RESPIT and multi-modal therapy
RESPIT is a great long-term option for managing atopic dermatitis. Immunotherapy is the only treatment that can re-program the immune system to tolerate offending allergens. A disadvantage of immunotheray is that it has a slow onset. We recommend that a patient receive RESPIT for 9-12 months to fully assess the efficacy. In the meantime, many patients are going to require some shorter-term relief. We've had good success starting patients on Apoquel and RESPIT, then stopping the Apoquel periodically to assess the response to RESPIT alone. And, don't forget about the importance of topical therapy to wash away allergens and improve the barrier function of the epidermis!
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