What do you do with those dogs that have been diagnosed with atopy but are not getting better or better enough with treatment? Unfortunately, there are no magic potions either from the past or present that are going to easily fix these patients. Owners of these dogs need to understand some basic concepts about pruritic diseases. First, pruritus is a common presenting sign for both allergic and non-allergic dermatopathies. Second, your long term goal is not necessarily to stop the itch completely, but to decrease it to a level comfortable for both the client and the patient. Third, pruritic diseases are not mutually exclusive. This means that the same patient can have 3 or 4 different problems that make him itch.