Duotic Otic Gel – Vet-Recommended Ear Care for Dogs

Duotic Otic Gel for Dogs is an advanced ear treatment exclusively designed by veterinarians to treat ordinary canine ear infections, for example, caused by bacteria, yeast, and inflammation. This weekly application is mess-free and easy, and is mostly prescribed for the treatment of otitis externa (outer ear infection) in dogs. Duotic blends strong antimicrobials, antifungals, and anti-inflammatories to treat disease and soothe irritation, so they suit the prescription-strength needs of every pet owner.

Prescription items are NON-RETURNABLE and NON-REFUNDABLE.

Benefits:

• Triple-action formula. Antibiotics, antifungals, and anti-inflammatories, to treat infections while alleviating discomfort.
• Weekly Convenience: Administered generally once a week, making home application of treatment easier on the pet owner.
• Reduction of Ear Inflammation: Reduces itching, redness, swelling, and discharge seen with otitis externa.
• Veterinarian Prescription: Quite commonly prescribed ear treatment for bacterial or fungal infections within the canine ear.
• Mess-free application: Gel format allows for controlled application of a directed dose deep into the ear canal.

What are the ailments that Duotic Otic Gel cures in dogs?

Duotic is usually prescribed to cure otitis externa, i.e., infection with Malassezia pachydermatis, Staphylococcus pseudintermedius, and other usual pathogens of the outer ear canal.

How do I use Duotic Otic Gel on my dog's ears?

Your vet will advise you, but typically, a treatment is put into each affected ear once weekly. Clean the ears first, and do not overuse unless a vet has advised.

Dosage & Administration:

DuOtic should be administered by a veterinary professional. Wear eye protection when administering DuOtic (see Human Safety Warnings, Precautions, Post-approval Experience, and Target Animal Safety). Splatter may occur if the dog shakes its head following administration. Persons near the dog during administration should also take steps to avoid ocular exposure.

1. Clean and dry the external ear canal before administering the initial dose of the product.
2. Verify the tympanic membrane is intact before each administration (see Precautions, Contraindications, Target Animal Safety, and Post-approval Experience).
3. Administer one dose (1 tube) per affected ear. Repeat administration in 7 days.
4. Open the tube by twisting the soft tip. Insert the flexible tip in the affected external ear canal and squeeze the entire tube contents into the external ear canal. After application, gently massage the base of the ear to allow the gel to penetrate the lower part of the ear canal.
5. Restrain the dog to minimize post-application head shaking to reduce the potential for splatter of product and accidental eye exposure in people and dogs (see Post-Approval Experience and Target Animal Safety).
6. Do not clean the ear canal for 45 days after the initial administration to allow contact of the gel with the ear canal. Cleaning the ear may affect product effectiveness (see Effectiveness). If alternative otic therapies are required, it is recommended to clean the ear(s) before application of those therapies.

Contraindications:

Do not use in dogs with known tympanic perforation (see Precautions). Do not use in dogs with a hypersensitivity to terbinafine or corticosteroids.

Warnings:

Human Safety Warnings:

DuOtic may cause eye injury and irritation (see Precautions, Post-approval Experience, and Target Animal Safety).

In case of accidental eye contact, flush thoroughly with water for at least 15 minutes. If wearing contact lenses, rinse eyes first, then remove contact lenses and continue to rinse. If symptoms develop, seek medical advice.

Not for use in humans. Keep this and all medications out of reach of children. Consult a physician in case of accidental ingestion by humans. In case of accidental skin contact, wash the area thoroughly with water.

Precautions:

Wear eye protection when administering DuOtic and restrain the dog to minimize post-application head shaking.

Reducing the potential for splatter of product will help prevent accidental eye exposure in people and dogs and help to prevent eye injury (see Human Safety Warnings, Post-approval Experience, and Target Animal Safety). Avoid hand-to-eye contact.

Proper patient selection is important when considering the benefits and risks of using DuOtic. The use of DuOtic in dogs with perforated tympanic membranes has not been evaluated. The integrity of the tympanic membrane should be confirmed before administering each dose of this product. Reevaluate the dog if hearing loss or signs of vestibular dysfunction are observed during treatment.

Changes to the middle ear, such as ulceration of the mucosal lining, have been associated with administration of Osurnia® (florfenicol, terbinafine, betamethasone acetate). The presentation and concentrations of terbinafine and betamethasone acetate in DuOtic are identical to the concentrations of these active ingredients in Osurnia® (see Target Animal Safety).

Signs of tympanic membrane rupture, internal ear disease such as head tilt, ataxia, nystagmus, facial paralysis, and keratoconjunctivitis sicca have also been reported about the administration of Osurnia (see Post-approval Experience).

Do not administer orally.

Use of topical otic corticosteroids has been associated with adrenocortical suppression and iatrogenic hyperadrenocorticism in dogs (see Target Animal Safety).

Use with caution in dogs with impaired hepatic function (see Target Animal Safety and Adverse Reactions).

The safe use of DuOtic has not been evaluated in dogs that are pregnant, lactating, or intended for dogs.

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FAQ

What is a Duotic Otic Gel?

Duotic Otic Gel is an over-the-counter veterinary ear medication, available in prescription strength, used to cure dog ear bacterial and fungal infections, most especially otitis externa.

What is it used for?

It's commonly prescribed to treat external ear infections due to sensitive bacteria (such as Pseudomonas and Staphylococcus) and yeasts (such as Malassezia pachydermatis).

What are the active ingredients?

It usually has a combination of a corticosteroid (inflammation), an antibiotic (bacteria), and an antifungal (yeast).

How is Duotic Gel applied?

It's directly applied to the affected ear(s) according to your veterinarian's instructions, usually every 24 hours for a suggested number of days.

How do I prepare my dog for administering this?

Softly clean the dog's ear canal using a vet-recommended ear cleaning solution and dry out the ear canal well before administration of gel.

Can I use this with cats or any other animals?

No, Duotic is specifically reserved for dogs, and any other animal might be at risk with its use.