George
I'm sorry for what you've been going through. My own experience with itchy dog skin (not paws) FWIW, is that Apoquel was less effective for us than Cytopoint, which we switched to. Calculated on a once-monthly treatment basis the two are equally costly. However, Cytopoint turned out to be cheaper for us than Apoquel was since we've needed it much less frequently than monthly. Cytopoint has been very effective; it worked immediately on the first injection, and we haven't seen any bad reactions, but we've had only one injection so far. That's Dog #1. Our Dog #2 (our son's dog, same breed) has been getting monthly Cytopoint injections for close to a year, and there have been no bad reactions either. Good luck!