Doxycycline/Gentamicin/Triamcinolone clEARmix Lanolin Otic (3mL Syringe)
Doxycycline/Gentamicin/Triamcinolone is a compounded formulation containing Doxycycline, Gentamicin, Triamcinolone, prepared by Mixlab for veterinary use. Available by prescription.
How to Use clEARmix Lanolin Otic (Ear Medication)
This is a thick ear ointment used to treat ear infections. It comes in a pre-filled syringe with a soft tip, making it easier to apply and designed to stay in your pet’s ear longer.
Step-by-Step: 1. Warm the syringe – If it’s cold, hold it in your hands for a minute to soften the ointment. Do not microwave. 2. Position your pet – Have them sit in a comfy spot. You may need someone to gently help hold them. Lift their ear flap straight up. 3. Clean the ear (if needed) – Only if your vet told you to. Use a vet-approved ear cleaner and cotton ball—never a Q-tip deep in the ear. Let the ear dry. 4. Apply the medication – Remove the cap, then gently insert just the tip of the syringe into the ear opening. Don’t push in deep. 5. Dispense slowly – Press the plunger gently to apply the full dose or the amount your vet prescribed. 6. Massage the ear – Rub the base of the ear for about 30 seconds to help the medication spread. 7. Let them shake – It’s normal! Wipe off any excess with a tissue or cloth. 8. Reward your pet – Give them praise and maybe a treat to make it a positive experience. 9. Store the rest – If there’s more medication left, recap the syringe and store at room temp. Wash your hands after use.
This compounded formulation combines active ingredients from different drug classes: doxycycline, a tetracycline antibiotic; gentamicin, an aminoglycoside antibiotic; and triamcinolone, a corticosteroid. In compounding practice, clinicians may consider a multi-ingredient preparation like this to address more than one aspect of a patient's physiology at once. Your veterinarian determines whether it is appropriate based on your animal's diagnostic findings.
This description reflects the general pharmacology of the active ingredient's drug class; your veterinarian determines whether this approach is appropriate for your animal.
Prescription only. Use only under the direction of a licensed veterinarian. This information is not a substitute for veterinary diagnosis, prescribing or monitoring. Compounded drugs are not approved by the FDA for safety or effectiveness.
Commonly observed effects include localized changes such as redness, temporary discharge or increased sensitivity at the site of application. Systemic absorption of the steroid component is possible with prolonged use; your veterinarian will monitor for signs such as increased thirst or urination. Ensuring the eardrum is intact is a high-priority clinical consideration. Owners should watch for behavioral shifts including a head tilt or loss of balance and contact their veterinarian promptly with any concerns.
Yes. This combination requires a valid prescription from a licensed veterinarian before it can be dispensed. Mixlab verifies authorization before any medication is prepared or shipped.
Yes. Mixlab specializes in compounding this medication into customized otic suspensions tailored to your pet's needs. The decision between a commercial and compounded product rests with the veterinarian.
Your veterinarian will provide specific instructions on how to safely apply the drops and how often they are needed. It is important to follow the professional guidance provided and monitor your pet for discomfort.
Mild, temporary redness can be a commonly observed effect, but persistent irritation should be reported. Your veterinarian will determine if the management approach remains suitable for your pet.
Veterinarians often recommend repeat cytology to monitor the clinical response to the antibiotics. This provides a method for confirming your pet is responding as expected.
