Use EpiOtic ® for routine cleansing, apply 2–3 times a week as needed. Routine ear cleansing can be performed after shampooing or swimming to help minimise excessive moisture within the ear canal as this may contribute to infection and inflammation. Before application of medicated treatment, use EpiOtic ® daily. As a preventative maintenance, use EpiOtic ® weekly to reduce the risk of recurrence and to reinforce the benefit of therapy. Some veterinarians discourage using wipes over liquid cleansers because they do not provide coverage of the entire ear canal. But while wipes won’t handle the depths and difficult angle of your pup’s inner ear, they can be an excellent solution for maintaining consistent ear health for dogs who struggle during full-on flushings. It is definitely a worthwhile supplement when used in conjunction with other heavy-duty cleaning products—ones that may not need to be used outside of emergencies. All dogs need regular ear cleanings. Keep your pet’s ears clean and healthy with EPIOTIC ® Advanced Ear Cleanser. Designed for routine ear cleaning, EPIOTIC ® Advanced Ear Cleanser supports good ear health and should be an important part of your pet’s at-home grooming routine!

If you’re a pet owner concerned about staying organic or exposing your dog to potential irritants, this ear cleaner is for you. Crafted with herbs and botanicals, the solution promises to clean out dirt, wax, and debris and reduce the likelihood of infection. It also helps to reduce and soothe itching, ear discharge, and overall discomfort. Just note that since the formula is so gentle, this may not be the best solution if your dog is already experiencing an intense ear infection. Use it in your weekly grooming routine and after any water activities. It's important to select a systemic antimicrobial agent based on culture and susceptibility testing from the external ear (for otitis externa) and middle ear (for otitis media), but go ahead and initiate therapy based on cytologic results while you're waiting on culture and susceptibility results. Antifungal agents are used in cases of otitis caused by Malassezia or Candida species. Ingredients that are active against yeast include nystatin (Panolog), thiabendazole (Tresaderm), miconazole (generics, Surolan, easOtic), ketoconazole (TrizUltra, T8 Keto), posaconazole (Posatex), clotrimazole (Otomax, Mometamax), and terbinafine (Claro, Osurnia). It’s available in two sizes (4 or 16 ounces) and is manufactured in the U.S. While the bottle has a handy applicator tip that makes it easy to apply, make sure to tighten it as best you can when storing it since it does tend to leak. Overall, this is a simple and affordable product that you can rely on to keep your dog’s ears in tip-top health. Cleansing & drying - salicylic acid and non-ionic surfactant to help remove dirt and excess wax docusate sodium dries earsAfter extensive research, we decided on the Virbac Epi-Otic Advanced Ear Cleanser as the best choice for a default cleanser. Its formula keeps ears clean, assuages irritation, and both suppresses and battles infection. For dogs with chronic issues or dealing with a serious ailment, however, ZYMOX Otic Enzymatic Solution with 1% Hydrocortisone may be an even better choice because it includes extra potent ingredients like hydrocortisone and a patented enzyme formula. What to Look for in a Dog Ear Cleaning Solution Application With a scent often described as “fishy,” anal gland smell is not one you’ll want hanging around your dog or house. Whether your dog has persistently leaky glands or is dealing with the aftereffects of a recent anal gland expression, you’ll want the scent gone fast. Here’s how to get rid of dog anal gland smell in 5 easy steps, both from your pet’s body and surfaces in your home.

So how do you decide which topical products to choose? Start with the chronicity of the otitis, the results of your otic examination, and your otic cytology results. The results of cytologic examination of otic exudate are the basis for your selection of the active ingredient. Keep in mind that ointment- or suspension-based otic preparations may not be as effective as those that are solution- or emulsion-based if the ears are stenotic or hyperplastic, as may be the case in those patients with chronic otitis externa, but they can be used if the ears aren't stenotic or hyperplastic or in patients with acute otitis externa.

Probiotics use live microorganism cultures to encourage the growth of beneficial bacteria. Most often used to treat digestive issues like irritable bowel syndrome, probiotics may also have therapeutic benefits when applied directly to the skin. While the evidence is so far limited, some studies have found that topical probiotics can be used to treat skin conditions like eczema, dermatitis, and rosacea in humans. Indications for systemic antifungal agents are similar to those for bacterial infections. Use systemic products in patients with yeast otitis media or severe yeast otitis externa and for owners who cannot administer topical therapy. Otic yeast infections require topical therapy in addition to systemic therapy for resolution. Both ketoconazole and itraconazole have been used in dogs for the treatment of yeast otitis. Polymyxin has excellent in vitro activity against Pseudomonas species with resistance rarely developing, but it's inactivated in purulent debris so the ear needs to be kept clean during treatment. Several generic products contain polymyxin, as well as Surolan (Elanco). Anti-adhesive - glycotechnology to limit microbial adherence and surface proliferation 3,4, easier killing and removal of bacteria 5

Tris-EDTA is a topical product that enhances the activity of topical antibiotics against otic pathogens by decreasing stability and increasing the permeability of the cell wall of gram-negative bacteria. There are numerous products containing Tris-EDTA: TrizEDTA (Dechra), TrizUltra + Keto (with ketoconazole) (Dechra), TrizChlor (with chlorhexidine) (Dechra), Mal-A-Ket Plus TrizEDTA Flush (with ketoconazole and chlorhexidine) (Dechra), and T8 Keto (with ketoconazole) (Bayer). Glucocorticoids are therefore beneficial in decreasing the pain, pruritus, stenosis and edema associated with otitis. In addition, they're effective in decreasing sebaceous and apocrine secretions. They're usually used in combination with other agents but may be beneficial when used alone in allergic cases of otitis and some ceruminous otitis cases. It's important to use the lowest-potency glucocorticoid at the lowest frequency needed to control the otitis to prevent iatrogenic hyperadrenocorticism. Examples include Cort/Astrin Solution (Vedco) and Synotic (Zoetis).It does—usually after about a year from the manufacturing date. There are rarely serious side effects to using dog ear cleansers that are past their expiration date; they will just be less effective, potentially leading to your pup getting to the vet later than they need to when dealing with a significant infection.