Hot Spot & Itch Relief Medicated Shampoo is recommended for occasional hot spots, skin allergies, and insect bites. SIGNS: Skin that is itchy, swollen, pink to red, warm to hot, moist to wet, irritated to bloody and possibly seeping pus. BENEFITS: Lidocaine, Hydrocortisone, and Colloidal Oatmeal relieve occasional itching, redness, and swelling. Lactic acid gently exfoliates and helps moisturizers, such as Aloe Vera, penetrate the skin better. INGREDIENTS: Lidocaine, Hydrocortisone