Dogs and cats.
Indications for use, specifying the target species
For the treatment of otitis externa and small localised superficial skin infections in dogs and cats caused by infections with the following miconazole and polymyxin B sensitive bacteria and fungi:
Yeasts and fungi
Treatment of Otodectes cynotis infestations where there is concurrent infection with miconazole and polymyxin B sensitive pathogens.
Do not use:
in case of hypersensitivity to the active substances of the veterinary medicinal product, as well as to other corticosteroids, to other azole antifungal agents, or to the excipients in animals with perforated ear drums in animals, where resistance of causative agents to polymyxin B and/or miconazole is known on the mammary glands of lactating bitches and queens
Special warnings for each target species
Bacterial and fungal otitis is often secondary in nature. The underlying cause should be identified and treated.
Special precautions for use
Special precautions for use in animals
Use of the product should be based on microbiological sampling and susceptibility testing of the bacteria and/or fungi isolated from the animal. If this is not possible, therapy should be based upon local (regional) epidemiological information about susceptibility of the target pathogens.
In cases of persistent infestations with Otodectes cynotis (ear mites) systemic treatment with an appropriate acaricide should be considered.
Before treating with the product, the integrity of the tympanic membrane must be verified.
Systemic corticosteroid effects are possible, especially when the product is used under an occlusive dressing, on extensive skin lesions, with increased skin blood flow, or if the product is ingested by licking.
Oral ingestion of the product by treated animals or animals having contact with treated animals should be avoided.
Avoid contact with eyes in animals. In case of accidental contact, rinse thoroughly with water.
Special precautions to be taken by the person administering the veterinary medicinal product to animals
People with known hypersensitivity to prednisolone, polymyxin B or miconazole should avoid contact with the veterinary medicinal product.
The veterinary medicinal product may cause irritation to skin and eyes. Avoid contact with skin or eyes. In case of accidental spillage, skin or eyes should be rinsed immediately with plenty of water. Always wear single use disposable gloves when applying the veterinary medicinal product to animals. Wash hands after use.
Take care to avoid accidental ingestion. In case of accidental ingestion, seek medical advice immediately and show the leaflet or the label to the physician.
Adverse reactions (frequency and seriousness)
Use of this veterinary medicinal product may very rarely be associated with the occurrence of deafness (especially in older dogs), in this case treatment should be discontinued.
Prolonged and extensive use of topical corticosteroid preparations is known to trigger local and systemic effects, including suppression of adrenal function, thinning of the epidermis and delayed healing.
Use during pregnancy and lactation
The safety of the product has not been assessed during pregnancy and lactation.
Absorption of miconazole, polymyxin B and prednisolone through the skin being low, no teratogenic/ embryotoxic/foetotoxic and maternotoxic effects are expected in dogs and cats. Oral ingestion of the active substances by treated animals when grooming can possibly occur and appearance of the active ingredients in blood and milk can be expected.
Use only accordingly to the benefit/risk assessment by the veterinarian.
Interaction with other medicinal products and other forms of interaction
No data available.
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Amounts to be administered and administration route
For auricular and cutaneous use.
Shake well before use.
At the beginning of treatment, hair surrounding or covering the lesions must be clipped; this should be repeated during treatment if necessary.
Infections of the external auditory canal (otitis externa):
Clean the external ear canal and auricle and place 5 drops of the veterinary medicinal product into the external auditory canal twice a day. Massage the ear and the auditory canal thoroughly to ensure proper distribution of the active substances, but gently enough to avoid causing pain to the animal.
Treatment should be continued without interruption until a few days after complete disappearance of the clinical symptoms, at least for 7 - 10 days up to 14 days.
Where concurrent ear mite (Otodectes cynotis) infestation is present, consideration should be given to treating both ears even if infestation is only apparent in one ear. Instill 5 drops twice daily for 14 days.
Skin infections (small localised superficial):
Apply a few drops of the veterinary medicinal product to the skin lesions to be treated twice a day and rub well.
Treatment should be continued without interruption until a few days after complete disappearance of the clinical symptoms, up to 14 days.
In some persistent cases (ear or skin infections), treatment may need to be continued for 2 to 3 weeks. In cases where prolonged treatment is necessary repeated clinical examinations including a re- assessment of the diagnosis are required.
Overdose (symptoms, emergency procedures, antidotes), if necessary
No other symptoms than those listed under adverse reactions are expected.