Experienced and professional animal trainer provide their insights in answering this question :
A. It is recommended to stick to one flea treatment at the time. Two or more flea treatment given together may cause unexpected side effects.

How to Identify Common Pet Problems ?

Our sources include academic articles, blog posts, and personal essays from experienced pet care professionals :

And many vets recommend alternating the doses between topical and oral medications. Again, these are only in extreme cases. So it can be safe to use the two medications together, but it`s usually not necessary. Always talk to your vet before using more than one flea medication.
You should leave 2 weeks between administering spot-on treatment (e.g. Advocate) and a worming tablet (e.g. Milbemax). Alternatively, if you give worming tablets first, such as Milbemax or Drontal, it is advised to wait 48 hours before giving the spot-on treatment.
Never use multiple flea medications on your pet, unless directed to do so by your veterinarian. Fleas can be a very frustrating problem, and some medications may not produce immediate effects.
The known safe answer is to wait the period of time the product is supposed to work, typically 30 days, before reapplying. An alternative is to bathe the pet in a detergent shampoo (meant to strip off skin oils) and reapply after 24 hours.
​The solution will also kill flea larvae on contact in the environment within the area around your pet such as bedding, resting areas etc. Can I still use the 4fleas tablets? Yes, the tablets can be used with the 4fleas Spot-On, particularly where there are cases of heavy infestations or FAD (flea allergy dermatitis).
The best protection from parasites comes with regular application of their topical flea and tick treatment. This means that you should be reapplying every 30 days. There`s no right or wrong time of day to treat your pet. But, you shouldn`t wash or bathe your dog for at least 48 hours before or after applying.
There are combined flea and worm treatments you can get for your pets, also known as an all-in-one flea and wormer. However, it`s always best to consult your veterinary practice as these treatments don`t cover some types of worms. Your pet may also have complications that combined treatments don`t cover.
Additionally, the different groups of dewormers are not chemically compatible, thus they cannot be mixed together in the same syringe. Rather, they need to be administered separately, but can be given one immediately after the other.
If your dog already has fleas, these preventatives will still kill them, but you may need to take more aggressive action, like a prescription preventative. You can also use a flea shampoo or a fast-acting chemical treatment, such as a flea pill that kills the fleas on your dog within hours.
Spot on treatments are by far the most popular choice of cat flea treatment, they are easy to use and can be applied regularly as a preventative measure as well as a treatment during a flea infestation.
You give you pets a once-a-month flea treatment, but you see some fleas before those 30 days are up.
If your dog is constantly being reinfested with fleas after treatment, it is most likely there is an environmental infestation in or around your house. The adult fleas we see on pets represent only 5% of the total population. The other 95% are immature stages in the environment.
Oral insecticides typically target either flea eggs or adult fleas, but not both, so you may have to choose which part of the lifecycle to target and eradicate. Flea pills work very quickly, beginning in as little as 30 minutes. Currently, there are no oral medications that kill ticks.
Pet flea sprays can kill fleas, but may need to be re-applied from as often as every few days, up to every few weeks.
This depends on which product you use. We have flea spot-on treatments for dogs and cats that can be applied monthly or tablets that last for one month for cats and 1-3 months for dogs. Worming tablets can be given every three months for adult dogs and cats.
After ingestion, some oral flea, like Trifexis, preventatives begin to kill fleas in at little as 30 minutes and kill 100% of fleas within 24 hours. Fluralaner, afoxolaner, spinosad, milbemycin oxime, praziquantel, and sarolaner are among the many common ingredients found in oral flea and tick preventatives.
The most common signs of toxicity from pyrethrum-based flea products are muscle tremors and excessive salivation. Common signs of toxicity from flea products containing organophosphates are diarrhea, vomiting, difficulty breathing, small pupils, muscle tremor, weakness or falling over, and drooling.
Fleas are often infected with the larval stage of the flea tapeworm. If cats or dogs swallow an infected flea whilst grooming, worms will develop in the gut. That`s why it`s recommended that pets are treated regularly with both Drontal and Advantage.
We generally recommend for most topical products is that you wait 24 to 48 hours before bathing your pet.
Combinations to Know: Oral Flea Treatments

It`s not usually recommended to use more than one oral flea medication at the same time. However, Comfortis and Capstar can be combined. Another exception is Sentinel, which doesn`t kill adult fleas, so it can be combined individually with either Comfortis or Capstar.

But it is also often forgotten that a second dose must be administered 15 days after the first one; otherwise, the deworming will prove ineffective.
These guidelines recommend that if regular deworming is used, animals should be treated at least 4 times a year, with no more than 3 months between each treatment.
If you miss a dose, give it when you remember, and then wait the amount of time between doses recommended by your veterinarian before dosing again. Never give your pet two doses at once or give extra doses. It is very important to give the medication for the length of time your veterinarian has recommended.
Generally, it`s recommended to deworm adult dogs at least twice a year or every 3 to 4 months. However, if your dog is at a higher risk of contracting worms, such as those that frequently interact with other dogs or live in areas with a high incidence of parasites, they may need to be dewormed more frequently.

Relevant Questions and Answers :

the most relevant questions and answers related to your specific issue

Q. My cat is excessively scrstching herself., to the point she has sores. She is strictly an indoor cat. Did have flees been treated for 2 months
ANSWER : A. For every flea you see on your pet, there are 100 more in the environment. Get your pet on a good topical or oral flea control through your vet. In flea control, you get what you pay for. Consider asking your vet for a dose of Capstar. It helps get the problem under control by killing the fleas on the pet starting in five minutes but only lasts for 24 hours.

You need to treat your home environment. If you use a pest control service, tell them you are having a flea problem and they can adjust their treatment. Use a premise spray that also contains an IGR, insect growth regulator. This keeps eggs and larvae from maturing into adults and helps break the life cycle. Also, vacuum EVERY DAY, throwing out the bag or emptying the canister every time into an outside receptacle and spraying the contents with insecticide to kill the fleas you’ve vacuumed up.

Treat your yard too, since fleas are opportunistic and will hop a ride into your home on your pant leg without you knowing it. Concentrate on areas under bushes, in the shade. Fleas are less likely to be located in open sunny areas where it gets hot.

If chemicals are a problem, you can use borax. Sprinkle it into rugs, into corners and under furniture, use a broom to work it into the fibers and let it sit for hours, days even. It won’t hurt you or your pet to have it present. Then vacuum it up, reapply as needed. Food grade diatomaceous earth can be gotten from a health food store and worked into the rugs and corners in the same way as borax. These treatments aren’t as fast and effective as chemical insecticides but they can help.

You might want to consider boarding your pet for the day at your vet, to give you the opportunity to flea bomb your house without having to worry about your pet being exposed. They can bathe your pet and give a dose of Capstar while you treat your home.

Be patient, you may have to repeat these steps multiple times 10-14 days apart to help break the flea life cycle.

Skin problems can have a variety of causes, sometimes more than one. It is important to have the problem checked by your vet to determine if there is a medical cause for your pet’s skin issues and treat accordingly.

In pets of all ages, fleas, food allergies and exposure to chemical irritants such as cleaners and soaps can be a cause. Any one of these may not be enough to trigger the breakouts, depending on how sensitive your pet is, but a combination can be enough to start the itch-scratch cycle. Finding out the cause and eliminating it is the best course of action. With flea allergies, if your pet is sensitive enough, a single bite can cause them to break out scratch enough to tear their skin.

Check for fleas with a flea comb. Look for fleas and/or tiny black granules, like coarse black pepper. This is flea feces, consisting of digested, dried blood. You may find tiny white particles, like salt, which are the flea eggs. Applying a good topical monthly flea treatment and aggressively treating your house and yard will help break the flea life cycle.

If you use plastic bowls, this is a possible cause for hair loss, though this tends to be on the chin, where their skin touches the bowl while they eat. If you suspect this to be the culprit, try changing the bowls to glass, metal or ceramic.

Food allergies are often caused by sensitivity to a protein in the food. Hill’s Science Diet offers some non-prescription options for sensitive skin as well as prescription hypoallergenic foods for more severe cases. Royal Canin carries limited protein diets that may also offer some relief. Your vet can recommend a specific diet that will help.

If there is no relief or not enough, consider getting your pet checked by a veterinary dermatologist and having allergy testing done.

Q. Whenever I take my dog on walks he always barks at people and others dogs in my neighborhood. What should I do to resolve the problem
ANSWER : A. The very first thing to do is to make sure your dog is getting sufficient physical and mental exercise every day. A tired dog is a good, happy dog and one who is less likely to bark from boredom or frustration. Depending on his breed, age, and health, your dog may require several long walks as well as a good game of chasing the ball and playing with some interactive toys.

Figure out what he gets out of barking and remove it. Don’t give your dog the opportunity to continue the barking behavior.

Ignore your dog’s barking for as long as it takes him to stop. That means don’t give him attention at all while he’s barking. Your attention only rewards him for being noisy. Don’t talk to, don’t touch, or even look at him. When he finally quiets, even to take a breath, reward him with a treat. To be successful with this method, you must wait as long as it takes for him to stop barking. Yelling at him is the equivalent of barking with him.

Get your dog accustomed to whatever causes him to bark. Start with whatever makes him bark at a distance. It must be far enough away that he doesn’t bark when he sees it. Feed him lots of good treats. Move the stimulus a little closer (perhaps as little as a few inches or a few feet to start) and feed treats. If the stimulus moves out of sight, stop giving your dog treats. You want your dog to learn that the appearance of the stimulus leads to good things.

Teach your dog the ‘quiet’ command. Oddly, the first step is to teach your dog to bark on command. Give your dog the command to “speak,” wait for him to bark two or three times, and then stick a tasty treat in front of his nose. When he stops barking to sniff the treat, praise him and give him the treat. Repeat until he starts barking as soon as you say “speak.” Once your dog can reliably bark on command, teach him the “quiet” command. In a calm environment with no distractions, tell him to “speak.” When he starts barking, say “quiet” and stick a treat in front of his nose. Praise him for being quiet and give him the treat.

As in all training, always end training on a good note, even if it is just for obeying something very simple, like the ‘sit’ command. If you dog regresses in training, go back to the last thing he did successfully and reinforce that before moving on again. Keep sessions short, 15-20 minutes max, and do this several times a day.

Q. What can I do to stop my dog from barking at people and front doors?
ANSWER : A. Ignore your dog’s barking for as long as it takes him to stop. This means don’t give him any attention at all while he’s barking. Your attention only rewards him for being noisy. Don’t talk to him, don’t touch him, and don’t even look at him. When he finally quiets down, even to take a breath, reward him with a treat. To be successful with this method, you must wait as long as it takes for him to stop barking. If he barks for an hour and you finally get so frustrated that you yell at him to be quiet, the next time he’ll probably bark for an hour and a half. Dogs learns that if they bark long enough you’ll give them attention.

Teach your dog the ‘quiet’ command. It may sound nonsensical, but the first step is to teach your dog to bark on command. Give your dog the command to “speak,” wait for him to bark two or three times, and then stick a tasty treat in front of his nose. When he stops barking to sniff the treat, praise him and give him the treat. Repeat until he starts barking as soon as you say “speak.” Once your dog can reliably bark on command, teach him the “quiet” command. In a calm environment with no distractions, tell him to “speak.” When he starts barking, say “quiet” and stick a treat in front of his nose. Praise him for being quiet and give him the treat.

When your dog starts barking, ask him to do something that’s incompatible with barking. Teach your dog to react to barking stimuli with something that inhibits him from barking, such as lying down in his bed.

Make sure your dog is getting sufficient physical and mental exercise every day. A tired dog is a good dog and one who is less likely to bark from boredom or frustration. Depending on his breed, age, and health, your dog may require several long walks as well as a good game of fetch and playing with interactive toys.

Q. How do I determine how much my overweight pet should weigh?
ANSWER : A. There are many tools to determine overweight and obesity levels in pets. A new tool, morphometric measurements and body fat index, are available to accurately determine a pet’s ideal weight; this will allow an accurate determination of the amount of food a pet should receive to achieve weight loss. Feeding the correct amount will lead to greater weight loss success.

There are many weight loss food options to help pets reach their ideal weight. Your veterinarian can help make a ideal weight recommendation. Here are some tips to help your dog lose weight in a healthy and safe way:

1. Diet: Providing a healthy and well balanced diet is essential to your pet’s overall health. Finding the right food for your dog can be a challenging process. For those overweight animals many commercial dog companies offer weight loss diets, but it is important to evaluate food labels for adequate nutritional content.

You want to ensure you are not missing other essential vitamin or mineral content. Volume of food is also important and the amount of food that works for one breed of dog may not be the same for another breed of dog. Portion control as opposed to free-choice feeding can help your dog to drop a few unnecessary pounds.

There are also prescription weight loss foods designed by veterinary nutritionists, such as Hill’s r/d (http://bit.ly/1AoENSd). Some pet owners find that home cooking is the best option for helping to provide a well-balanced and realistic diet plan. There are websites such as balanceit.com that offers recipes to fit your dog’s specific needs. Consulting with your veterinarian or a veterinary nutritionist to find the appropriate diet is a great way to help your dog be as healthy as possible.

2. Exercise: Another great tactic for weight loss for your dog is exercise. Whether this is through running, walking or playing with a favorite toy all of these are wonderful types of exercise to help keep your dog at a lean and healthy weight.

For those pet owners with busy schedules utilizing professional dog walking services or playtime through dog daycare services is another option. It has been shown that those pet owners that exercise regularly with their pets generally live a healthier lifestyle.

3. Physical therapy: As animals age pet owners offer encounter their favorite canine having more difficulty walking and have a dwindling desire to play with toys. Physical therapy, specifically hydrotherapy is a wonderful way to help older and arthritic animals gain more mobility and lose weight. Hydrotherapy has been proven to have several therapeutic effects on the body including, muscle strengthening, relief of swelling, decreased joint pain, less stiffness in limbs, improved circulation, weight loss, and increased tissue healing to name a few. For more information on the benefits of hydrotherapy:
http://bit.ly/1w1qqoy

4. Veterinary visit and blood work: Weight gain can also be related to underlying health concerns such as hypothyroidism or other endocrine disorders. Scheduling a veterinary evaluation and routine blood work can be another important component in increasing the longevity of your dog’s life. Conditions such as hypothyroidism that predispose dogs to gain weight can be treated with a daily medication to improve hormonal balance. If feel that your dog is unnecessarily overweight there can be an underlying health condition that needs to be addressed.

5. Healthy treats: Pet owners love the chance to reward their favorite canine companion with treats and most dogs jump at the chance to consume these delicious products. The problem is many treats, which can include commercial dog treats or table scrapes can add many unnecessary calories to your dog’s daily intake. Reading labels and making note of the calories in these treats is an important component of understanding your dog’s overall health. Treats should not exceed more than 10 percent of your pet’s daily calories. There are healthier treats that can be offered to your pet to keep calories lower yet provide a fuller sensation. A pet owner can add steamed or pureed vegetables, such as carrots, green beans or sweet potato to add more fiber and thus a fuller feeling for your dog.

Q. Need help, we have done flea bath ,sprayed the house and used charts ultra guard pro and still have fleas .how can we get rid of them
ANSWER : A. For every flea you see on your pet, there are 100 more in the environment. Get your pet on a good topical or oral flea control through your vet. In flea control, you get what you pay for. Consider asking your vet for a dose of Capstar. It helps get the problem under control by killing the fleas on the pet starting in five minutes but only lasts for 24 hours.

You need to treat your home environment. If you use a pest control service, tell them you are having a flea problem and they can adjust their treatment. Use a premise spray that also contains an IGR, insect growth regulator. This keeps eggs and larvae from maturing into adults and helps break the life cycle. Also, vacuum EVERY DAY, throwing out the bag or emptying the canister every time into an outside receptacle and spraying the contents with insecticide to kill the fleas you’ve vacuumed up.

Treat your yard too, since fleas are opportunistic and will hop a ride into your home on your pant leg without you knowing it. Concentrate on areas under bushes, in the shade. Fleas are less likely to be located in open sunny areas where it gets hot.

If chemicals are a problem, you can use borax. Sprinkle it into rugs, into corners and under furniture, use a broom to work it into the fibers and let it sit for hours, days even. It won’t hurt you or your pet to have it present. Then vacuum it up, reapply as needed. Food grade diatomaceous earth can be gotten from a health food store and worked into the rugs and corners in the same way as borax. These treatments aren’t as fast and effective as chemical insecticides but they can help.

You might want to consider boarding your pet for the day at your vet, to give you the opportunity to flea bomb your house without having to worry about your pet being exposed. They can bathe your pet and give a dose of Capstar while you treat your home.

Be patient, you may have to repeat these steps multiple times 10-14 days apart to help break the flea life cycle.

Q. Rescued a dog almost two weeks ago, and now that her kennel cough is gone her personality shines!! No previous training, how should I start?
ANSWER : A. POST FOUR:

After your dog is familiar with the behavior you lured from scratch, and taught to your dog, you can start to use the “no-reward marker” I talked about. What you do is ask the dog to perform the behavior, and if the dog does not perform the behavior, you simply say your no-reward marker (choose one: eh-eh, hey, uh-oh, oops) show them the treat, put it behind your back, and BRIEFLY ignore your dog. Just turn your back for a second or two, before turning back to your dog and saying, “let’s try that again.” When you’re ready to start over with your dog, make sure you move around. If you are repeating the same cue while in the same position, while your dog is in the same position, you are likely to receive the same results. The more you move around, and start fresh, the better your chances are of having your dog listen to your cue the second time around. BIG rewards when they dog it successfully! Lots of praise and treats.

My no-reward marker is “hey.” When my dog does something wrong I say, “hey” and she immediately understands that she needs to offer a different behavior. This is clear to her. I don’t have to say it in a mean way, I simply say, “hey” in a normal tone of voice and she understands what the word means.

Once you’ve built up that connection and communication with your new dog, you can work on all kinds of fun behaviors! I personally enjoy the more zen-like behaviors: https://www.youtube.com/watch?v=ruy9UMcuGh8

I like to teach my dog fun tricks that offer her a “job” to do of sorts like object retrieval: https://www.youtube.com/watch?v=I4iertZSva8

(object retrieval training completed; what it looks like: https://www.youtube.com/watch?v=jx0Dml28FGY)

Scent-games are fun too! Very confidence building. Hide a REALLY smelly treat in a box, and place that box in a line of boxes. Let your dog go in the room while saying something like “search!” or “find it!” and watch them hunt for that smelly treat! Lots of rewards when they find it!

Q. How do I desensitize my dog to squirrels and stray cats in the neighborhood?
ANSWER : A. It depends on the goal that you have in mind. I am going to assume that you would prefer that your dog not chase squirrels or stray cats in the yard/street. In this case, your options include: (1) training your dog on a “Leave it ” cue using positive reinforcement methods, (2) training your dog not to pull on its leash when it sees a squirrel/stray cat, and (3) training your dog to perform a more desirable behavior when it sees a squirrel/cat.
Training your dog on a cued “leave it” command is useful because it will give you the ability to tell your dog to stay away from any number of undesirable objects on your command. Training your dog to perform a more desireable behavior when it sees a squirrel or cat will substitute a behavior you find acceptable (sitting, laying down, coming to the door, etc.) with a behavior you dislike. Your dog can still react, just in a positive way. If your dog pulls on the leash every time you see a squirrel/cat, training not to pull will make your walk safer and more pleasant.
The ideal training method to use with dogs, or any animal for that matter, is positive reinforcement training, particularly a method called “clicker- training.” The basic concept of positive reinforcement training is to pair a reward (reinforcement) with a behavior you want to increase in frequency. In other words, when your dog performs the behavior you desire, it receives an award, which reinforces the desired behavior so you get more of that behavior. There are many excellent books in stores or on-line that describe positive reinforcement training in detail and many give step-by-step instructions for training common commands like “leave it”. Look for books that specifically mention positive reinforcement training or clicker-training. You can also take dog training classes to learn the techniques, find a mentor who already uses clicker-training, or request a consult from one of the pet experts on this site to guide you.

Q. My dog itchs all the time a codozon shot helps but don’t cure it after a bath she turns red and still itchs I changed dog food that didn’t help no fle
ANSWER : A. Do you live in a region where fleas are prevalent. Where I live the fleas are truly horrible, and I see many animals developing a flea allergy. This usually presents as relentless itching especially at the base of the tail, although it can be all over the body. Often on exam I won’t find a single flea, just red bumps, hair loss and itching. In response, I will start animals on an oral steroid such as prednisone (I think your doctor has administered an injectable steroid), while at the same time bathing the animal and starting on an oral flea preventative such as Comforts which I then re dose at 3 weeks instead of 4. Additionally, the environment needs to be decontaminated- flea bombing the house, vacuuming often and washing bedding on hot. The flea life cycle is short, however, so this needs to be one frequently as they will just continue to hatch in your home. Most importantly, I tell my clients, that any steroid (oral or injectable) does not fix the problem, but rather suppress your dogs reaction to it thereby making them more comfortable. Just the steroid alone changes nothing except giving them a brief break from their symptoms.

Now that I have spoken in depth about flea allergy, there is a potential that it is something else. Food allergies are slow to develop, and slow to change. If you wanted to eliminate a potential food allergy I would switch to a novel protein, limited ingredient diet. For example, lamb as the protein source if your previous food was always chicken or beef, and in a formula with very limited ingredients such as lamb, rice and veggies. A pet store should be able to help you with this. While on this diet they cannot have any additional treats for 1 month, to see if you have eliminated the allergy. From an Eastern Medical perspective, I also recommend novel proteins that are “cool”, such as fish, lamb, or duck while avoiding “warm” foods such as beef, chicken, pork.

Finally, all animals with allergies should be on an Omega 3 supplement. Given regularly, this can help reduce overall inflammation in the body both in the skin, joints, and other tissues. Good for allergies, arthritis and overall health. My dogs are on fish oils, but one of my dogs who is allergic to fish gets flax oil instead. I would be happy to consult with you further, but I hope this helps to some degree.