The right shampoo for an allergic dog is completely wrong for a dog with a yeast infection — and using the wrong one can make things worse. This guide is organized by what’s actually causing the itch, so you can find the right answer for your dog’s specific situation, not just any answer.
Shampoo therapy is one of the most underutilized yet highly effective tools for managing itchy skin in dogs — when the right product is chosen for the right condition. A 2025 review in the Canadian Veterinary Medical Association journal described therapeutic bathing as “a safe, cost-effective way to deliver active ingredients directly to the skin” that improves outcomes across allergic dermatitis, bacterial skin infections, and yeast overgrowth. Here are the things that trip people up most.
1 Does the shampoo I choose actually matter, or is any dog shampoo basically the same? It matters enormously. The wrong shampoo for the wrong cause can delay healing by weeks — and in some cases actively worsen the underlying problem. ▼
2 My dog still itches after two baths — should I switch shampoos? Not yet. The most common reason medicated shampoos fail is that they’re rinsed off immediately. Active ingredients need 5 to 10 minutes of contact time with the skin to work. ▼
3 How often should I bathe my itchy dog — is overbathing a real risk? Overbathing with the wrong shampoo can dry skin further. With the right shampoo, the Merck Veterinary Manual recommends weekly to biweekly bathing during active atopic flares — far more than most owners think is okay. ▼
4 Do I need a prescription shampoo or will an over-the-counter product work? For mild environmental allergy itch — OTC oatmeal-based shampoos often work well. For bacterial or yeast infections, some effective products are OTC, but Malaseb and a few others require a vet prescription. ▼
5 My dog licks its paws constantly — does that mean I need a special shampoo? Paw licking is a signature sign of yeast overgrowth (Malassezia) in dogs. A chlorhexidine or antifungal shampoo — and paw soaks between baths — is often the first step that actually makes a difference. ▼
6 Can I use human oatmeal shampoo on my itchy dog to save money? No. Human skin pH is around 5.5; dog skin pH is 6.2 to 7.4. Human shampoo disrupts the canine skin barrier, worsening dryness and creating conditions where bacteria and yeast are more likely to colonize. ▼
7 My dog smells bad even after bathing — does that mean the shampoo isn’t working? Persistent odor after bathing almost always means active yeast or bacterial overgrowth — the kind that requires an antimicrobial shampoo, not a scented or deodorizing one. ▼
Ingredients are the decision — not the brand name. Here’s how veterinary dermatologists think about matching the active ingredient to the underlying condition before recommending anything.
Look for: colloidal oatmeal, ceramides, phytosphingosine, aloe vera, glycerin, omega fatty acids. These ingredients hydrate the skin barrier, reduce transepidermal water loss, and calm inflammation without antimicrobial action. This is the correct category for dogs that itch seasonally, have dry flaky skin without odor, or have been diagnosed with environmental (atopic) dermatitis without secondary infection. Using an antimicrobial shampoo here strips necessary oils without treating the actual problem.
Look for: chlorhexidine gluconate (2–4%), benzoyl peroxide, ethyl lactate. Chlorhexidine at 3–4% concentration is the primary recommendation from veterinary dermatologists for Staphylococcus pyoderma — the most common bacterial skin infection in dogs. Products with 2% chlorhexidine may be adequate when combined with a synergistic agent like miconazole. Benzoyl peroxide is useful for deep follicular infections and seborrhea-associated bacteria. Signs that suggest bacterial infection: pustules, crusting, hair loss in circular patches, skin redness, foul smell.
Look for: ketoconazole, miconazole nitrate, selenium sulfide. Malassezia dermatitis produces a distinctive musty or corn-chip odor, brown paw staining from chronic licking, greasy skin in folds, and intense itch in the ears, armpits, and groin. An antifungal ingredient is required — oatmeal alone will not clear yeast. Virbac KetoChlor (ketoconazole + chlorhexidine) is the most prescribed combination product among veterinary dermatologists. Malaseb (miconazole + chlorhexidine) is a common alternative with equivalent efficacy but requires a prescription.
Look for: salicylic acid, sulfur, benzoyl peroxide, selenium sulfide, zinc pyrithione. Seborrhea comes in two forms: seborrhea sicca (dry, flaky) and seborrhea oleosa (greasy, oily). Salicylic acid helps remove scale; benzoyl peroxide degreases; sulfur is keratolytic. Douxo S3 SEB and Veterinary Formula Clinical Care Antiparasitic & Antiseborrheic are commonly recommended. Many dogs with seborrhea also have secondary yeast, so a combination formula often addresses both issues simultaneously.
Look for: chlorhexidine, pramoxine hydrochloride (topical anesthetic), aloe vera, hydrocortisone. Hot spots (acute moist dermatitis) are localized bacterial skin infections that develop rapidly — within hours — usually following moisture, a scratch, or a bite. The area needs to be clipped (removing surrounding fur), cleaned with a gentle chlorhexidine product, and kept dry. Shampoos with pramoxine can reduce the intense localized itch that makes dogs constantly traumatize the area. Shampoos with hydrocortisone provide mild topical anti-inflammatory action. Severe or rapidly spreading hot spots need veterinary care, not just shampoo.
These shampoos work by reinforcing and hydrating the skin barrier rather than killing microorganisms. They’re appropriate for dogs whose itch is driven by seasonal allergies, pollen, dust mites, or dry skin — without signs of infection like odor, pustules, or crusting.
Douxo S3 CALM is the dermatologist-facing product in the Douxo line — co-developed with veterinary dermatologists and backed by over 20 years of clinical use. Its central active ingredient is Ophytrium (0.75%), a purified plant-derived compound that soothes irritated skin, supports the microbial balance of the skin surface, and reinforces the protective barrier. The formula is free from sulfates, parabens, soaps, colorants, silicones, and nanoparticles — a clean list that matters when you’re washing a dog with already-compromised skin weekly. Clinically tested to show results in as few as seven days of regular use. One pump per four pounds of body weight, lathered in and left on for 5–10 minutes. Available in 6.7 oz and 16.9 oz sizes.
Earthbath has built a reputation in the veterinary community as a reliable baseline oatmeal shampoo — not a treatment product but a well-formulated maintenance option. Colloidal oatmeal soothes and moisturizes; aloe vera helps reduce surface inflammation. The formula is pH-balanced for dogs, soap-free, tearless, and free from parabens and harsh synthetic detergents. Veterinary dermatologists frequently recommend it as a weekly wash for dogs with atopic dermatitis that is well-controlled by other medications — the bathing helps physically remove environmental allergens from the coat and skin surface. Not appropriate as the sole treatment for active infections or yeast overgrowth, but excellent for mild itch and barrier maintenance.
What sets this one apart from standard oatmeal shampoos is pramoxine hydrochloride — a topical anesthetic that temporarily blocks itch nerve signal transmission in the skin. It doesn’t treat the underlying cause, but it breaks the itch-scratch cycle that allows secondary infections to take hold, and it makes the dog more comfortable immediately after the bath. Chewy’s dermatologist panel named it Best Overall for itchy skin, and it’s one of the few OTC products with an actual active pharmaceutical ingredient in addition to the soothing oatmeal base. Best used in combination with a targeted medicated shampoo — alternate bath days, with this providing relief and the medicated shampoo addressing the underlying cause.
A no-nonsense entry in a space crowded with exaggerated claims — Burt’s Bees keeps this formula genuinely minimal. Shea butter conditions the coat and deposits lipids on the skin surface; honey is a natural humectant that draws moisture in. The formula is pH-balanced, tearless, sulfate-free, colorant-free, and fragrance-free — important when you’re bathing a dog that reacts to everything. It won’t clear an infection, but for dogs who need a reliable, consistently gentle option for weekly allergen-removal bathing, it delivers exactly what it promises without unnecessary additives. Widely available, affordable, and safe for puppies. Consider pairing with a ceramide leave-in conditioner spray immediately after towel-drying for enhanced barrier support.
Dogs with pyoderma need chlorhexidine — specifically at 3–4% concentration if it’s the sole active ingredient, or 2% when combined with miconazole (which creates a synergistic effect). Using a soothing oatmeal shampoo on an active bacterial infection prolongs the infection without helping the itch.
Douxo S3 PYO contains 3% chlorhexidine — the concentration that veterinary dermatology literature (dvm360) identifies as effective against Staphylococcus pseudintermedius when used as the sole active agent. It also contains phytosphingosine salicyloyl, a modified ceramide precursor that supports the skin barrier while the chlorhexidine addresses the bacterial load. The dvm360 multimodal atopic dermatitis guide specifically names this product as an example of a 3–4% chlorhexidine formula for managing pyoderma alongside other treatments. Frequency: every 1–2 days during active infection, scaling to weekly for maintenance. Available without a prescription in most U.S. veterinary pharmacies and online.
A practical combination formula with a good safety record — chlorhexidine gluconate addresses bacterial colonization while ketoconazole prevents concurrent yeast overgrowth. The aloe vera addition provides some barrier support to offset drying. It has a light cucumber melon scent, which some sensitive dogs tolerate well and others do not — if your dog reacts to fragrance, this is not the first choice. Packaged in a 16 oz pump bottle — a genuinely useful design feature when your hands are wet and the dog is trying to escape the tub. Made in the USA in a GMP-certified facility. Widely available through Chewy, Amazon, and PetSmart at a meaningfully lower price point than Douxo.
Benzoyl peroxide plays a different role than chlorhexidine — rather than primarily killing surface bacteria, it flushes out follicles (the pores hair grows from), removing the plugs of dead skin cells, oil, and bacteria that allow deep skin infections to persist. This is the shampoo vets reach for when a dog has comedones, folliculitis, deep pyoderma, or the oily greasy texture that won’t resolve with surface-level antimicrobials. Important: benzoyl peroxide is drying — it should be followed by a moisturizing conditioner on dogs with dry skin, and shouldn’t be used more than two to three times per week on most dogs. The sweet pea vanilla version has less chemical odor than older BPO formulations.
Miconazole combined with chlorhexidine is one of the best-studied dual-action combinations in veterinary dermatology — the 2% + 2% pairing is the same foundational formula behind the prescription Malaseb. VetWELL’s version delivers the same active ingredient pairing without requiring a prescription, at roughly a third of the price. The addition of aloe vera provides some soothing activity between the antimicrobial agents. For dogs where veterinary cytology has confirmed both bacteria and yeast — the situation where a pure chlorhexidine or pure antifungal shampoo only addresses half the problem — a combination formula like this is the correct approach.
Malassezia yeast dermatitis is one of the most underdiagnosed causes of chronic itch in dogs. The musty odor, paw licking, skin fold irritation, and reddish-brown staining are all reliable signals. These shampoos contain the antifungal agents that actually work on yeast — oatmeal alone won’t touch it.
KetoChlor is the benchmark product in this category — the shampoo that veterinary dermatologists in the U.S. most frequently prescribe by name when recommending a combination antifungal/antibacterial formula. It contains 2% ketoconazole (antifungal) and 2% chlorhexidine gluconate (antibacterial) — a pairing validated across multiple veterinary dermatology publications for treating both Malassezia and Staphylococcus simultaneously. The lather is thin and may not feel “soapy” — that’s expected and not a sign it’s not working; the active ingredients work during the contact period, not the lather. Contact time: minimum 5–10 minutes, massaged into skin folds, paw pads, and any affected areas. No prescription required at most online veterinary pharmacies, though some clinic dispensaries require one.
Malaseb is the prescription-grade benchmark in antifungal dog shampoos — 2% miconazole nitrate combined with 2% chlorhexidine gluconate, a pairing that disrupts fungal cell membranes while simultaneously reducing bacterial surface colonization. Veterinary dermatology consistently names it alongside KetoChlor as the clinical standard for Malassezia, with studies showing significant reduction in yeast counts with twice-weekly use over two to four weeks. The prescription requirement is real — you’ll need a vet visit or existing vet-client relationship to obtain it. More expensive than OTC alternatives but appropriate when a vet has determined the infection severity warrants it. Plan for two to three baths per week during the active treatment phase.
Some veterinary dermatologists recommend diluted selenium sulfide shampoo (typically the human Selsun Blue formulation) as an off-label option for dogs with particularly greasy, yeast-prone coats — primarily seborrheic dogs who don’t respond adequately to ketoconazole-based products. Selenium sulfide has antifungal properties through a different mechanism than azole antifungals. This is not a pick-it-up-yourself option — it must be used at veterinary direction, diluted appropriately for canine skin, and not used around the face or eyes. Mention it to your vet if your dog’s yeast has been resistant to standard antifungal shampoos and the coat tends to be oily. It’s listed here because owners occasionally ask vets about it — and the answer is “only with guidance.”
Dechra is a pharmaceutical company that manufactures veterinary-grade products — their MiconaHex+Triz line is made to the same standard as clinic-dispensed shampoos, not a consumer-grade approximation. Miconazole targets Malassezia yeast; chlorhexidine addresses bacterial colonization; Triz (tromethamine) enhances the penetration and effectiveness of both active ingredients into the skin. Often the maintenance choice after Malaseb clears an active infection — the vet treats the acute phase with prescription Malaseb, then transitions to MiconaHex+Triz for ongoing management. Available through veterinary online pharmacies without a prescription in most cases.
Some dogs present with layered problems — bacterial and yeast at the same time, or active itch plus greasy flaky skin. These shampoos address multiple mechanisms simultaneously, which is why vets reach for them when the picture isn’t clean.
This shampoo earns its place on the list by combining colloidal oatmeal (soothing), lidocaine (topical anesthetic), and benzalkonium chloride (antibacterial) in a formula that sells for under $15. It’s not the most potent option in any single category — but its multi-ingredient approach means it covers mild itch, surface bacterial load, and skin barrier support simultaneously. pH-balanced, paraben-free, and soap-free. For dogs whose itch is moderate and not clearly categorized as yeast or deep bacterial infection, this is a reasonable first step before spending money on more targeted specialty formulas. Widely available at Walmart, PetSmart, Chewy, and Amazon.
Formulated with chlorhexidine gluconate and ketoconazole for dual antimicrobial action, plus a hypoallergenic base designed to be tolerated by allergy-prone dogs. What makes this stand out from basic chlorhexidine products is its attention to the secondary allergy-driven itch — the ingredient list targets both the infection that’s developed as a consequence of scratching and the underlying sensitized skin. Chewy’s vet panel listed it as Best for Allergies in their itchy skin shampoo roundup. The light scent is a consistent customer comment — check with your vet if your dog has shown fragrance sensitivity before committing.
A genuinely underappreciated option for dogs that don’t tolerate chlorhexidine. The active ingredient pairing — salicylic acid (keratolytic, removes scale) and chloroxylenol (antiseptic, different mechanism from chlorhexidine) — provides antimicrobial coverage through a different pathway. It lathers better than most medicated shampoos, which owners appreciate even though lather has no bearing on therapeutic effect. The salicylic acid also helps with mild seborrheic scale. Some users note it works where other shampoos failed — specifically the subset of dogs whose skin responded poorly to chlorhexidine-heavy formulas. Worth knowing about as an alternative when the standard recommendation hasn’t worked.
Seborrhea is a disorder of skin cell turnover — either overproducing oil (oleosa) or producing abnormal dry scale (sicca). The correct shampoo ingredient depends on which type your dog has. Both types frequently develop secondary yeast overgrowth, making antifungal coverage especially important for this category.
Douxo S3 SEB targets the sebum regulation issue directly — it contains Ophytrium (the skin barrier supporting compound from the CALM line) plus ingredients specifically formulated to reduce excess sebum and normalize skin cell turnover. It’s clinically proven to reduce dandruff, odor, and excess oil production, and is listed as Chewy’s Best for Itchy and Smelly Skin in their dermatologist roundup. Many dogs with seborrhea have concurrent Malassezia yeast — the SEB line manages the sebum issue; if the vet confirms yeast is also present, adding a dedicated antifungal bath on alternating days may be recommended. Use the SEB Mousse between baths for extended effect.
The coal tar in this formula is the differentiator — coal tar reduces the rate of abnormal skin cell production (the root of seborrhea) while salicylic acid and sulfur remove existing scale and address any surface bacterial involvement. It’s one of the strongest OTC antiseborrheic formulas available for dogs, which is why Chewy’s veterinary panel listed it as Best for Flaky Skin (Seborrhea). Coal tar has a distinctive odor — noticeable during and after the bath. Not appropriate for use around the face, near eyes, or on raw or broken skin. For dogs with severe seborrhea, this is often the product that finally makes a visible difference when other shampoos produced only mild improvement.
Hot spots develop fast — sometimes within hours — and make dogs desperate. The priority is stopping the traumatization cycle, keeping the area dry, and reducing bacterial load. These shampoos address all three — but severe or rapidly spreading hot spots also need a vet visit within 24 hours.
Vetnique is a veterinarian-founded brand — their DermaBliss formula pairs chlorhexidine gluconate for antibacterial surface action with a gentle hydrating base that doesn’t further strip moisture from already-inflamed skin. A solid choice when the dog has developed localized areas of acute moist dermatitis and you need to clean the area without aggravating it. The key with any hot spot shampoo is application technique — don’t scrub the hot spot itself; lather gently, let it sit, and rinse without mechanical pressure. Always clip the fur surrounding a hot spot before shampooing — the clipping is more important than the shampoo choice.
Tea tree oil has modest antibacterial properties that can help with mild surface skin irritation — the key word being mild. This formula also contains chamomile and aloe, which have established soothing properties for inflamed skin. One important note on tea tree oil in dogs: it is safe and beneficial at the very low concentrations used in properly formulated dog shampoos, but pure or concentrated tea tree oil is toxic to dogs. Never apply undiluted tea tree products to a dog’s skin. Vet’s Best formulates at safe dilutions. For anything beyond a small, superficial hot spot, a chlorhexidine-based shampoo or a vet visit is the more appropriate choice.
The bundled shampoo-and-conditioner approach addresses a gap that medicated shampoos often leave: antimicrobial shampoos do their job, but they also strip natural oils from an already-compromised barrier. Following each medicated bath with a conditioner helps replace lipids, soften the coat, and support the recovery phase. TropiClean’s OxyMed combination uses oatmeal, vitamins, and aloe across both products — the shampoo addresses dandruff and surface itch while the conditioner locks in moisture. Particularly useful in the transition from active infection treatment to maintenance bathing — once KetoChlor or Douxo S3 PYO has cleared the infection, switching to this set for regular weekly baths avoids the over-stripping that comes from continued aggressive antimicrobial use on healed skin.
Use this table to compare products across condition type, key ingredients, and approximate cost. Always confirm current pricing and prescription requirements before purchasing.
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| # | Product | Best For | Key Ingredient(s) | Rx? | Approx. Cost |
|---|---|---|---|---|---|
| 1 | Douxo S3 CALM | Allergies, atopic itch | Ophytrium 0.75% | No | $22–$38 |
| 2 | Earthbath Oatmeal & Aloe | Mild itch, dry skin | Colloidal oatmeal + aloe | No | $14–$18 |
| 3 | Elanco Relief (Pramoxine) | Intense surface itch | Pramoxine HCl + oatmeal | No | $18–$24 |
| 4 | Burt’s Bees Hypoallergenic | Sensitive, fragrance-free | Shea butter + honey | No | $10–$14 |
| 5 | Douxo S3 PYO | Bacterial pyoderma | 3% Chlorhexidine | No | $25–$38 |
| 6 | PetHonesty Chlorhexidine | Bacterial + yeast, budget | Chlorhexidine + ketoconazole | No | $18–$22 |
| 7 | Pet MD Benzoyl Peroxide | Deep follicular, greasy | Benzoyl peroxide | No | $22–$27 |
| 8 | VetWELL Micoseb | Mixed bacterial + yeast | Miconazole + chlorhexidine | No | ~$18 |
| 9 | Virbac KetoChlor | Yeast + bacteria (top pick) | 2% Ketoconazole + 2% CHX | No (most) | $28–$36 |
| 10 | Malaseb (Dechra) | Confirmed Malassezia | 2% Miconazole + 2% CHX | Rx required | $40–$55 |
| 11 | Selsun Blue (vet-directed) | Resistant yeast, oily coat | Selenium sulfide 1% | Vet direction only | $8–$12 |
| 12 | Dechra MiconaHex+Triz | Yeast + bacteria maintenance | Miconazole + CHX + Triz | No (typically) | $22–$30 |
| 13 | Veterinary Formula Hot Spot | Mild multi-symptom itch | Oatmeal + lidocaine + BAC | No | $10–$15 |
| 14 | Pet Honesty Anti-Itch | Allergy with secondary infection | Chlorhexidine + ketoconazole | No | $16–$20 |
| 15 | Vetoquinol Universal | CHX-sensitive dogs | Salicylic acid + chloroxylenol | No | $20–$26 |
| 16 | Douxo S3 SEB | Seborrhea, oily/smelly skin | Ophytrium + sebum regulators | No | $28–$40 |
| 17 | Vet Formula Antiseborrheic | Moderate-severe seborrhea | Coal tar + salicylic + sulfur | No | $12–$16 |
| 18 | Vetnique DermaBliss | Hot spots, acute irritation | Chlorhexidine + hydrating base | No | $20–$24 |
| 19 | Vet’s Best Hot Spot | Mild hot spots, natural | Tea tree + aloe + chamomile | No | $10–$14 |
| 20 | TropiClean OxyMed Set | Post-treatment recovery | Oatmeal + vitamins + aloe | No | $16–$20 |
Stop. See a vet within 24 hours — today if possible. Hot spots can double in size within hours and often require systemic antibiotics, not just topical shampoo. While you’re waiting, clip the fur around the sore, apply a clean dry cloth (not wet), and prevent your dog from licking the area using an e-collar if one is available. Shampoo is not the primary treatment for a fast-moving hot spot — it’s a supplement to antibiotic therapy. The vet can prescribe both the antibiotic and recommend the appropriate topical approach simultaneously.
This is the classic Malassezia yeast presentation. Start with Virbac KetoChlor or Dechra MiconaHex+Triz — both target yeast and bacteria together. Bath frequency: three times per week for the first two weeks, then weekly for maintenance. Work the shampoo into every skin fold, between paw pads, and into the armpits and groin — yeast hides in warm, moist areas that are easy to miss. Leave the lather on for a full 10 minutes before rinsing. If the odor doesn’t improve meaningfully within 2–3 weeks of consistent treatment, a vet cytology will confirm whether yeast is the issue and whether a prescription-strength product like Malaseb is needed.
Seasonal itch without odor, odor, or skin lesions typically points to environmental allergen overload — the pollen and mold spore peaks of spring and fall. The most effective and underutilized intervention here is increasing bath frequency to weekly or twice-weekly during allergy season, using a barrier-supportive formula like Douxo S3 CALM or Earthbath Oatmeal. Physical removal of allergens from the coat reduces the total load the immune system has to respond to. Between baths, wiping paws with a damp cloth after outdoor time makes a measurable difference. If your dog also has ear infections during allergy season, yeast involvement is likely and a combination antifungal shampoo becomes appropriate.
Douxo S3 PYO (3% chlorhexidine) is the first-line OTC recommendation directly backed by the veterinary dermatology literature. Use it every one to two days during the active infection phase, with a strict 5–10 minute contact time before rinsing. Ask your vet specifically what the bathing frequency recommendation is — the dvm360 multimodal atopic dermatitis guide notes that proactive owners who bathe frequently can sometimes manage even antibiotic-resistant pyoderma with shampoo therapy alone. After the infection clears, scaling back to weekly antimicrobial baths as maintenance prevents recurrence in dogs prone to pyoderma.
This is seborrhea oleosa with likely secondary yeast — a common combination that requires addressing both the sebum regulation issue and the yeast load. Start with Douxo S3 SEB twice weekly. If the smell is predominantly yeast (musty, corn-chip), add a KetoChlor bath on alternating days. Do not use a moisturizing shampoo on greasy seborrhea — it adds moisture to skin that’s already producing too much lipid. If the condition has been going on for months or is getting progressively worse, rule out hypothyroidism or Cushing’s disease with your vet — both endocrine disorders commonly present with seborrhea as a skin sign.
The most common reason for shampoo failure — in order of frequency: the shampoo category is wrong for the actual cause; contact time is too short; bathing frequency is insufficient; or a secondary issue (like a concurrent food allergy, hormonal disorder, or parasite) is driving itch that shampoo alone can’t control. A single appointment with a board-certified veterinary dermatologist provides cytology, skin scrapings, and a complete allergy workup that gives you the actual diagnosis — not a guess. Find one at acvd.org/find-a-dermatologist. Many pet owners who spent months and hundreds of dollars cycling through shampoos resolve the issue within one or two dermatology appointments with a targeted diagnosis and treatment plan.
This guide is for informational purposes only and does not constitute veterinary advice or a product prescription. Product formulations, pricing, and prescription requirements change — always verify current information directly with the manufacturer or your licensed veterinarian before purchasing. If your dog has open sores, rapid hair loss, severe or spreading skin lesions, or has not responded to home treatment within two weeks, a veterinary evaluation is the appropriate next step rather than continued self-treatment. Prices shown are approximate retail ranges and may vary by retailer and region.