In the Greater Seattle area, we’re lucky to have Dr. Sarah Gillings (Oncologist and Board Member) and Dr. Bart Iaia (Veterinarian) at Pet Zen Wellness offer their advice and perspective on how best you can treat your dog upon receiving a lymphoma diagnosis. They’re also lending their expertise on common misconceptions. 

Conventional Treatment: Chemotherapy

Chemotherapy remains the primary treatment for canine lymphoma. The goal of chemotherapy is to induce remission, meaning the cancer is under control for a time, allowing dogs to live comfortably. The “CHOP protocol” (cyclophosphamide, doxorubicin, vincristine, and prednisone) is often the standard regimen, and dogs undergoing this treatment may experience side effects such as nausea, fatigue, and hair loss. However, many dogs tolerate chemotherapy well and can achieve extended remission periods, often living for several months or even years with a good quality of life.

The cost of chemotherapy, including diagnostics, treatments, and follow-up care, can be significant—often thousands of dollars. Additionally, not every dog is a suitable candidate for chemotherapy if they have underlying health issues such as kidney problems or a compromised immune system.

Integrative Approaches for Dogs with Lymphoma

Whether or not chemotherapy is part of the treatment plan, integrative veterinary practices, including acupuncture, nutrition, and herbal medicine, can complement conventional therapies and help manage the disease. These treatments can ease the side effects of chemotherapy, enhance the dog’s quality of life, and promote overall healing.

1. Acupuncture

Acupuncture is an effective and safe complementary therapy that can be used alongside chemotherapy to help relieve pain, nausea, and other discomforts associated with lymphoma and its treatments. By inserting fine needles at specific points along the body, acupuncture helps stimulate energy flow, balance internal systems, and promote healing.

For dogs undergoing chemotherapy, acupuncture can be particularly beneficial in:

• Reducing side effects such as nausea, fatigue, and pain from both the cancer and treatment.
• Boosting the immune system, which is essential in helping the body fight cancer and recover from chemotherapy.
• Promoting overall wellness, reducing stress and anxiety, which can be especially helpful for dogs who may be anxious about treatments.
• May help with not eating or anorexia. 

Acupuncture is generally well-tolerated by dogs, and many experience immediate relaxation and relief. It can be used both during chemotherapy and in times when chemotherapy is not being administered.

2. Nutrition

Nutrition is one of the cornerstones of integrative care for dogs with lymphoma, especially during chemotherapy. A well-balanced diet supports the immune system, aids in healing, and helps maintain energy levels during treatment. Ensuring that your dog is eating a high quality and well tolerated diet can make a significant difference in their ability to tolerate and recover from chemotherapy. 

Key dietary recommendations include:

• High-quality proteins: Dogs with lymphoma need proteins to support immune function and maintain muscle mass. Lean meats like chicken, turkey, and lamb are ideal.
• Omega-3 fatty acids: These healthy fats have anti-inflammatory properties and may help reduce inflammation associated with cancer. Fish oil supplements or fatty fish like salmon can be incorporated into the diet.
• Antioxidants: Vitamins like C and E protect cells from oxidative stress and support overall health. Fresh fruits like blueberries, along with vegetables like spinach and carrots, provide these vital nutrients.

Incorporating nutritional supplements, such as probiotics or digestive enzymes, can further support gut health and overall vitality, particularly during chemotherapy when the digestive system may be compromised.

3. Herbal Medicine

Herbal remedies can be highly supportive for dogs undergoing chemotherapy, as they can help manage side effects and bolster the immune system. While herbs cannot cure cancer, they can be powerful tools in managing symptoms, improving overall vitality, and reducing inflammation. It’s crucial to work with a veterinarian experienced in herbal medicine to ensure compatibility with chemotherapy and avoid any interactions.

Some beneficial herbs for dogs with lymphoma include:

• Astragalus: Often used to strengthen the immune system, astragalus can help support a dog’s health during cancer treatment and may reduce the side effects of chemotherapy.
• Milk Thistle: This herb is commonly used to support liver function, which can be compromised by chemotherapy. Milk thistle helps detoxify and protect the liver while improving overall detoxification processes.
• Reishi and other Mushrooms: Known for its immune-boosting properties, mushrooms may help strengthen the body’s natural defenses and potentially aid in cancer management.

While herbs can provide valuable support, it is essential to work closely with a veterinarian to ensure these supplements are safely integrated into a dog’s treatment plan.

Integrative Care for Dogs Undergoing Chemotherapy

Integrative therapies are not only beneficial for dogs who cannot undergo chemotherapy, but they can also significantly enhance the treatment experience for dogs receiving chemotherapy. By using acupuncture, nutrition, and herbal medicine in tandem with conventional treatment, dogs undergoing chemotherapy may experience reduced side effects, enhanced comfort, and improved overall health.

An integrative veterinary approach involves a multidisciplinary team, with veterinarians working in partnership with oncologists to ensure the best outcomes for the dog. This integrative approach can help improve the dog’s quality of life during chemotherapy and throughout their cancer journey.

Common Misconceptions About Canine Lymphoma Treatment

When it comes to treating canine lymphoma, there are several misconceptions that can cause confusion or hesitation among pet owners. It’s important to clarify these myths to ensure dogs receive the best care possible.

1. Chemotherapy for dogs is the same as chemotherapy for humans.

While chemotherapy for dogs shares some similarities with human chemotherapy, the dosages and side effects can differ. Dogs generally tolerate chemotherapy better than humans, and many dogs experience few, if any, serious side effects. It’s essential to work closely with a veterinary oncologist who specializes in canine cancer treatment to understand the protocol and what to expect.

2. Chemotherapy is not effective for lymphoma in dogs

Chemotherapy is the most effective treatment for canine lymphoma, with many dogs achieving remission and living for months or even years following treatment. While it may not be a cure, it significantly improves a dog’s quality of life by keeping the cancer under control for an extended period. The key is early diagnosis and prompt treatment.

3. Integrative therapies are only for dogs who are not undergoing chemotherapy.

Integrative therapies, such as acupuncture, nutrition, and herbal medicine, can be highly beneficial for dogs undergoing chemotherapy. These treatments can reduce side effects, boost the immune system, and enhance the overall healing process. Many pet owners find that combining conventional and integrative treatments provides the best outcomes for their dogs.

4. Herbal medicine can cure canine lymphoma

While herbal medicine can support the immune system and help manage symptoms, it is not a cure for canine lymphoma. Herbal remedies should be seen as complementary to conventional treatments such as chemotherapy, not as a substitute. Always consult with a veterinarian before introducing any herbal treatments to ensure they are safe and compatible with other therapies.

5. Lymphoma is a death sentence for my dog

Lymphoma is a serious diagnosis, but it is not necessarily a death sentence. With appropriate treatment, including chemotherapy and integrative therapies, many dogs with lymphoma go into remission and live comfortable lives for an extended period. Early detection and intervention can greatly improve outcomes.

6. The prognosis for a dog with cancer is always poor

While canine lymphoma is an aggressive cancer, the prognosis is not always poor. Many dogs who undergo chemotherapy go into remission and lead a good quality of life for many months or even years. The prognosis depends on various factors, including the type and stage of the lymphoma, the dog’s overall health, and how early the cancer is detected. Advances in veterinary oncology have improved the outlook for many dogs diagnosed with cancer.

7. Fenbendazole helps cure cancer in dogs

Fenbendazole, an anti-parasitic medication, has gained popularity as a supposed “cure” for cancer in dogs due to some anecdotal reports and studies in other animals. However, there is no scientific evidence to support the idea that fenbendazole can cure cancer in dogs. While it may have some supportive effects on the immune system, it should not replace conventional cancer treatment like chemotherapy. Always consult with a veterinarian before starting any new treatments, especially ones not backed by solid scientific evidence.

Conclusion

Canine lymphoma can be a challenging and emotional diagnosis for pet owners, but there are a variety of treatment options to help manage the disease. Chemotherapy remains the most common and effective treatment, but for dogs undergoing chemotherapy—or those who cannot afford it or cannot tolerate it—integrative approaches, including acupuncture, nutrition, and herbal medicine, can be invaluable in supporting the dog’s health.

By working with a veterinarian who specializes in integrative or holistic care, pet owners can ensure their dogs receive a well-rounded treatment plan that improves their quality of life, manages the side effects of chemotherapy, and supports the body’s healing process. Even when chemotherapy is part of the treatment plan, these complementary therapies can play a crucial role in helping the dog stay comfortable, healthy, and strong during their battle with cancer.