Great prices and they know customer service. Dr. Patrick Hensel is a 1996 graduate of the University of Bern, Switzerland. It is labeled for cleansing and pretreatment of the ears, and may be used to help support the treatment of ear infections. TrizUltra+Keto Flush is a multipurpose anti-microbial and antifungal flush that's safe for cats, dogs and horses. So its very effective, the challenge is getting your dog to allow you to put it in his ears. Reviewed in the United States on March 29, 2023. Use a cotton ball to remove excess solution. $10 max discount. Your recently viewed items and featured recommendations, Reviewed in the United States on June 1, 2023. If the underlying primary cause is not addressed appropriately, antimicrobial drug resistance and/or progressive, nonreversible pathologic changes (e.g., ear canal cartilage mineralization) can result. Repeat as necessary or as directed by your veterinarian. TrizUltra + Keto comes in a 4 oz bottle. Specialized Nano Particles For Even Deeper Cleansing: with proprietary Pharmasome technology, the active ingredients in this medicated flush adhere to and penetrate skin's surface for greater effect. Veterinarian recommendEd, and Does the job. Manufactured for: Dechra Veterinary Products7015 College Blvd., Overland Park, KS 66211866.933.2472 www.dechra-us.com, FlushFormulated for dogs, cats and horsesCleansing, antifungal, antibiofilm, Set id: 3a839f1a-c9f2-4d60-824b-68132e5c18a1. We will never publish, share or send marketing messages to your eMail Address without your permission. For topical use only. A home remedy that kills fleas throughout the house on carpet, furniture, bedding, and flooring. Trizultra+keto. Helps antibiotic ointments work better by weakening bacterial cell walls. TrizUltra+Keto Flush for Dogs and Cats is recommended by Veterinarians as an over-the-counter anti-microbial, antibacterial, anti-fungal liquid ear flush and cleanser used to help treat yeast and bacterial infections in dogs and cats. Glaze MB. A thorough ear flush will enable visualization of the tympanic membrane but will also prevent trapping and inactivation of ear medication in the debris. TrizULTRA with Keto Otic Flush | Free 2 Day Shipping - WalmartPetRx Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. I didn't know this is the crystal type. Saridomichelakis MN, Farmaki R, Leontides LS, et al. For use on skin: squeeze flush over TrizEDTA (Tromethamine, USP; Disodium EDTA . Otitis externa is considered a multifactorial disorder; the most common primary cause is allergy, which is often secondarily accompanied by microbial infections (Malassezia and bacteria). Many chronic cases of bacterial otitis externa are associated with Pseudomonas organisms; typically effective antibiotics are fluoroquinolones, gentamicin, and polymyxin B. Remove any excess with a cotton ball. A recent preliminary in vitro study showed that the dexamethasone SP added to several commercially available ear flush products is stable for 21 to 90 days at room temperature. A multi-use TrizEDTA flush for cleansing and/or pretreatment. The previous doctor kept treating the symptoms after the fact, with oti-paks, and antibiotics. TrizUltra+Keto Flush. Nuttall T. Successful management of otitis externa. 3. It can also be used as a pretreatment that can be applied 15-30 minutes before applying a topical antibiotic . Nuttall T. Successful management of otitis externa. It can also be used as a pretreatment that can be applied 15-30 . $11.99. TrizULTRA + Keto Flush for Dogs, Cats & Horses, 12-oz bottle TrizULTRA + Keto Flush for Dogs, Cats & Horses - Chewy.com For use as an ear flush: apply to the ear canal and gently, but firmly, massage the base of the ear. We can help them immediately. A multi-use TrizEDTA flush for cleansing and/or pretreatment. She is always itchy and scratching her ears. Vetsource will deliver your order on behalf of your hospital to your home. Great prices and they know customer service. Wash hands after use. Microsoft Word - TrizULTRA Plus KETO - MSDS - 23Mar15 Author: amcuk Created Date: 3/30/2015 12:50:22 PM . $17.50. 11. We will gladly match any competitors current advertised price. Directions for Use: SHAKE WELL BEFORE EACH USE. DechraTopical TrizULTRA + Keto Flush for Dogs, Cats & Horses DechraTopical TrizULTRA + Keto Flush for Dogs, Cats & Horses (12oz), Basic pack, Learn more how customers reviews work on Amazon. 1,015. Ear cytology, with Diff-Quik staining, is an effective and quick in-house option to confirm and quantify any type of infection and degree of inflammation and should be performed for all dogs with otitis externa. Back to. While Other Dog Ear Drops Solutions Are Too Harsh For Your Furry Friends, Leading To Allergic Reactions Or Worse, Pet MDs Mild, Non-stinging Tris Flush Ear Cleaner For Dogs & Cats Was Specially Formulated To Be Gentle But Effective, Flushing Out Nasty Infections From Your Dog Ears, Eliminating The Root Cause Of Your Dog Ear Infection. Pye C, Yu A, Weese JS. more. Just fill the ear canal and then let the dog shake her head. It worked wonders on my dogs ears. Package information is not reviewed or updated separately by VetLabel.com. Worked for my dog who has yeast/pollen allergies that causes her to itch on Apr 27, 2023. A native of Japan, Dr. Hensel subsequently moved to Basel, Switzerland, where she opened a veterinary dermatology practice in 2014. This definitely knocked out the yeast in my senior kitties ear. Close Cap tightly. Drug compounding is often regarded as the process of combining or mixing drugs to create a medication tailored to the needs of an individual patient. TrizULTRA + Keto Flush for Dogs, Cats & Horses - Chewy.com 2007;18(5):341347. Management of chronic cases is more challenging (. Within the Veterinary Product and Label Information section: VetLabel.com provides trustworthy package insert and label information about marketed drugs as submitted by manufacturers to the U.S. Food and Drug Administration. It can also be used as a pretreatment that can be applied 15-30 minutes before applying a topical antibiotic treatment. Top subscription boxes right to your door, 1996-2023, Amazon.com, Inc. or its affiliates. on May 13, 2023, As usual when we needed a product for our pet(s). Before beginning therapy, ensure that the amount of debris in the ear canal is minimal; excessive ear debris should be removed by a deep ear flush. DechraTopical TrizULTRA + Keto Flush for Dogs, Dechra TrizULTRA Plus Keto Flush for Cats and Dogs full recomendations of Trizultra Keto Flush For Dogs. 8. Now We Have A Pet Family That Is Millions Strong In All Of Our Two & Four-legged Customers. First one that has in many years and after many products tried. Buy DECHRA TrizUltra +Keto Flush Online | PetCareRx 3. Fax: 913-327-0016. PDF TrizUltra + Keto Flush - fusion.pet Now I am trying to buy again, the price is ridiculous. 15% OFF! Treating Otitis Externa in Dogs | Today's Veterinary Practice For Borriello G, Paradiso R, Catozzi C, et al. Gastrointestinal Care & Digestive Enzymes, CarePlus Pet Insurance and Wellness Plans. TrizULTRA is a multi-cleanse flush for pets. Holistic vet approved. This works very well for my dogs ear issues due to her allergies. ]). Non-stinging solution can be used as a gentle ear cleanser to treat infections. My dog Sakari says thank you! I bought two 12-oz bottles for $19 last year. Keeps them from getting ear infections. TrizUltra Plus Keto Flush | 1800PetMeds To increase client compliance with treatment, 1-mL syringes can be sent home with clients so that they can draw up the recommended amount of ear medication. It has multi-uses so it is a great product to have on hand. THIS CONTENT IS PROVIDED AS IS AND IS SUBJECT TO CHANGE OR REMOVAL AT ANY TIME. 7. Each One Put Through Rigorous Independent Lab Testing For Purity And Effectiveness. Our dogs don't have to suffer waiting for vet appointments anymore! By CRoss My vet recommended using this ear wash every week or so as a preventative measure so that this condition did not return. Shop WalmartPetRx.com for TrizULTRA with Keto Otic Flush and all of your other pet medications. Repeat as Hall JA, Waisglass SE, Mathews KA, Tait JL. Before beginning therapy, ensure that the amount of debris in the ear canal is minimal; excessive ear debris should be removed by a deep ear flush. It can also be used as a pretreatment that can be applied 15-30 minutes before applying a topical antibiotic treatment. We have 2 dogs & 3 cats. Its very, My 16 year old pup has started to have his ears bother him as hes not able to scratch them the way he used to. A pilot study of 5dogs indicated that cyclosporine may be another potent anti-inflammatory drug and that it may effectively control chronic otitis, especially with long-term use.3 All of these drugs should be used at the lowest possible doses and frequencies to prevent recurrence of the otitis.4. You may purchase prescriptions and refills from the pharmacy of your choice. Because bacterial otitis externa is treated topically, bacterial culture and sensitivity is often not necessary because susceptibility testing cannot accurately determine resistance for topically applied antimicrobials. Ear diseases that have been present for at least 1 month or that recur frequently are considered chronic. For use as an ear flush: apply to the ear canal and gently, but firmly, massage the base of the ear. Close cap tightly. My pug gets repeated external ear fungal infection. TrizUltra+Keto Flush - DailyMed The specialist a Veterinarian that specializes in Dermatology recommended this this product. Store at room temperature. I understand there has. To use on the skin, squeeze the flush over all affected areas. Avoid TrizULTRA + Keto Flush is a anti-microbial, antibacterial, anti-fungal ear and skin flush and cleanser for pets prone to infections caused by yeast and bacteria. The Heartland Staff is dedicated to fast, courteous service. Write a review. Repeat as necessary or as direct by your veterinarian. I understand there has been inflation. Reviewed in the United States on January 20, 2023. The Key To Our Dog Ear Wash Effectiveness Is In Our Advanced Veterinary Formula With Active Ingredient Ketoconazole Which Gently Removes Unwanted Foreign Items To Restore The Balance To Your Pets Natural Biological Environment. TrizULTRA + Keto Flush for Dogs, Cats & Horses, By JOCELYN Works very well to keep my dogs ears clean and free from infection. As an Amazon Associate I earn from qualifying purchases., EAR CLEANSER AND SKIN FLUSH for pets prone to infection; NON-STINGING AND GENTLE formula which is safe for long-term use. In: 9. Copyright 2023 EntirelyPets Pharmacy (EPRX). Whenever possible, the tympanic membrane should be evaluated for any changes (e.g., opacity) or perforations. DechraTopical TrizULTRA + Keto Flush for Dogs, Cats & Horses (12oz), Basic pack. It eliminates the entire pest life cycle, including eggs, larvae and adults. Not only can this product clean their ears as a maintenance solution, it can also help with an active ear infection. The recommended amount is 0.5 to 1 mL (10 to 20drops) per ear, depending on the size of the patient, and the recommended frequency is 1 to 2 times per day. Buckley L, McEwan N, Nuttall T. Tris-EDTA significantly enhances antibiotic efficacy against multidrug-resistant. and call your veterinarian. I bought the big bottle and paid less than at my vet for a small bottle. If skin irritation develops or increases, stop use and call your veterinarian. Check to make sure your pet's eardrum is intact. TrizULTRA + Keto Flush is a multipurpose lush that's safe for cats, dogs and horses. Keep out of the reach of children and pets. If the ear canals are severely inflamed, the authors recommend pretreatment with systemic anti-inflammatory drugs (e.g., prednisolone) before flushing. However, it remains the responsibility of the readers to familiarize themselves with the product information contained on the US product label or package insert. In: Miller WH, Griffin CE, Campbell KL, editors. Reviewed in the United States on May 14 . How come the prince has increased 270%. Would recommend the product and HIGHLY recommend Chewy. For use on skin: squeeze flush over affected area. A ready to use topical and antifungal cleansing formulation for dogs and cats. All Rights Reserved. I bought two 12-oz bottles for $19 last year. Also a repellent in pet environments like dog kennels or cat condos. Works amazing! After viewing product detail pages, look here to find an easy way to navigate back to pages you are interested in. Emery CB, Outerbridge CA, Knych KH, et al. Chewy was there. Something went wrong. Please do not hesitate to contact us with questions: Guaranteed lowest authorized price. Various parasites (e.g., Otodectes, Sarcoptes, Notoedres, and harvest mites; ticks) can affect the external ear canal. It also analyzed reviews to verify trustworthiness. If the ear canals are severely inflamed, the authors recommend pretreatment with systemic anti-inflammatory drugs (e.g., prednisolone) before flushing. Prednisolone (1 to 2 mg/kg q12h to q24h for 1 to 3 weeks) or dexamethasone (for more severe cases) is recommended. Your credit card statement will reflect a charge by Vetsource for your purchase. Kid-safe. We have a licensed Veterinarian and Pharmacist on site, as well as a helpful team with the knowledge and products you need to keep your horse, dog or cat healthy and happy. 4.6 out of 5 stars. My vet used in office and suggested I continue use for a very persistent ear infection. If significant concurrent inflammation is present, dexamethasone SP can be added to TrizUltra+Keto Flush for a final dexamethasone concentration in the range of 0.1% to 0.25%. Preliminary study of the stability of dexamethasone when added to commercial veterinary ear cleaners over a 90-day period. Our vet prescribed a tiny bottle of this same ear medicine for more than it costs for the giant bottle. It works great to keep my darling Sasha's ears clean so we can avoid another ear infection. Active Ingredients: 0.15% Ketoconazole, USP, Also Contains: Water, TrizEDTA (Tromethamine, USP; Disodium EDTA, USP), Acrylates Copolymer, Phenoxyethanol, Trizma HCl. 6. Pye C, Yu A, Weese JS. Orders placed will be shipped as product continues to come off backorder. The multipurpose non-stinging solution uses a proprietary blend of ketoconazole, tromethamine (Tris) USP, edetate disodium dihydrate (EDTA) USP, and other compounds. This is a great ear flush! TrizEDTA contains the antibacterial EDTA, which kills several types of bacteria. I've only put this product on my cat's ears a couple times and they're already clearing up!!! If irritation develops or increases, stop use and call your veterinarian. ", * The following states require a veterinarian's prescription to purchase syringes and/or syringe/needle combinations, Connecticut, Delaware, New Hampshire, New Jersey, New York, Illinois, HeartlandVetSupply.com 2022. 2018;59(4):238242. To use as an ear flush, instill into the ear canal (s). My 16 year old pup has started to have his ears bother him as hes not able to scratch them the way he used to. Repeat as necessary or as directed by your veterinarian. Directions for Use: SHAKE WELL. Customer Reviews, including Product Star Ratings help customers to learn more about the product and decide whether it is the right product for them. May be used in dogs, cats and horses. As with Malassezia, bacterial ear infections are considered secondary problems; if bacterial infections are recurring, the patient should be thoroughly investigated for primary underlying diseases, such as allergies. 2016;38:1721. I have a Lab and it's great for cleaning her ears which around this time every year they get inflamed from the rye grass seed. I do it twice a day till the smell of the bacteria is gone, then once or twice a week if needed. Safe for Daily Use with Other Medicated Topicals: this broad-spectrum formula is a strong cleanser but is gentle enough for daily use and can prep skin for additional medicated topical application. ). Removing the foreign body will result in a fast recovery and eliminate the need for further treatment in the absence of secondary infection. Close cap tightly. However, it didnt do anything in terms of helping her heal Chewy was there. Store at controlled room temperature of 15 - 30 C (59 - 86 F). Our Ear Infection Treatment For Dogs & Cats Is Perfect For Routine Ear Cleaning & Safe On Skin Rashes & Pet Acne. Reviewed in the United States on February 18, 2023. 4. Biofilm plays a major role, especially in Pseudomonas infections (FIGURES 2 AND 3). My pug gets repeated external ear fungal infection. Would recommend the product and HIGHLY recommend Chewy. 8. This product is amazing! Mom owned, Mom approved. And as always, Chewy has the best customer service and fastest delivery of any company out there. This non-stinging solution can be used as a gentle ear cleanser to treat infections caused by yeast and bacteria. Disabling it will result in some disabled or missing features. Repeat as necessary or as directed by your veterinarian. He sold me a tiny bottle for $30. Age range description: Adult. Dechra Veterinary Products. Use a cotton ball to remove excess solution. In patients with chronic otitis externa, the microbial populations become much less diverse and are dominated by organisms such as, To increase client compliance with treatment, 1-mL syringes can be sent home with clients so that they can draw up the recommended amount of ear medication. Simparica (sarolaner) Chewables Tablets for Dogs, Senergy (selamectin) Topical Parasiticide for Dogs & Cats, Nutramax Dasuquin Joint Health Supplement for Large Dogs - With Glucosamine, Chondroitin, ASU, Boswellia Serrata Extract, Green Tea Extract, 150 Chewable Tablets, Nutramax Dasuquin Joint Supplement for Dogs & Cats, Banamine Paste - SINGLE Syringe 1500mg (30 gm) (Manufacturer may vary), FluMeglumine 50mg/ml Injectable 100ml (Manufacturer may vary), Optimmune Ophthalmic Ointment for Dogs 3.5 gm, Vetmedin (Pimobendan) Chewable Tablets for Dogs, Adequan i.m. Hall JA, Waisglass SE, Mathews KA, Tait JL. Dark, slimy otic discharge from a dog with Pseudomonas otitis and biofilm. Indications for surgery are tumors/polyps, end-stage otitis with severe mineralization, or unsuccessful medical treatment. TrizULTRA + Keto Flush is a multipurpose anti-microbial and anti-fungal flush that's safe for cats, dogs and horses. What problems could my dog or cat have with TrizEDTA Aqueous Flush? Avoid contact with eyes. For further information about unapproved drugs, click here. Canine otitis externa is a common dermatologic problem in small animal practice. At Pet MD, Were Pet People, Trusted For Almost 20 Years By Vets And Pet Parents Alike. Although treating otitis externa can be challenging, most chronic and recurrent cases can be medically treated and successfully managed, especially when underlying causes are addressed. Close cap tightly. :) To calculate the overall star rating and percentage breakdown by star, we dont use a simple average. Use Code EPX15 *. In: Canine and Feline Dermatology Drug Handbook. To increase patient compliance, provide pain control and ensure that ear cleaning and treatment are gently performed. Wipe away excess solution/wash with cotton or soft absorbent material and do not allow your dog or cat to wipe, scratch, or lick to prevent ingestion, MADE IN THE USA - All our advanced veterinary formulated products are manufactured in state-of-the-art, approved facilities in the United States, so you know your pet is receiving the quality care it deserves. Vet Dermatol. Get Free Shipping with a Purchase of $30+, Fuzzy Pet Health can now prescribe in Oregon & Arkansas Check if your state is eligible here>>. However, it didnt do anything in terms of helping her heal. TrizULTRA + KETO N/A Active ingredients: 0.15% ketoconazole, TrizEDTA (tromethamine USP, disodium EDTA dihydrate) Also contains: deionized water, carbopol aqua Directions for Use: SHAKE WELL. Customer Care Numerous commercially available ear products contain antibiotics or disinfectants with antibacterial activity (TABLE 3). Affected ears are often painful and, Otitis externa is considered a multifactorial disorder; the most common primary cause is allergy, which is often secondarily accompanied by microbial infections (. Treat inflammation topically and orally, as needed. So I am sticking with something that works even if it cost more. Starts at $17.50. Now I am trying to buy again, the price is ridiculous. Of note, however, the number of Malassezia organisms seen during cytologic examination does not always correlate with the severity of clinical signs. Dechra Veterinary Products product information by RSS, Additional medications in the Veterinary Product and Label Information section by. All Rights Reserved. Initially, the ear flush is performed daily until the yeast infection is under control (1 to 3 weeks), followed by once weekly for maintenance. The scent is very nice. Borriello G, Paradiso R, Catozzi C, et al. VETERINARIAN RECOMMENDED formulated for dogs, cats, and horses. As usual when we needed a product for our pet(s). doi: 10.1111/vde.12924, 7. What does it mean to be a .Pharmacy-Verified Website? This non-stinging solution can be used as a gentle ear cleanser to treat infections caused by yeast and bacteria. You will only be charged when the order ships out. Learn more. TrizULTRA + Keto Flush - PetMedMart | Pet Pharmacy Usually ships the same weekday before 3pm CT. What else should I know about TrizEDTA Aqueous Flush? Koch SN, Torres SM, Plumb DC, editors. lists some of the ear cleaners available on the market. I placed the order for this as my vet offers it but only under prescription and she charges me four times what Chewy does! After completing a doctorate thesis and a rotating internship at the University of Zurich, Switzerland, he moved to the United States, where he completed a 3-year veterinary dermatology residency at the University of Georgia in 2004. Oral cyclosporine in the treatment of end-stage ear disease: a pilot study. Best Trizultra Keto Flush For Dogs Reviews, DechraTopical TrizULTRA + Keto Flush for Dogs, Cats & Horses (12oz), Basic pack, Dechra TrizULTRA + Keto Flush for Dogs & Cats 4 oz, Dechra TrizULTRA Plus Keto Flush for Cats and Dogs 4 oz, Dechra TrizULTRA Plus Keto Flush for Cats and Dogs 12 oz, Pet MD Veterinary Tris Flush Cat & Dog Ear Cleaner - Dog Ear Flush and Infection Treatment with Ketoconazole - 12 oz, Animal Pharmaceuticals Ketomax pH 8.5 Flush Cleansing Ketoconazole and Chloroxylenol Alkaline Buffer Solution for Dogs, Cats and Horses Topical Formula for Skin and Coat - 8 Fluid Ounce, Wondercide - Flea, Tick and Mosquito Spray for Dogs, Cats, and Home - Flea and Tick Killer, Control, Prevention, Treatment - with Natural Essential Oils - Pet and Family Safe - Rosemary 128 oz, Dechra Mal-A-Ket Plus TrizEDTA Flush For Dogs & Cats (4oz) - Antimicrobial and Antifungal, Stratford Pharmaceuticals Keto-C Tris Flush Antiseptic Ear & Skin Cleanser Dogs, Cats, Horses 12 oz. Aetiology of canine otitis externa: a retrospective study of 100 cases. Available through licensed veterinarians. AutoShip Price $14.00. Common antibiotics are aminoglycosides (gentamicin, neomycin), fluoroquinolones (ciprofloxacin, enrofloxacin, marbofloxacin, orbifloxacin), polymyxins (colistin sulfate, polymyxin B), fusidic acid, florfenicol, and silver sulfadiazine.8. We have 2 dogs & 3 cats. It is well tolerated and not ototoxic. Thanks, TrizULTRA + Keto Flush for Dogs, Cats & Horses, 12-oz bottle. Diagnostic imaging (e.g., computed tomography scan, radiography) may be helpful for assessing the extent of mineralization of cartilage in the external ear canal or bone destruction in the middle ear, as well as soft tissue defects, and determining whether surgical intervention is needed. This product has made extraordinary improvements in my dogs ear health. Since I've been using this product, we don't have the inflammation or infection problems that we had before. Ear Infection Is A Top Cause Of Cat & Dog Vet Visits. PLoS ONE. The otoscopic examination can be facilitated by giving patients a short course of oral glucocorticoids (e.g., 1mg/kg prednisone/prednisolone q24h) to help reduce pain and inflammation. Disclaimer: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. Keep cap secured when bottle is not in use. Improve client compliance by providing thorough and clear instructions. Chewy supplies all their needs and always has the products we need. For more severe and chronic cases, the authors prefer to use a topical product containing antifungal medication (e.g., TrizUltra+Keto Flush [Dechra. Uncomplicated Malassezia overgrowth can usually be controlled by regular at-home ear cleaning (e.g., Epiotic Advanced [Virbac, virbac.com]). Keep out of the reach of children and pets. J Small Anim Pract. KILLS & REPELS. All positive reviews Mike in Maryland. on Apr 22, 2023, I bought two 12-oz bottles for $19 last year. If you are not completely satisfied, please contact us within 30 days. TrizUltra+Keto A non-stinging, ear cleanser for acute or long-term use in patients with conditions that would respond favorably to ketoconazole and Tris-EDTA. 2020;15(11):e0241447. Encourage Wound Resolution: active ingredients Ketoconazole and Chloroxylenol provide broad-spectrum cleansing benefits to skin for further topical treatment without irritation. Oral cyclosporine in the treatment of end-stage ear disease: a pilot study. The normal microflora within the ear canals is characterized by a diverse population of bacteria in phyla such as Proteobacteria, Actinobacteria, Firmicutes, Bacteroidetes, and Fusobacteria. A ready to use topical and antifungal cleansing formulation for dogs and cats. Active Ingredients: 0.15% Ketoconazole USP Also Contains: Water, Acrylates Copolymer, TrizEDTA (Tromethamine, Disodium EDTA), Phenoxyethanol, Trizma HCL Directions for Use: SHAKE WELL BEFORE EACH USE. Every individual animal healthcare product label entry contains a unique identifier which can be used to secure further details directly from the U.S. National Institutes of Health and/or the FDA. use as an ear flush: apply to the ear canal and gently, but firmly, If skin irritation develops or increases, stop use and call your veterinarian. I have to say that it does work and is gentle enough to use frequently. Dogs and cats may use this product for different lengths of time. Worked for my dog who has yeast/pollen allergies that causes her to itch her ears. She then completed a 1-year rotating small animal internship in Massachusetts followed by a 3-year veterinary dermatology residency in Georgia.

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