KETOconazole/Triamcinolone clEARmix Lanolin Otic (3mL Syringe)
KETOconazole/Triamcinolone is a compounded formulation containing KETOconazole, 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 ketoconazole, an azole antifungal, with triamcinolone, a corticosteroid — two different drug classes. In compounding practice, clinicians may consider a combination like this for a multi-targeted approach. 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.
At a pharmacological level, ketoconazole is considered for its influence on fungal cell membranes while triamcinolone is considered for its role in modulating the inflammatory response. Commonly observed effects include localized changes at the site of application such as mild redness or temporary sensitivity. Because the formulation contains a corticosteroid, your veterinarian will monitor for observational signs of systemic influence with prolonged use. Owners should monitor for any unusual behavioral shifts 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 all legal requirements before any medication is prepared or shipped.
Yes. Mixlab specializes in compounding ketoconazole and triamcinolone into customized topical creams or otic suspensions tailored to the specific needs of your pet. The decision rests with your prescribing veterinarian.
Veterinarians discuss this combination for conditions where yeast overgrowth is accompanied by significant itching or swelling. The steroid is considered for managing tissue comfort while the antifungal is considered for managing the yeast population.
You should monitor for observational signs like decreased redness and a reduction in scratching or biting. If you notice a new rash or extreme discomfort, contact your veterinarian for a clinical review.
Yes, this combination is often considered for feline patients. Your veterinarian will determine the appropriate frequency and duration based on your cat's specific diagnostic findings.
