CONCLUSION

More research is needed to determine the efficacy of these new barrier-repair topicals. For years, dermatologists have emphasized grooming, coat hygiene, and bathing as adjunct treatments. The barrier-repair products take that idea one step further. In our opinion, lipid-containing topicals can be added to almost any atopic dermatitis case without causing harm. They may be more beneficial when skin infections are under control, since twice weekly bathing could remove the product. It does not seem likely that they will completely replace conventional therapies, but they may be a useful addition to the atopic dermatitis treatment arsenal if they can improve the efficacy of allergen-specific immunotherapy and allow for lower doses of glucocorticoids and cyclosporine.

Jacqueline Gimmler, DVM
Jenise Daigle, DVM, DACVD
Central Texas Veterinary Specialty Hospital
301 Chisholm Trail
Round Rock, TX 78664

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