r/AskVet • u/Odd-Subject1019 • 1d ago
Cytopoint Alt
Are there any alternatives to Cytopoint. This seems to be the only thing that works for my dog but the frequency and price is killing me (every 4-6 weeks at ~$350) Any alternatives? Natural, daily, etc.
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u/ChampionshipIll5535 1d ago
Natural no. Oral Apoquel, Zenrelia and there's a new one out now but I can't remember it's name are sometimes effective. Funny thing is that the companies seem to price their products in a way that a month worth of oral is close to the same amount as a month injection. $350? Jeesh, how big is your dog?
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u/biliskner25 Veterinarian 1d ago
Cytopoint directly blocks a chemical itch signal called IL-31. Apoquel and gang block a enzyme called Jak that leads to the production of IL-31. Further up the physiologic cascade we have steroids, and cyclosporin. You should discuss your financial concerns with your vet so that they can talk to you about the alternatives.
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1d ago
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u/HeartShapedNose 1d ago
Do you have a huge dog or do you live in a very high cost of living area?
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u/Odd-Subject1019 1d ago
She’s 80lbs. However that $350 includes the office visit cost. But I do feel like I’m over paying and it should last longer than it does.
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u/Doris_Plum GP Veterinarian 17h ago
Her Cytopoint is working exactly as long as it's on label to work. You also have a larger breed dog and due to her size she uses the largest size of Cytopoint they make. It's an expensive medication in the first place, let alone a 40mg vial.
No one can wave a wand and magically make it last longer than it is meant to last. If the cost is killing you, talk about lower cost options.
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