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Animax® Ointment

Generic Name:

Nystatin + thiostrepton + neomycin + triamcinolone ointment
 

This drug is a combination of medications that are commonly used in dogs and cats to treat ear disorders and certain skin conditions.

• A combination of an antibiotic, antifungal, and corticosteroid
• Applied directly in the ear or applied directly on the skin

• To treat ear infections
• To treat certain skin infections

• Animals with a ruptured ear drum
• Animals with a deep skin infection or an abscess
• Animals that may be pregnant or nursing
• Animals that will require allergic skin testing in the near future
• Animals with a known hypersensitivity or allergy to this drug should not use this medication

Read and follow the prescription label carefully.

Give the exact amount prescribed and only as often as directed.

Give this medication for as long as your veterinarian directs.

Do not skip doses or stop giving the medication without consulting your veterinarian.

Dose adjustments may be made based upon an assessment of how your dog or cats is responding clinically.

It may be necessary to clip the hair around the affected area to assist with the treatment of the skin infection.

It may be necessary to clip excess hair from around the ear to assist with cleaning and applying ear medications.

If your pet requires more than one ear medication, discuss with your veterinarian if it is preferable to administer the medications at different times of the day.

Wait until after the ear or skin is clean and dry before administering any medications into the ear or onto the skin.

Avoid getting this medication in your pet's eyes, nose, or mouth.

Always wash your hands before and after applying any topical medication.

If treating a potentially contagious skin condition, consider using gloves to apply the medication and consult with your veterinarian about further measures to avoid spreading the infection.

If you are having difficulty applying the medication or your pet is in discomfort, contact your veterinarian.

Call ahead for refills.

Ideally, give this medication at the same time(s) daily.

• Wash your hands before applying any ear medication
• The ear should be clean and dry prior to administering medications
• Check label directions and shake bottle if necessary
• Lift the ear flap so that it is pointing straight up
• Hold the medication bottle insertion tip into the canal
• Gently squeeze the desired amount of medication into the canal
• Massage near the base of the ear to encourage the medication to work into the deeper aspects of the canal
• Wash your hands after applying any ear medication
• Always praise and reward your pet to encourage cooperation

If a dose is missed, give it as soon as you can. If it is time already for the next dose, skip the missed dose and go back to the normal schedule. Do not give two doses at the same time.

Talk to your veterinarian about:

• When your pet will need to be rechecked
• How often does your pet's ears need to be cleaned
• What tests may need to be performed prior to and during treatment with this drug
• What are the risks and benefits of using this drug

Tell your veterinarian about:

• If your pet has experienced previous ear problems
• If your pet has experienced side-effects on other drugs/products
• If your pet has experienced digestive upset now or ever
• If your pet has experienced liver or kidney disease now or ever
• If your pet has experienced any other medical problems or allergies now or ever
• All medicines and supplements that you are giving your pet or plan to give your pet, including those you can get without a prescription. Your veterinarian may want to check that all of your pet's medications can be given together.
• If your pet is pregnant, nursing or if you plan to breed your pet

Nystatin-neomycin-thiostrepton-triamcinolone ointment should be stored in a childproof container in a cool, dry place at room temperature away from heat and direct sunlight.

Pregnant women or women trying to become pregnant should wear gloves when applying this medication or wash hands immediately after application.

Keep this and all medication out of reach of children and pets.

Call your physician immediately if you accidentally take this product.

• This medication may cause local irritation or redness
• This medication can cause an increase in thirst, urination, and appetite
• This medication can affect the gastrointestinal system causing vomiting and diarrhea
• This medication can cause weight gain, panting, dull hair coat, muscle wasting, and behavior changes
• This medication can affect the immune system at high doses causing an increased susceptibility to infections and delayed wound healing
• This medication can affect the regulation of animals with Cushing's disease and diabetes mellitus
• Prolonged use of any antibiotic may lead to the development of bacterial resistance and overgrowth of other organisms
• If these symptoms persist or you notice anything else unusual, contact your veterinarian

• Do not give new food or medications without first talking to your veterinarian
• If your pet experiences any unusual reactions when taking multiple medications, contact your veterinarian

Contact your veterinarian immediately if you pet has accidentally ingested this medication or has received more than the prescribed amount.

Notify your veterinarian if your animal's condition does not improve or worsens despite this treatment.

As with all prescribed medicines, nystatin-neomycin-thiostrepton-triamcinolone ointment should only be given to the pet for which it was prescribed.

It should be given only for the condition for which it was prescribed. Never use ear or skin medications in the eye.

It is important to have any ear problems assessed by a veterinarian prior to applying any medications as incorrect treatment can result in damage to the ear.

Discuss with your veterinarian what is recommended to treat underlying conditions that may predispose your pet to reoccurring ear problems.

This is just a summary of information about nystatin-neomycin-thiostrepton-triamcinolone ointment. If you have any questions or concerns about nystatin-neomycin-thiostrepton-triamcinolone ointment or the condition it was prescribed for, please contact your veterinarian.

Nystatin/Neomycin/Thiostrepton/Triamcinolone
(Animax, Panolog)

Common Drug Name
Nystatin, neomycin, thiostrepton, triamcinolone

Common Brand Names
Panolog, Animax

Storage
Store at room temperature.

Uses
Nystatin is an antifungal, effective against many types of yeast. Neomycin and thiostrepton are antibiotics. Triamcinolone is a corticosteroid. The combination is used to treat skin and ear disorders caused by allergies, or bacterial or yeast infections. It is also used for infections of the anal gland and interdigital (between the toes) cysts.

Dose and Administration
Always follow the dosage instructions provided by your veterinarian. If you have difficulty applying the medication, contact your veterinarian.
The ear or area of skin should be thoroughly cleaned and dried before treatment. For the ear, remove any debris, crusty material, etc., with a suitable non­irritating ear cleaning solution. For the skin, use a skin cleansing solution to clean the lesion and adjacent area. Clip any excessive hair from the ear or treatment area as directed by your veterinarian.
If you miss a dose, apply it as soon as you remember. If it is almost time for the next dose, skip the application you missed and go back to the regular schedule.  Do not apply 2 doses at once.
This medication should only be given to the pet for whom it was prescribed.

Possible Side Effects
In rare instances, an animal may be sensitive to neomycin, causing redness in the area the medication was applied. If so, contact your veterinarian.
When used in the ear, may see loss of hearing or balance if the eardrum is not intact. If you see these signs, contact your veterinarian. 
If ingested, or given at high doses or for prolonged periods of time, side effects related to the triamcinolone may be seen. The most common effect is an increase in the amount of drinking and urinating. Less commonly you may see an increased appetite and weight gain, panting, diarrhea, vomiting, and behavior changes. 
Contact your veterinarian if side effects are noticed or if the condition worsens.
If your pet experiences an allergic reaction to the medication, signs may include facial swelling, hives, scratching, sudden onset of diarrhea, vomiting, shock, seizures, pale gums, cold limbs, or coma. If you observe any of these signs, contact your veterinarian immediately.

Precautions
Not for use in animals hypersensitive (allergic) to any of the ingredients.
Avoid contact with the eyes.
Not for use in deep infections, puncture wounds, burns, or if pus is present.
Prevent ingestion of the medication. If ingested at high doses or for extended periods, corticosteroids can cause premature birth especially toward the end of pregnancy. In dogs, rabbits, and rodents, corticosteroids can cause birth defects.
A veterinary exam of the ear is necessary prior to use of this product. It should not be used in animals with a perforated eardrum.
Corticosteroids, if given at high doses or for extended periods, can cause delayed wound healing and immunosuppression resulting in an increased risk of bacterial or fungal infections.

Drug, Food, and Test Interactions
Consult your veterinarian before using this medication with any other medications, including vitamins and supplements, corticosteroids, or gentamicin, since interactions may occur. 
If ingested, there is an increased risk of stomach ulcers when corticosteroids are used with non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin, carprofen (Rimadyl), deracoxib (Deramaxx), or etodolac (EtoGesic).

Signs of Toxicity/Overdose
Adverse reactions and toxicities are unlikely if used according to directions. 
If you know or suspect your pet has ingested this medication, or observe any unusual signs, symptoms, or behaviors in your pet, contact your veterinarian immediately.
Keep this and all other medications out of the reach of children and pets.

This information may not cover all possible uses, directions, side effects, precautions, allergic reactions, drug interactions, or withdrawal times.  Always consult your own veterinarian for specific advice concerning the treatment of your pet.