TheSkinVet Intradermal Testing Protocol
For confirmed cases of Atopic dermatitis, intradermal testing is available prior to formulating allergen specific immunotherapy, alongside specific allergen avoidance measures where possible.
- Sedation will be required and therefore starvation for a minimum twelve hours is a prerequisite, please.
- A rectangular window, approximately 120 x 60mm, will always need to be clipped in the fur coat, usually on the left flank.
- Withdrawal from Cytopoint® injections prior to testing is not required.
- There are short withdrawal times for these medications – please stop for as long as possible, ideally 5 days before, and 1 day after, the testing.:
- Essential fatty acid supplements (Seraquin® etc.)
- CyclosporinA (Atopica®, Cyclavance®, Modulis, Sporimmune®)
- Pentoxifylline (Trental®)
- JAK inhibitors Oclacitinib (Apoquel®, Skylocalm® etc.), Ilunocitinib (Zenrelia®) & Atinvicitinib (Numelvi®)
- Palmitoylethanolamide (PEA-um, Redonyl Ultra®)
- Non-steroidal anti-inflammatory drugs (Metacam®, Rimadyl®, Osior® etc.)
- ‘Weak’ topical steroids (HC aceponate, Cortavance®, Cortotic® etc.)
- For one week prior, please avoid antihistamines & eggs.
- For two weeks prior, please avoid:
- Short-acting oral glucocorticoids (prednisolone, methyl-prednisolone)
- ‘Strong’ topical, including aural, glucocorticoids (Triamcinolone, Recicort®).
- Tricyclic antidepressants ( Clomicalm®, amitriptyline)
- β-adrenergic agonists (Bricanyl® etc), bronchodilators (Corvental®, Vivitonin® etc)
- For a minimum of four weeks prior for depot aural polypharmacy (Osurnia®, Claro®, Neptra®, Duotic®)
- For a minimum of eight weeks prior please avoid injectable depot glucocorticoids and progestagens.
- In addition, a prescription roundworm (or broad-spectrum) dewormer must be administered 2 weeks prior to testing (the presence of Toxocara worms can lead to cross-reactions)
Download your Drug Withdrawal form here: THESKINVET DRUG WITHDRAWAL PRIOR TO IDT