Reformulated Topical Medications for Management of Allergic Otitis Externa*

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For inflammation Dexamethasone sodium phosphate injectable: saline

1:1 (routine)
2:1 (inflammation prone)

For Malassezia-prone + inflammation Dexamethasone sodium phosphate injectable: miconazole 1%

1:1 (routine)
1:2 (Malassezia prone)
2:1 (inflammation prone)

Dosing guidelines Cat 0.3-0.4 mL q 12-24 hr
Small dog (<10kg) 0.3-0.4 mL q 12-24 hr
Medium dog (10-30kg) 0.5-0.7 mL q 12-24 hr
Large dog (>30kg) 0.8-1.2 mL q 12-24 hr

*To be prepared and prescribed by a licensed veterinarian only.


The 2023 AAHA Management of Allergic Skin Diseases in Dogs and Cats Guidelines are generously supported by Hill’s Pet Nutrition, Merck Animal Health, and Zoetis.

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