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Hello I am Dr. Joey. Thanks for asking your question and trusting me to help you and your pet today. I am a licensed veterinarian with over 16 years of experience. I look forward to working with you.
I am so sorry to hear Nelly is experiencing this. Ultimately you are going to need to have her regular vet examine her and prescribe effective medication to treat this. I wish there was something easy you could instill in her ears over-the-counter to clear this, but there is not. It really does depend on if this is a bacterial or yeast infection; and dogs need something in the topical therapy to provide pain relief as well.
For pain relief we are very limited with dogs you canNOT give acetaminophen, ibuprofen or naproxen. You may give aspirin which should not interact with Apoquel at a dose of 10mg/kg every 12 hours (approximately 250mg) and make sure it's buffered. I am not an aspirin fan, though because it does not provide very good pain relief in dogs and there is a risk for stomach problems such as ulcers. But it is our only over-the-counter option. Your vet has better medications.
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It appears Dr. Joey opted out of your question. I can give you some basic guidelines but if there is no change or they worsen then please consult your veterinarian to begin stronger treatment such as topical antibiotics/ steroids and possibly even oral ones as well...- Benadryl 1 mg/ pound every 8 hours to help with the itch and discomfort of an infection/ inflammatory response. May sedate mildly- 75/25 Water to white vinegar solution with cotton balls to wipe the ears out every 1-2 days (no q tips!) and remove any debris and infection- Take a moist towel and put it in the freezer and apply to the ear or side of the face for relief of discomfort- If you have any previously prescribed pain medication for him then that can also provide relief as well or as Dr. Joey mentioned aspirin is the only safe over the counter option- Please no over the counter ointments or salves which can put the tympanic membrane or inner ear at riskI hope this makes sense and helps guide the treatment for your Nelly. If this is a moderate infection unfortunately it will require prescription topical medication to treat and hopefully allow this inflammation to resolve swiftly...Please let me know how else I can assist you both today!
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