Management of canine atopic dermatitis. Part 1: treatment and management of flare-ups

Canine atopic dermatitis is a chronic inflammatory skin condition affecting 3–15% of dogs, leading to pruritus, skin barrier dysfunction and secondary infections. It significantly impacts canine welfare and caregiver burden. Management involves systemic therapies such as glucocorticoids, oclacitinib, lokivetmab and ciclosporin, alongside topical treatments to control inflammation, infections and skin barrier health. Allergen-specific immunotherapy offers long-term benefits in suitable cases. Regular monitoring through veterinary nurse clinics and caregiver education is essential for optimising outcomes. This article outlines evidence-based strategies for managing canine atopic dermatitis, balancing acute relief with long-term control.