Miconazole/Triamcinolone clEARmix Thermo Gel Otic (3mL Syringe)
Miconazole/Triamcinolone is a compounded formulation containing Miconazole, 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 miconazole, 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, miconazole is considered to influence fungal membrane integrity while triamcinolone is considered to influence the production of inflammatory mediators. Commonly observed effects include localized changes such as mild redness or temporary sensitivity at the site of application. Because the formulation contains a corticosteroid, systemic absorption is possible; your veterinarian will monitor for observational signs of steroid influence. Owners should monitor for behavioral shifts and contact their veterinarian promptly with any concerns regarding the patient's response.
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 miconazole and triamcinolone into customized topical formats or otic suspensions to suit the specific needs of your pet. The decision rests with your prescribing veterinarian.
Veterinarians discuss this combination when addressing a fungal challenge that is accompanied by significant swelling or discomfort. The steroid is considered to address the inflammatory response while the antifungal is considered to influence the fungal population.
You should monitor for observational signs like reduced scratching, a decrease in redness and the return of normal hair growth. Your veterinarian will provide a specific monitoring schedule for your pet.
Your veterinarian will determine the necessary duration of the management approach. They will monitor your pet to ensure the steroid component remains appropriate for their long-term health.
