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Medications & Supplements

  • Florfenicol/ terbinafine/mometasone otic (brand names: Claro®, Simplera®) is a long-acting, topical ear medication used to treat the itching and inflammation associated with certain bacterial and/or ear infections in dogs. It is not intended for use in cats. This medication is usually given by veterinary personnel as a single dose.

  • Fluocinolone + acetonide DMSO (brand name Synotic®) is applied topically and is labeled to treat ear inflammation in dogs. It is also used off-label to treat ear infections in cats. Give as directed. Side effects are rare but may include temporary hearing loss or skin reactions. Do not use on pets allergic to corticosteroids or DMSO, on pets with a ruptured ear drum or pets that are pregnant.

  • Chlorhexidine/ketoconazole/TrizEDTA flush: topical (Mal-A-Ket® Plus) is a liquid antibacterial and antifungal solution used to manage localized bacterial and yeast infections in dogs and cats. It should only be used topically on the skin or in the ears.

  • Florfenicol/terbinafine/betamethasone otic (brand name Osurnia®) is a long-acting, topical ear medication used to treat the itching and inflammation associated with certain bacterial ear infections in dogs. It is labeled for use in dogs and not intended for use in cats. Florfenicol/terbinafine/betamethasone otic should only be administered by a veterinary professional.

  • Fluconazole is an antifungal medication used off label in cats, dogs, and small mammals to treat fungal infections, especially those in the brain and spinal cord. It is given by mouth in the form of a tablet or liquid suspension and is also available as an injection for hospital use. It should be used with caution in pets with liver or kidney disease, or pregnant or lactating pets.

  • Itraconazole is given by mouth in the form of a capsule, tablet, or liquid to treat fungal infections in cats and for off-label treatment in dogs and small mammals. The most common side effects are anorexia, vomiting, liver toxicity, skin lesions, or limb and vessel swelling. It should not be used in pets with liver disease or low stomach acid production, and used with caution in pregnant, lactating, or pets with heart disease.

  • Ivermectin is most used as a heartworm preventive in dogs and cats. It is also used off label for treating a variety of internal and external parasites. Ivermectin may be combined with other deworming medications. Ivermectin is available as tablets, chewable tablets, a topical liquid (for ear mite treatments), and an injectable that your veterinarian will administer.

  • Levothyroxine is thyroid hormone replacement given by mouth in the form of a tablet or capsule. It is used to treat hypothyroidism and its use in cats and certain exotic animals is off label. This medication should not be used in pets with certain heart conditions, untreated Addison's disease, or hyperthyroidism.

  • Moxidectin topical is applied to the skin and is commonly used to prevent heartworms and to treat topical and intestinal parasites. It has also been used off-label to treat adult heartworms. Side effects are uncommon but may include lethargy, vomiting, uncoordinated walking, anorexia, diarrhea, and itching. It should not be used in sick, debilitated, or underweight animals.

  • Nystatin is an antifungal, given by mouth in the form of a tablet or liquid suspension, and used off label to treat Candida fungal infections in dogs, cats, birds, and reptiles. Side effects are rare, but at high doses, it could cause stomach upset or mouth irritation. It should not be used in pets that are allergic to it.