Tresaderm Liquid

Combination otic/topical (thiabendazole/dexamethasone/neomycin) for otitis externa and skin infections in dogs and cats. Triple-combination otic/dermatologic solution: thiabendazole (benzimidazole antifungal/antiparasitic), dexamethasone (fluorinated corticosteroid), neomycin sulfate (aminoglycoside antibacterial). Combined antifungal, anti-inflammatory, and antibacterial activity for mixed otitis externa and dermatophytosis in dogs and cats. Key information Potent corticosteroid. Immunosuppressive — increased infection risk. May induce laminitis in horses — use lowest effective dose. May precipitate parturition in mares. Prohibited in competition — know withdrawal times. Adrenal suppression with prolonged use.

Clean ear canal before instillation. Gently massage base of ear after application to distribute medication. Instill prescribed number of drops; massage ear base. Apply 2 times daily for 7 days. Verify TM integrity before use. Store refrigerated (2–8°C); do not freeze. If a dose is missed Give the missed dose as soon as you remember. If the next dose is due within a few hours, skip the missed dose and resume the regular schedule. Never give a double dose.

Otic: transient stinging on instillation. Thiabendazole: minimal systemic effects. Dexamethasone: adrenal suppression with prolonged use. Neomycin: contact hypersensitivity, ototoxicity if TM perforated. Generally well tolerated for short-term otic use.

For animals Verify tympanic membrane integrity before otic use — neomycin ototoxicity with ruptured TM. Dexamethasone: adrenal suppression with prolonged use. Contact allergy to neomycin can develop. For people handling this medication Wear gloves when handling. Wash hands thoroughly with soap and water after handling. Otic combination — wear gloves. Neomycin: contact allergy risk. Dexamethasone: corticosteroid skin absorption. Avoid contact with eyes; if contact occurs, flush with water for 15 minutes and seek medical attention.

Contact your veterinarian. A single accidental extra dose of a corticosteroid is usually not a medical emergency, but signs to watch for include extreme lethargy, vomiting, increased thirst/urination, and muscle weakness. Contact your vet before giving the next dose.