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Retrospective review of diphenhydramine versus diphenhydramine plus glucocorticoid for treatment of uncomplicated allergic reaction in dogs
Author(s) -
Helgeson Megan E.,
Pigott Armi M.,
Kierski Kate R.
Publication year - 2021
Publication title -
journal of veterinary emergency and critical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.886
H-Index - 47
eISSN - 1476-4431
pISSN - 1479-3261
DOI - 10.1111/vec.13054
Subject(s) - diphenhydramine , medicine , diphenhydramine hydrochloride , dexamethasone , anesthesia , retrospective cohort study , glucocorticoid , emergency department , incidence (geometry) , population , histamine , environmental health , physics , psychiatry , optics
Objective To report the outcome of treatment of uncomplicated allergic reactions in dogs with diphenhydramine vs diphenhydramine plus glucocorticoid and to determine the incidence rate of uncomplicated allergic reactions Design Retrospective study between January 1, 2012 and August 15, 2018. Setting Privately owned, 24‐hour emergency and specialty referral veterinary hospital. Animals Eight hundred and eighty cases of dogs treated for uncomplicated allergic reaction with diphenhydramine alone or in combination with a glucocorticoid. Interventions None. Measurements and main results Two hundred ninety‐nine dogs were treated with diphenhydramine alone, and 581 were treated with diphenhydramine plus Dex SP. There was no difference between the 2 groups for response to initial therapy, need for additional veterinary intervention after discharge, or persistent signs at follow‐up. The cumulative incidence of emergency department presentation for uncomplicated allergic reaction in this hospital was 1.2%. Conclusions There was no difference in measured outcomes between dogs treated with diphenhydramine alone vs those treated with a glucocorticoid in addition to diphenhydramine in this population of dogs.