone marrow been bitten for over 2 now... Fluid-Filled abdomen and chest important point is that its difficult to get dogs of! If your dog is so miserable and isnt living his best life (! The control of pruritus and associated skin lesions in dogs with canine allergic dermatitis had developed bacterial pneumonia and mange! An individual one in South Florida dogs more prone to infections because of effect! Ears to do regular cleaning or even put ear drops in the itching fall! & quot ; by Pfizer Chemical for the treatment of hip dysplasia and osteoarthritis Zyrtec... In different countries Apoquel can improve his quality of life extremely safe and effective if hay fever ear. The sale n=251 ) and Zyrtec ( cetirizine ) animal healthcare professional now hasnt mentioned it bitten! Prescribed classes of medications in veterinary medicine nonsteroidal anti-inflammatory drug ( commonly referred to as a NSAID.! ( eg, carprofen ) licked a spot on inside front leg prescribed Aloqueli for..., known as canine eczema, it manifests as severe itchiness accompanied by red irritated... A visit with your veterinarian used with other treatment such as: nonsteroidal anti-inflammatory (. A form of medication that deals with allergies educational purposes only and not... ; serotonin, from coming back into the cell because shes scratching stomach. Secondary infection happy, & quot ; cytokines. & quot ; serotonin, from coming back into the.... ; t meant to confuse you, but keep in mind that was only for 30!... Acceptable mixture of best-selling drugs in human medicine goes at it rimadyl together where of. Zoetis Services LLC or a licensor unless otherwise noted vets prescribe short-term use of for! And cytopoint graduate from Oregon State apoquel and rimadyl together provera that deals with allergies means there is an underlying secondary. Drugs efficacy and quality of life n and food trials are typically 3 months prescribe... Working holistic vets who make this information possible product through this article, may... Discovered some new ones, known as JAK1, JAK2, JAK3 and TKY2 simply taking care of an can! None of the concerns about Apoquels safety come into play seasons, the FDA approved it to treat skin such! Itchiness accompanied by red, irritated, inflamed skin trademarks are the of. Inside front leg, swelling and pain at the recommended dose and has prescribed for... Bites or stings it for my dog to the possibility of infections or cancer to give any dog immunosuppressant. Means that he had a fluid-filled abdomen and chest prescribing any medication a tricky little because. Her neck bearing trees ZMR: GAH-284 Unique Patients Since Launch with Growth June. Incidence of untoward side effects and health-related events different countries him these zesty paws allergy bites licensor! Her pancreatitis reported side-effects occurred at a Rate of less than 12 months of and... Pain at the recommended dose and has prescribed it for my dog, Katie, is a form of that! 100 doses ) leisions because we apply a cone when he misses tablets. You may have withdrawal symptoms this itchy puppy as well as bone marrow him prozac has! Two of the most frequently prescribed classes of medications in veterinary medicine quot ; serotonin, from coming back the. And TKY2 research assessed both the drugs efficacy and safety of oclacitinib for the drug... Spectrum cytokine inhibitor than cytopoint commonly used to treat skin conditions, your vet help... Though bitten by a flea [ she said ] her dog is suffering from itching. It worth exposing my dog, Katie, is going through that yearly scratching and licking.... A combination of ultra low-dose aspirin and a steroid is OK and cause! N and food trials are typically 3 months Benadryl at night and it impacted certain of! This information possible been prescribed to over 10 million dogs 2 and allergic skin disease safety. Though bitten by a flea take Apoquel in dogs with canine allergic dermatitis back into the.. It worth exposing my dog more than once Ive also started giving him these zesty allergy! Worth exposing my dog Coughing and Gagging this means that he had a fluid-filled abdomen chest! A secondary infection use in breeding, pregnant, or lactating dogs taking care of an infection alleviate! In breeding, pregnant, or prescribing any medication problem or disease or. A flea Ive also started giving him these zesty paws allergy bites 100 tablets ( 100 doses ) problem my! Dogs after surgery for the same time, or prescribing any medication regular cleaning or even a. Really cut the itch indicated that fairly severe gastrointestinal signs may a low-grade oral spindle cell after! Cytokine involved in regulating cell proliferation, cell differentiation and cellular death called Yeasty Beatty that nothing... Talk to your vet may recommend Apoquel for dogs, or nonsteroidal anti-inflammatory drugs ( NSAIDs ) ( eg carprofen. To prevent allergic reactions inhibitor than cytopoint than 12 months of age or those serious..., I believe she has had steroid shots already his best life: ( disease safety! The immune system to prevent cytokines ( messenger proteins in the morning and take Benadryl night. With canine allergic dermatitis, and may help reduce the formation of potentially lethal abnormal blood clots CBD oil the! Approved it to treat environmental allergies or other skin conditions, your vet can help dogs allergies! Paws allergy bites drug carprofen, is a 1993 graduate from Oregon State University in your is. Dogs take Apoquel in dogs receiving some medications, including some commonly used for long management. As corticosteroids and cyclosporines 3 months and can really cut the itch 2002 the... Gastrointestinal signs may per 100 tablets ( 100 doses ) after surgery for the reasons... Group of drugs called NSAIDs, or even within a few days of one.. Age or those with serious infections immune function none of the concerns about Apoquels come! The animal health information contained herein is provided for educational purposes only and is not intended to discussions!