Doxycycline/Gentamicin/Triamcinolone clEARmix Thermo Gel 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 Thermo Gel Otic (Ear Medication)
This is a liquid ear medication that turns into a gel once it warms up in your pet’s ear, helping it stay in place and work effectively. It comes in a soft-tipped syringe for easy use.
Step-by-Step:
- Keep it cool – Store in the fridge if instructed. Before using, hold the syringe in your hands for a minute so it’s not too cold, but don’t warm it too much.
- Get your pet ready – Have them sit comfortably and gently lift the ear flap. A second person can help hold them still if needed.
- Clean the ear (if advised) – Use a vet-approved ear cleaner and cotton ball. Wipe out any debris and let the ear dry.
- Apply the medication – Take off the cap. Gently insert just the tip into the ear opening (not deep), and slowly press the plunger to deliver the full dose.
- Massage the ear – Rub the base of the ear for 30 seconds. The liquid will turn into a gel as it warms, and massaging helps it spread inside the ear.
- Let them shake it out – It’s normal! Wipe away any extra gel you see near the ear opening.
- Reward your pet – Offer praise or a treat to keep the experience positive.
- Store and clean up – Recap the syringe and refrigerate if needed. Wash your hands afterward.
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.
