KETOconazole/Triamcinolone clEARmix Thermo Gel 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 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 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.
