Question about use of Tresaderm for ear infection

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Nicole Z

Nicole Z

Member Since 2017
Hi Everyone!

I'm on the L&L board and my cat Aurora has been having some great numbers - we have been doing micro dosing .25 for quite awhile now and we were seeing regular greens. Late last week I noticed she was picking at her left ear. Aurora has had a history since we adopted her of having ear infections so I always keep Tresaderm ear drops in the fridge just incase. I don't know 100% that there is an infection but based on how she was behaving, it seemed likely. I have been giving her the ear drops 2x per day since Thursday last week so it's been about 4 days now. Her AMPS numbers have really taken a jump higher in the past few days. I posted on the L&L board and @Wendy&Neko pointed out "Tresaderm has Dexamethasone in it, which is a corticosteroid. Steroids can impact the BG. You might want to post a general question about the use of Tresaderm on the Feline Health forum"
I was considering a dose increase to .5 microdose but am holding off for now until I get a little more information. Is there something else out there that's a good treatment for ear infections that wouldn't raise her BG? I work full time so I'm hesitant to increase her to .5 starting tomorrow morning since I won't be home again until 415pm to check her.

Thanks!
 
Oh memory, why are you slacking tonight? :facepalm:. I read something recently about someone (I think at least it was one of the cat daddy's :smuggrin:) mentioning something about a possible ear paste type medicine but I cannot remember who o_O. I'm trying to find it for you, Nicole :)
 
Aha! It was Noah and Me but looks like it was still Tresaderm :oops:
"Noah has ongoing dental problems (can't have surgery, long story) and absolutely hated his buprenorphine, so much it almost brought me to tears to force it in him. Our vet had some transdermal made up at a compounding pharmacy and now he just gets his ear tickled twice a day. It made all the difference in the world. I'm in Canada as well and I was told the injectable buprenorphine was a bureaucratic nightmare so option 3 was the transdermal paste."
 
Thank you Yong. I'm really not sure what do think. Tonight Aurora seems a little off. Her +2.5 is higher than her PMPS and the last time that she ate was at 615 so I was hoping that she's be lower. I'll check one last time at 9:30pm. Is it bad to give her the tresederm since steroids are bad for diabetic cats?
 
I don't personally know but I have read about a couple kitties on this forum who need the steroids and then caretakers dose around them. Not sure how helpful that is :oops:
 
Yong said:
"Noah has ongoing dental problems (can't have surgery, long story) and absolutely hated his buprenorphine, so much it almost brought me to tears to force it in him. Our vet had some transdermal made up at a compounding pharmacy and now he just gets his ear tickled twice a day. It made all the difference in the world. I'm in Canada as well and I was told the injectable buprenorphine was a bureaucratic nightmare so option 3 was the transdermal paste.
Click to expand...
Buprenorphine is a narcotic for pain control. The most common way to administer it is sublingual or orally. Neko had hers compounded chicken flavour and loved it. It is not a steroid and does not impact blood glucose. Tresaderm is not transdermal, which is a method of application.
 
Chuck has a history of ear infections and hematomas from his scratching and shaking his head.
He never did well on tresaderm. It hurt him (probably from open cuts in his ear from his nails) and made him scratch more.
He does well with Otomax ointment. But he does scratch more for a few minutes after putting it in his ears. The last time he was panting and a mess- it scared me. But the vet said it was just him being worked up and stressed out.
I've been offered the convenia shot before but refused it. Rather do a topical for his ears. He got depomedrol shots for his ears before and that's what pushed him over the edge into FD. I really dislike the depomedrol shot now--even though it worked great for him.
I can't remember if tresaderm treats both yeast and bacterial ear infections or if it is the Otomax that does that... But we stick with the Otomax because he doesn't scream and howl after applying it.
Might be worth asking your vet about if you really don't want to use the tresaderm in the future.
 
I just recently finished using Tresaderm for my diabetic cat's yeast infection. It did affect his bg some, but not enough that I would not use it again if needed.
Since it is applied topically, I think that kept the dex in it from really increasing the bg.
 
Smokey got those drops for ear yeast infection finally after asking vet after vet after vet about his gunky ears (and another cat). I was told the drops could raise his glucose, but they didn't. He would get the drops seven days, then clean ears and he would be okay for months then we would have to do it again.
 
I have used Tresaderm on several cats and it skyrocketed BG. If it is a fungal (e.g. yeast) there are fungal meds like the Conifite that I used. If bacterial then there is Baytril Otic that is for dogs but can be used for cats.
I have used this
http://www.allivet.com/p-5320-surol...FKw_sdsSpMpq7RnJrVUtveTDI7s6ZeHCpHRoC3jjw_wcB
which contains both an antibiotic and anti-fungal together with the less BG impacting steroid prednisone.
 
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