6/13 Cross post from LL: Seeking Tresaderm alternative

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Kathy and Kitty

Kathy and Kitty

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http://felinediabetes.com/FDMB/viewtopic.php?f=9&t=45412&p=486591#p486591

Kitty has had a sore in front of his ear. We've been having luck treating with non steroidal silver sulfadiazine - but yesterday he scratched open a sore behind his ear, and I thought, time to rule out ringworm!

So we saw the vet. Now TWO vets think it is not wingworm, but we've taken a culture. What Kitty DOES have is bacteria in his ears - cocci (?) bacteria, i.e. otitis.

The sore in front of his ear has been dry all along, but the one in back looks moist.

Vet's recommendation is Tresaderm. She thinks topical steroids for a brief period would not hurt Kitty or cause remission. I said I would consult with my feline diabetes magnificent mates first!!! Because there is more wonderful experience here than in any vet's office.

Is there anything else to use that is non-steroidal? Anyone have ideas?

We need something to go IN the ear as well as ON the sores. For tonight, she suggested not treating at all. But we need to do something about the bacteria. As for cause... food allergy maybe? Or just plain old no cause.

Thanks, everyone.
 
The only other things I can think of are panalog or zymox. Panalog is an ointment, but I believe it also has steroids. I'm not positive zymox is labeled for use in cats, but it comes either with or without hydrocortisone. Is there a lot of debris in Kitty's ear? Zymox is an enzymatic solution, so it won't do much good if there isn't a lot of stuff present in the ear.
 
I talked with Zymox customer service today. They talked freely about its use with cats, if that's of any relevance to whether it's labeled for use with cats. They were helpful.

Kitty develops black stuff in one ear - not the ear he has been scratching the most, oddly. The vet swabbed both ears yesterday and got some black goo. Is that debris?

In my Lantus forum thread, Larry & Kitties suggested Baytril mixed as an Otic. But our vet said he doesn't even have a base to mix it with that doesn't contain steroids. Maybe I should find a vet who does, or maybe ask them to order Baytril.

Meanwhile, I'll check Panalog. I still need an ointment to help soothe his skin, in addition to something for within the ear. The Zymox is coming Thursday. If that doesn't work, I'll see if Panalog is available steroid free or search for Baytril.

Thank you!
 
I've made up Baytril Otic before (I work part time as a vet assistant in an animal shelter) and it does include a steroid (dexamethasone, I believe). I don't know if there's another formula that can be used to make Baytril Otic. Typically it's a mixture of baytril liquid, dexamethasone, and ear cleanser.

Yes, black goo is debris. Because Zymox is an enzymatic solution, it has to have junk in the ear in order to work properly (which is why, unlike most other ear medications, you actually don't clean the ear during treatment). It sounds like Zymox is for use in cats (we've just never used it for cats at the shelter, so I wasn't sure), so it may be your best bet.

I'm pretty sure Panalog does contain a steroid, although I can't remember what it is.
 
Thank you so much.

The vet warned me against doing an ear "wash," saying cats can have bad reactions. But I don't believe these Otic drops are a wash. (Wow, how ignorant I am. I guess otitis is another learning opportunity for me.)

Zymox also makes an ointment without steroids. I'll order that for the skin. Seems like it's my best option for the ear.
 
Per the manufacturer's site, Baytril Otic does NOT contain steroids.

"Because Baytril Otic contains no corticosteroids, therapy can be tailored to the needs of the individual patient, with or without adjunctive steroid use; allowing the veterinarian to prescribe the exact amount and duration of anti-inflammatory therapy desired.
Baytril Otic provides safe therapy for sensitive ear tissues, avoiding potential effects of prolonged use of corticosteroids.2 During clinical trials less than 2% of dogs exhibited local hypersensitivity of the aural epithelium."

From:
http://www.bayerdvm.com/products/baytri ... l-otic.cfm

Wulfwin said:
I've made up Baytril Otic before (I work part time as a vet assistant in an animal shelter) and it does include a steroid (dexamethasone, I believe). I don't know if there's another formula that can be used to make Baytril Otic. Typically it's a mixture of baytril liquid, dexamethasone, and ear cleanser.

Yes, black goo is debris. Because Zymox is an enzymatic solution, it has to have junk in the ear in order to work properly (which is why, unlike most other ear medications, you actually don't clean the ear during treatment). It sounds like Zymox is for use in cats (we've just never used it for cats at the shelter, so I wasn't sure), so it may be your best bet.

I'm pretty sure Panalog does contain a steroid, although I can't remember what it is.
Click to expand...
 
Thanks, Larry!

It sounds like I should find a vet that carries Baytril Otic, which probably has more power than the Zymox.

The Zymox just arrived. According to the label, it contains Glycerin, Deionized Water, Hydroxy Propyl Celleulose, Benzyl Zlcohol, Potassium Iodide, Dextrose, Propylene Glycol, Blucose Oxidase, Lysozyme, Lactoperoxidase, Lactoferrin.

The Zymox suggests a flush after the treatment to "remove any residual produce and accumulated dead skin cells," but the vet said he doesn't flush cat ears, as dangerous side effects, including deafness, can result.

Will report back to all on how Zymox works!
 
I didn't realize Baytril Otic was available pre-made. What's probably going on with the vet then is that he/she makes up their own (since they talk about not having a base that doesn't contain steroids) using the formula I mentioned and may not know about/use this product. Has this been tested/approved/used in cats, do you know, Larry? I didn't see anything on the manufacturer's site except for use in dogs.


Larry and Kitties said:
Per the manufacturer's site, Baytril Otic does NOT contain steroids.

"Because Baytril Otic contains no corticosteroids, therapy can be tailored to the needs of the individual patient, with or without adjunctive steroid use; allowing the veterinarian to prescribe the exact amount and duration of anti-inflammatory therapy desired.
Baytril Otic provides safe therapy for sensitive ear tissues, avoiding potential effects of prolonged use of corticosteroids.2 During clinical trials less than 2% of dogs exhibited local hypersensitivity of the aural epithelium."

From:
http://www.bayerdvm.com/products/baytri ... l-otic.cfm
Click to expand...
 
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