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Acute Itching Protocol for Cats

based on BSAVA Manual of feline dermatology

Acute Allergy Support

Short-term support during skin flare-ups

Acute allergy support focuses on helping the skin cope during flare-ups, reducing additional irritation, and supporting a smooth return to the regular maintenance routine once comfort improves.

Who This Guide Is For

This guide may be helpful for cats who:

  • Show sudden or worsening itching or overgrooming
  • Experience flare-ups on top of stable maintenance care
  • React to seasonal or environmental changes
  • Lick, chew, or scratch more during stressful periods

A Step-By-Step Guide for Cat Owners

Step 0: Temporarily Increase Skin Supplements

Step 0: Temporarily Increase Skin Supplements

Goal

During a flare-up, the skin may benefit from more support than during everyday maintenance.

How supplements may be used

Baseline reference

  • Continue the same supplements used in the Maintenance routine

During an acute flare-up

  • Temporarily increase the daily amount
  • Commonly increased to twice the maintenance amount, and in some cases up to four times the maintenance amount, for a limited period

Once skin comfort improves, the amount is reduced back to the regular maintenance level.

BSAVA principle: Adaptive support during periods of increased physiological demand.

Step 1: Reduce Skin Stress Immediately

Step 1: Reduce Skin Stress Immediately

Goal

During a flare-up, actively minimise anything that adds extra stress or friction to the skin, even if those triggers can’t be fully removed.

Helpful habits

  • Avoid bathing, wipes, or frequent cleaning unless advised
  • Keep your cat indoors and away from known irritants where possible
  • Avoid new foods, treats, supplements, or litter changes
  • Maintain a calm, low-stimulation environment

BSAVA principle: Reducing cumulative skin stress is a key part of managing flare-ups.

Step 2: Soothe and Protect Sensitive Skin

Step 2: Soothe and Protect Sensitive Skin

Goal

Help calm irritated skin and support the skin barrier during the flare-up period.

Helpful habits

  • Avoid touching or inspecting irritated areas too frequently
  • Use soft bedding and keep resting areas clean and dry
  • Avoid topical products unless already part of an agreed routine
  • Allow the skin time to settle without over-handling

BSAVA principle: During flare-ups, the skin barrier is more vulnerable.

Step 3: Limit Self-Trauma and Ongoing Irritation

Step 3: Limit Self-Trauma and Ongoing Irritation

Goal

Reduce repeated damage to the skin so irritated areas can settle during the flare-up.

Helpful habits

  • Keep nails trimmed to reduce skin damage
  • Redirect grooming with calm play or food enrichment
  • Provide comfortable, low-irritation resting areas

BSAVA principle: Repeated self-trauma perpetuates skin inflammation and delays recovery.

Step 4: Monitor Response Day by Day

Step 4: Monitor Response Day by Day

Goal

Understand whether the flare-up is settling and whether current support is helping.

Habit

Observe your cat once daily, at the same time each day, focusing on overall comfort rather than individual moments.

Helpful habits

  • Note changes in grooming intensity or frequency
  • Watch for calmer behaviour or longer rest periods
  • Avoid over-checking irritated areas
  • Keep brief daily notes for a few days

BSAVA principle: Skin and behavioural responses fluctuate during flare-ups.

Step 5: Restore Calm and Predictable Routines

Step 5: Restore Calm and Predictable Routines

Goal

Reduce stress-related contributions to the flare-up and support the skin as it begins to settle.

Helpful habits

  • Feed, play, and interact at consistent times
  • Maintain familiar resting and hiding spaces
  • Avoid introducing new pets, visitors, or changes
  • Refer to calming protocols if stress appears to contribute

BSAVA principle: Stress can amplify skin responses and overgrooming behaviours.

Step 6: Return Gradually to Maintenance Support

Step 6: Return Gradually to Maintenance Support

Goal

Support a smooth transition out of the flare-up phase and back to long-term skin maintenance once comfort improves.

Helpful habits

  • Reduce temporary increases in support step by step
  • Continue baseline skin and calm support consistently
  • Maintain stable routines during the transition
  • Expect mild, temporary fluctuations as the skin settles

BSAVA principle: Gradual transitions help prevent rebound irritation and support ongoing skin stability,

Step 7: When to Seek Additional Help

tep 7: Know When to Seek Veterinary Guidance

Goal

Ensure your cat receives timely professional support if the flare-up does not settle or begins to worsen.

Helpful habits

  • Seek guidance if skin lesions, pain, or marked hair loss appear
  • Monitor appetite, energy levels, and litter tray habits
  • Inform your vet about recent flare-ups and supportive measures used
  • Follow the plan advised by your veterinary team

BSAVA principle: While many flare-ups are temporary, persistent or worsening skin signs may require veterinary input.

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