Chlorhexidine is potentially ototoxic at concentrations higher that 0.2%.
The chlorhexidine level in Otodine is 0.15%.
Acidic ear cleaners have the potential to negate the efficacy of fluroquinolones and aminoglycosides. A chlorhexidine/TrisEDTA combination ear cleaner with a pH8 will not cause this problem. in fact, the presence of TrisEDTA has a potentiating effect on the antibiotic and so makes bacteria more sensitive to the antibiotic.
Firstly general anaesthesia or sedation is recommended. Then apply a few drops of Otoprof into the ear, wait a few seconds and then gently massage the ear until a visible foam erupts from the ear canal. Carry on massaging for 60-90 seconds before wiping away the exudate that is brought to the surface. When the ear is wiped clean, gently & thoroughly rinse the ear canal with saline to remove any excess cleaner that may still be in the ear canal. Then dry the ear carefully.
Otoprof contains DSS and carbomide peroxide which have the potential to be ototoxic if the ear drum is ruptured. Otoprof should not be used if you know the ear drum is not intact. However, in many cases it can be hard to determine the integrity of the ear drum if the ear is very clogged with wax and dirt, so if you do choose to clean the ear with Otoprof it should always be thoroughly rinsed out with saline after use to reduce any possible side effects.
Otodine should be applied twice daily, but some veterinary dermatologists use it just once a day with good effect. It can also be used alongside a once a day antibiotic ear drop.
Otodine is pH8 and very gentle on sore ears.
Otoprof is designed for use as an in-clinic ear flush and we recommend sedation or GA when using, in order to flush the ears properly with rinsing of the ears afterwards. However, if you are confident the dog is very tolerant to having their ears cleaned and you know the ear drum is intact, then you may wish to use Otoprof on conscious dogs for effective quick cleaning of very waxy ears. We still recommend that this is done in the clinic though and the client is given Otodine, Clorexyderm Oto or Otoact to use at home.
No, just wipe the affected area and leave to dry naturally.
CLX wipes contain chlorhexidine, climbazole, TrisEDTA and Zinc gluconate, which when combined have excellent anti-bacterial and anti-fungal qualities, making them ideal for skin fold areas around the face and tail and in between the feet and pads.
CLX wipes come in a pack of 40 and we do a small pack containing 15 wipes - CLX Wipes Pocket. The wipes are large though and you may want to recommend clients tear each wipe in half.
Yes, Clorexyderm Spot Gel is ideal for cats. In fact, it is quite bitter to taste so may actually help prevent excessive licking or nibbling at problem sites. It also contains lanolin so may help soothe any areas which may be sore due to biting/scratching.
Zincoseb contains Sulphur, Zinc, Salicylic acid and chlorhexidine and may help manage excessive grease and scale or secondary bacterial problems due to atopy. Ermidra is a soothing shampoo that contains moisturising agents and may help relieve dry skin and itch in dogs suffering with atopy.
Ermidra spray contains useful moisturing and emollient agents such as zinc gluconate, propylene glycol, glycerin, epilobium extract and D-Panthenol. This makes it ideal for deep rehydration of the skin of dogs suffering with atopy and helps strengthen skin barrier function. It is ideal for areas where there is little hair, eg ventrums or groin/arm pit areas and may be sprayed onto the sensitive areas to soothe and reduce itch. Ermidra Foam contains Oatmeal which is soothing and moisturising. It is suitable for animals with dry, scurfy coats and is an easy to apply non-rinse foam, making it ideal for clients who struggle with wet bathing their dogs, or who wish to cleanse cats and small furry's. We also have practices that like to use it in practice to clean & freshen up animals before they go home, who may have been staying in the hospital for a few days!
No, Otoact is a milky non-oily ear cleaner which means it travels well down the ear canal and doesn't leave an oily residue around the surface of the ear. It also has a pleasant smell. The Squalene in Otoact does not come from sharks and is responsibly sourced.