Suisan, I cannot thank you enough for the tip with the coconut oil. Poor dear looks like she fell into a coconut now, but she seems to feel so much better. Her skin was so dry and brittle that when she scratched she would tear it. Now she's itching less, and isn't damaging herself as much.
No seizures today for sweet lady!
So far we've dosed with Revolution, she's on Bactrim and Metacam twice a day, and we added itraconazole (an oral antifungal yesterday).
She's getting a coconut oil massage every 1-2 days on the driest parts of her skin to try and keep them from tearing and cracking more.
But she's still itching, and actually wakes us up several times a night wailing like a banshee while she itches. I didn't want to wrap her up because fo all the open wounds (so they could get good air circulation), but is that something I should consider?
SF is right, can't use steroids with the Metacam, but you could easily stop the metacam and then ask the vet for a steroid injection.
I think some folks had good success with wrapping, to keep them from damaging themselves more--but it sounds like you already kinda have that part under control and it's the actual pain and itching that remain.
I'd prob try the steroids and/or some Benedryl (children's liquid) first, then maybe wrap if you feel it's still needed.
I found this, from Chii: "Children's Benadryl every 6-8 hours, it was 1cc for a 1000 gram pig, so I'm thinking that you could give about that much to this one. It's supposedly very safe and stopped our pig from tearing up her skin anymore and also seemed to help the seizures"
But I was having the memory of me and my vet looking this up and being horrified at the formulary's dose--and working out something on our own.
From Tracis' link---this would explain why/how horrified we were, and looks like it's a huge error, prob. repeated in several texts:
"I looked it up in Plumb's (under it's real name which I don't have right now) and the dosage was 75 mg/kg! The dose for cats is 0.5 mg/kg."
I'd go with Josephine's dose, from that link.
It sounds very similar to what we did with the severe skin pig I was rehabbing.
I had to wrap Jasper, actually. He came to me already with open sores and while he was being treated for mites he couldn't stop scratching. I really think using an old clean sock and then vetwrap kept him from doing more damage. He used to scream in pain when he moved from the itching and the open sores. The wrapping seemed to help him move around more.
I only wrapped him for about 3 days. I took it off frequently during lap time so the sores could get some air. It really helped with the pain of living with the sores while they healed.
I talked to my friend who makes home-made soaps and lotions today about Clementine's skin. She recommended olive oil over coconut oil, because olive oil is a humectant. She also said that coconut oil is only moisturizing up to a certain point, but once you get past that, it can actually dry the skin. I'm going to try the olive oil tonight and see if there's a difference.