The goals of treatment are to alleviate the dog's allergic reaction to fleas by preventing the flea from biting the animal and eliminating the fleas from the environment. It is very important that owners completely remove the fleas and their eggs from the animal's environment. This involves the treatment of all household animals for fleas to prevent the allergic dog from becoming reinfested. There are many commercially available products that kill fleas both indoors and outdoors. Additional products have been designed for use on the dog. Professional pest extermination companies, which usually carry a satisfaction guarantee, are also an option. A veterinarian can customize a flea control program to meet an allergic dog's individual needs.
Therapy for the allergic reaction is based on the severity and history of the symptoms. Following an evaluation of the dog, the veterinarian may prescribe any of the following medications: topical treatments, medicated shampoos, steroids, antihistamines, antibiotics, and fatty acid supplements such as skin oil replacement. The examining veterinarian often will recommend a commercially available product that kills fleas on contact, before they have a chance to bite. These products are ideal in helping prevent further flea allergic reactions.
The effectiveness of allergy shots, or hyposensitization, for treating flea bite hypersensitivity remains controversial. This method of treatment, prescribed by a veterinary dermatologist, usually is reserved as a final therapeutic step for severely afflicted animals not responding to strict flea control.