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March 2005
MalAcetic HC Clarified
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the side of caution, so do not open an email from dermapet@aol.com
if there is an attachment.
Table of Contents
Territory Managers/KIM CAREY Hired for NW
Coming Soon - MalAcetic HC Shampoo
Lou Gotthelf's Small Animal Ear Diseases
Meetings
SPECIALS
DermaPet Vision Statement
DermaPet Mission Statement
MalAcetic HC Prototol
There have been many questions on when or how to use the MalAcetic HC. Since
it is virtually 50% strength MalAcetic Otic with hydrocortisone added, logically
one would use it on inflamed, irritated, erythematous, edematous, (perhaps)
ulcerated skin first. After a few to several days on the MalAcetic HC switch
to regular strength MalAcetic.
Some experts recommend using systemic corticosteroids alone with no topicals
in severely inflamed otitis cases. This will allow the ear to "cool down"
prior to placing any topicals, almost all of which could be potentially irritating.
After this "cool down" then start the MalAcetic HC for about a week
or less followed by the regular MalAcetic Otic.
MalAcetic HC is not a replacement for MalAcetic Otic, which should remain the
veterinarian's first choice to clean an ear, treat an ear with Malassezia otitis
(see articles by Gotthelf or Bassett or Benson at the web site) or prevent ear
disease. Also remember, up until now we have not had a case of ototoxicity reported
due to MalAcetic Otic, so it is safe for cases where there is a ruptured tympanic
membrane.
Because MalAcetic contains both acetic and boric acids which each and combined
have other significant antimicrobial effects (see Benson's article), we also
place them in topicals such as shampoo, spray-on leave-on conditioners and wet
wipes where they can help fight Staphylococcus as well as Malassezia.
Below is a repeat from last months newsletter which supports use of the MalAcetic
HC logic.
The notes from DermaPet's 1st Annual OTOLOGY SYMPOSIUM at TNAVC are posted at
our web site (with permission from
TNAVC). Below are excerpts from this presentation from LOU GOTTHELF.
Corticosteroids have a definite place in the treatment of otitis externa. .....1% hydrocortisone (MALACETIC HC, DermaPet) may be used in the ear to act as a preventative for inflammation in atopic dogs that may have recurrent otitis. Corticosteroids do not remove hyperplastic epithelium or glands, so if there is no response to high dose corticosteroids after 7-10 days, the stenosis is probably the result of increased tissue growth rather than inflammation. ...
For otitis externa complicated by Malassezia, the author prefers the use of
an acetic acid/boric acid solution (MALACETIC OTIC). The cleansing effect and
desquamating effect of the acetic acid/boric acid solution essentially removes
fatty acid substrates necessary for the metabolism and reproduction of Malassezia.
Malassezia produces a chemotactic factor for neutrophils that is hydrophilic
and protein in nature. The presence of this factor may help explain why only
a few Malassezia organisms can cause such profound erythema and pruritus. The
cleansing effect of the acetic acid/boric acid solution destroys this acid-labile
chemoattractant and may account for the reduction in inflammation. Boric acid,
which is hygroscopic (drying out the humid ear canal) removes moisture necessary
for this hydrophilic chemoattractant and may prevent attachment of Malassezia
yeasts to the epithelium by inactivating adhesin molecules that allow Malassezia
to stick to keratinocytes.
MAL ACETIC OTIC is used daily for 7-10 days by filling the ear canal to overflowing,
massaging the base of the ear, and allowing the solution to remain in the ear
canal for 5 minutes. The loosened debris is wiped off of the pinnal surface
with a dry cotton ball. This procedure is repeated once daily. When the ear
canal is clean, the cotton ball will remain fairly white when the solution is
wiped away. At that time, treatment is reduced to once weekly.
Western States, Vegas
The golf tournament went well. LOU GOTTHELF won a closest to the hole contest
while JAY LOCKHART actually aced the 13th hole. The ANTECH team won it this
time (YT et al, deciding to rest on our TNAVC winning laurels, could not make
it).
We enjoyed the annual Chinese seafood feast at the Joyful House with LOU and PENNY GOTTHELF, JACK WHITE, PATRICK RAYBURN, JOYCE HEFLIN, KIM CAREY, ALAN GARETT, GLORIA and YT attending.
JOHN ERHARDT (UI '83) came by the booth and remembered me from my teaching
days at ILLINOIS.. The WVC staffs were quite responsive to exhibitors needs
this year. When a suggestion to STEVEN CRANE was made to place a sitting area
near the wall by our booths, it was done moments later. And, ROXY, the DermaPet
mascot, received her first show badge after being pampered with attention at
the Exhibitor sign-in desk, run by VICKI CRANE, making me realize I should have
brought her years ago. If only we could communicate as well with their other
committees (i.e., Program).
It was good to have actress/model STACEY MELMAN who showed up on Monday at the
DermaPet booth attracting many visitors although few who were our target audience.
The unusual rainy weather was good for a trade show.
Certain other "news" (i.e., select items about the colorful Medrx team) have been omitted due to the "what happens in Vegas, stays in Vegas" rule.
PETER EMILY and BOB WIGGS lectured. WIGGS suggests further coating our DENTEES with other meds he recommends to increase exposure time on the teeth and gums of dogs.
PENN, Philly
What a treat it is to see my alma mater and so many classmates at this meeting!
They finally made (read "were forced to make") the much-needed change
to a downtown hotel. Classmates BOB CUSANO, JAY LEEB, DON FORD, JAMES HYSONG,
VERN and Elaine DURIE all said hello. DON MARCUS, my classmate all the way back
to my days at TEXAS A&M, ANDY BRESLIN and HYSONG and I reminisced over a
few drinks. Another ILLINOIS student, AMY KIESCHE NESSLERODT visited. Potomac
neighbor, RICHARD WEITZMAN, is the current Maryland State Golf Association President.
How you can play golf that well and practice to the level of excellence, that
only a neighbor would know he does, is amazing. Much to the amazement of DEAN
ALAN KELLY, his son, IAN KELLY, courteously checked me in and was fascinated
that I knew his dad socially way back then. The prices at JAY GERSON's practice
just went up as his daughter just got accepted to next year's class. I recognized
the tears of joy in his eyes. Delmarva may be practicing reverse age discrimination
with CHUCK BETTYMEN, BOB CASTAGNA and JOE KUHTA all apparent (not to the eye)
septuagenarians.
AAHA, Baltimore
I lunched with DONNA GINDY and COLIN BURROWS. Congratulations go to Colin who
received the Royal K9 Award for International Contributions to Veterinary Medicine.
DAN NEGOLA and BILLY AMOROSO are building a big kennel in the outskirts of DC.
STEVE ROGERS, who used to work for my father, is the current Secretary/Treasurer
of AAHA. Based on my experience working with him, AAHA has the right person.
Neighbor NORM ROSKIN conversed with me about our local emergency clinic partnership
situation. I lunched with DEB HOROWITZ and GARY LANDSBERG although Deb's lunch
coupon appeared to be a counterfeit, xeroxed off an original. CHRIS VON STEIN,
(COO), DAVE BROWN (CFO), GLORIA and YT, JACK WHITE and JIM ADAMS (our Australia
distributor) all helped celebrate CHUCK MICHAELS birthday in Little Italy. Jim
Adams traveled a long way to see the NCAA playoffs and learn some more details
about promoting our products Down Under.
Territory Managers/KIM CAREY Hired for NW
Welcome aboard to KIM CAREY, our newest TM who will be responsible for the
NW from Santa Cruz north. Kim can be reached at k_carey59@hotmail.com
or 916-276-3539. Like JOYCE HEFLIN who will handle the Far West S CA, AZ, NV,
Kim comes to us from the vet computer industry. We will hire two more reps for
2005; if interested and you live near Chicago or New York City then contact
either JACK WHITE or our corporate office. JAY MAIDEN is our TM for the SE US.
Jay can be reached at 727-560-2325, jaymaiden@verizonmail.com.
COLIN FERGUSON is our Midwest rep. He can be reached at 614-539-9176, cferguso@columbus.rr.com.
The "old work-horse" CHUCK MICHAELS (NE TM) and PATRICK RAYBURN (SW
TM) ducks2003@cox.net continue to
ride with distributor reps. All our sales are guided by the capable JACK WHITE
jag6410@aol.com or call 866-DERMAPET. For
the TM nearest you please email, look at our web site or call us.
Coming Soon - MalAcetic HC Shampoo
Coming soon will be our MalAcetic HC Shampoo, MalAcetic HC Conditioner and
MalAcetic HC Wet Wipes. The Conditioner is a leave-on, dry-on product. Both
products retain their antimicrobial efficacy (See New Treatment of Malassezia
Otitis, Gotthelf, Vet Forum, 7/97; Efficacy of an Acetic Acid/Boric Acid Ear
Cleaning Solution for Treatment and Prophylaxis of Malassezia sp. Otitis Externa
Aust Vet Pract 34[2]:79-82 Jun'04 http://www.dermapet.com/articles/efficacy.pdf
and Susceptibility of Selected Otitis Externa Pathogens to Individual and Mixtures
of Acetic and Boric Acids, Benson CE, Proc 14th AAVD/ACVD meeting, 1998).
I invite you to read all of the above articles at our web
site. In particular, note that MalAcetic is 87% and 88% effective against
Malassezia and, at .5% MalAcetic is effective against Staphylococcus while at
1% is effective against Pseudomonas. Note: that the 2% strength provided by
our MalAcetic Otic and the rest of the MalAcetic line is what you have been
relying upon. Now, for those sensitive, inflamed, pruritic or erythematous cases,
you can use a gentler product with hydrocortisone.
Lou Gotthelf's Small Animal Ear Diseases
Lou Gotthelf's Small Animal Ear Diseases 2nd Ed is out. There is a chapter by YT as well as many others. At $59.95 this is a great deal considering all the color photos and the fact that ears represent up to 20% of your business.
Petcare TV wants to invite people and kids to play the new Petsville Trivia game.
We will be at the AAVD/ACVD derm meeting in Sarasota.
MedRx is offering CE
with EAR Seminars by LOU GOTTHELF. They will be in JACKSONVILLE (4/10), SEATTLE
(4/17) and Kansas City (May 22)
For more information call 888-392-1234 to find out when one is coming near you.
Gallons. Buy 3 and Get 1 FREE.
The MalAcetic HC is Buy 8 Get 4 Free.
All shampoos are on special.
The HypoCS (our hypo-allergenic) which is going
to be renamed DermaLyt is BUY ONE GET ONE FREE. The rest of the Shampoo line
is Buy 8 and get 4 FREE.
This is our best sale of the year so stock up on your shampoo now!
Wet Wipes (MalAcetic) are BUY 10 and GET 2 free.
EicosaDerm is now available in a 32 ounce economy size
Call your DermaPet Distributor or 800 755 4738 for ordering information
DermaPet Vision Statement
To be recognized as the leader in developing new and innovative, all natural
yet highly effective products for the veterinary community.
DermaPet Mission Statement
To contribute to your growth and that of the veterinary industry by providing
excellent, unique, innovative all natural yet highly effective products that
embrace the pet, veterinarian, and client relationship.
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Steve Melman VMD
http://www.dermapet.com
dermapet@aol.com
800-555-4738 US order line
301-983-8387 outside US
301-365-0191 fax
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Archive of Newsletters
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| Steven Melman VMD DermaPet Animal Dermatology and Behavior Clinics Potomac, MD 20854 |
dermapet@aol.com http://www.dermapet.com 800-755-4738 fax 301-365-0191 |
8909 Iverleigh Court 
Potomac, Maryland
20854
301-983-8387 800-755-4738 Fax 301-365-0191
E-mail dermapet@aol.com