Question Details
Skin Dz And Reactivity In A Dog
by CorinneC - December 5, 2023    View Case Report
I have had great success with my fearful and reactive dogs with Halscion this Fall. However, Max was a different story and I'd love your opinion on what went wrong?

In June I first met Max, a 2yo MN Chocolate lab. He'd recently stayed at a kennel for 2 weeks and developed a Rt ear infection (really sore not itchy). He has been on Purina HA since March, beef liver for treats. O very happy with BMs, much reduced and firm, only BID. But ears persistently getting infected. Max is also a reactive barker! When you enter the room, he lunges and barks (looks scary if you don't know him but I can examine him fairly easily once he calms down with treats). I put him on Mometamax but also convinced the O to try a cooked diet - she came back a month later and he was doing really well - ears 100% clear! We also had to add some CHOs to his diet to really keep his wt up.

He came in again in November for his annual PE and was still doing well wrt allergies and ears, but his reactivity was really a burden for O. He would lunge and bark at strangers, esp men, on a walk daily. His tongue was a ruddy pink, normal size and moisture level. His pulses were well toned. I put him on Halscion to see if we could lower his anxiety. Unfortunately, Max didn’t react well to the Halcion. He was on it for nine days and, according to the O, after a couple of days he started becoming more reactive to sights and sounds. On the 9th day he panicked so badly to the sound of a drill that he sprayed fluid from his anal glands across the floor and in to his crate. The O took him off that evening and he has reverted to his usual self.

What would you do in this situation? Like I said, so many dogs (and a couple cats) are doing really well with Halscion. I'm wondering if I should be watching for anything else on exam before I prescribe?

Thanks in advance for your expertise!
by naturevet
December 6, 2023
Hi Corinne,

My knee jerk recommendation when Halscion (which downbears) seems to make something worse is a formula that upbears instead. There is only one that deals handily with tension and anxiety, and that is Bu Zhong Yi Qi Tang. Additionally, I would team it with Xiao Chai Hu Tang. Together the two should address the extreme reactivity, reddish tongue, toned pulse, and propensity to weight loss on real food. If you give the two of them a try, let us know how it goes!

by CorinneC
December 10, 2023
Ok. Do you think BZYQT will help enough on its own to start? I might have a hard time convincing her with two herbals.
by naturevet
December 18, 2023
Sure, give it a go!
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