Veterinary Formula Advanced Hot Spot & Itch Relief Shampoo was scientifically formulated with hydrocortisone and lidocaine to effectively relieve itching, scratching and pain due to hot spots and other skin irritations. Effectively calms inflamed skin & irritated skin while discouraging severe chewing & gnawing. For the relief of dermatological skin conditions and associated discomfort. Lidocaine & Hydrocortisone reduce itching, redness and swelling. Colloidal Oatmeal & Aloe Vera provide soothing & moisturizing comfort. Formulated with Lactic Acid to help advance penetration of healing & soothing ingredients. pH balanced.