Helpful hints for the successful veterinary treatment of canine atopy - DVM
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Helpful hints for the successful veterinary treatment of canine atopy
These practice pearls may help alleviate some of the itch of this irritating condition in your patients.


DVM360 MAGAZINE


Conclusion

Allergy problems are never easy, and in most cases they are there for the long term. Establishing a safe, long-term method of treating these atopic patients is essential in order to provide them with a good quality of life. As mentioned above, topicals such as shampoos and ceramide replacers, diet changes and good communication are small ways of enhancing a pet's response to a long-term therapy.

Minimizing corticosteroid use is important, but when a flare-up occurs, corticosteroids are needed for the short term to get the pet back on track. But be "steroid-stingy"; once you dispense corticosteroids, instruct the owner on the short length of time they are to be used and dispense only small amounts. Many clients see the patient doing well on corticosteroids and continue to use the medication long term, which brings about other problems that didn't exist in the first place.

There is no one magic potion for allergy but instead a combination of medications that is unique for each patient. It's just achieving that right combination that's the trick!

Dr. Alice Jeromin is a pharmacist and veterinary dermatologist in private practice in Cleveland, Ohio. She is a graduate of The Ohio State University College of Veterinary Medicine.

References

1. Marsella R, Sousa CA, Gonzales AJ, et al. Current understanding of the pathophysiologic mechanisms of canine atopic dermatitis. J Am Vet Med Assoc 2012;241(2):194-207.

2. Cork MJ, Danby SG, Vasilopoulos Y, et al. Epidermal barrier dysfunction in atopic dermatitis. J Invest Dermatol 2009;129(8):1892-1908.

3. Piekutowska A, Pin D, Reme CA, et al. Effects of a topically applied preparation of epiderma lipids on the stratum corneum barrier of atopic dogs. J Comp Pathol 2008;138(4):197-203.

4. Glos K, Linek M, Loewenstein C, et al. The efficacy of commercially available veterinary diets recommended for dogs with atopic dermatitis. Vet Dermatol 2007;19(5):280-287.

5. Raditic DM, Remillard RL, Tater KC. ELISA testing for common food antigens in four dry dog foods used in dietary elimination trials. J Anim Physiol Anim Nutr 2011;95(1):90-97.

6. Weese JS, Walker M, Lowe T. In vitro miconazole susceptibility of methicillin-resistant Staphylococcus pseudintermedius and Staphylococcus aureus. Vet Dermatol 2012;23(5):400-e74.

7. DeBoer DJ. Sublingual immunotherapy for atopic dermatitis. Clinician's Brief June 2013.


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