“…As previously stated, cats and dogs can be affected by adverse food reactions, which can involve apparatuses including the gastroenteric and cutaneous but can be extended also to otological, ocular, urinary, and respiratory systems [49,62]. We recently ascertained the effectiveness of a combined use of a nutraceutical diet and current pharmacological therapy in 15 adult dogs affected by chronic bilateral otitis externa [49]. The diet, which was composed of fish proteins, rice carbohydrates, Melaleuca alternifolia, Tilia platyphyllos scapoli et cordata, Allium sativum L., Rosa canina L. and Zinc and an Omega 3/6 ratio of 1:4, and the drug (Otomax ® ) significantly reduced the mean intensity of all clinical symptoms (occlusion of ear canal, erythema, discharge quantity, and odor) within 90 days ( *** p < 0.001).…”