They also concur that some animals won’t hold still for clients to topically medicate their ears. “The result can be a decline in successful treatment of the case, due to a decline in 100 percent client compliance.” I Hear ThatĮxperts concur that systemic antibiotics are inadequate to squash the bad-boy bugs of otitis externa. “It’s even more challenging with a painful animal that is, meanwhile, jumping around during the entire process,” Heidi said. “Almost all ear medication for dogs is either a squeeze bottle where the owner has to count drops or an ointment, where you can’t see the amount going into the ear,” noted Heidi Lobprise, DVM, senior technical manager with Virbac Corp. Baytril Otic‘s label says to use five to 10 drops twice daily in dogs up to 35 pounds, and 10 to 15 drops in larger dogs. Tresaderm calls for five to 15 drops per ear twice daily, depending on severity and extent of the lesions. The label for Otomax directs using four drops twice daily for dogs less than 30 pounds and eight drops for dogs weighing 30 pounds or more. “Measuring that quantity in terms of drops is usually challenging for pet owners, anyway.” “The proper quantity of otic medication to instill per ear is a matter of judgment, but the ear canals of large-breed dogs certainly warrant a significantly larger quantity than toy-breed dogs,” he said. A diplomate of the American College of Veterinary Dentistry, he has lectured on otitis at national meetings and is a former dermatology professor at Oregon State University’s College of Veterinary Medicine. It’s a point well taken, says Jon Plant, DVM, owner of the SkinVet Clinic in Lake Oswego, Ore. You May Also Like Laser therapy and cancer How Much Is Enough? “Virbac’s new product, Easotic, is a good choice because it precisely dispenses 1 mL of product and is labeled for once daily use for five days.” “When I send home Otomax for a golden retriever in 15-gm tubes for 10 days of treatment, going to get four to five tubes,” he continued. “The medicine is not getting into the ear canal. “When you use ‘five drops,’ you’re just asking for catastrophe,” he emphasized. Bloom, an adjunct professor at Michigan State University College of Veterinary Medicine.īloom’s rule of thumb for dispensing otic topicals is 1 mL per ear, per 50-pound dog. “The reason people have trouble clearing up these ears is, they’re not getting the medicine down in there,” said Dr. Second point: Use enough topical medicine to attack the problem. Otitis can be just one symptom of an overall dermatologic condition. “If you ignore this, you are doomed to recurrence,” warned Bloom, a diplomate of both the American College of Veterinary Dermatologists and the American Board of Veterinary Practitioners, canine and feline specialty.
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Job One is to diagnose the underlying cause, said Paul Bloom, DVM, owner of the Allergy, Skin and Ear Clinic for Pets in Livonia, Mich.
Veterinary Practice News talked with two nationally known veterinary dermatologists on the subject, along with representatives from veterinary otic manufacturing companies, for a current sampling of remedies. Job OneTalking to vendors of ear-care products can be as overwhelming as trying to get veterinarians to agree on the best ones and how they should be used.
Some consider cleansers a key component in ear treatment and care, while others take a conservative approach. One veterinarian swears by Animax ointment. Others treat with a broad-spectrum medication and watch for the response. Some practitioners go for a definitive diagnosis. Just about everyone agrees that ear infections are disgusting, but hardly any two veterinarians treat ears the same way. Ear infections in pets are painful, itchy, stinky, greasy, puffy, raw and seem to come in every color of the rainbow.
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