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What we learned from our vet, after moving several states away with a pup, is that flea and tick medications and how efficient they are varies with location, so it may be that what you are using is just not ideal for where you live. We lived in PA and after trying many different things found that the flea collar worked marvelous on our dog (serecto). Then we moved to Florida and suddenly again this was an issue. This was baffling and was when a vet that had worked in several states explained this to us. Turns out Bravecto, which has proven useless back in PA is what we are on now. No idea where you are, but may be a line of research to follow...
I am brand new to this research, they've started itching again and it seems like the pill is just useless to them! I'll talk to their vet about it and see if they recommend something different for our area. I would have never thought about that. Thanks for the advice!
We use Seresto collar and the heavy duty flea/tick oral medication.