Update on Otic Formulation Options

We are seeing more recurrent and refractory otitis, and several factors appear to be contributing. Limited antimicrobial stewardship in both veterinary and human medicine continues to influence resistance. Chronic infections may also involve biofilms that reduce antimicrobial effectiveness, and repeated exposure can decrease sensitivity to standard drug concentrations.

A few considerations may help improve outcomes. Using adequate medication volumes is essential, and many patients need longer treatment courses than expected. In most cases, two weeks is the minimum needed for meaningful improvement. Client technique with ear cleaning is another major factor. When debris or purulent material is present, thorough cleaning reduces microbial burden and improves penetration of topical therapy. I often suggest applying cleaner generously and giving it time to work before wiping out the canal. Taking the pet for a walk while the cleaner does its job can be a great trick. Early use of steroids can also be important, since reducing inflammation helps open the canal and allows medication to reach its target more effectively.

We are updating our otic formulations to better support your treatment plans and improve patient outcomes. Please reach out anytime if we can help with individual cases or provide more information.