My dog has a yeast ear infection. What's the best treatment?

Yeast infections are especially itchy, crusty, and smelly. Often a dog starts with a rash or with simple itching but the skin thickens to an “elephant” skin appearance. The itch is extreme and the odor can be especially troublesome. Parts of the body or the entire body can be affected. Malassezia overgrowth is particularly problematic where there are skin folds ("armpits," eyelids, facial folds, lip folds, throat latch, and especially between the toes). Treatment can be topical, oral, or both. Topical treatment is best used for localized spots of infection while oral medication would be better applied to larger infected areas. If the yeast infection is recurrent or if one wishes to supplement oral medication, topical and oral treatment can be combined. Oral medications are available through your vet. Shampoos such as Chlorhexiderm Max® or Malaseb® shampoo both strip skin oil and kill yeast; however, other anti-yeast products include Selsun Blue®, Miconazole® shampoo, Nizoral® shampoo, Douxo® shampoo and more. The pet must be bathed twice a week to start and the shampoo requires a 15 minute contact time (meaning do not rinse the lather for 15 minutes). It is important to realize that yeast overgrowth occurs in response to a primary problem be it allergy, seborrhea or something else. If the underlying problem is not controlled, yeast dermatitis is likely to periodically recur. It is common for allergic dogs to require some kind of periodic if not on-going anti-yeast therapy.

I would recommend not just an ear wash but also medications to clear up this infection. If there is moderate-severe or 2+ yeast and cocci then I would recommend Oticetic flush and Mometamax ear medicine. You can also try Zymox ear medicine as an alternative. You typically can only get these through your vet or with veterinary approval. Ear medicine and medicated cleaners are typically not sold over the counter. Best of luck with your pet Poliana and her current ear infection. Take care.

Poor girl. If the preliminary medications from your vet didn’t improve her condition, then it’s time to consider getting Xena a culture done of her ear to determine what medicaiton can clear things up. This is a specific test that will determine what medicaiton combination is needed to get rid of he infection. I also am not sure if your vet has tried Posatex ear medication yet, but this is strong ear medicaiton that can help with resistant infections. Also pain medicaiton (steroids work well for ears when they are really inflamed) can also be prescribed by your vet to help with Xena’s discomfort. Discuss with your vet about the above recommendations. Best wishes moving forward with Xena and her ears. Take care.

Thank you for submitting your question regarding Leo. I recommend that he sees his veterinarian. He will be examined. A special instrument known as an otoscope is used to look deep within the ear canal. Typically a swab is taken from each ear. This is evaluated under the microscope to confirm the infection and determine the cause. Dogs can have yeast, bacterial or mite infections. This helps to choose an appropriate medication and ear cleaner for him. Treatment will vary based on the severity of the infection. You can start by cleaning the ears at home if you have an ear cleaner for dogs. However, he will most likely need a prescription medication to clear the problem. I hope this information helps!

You are right that there are different causes of ear infections, typically yeast and bacteria (there are many types). Ear medications prescribed are based on which of these is the problem. It is also important for their ear drum to be assessed prior to starting medications. As well, some dogs need oral medications in addition to topical if the infection is severe. Being so young is also a consideration with certain drugs. The best plan is to have your vet perform an ear cytology and assess for an intact ear drum prior to picking the best medication that is safe for Nola. I hope this helps and thank you for using Petco Pet Education Center, formerly Petcoach!

Amoxicillin is an antibiotic and not effective against yeast which is fungal. Contact your vets office to prescribe appropriate medications for him as well as a cleaner to remove as much debris as possible. Sedation may be required if painful

Thanks for using Petco Pet Education Center, formerly Petcoach. The most common reason for scratching in the abcence of infection: allergies. It could be food related, environmental allergens, or even an allergic reaction to mites or mosquitos. Sometimes longer term treatment with the ointment, systemic medications, and mite/flea/tick prevention is needed so talk with your vet.