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Our vet is a GSD lover herself, and one of her GSDs has the same thing, too.
We have to bring Big in one to three times each "heating season" for a course of steroids. As soon as we move out to the deck for the summer, and Big stays outside longer, her condition essentially disappears. (She won't stay out if her humans aren't out there with her.) Added to the steroids, we give her a (generic) Claratin each day. We were advised to try a series of antihistamines until we found one that gave her some relief, and the Claratin was it. The vet actually had a published list of over the counter antihistamines and the appropriate dosages for each; dogs can take these for the rest of their lives with no side effects, we were told.
Collectively, this works to reduce, but not eliminate, her scratching.
Clearly, this is an allergy symptom. Big is allergic to something, and that something is clearly in the house. Dust? Something in our heating vents? A cleaning product we use? The dye in a carpet?
We have no clue, and neither does our vet - about our dog or her own. Dogs can be tested, but the tests are lengthy and costly. Treating things symptomatically, if it works, is the best course.
We also use several over the counter "hot spot" sprays from the pet store. These are actually our first line of defense when she starts to scratch. We were advised not to use topical creams (neosporin, etc.), as licking them could be bad for the dog. The hot spot sprays are not harmful if licked. Just part the hair and spray on the skin.
True story: When I say to Big "Want a pill ? Let's give you a pill! Time for a Piillllll!" she gets all happy and readily accepts the pill with no fuss, no muss, no bother. Does she accept/realize it makes her feel better? We had to give her antibiotics for an unrelated matter and she did NOT want those pills. I had to wrestle her to get those down. But her Claratin? No problem at all.
Anyway, I hope this helps. And don't be down on your vet. These chronic issues are hard to treat.
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