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Stella came up with a whopping ear infection last week in both ears (very weird for her) and the vet put her on Surolan... does anyone have any experience with that drug? I'm asking because Stella is acting a little lethargic, just not quite right and of course the side effects listed on the accompanying pamphlet are a little disturbing, mentioning a side effect of Surolan could be deafness...

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( 20 comments — Leave a comment )
meecie
Apr. 9th, 2012 06:13 pm (UTC)
My first thought was I'd never heard of it, but a quick search told me it was a mix of 3 drugs:

miconazole (anti-fungal, and a lot of dog ear infections are fungal)

polymyxin B sulfate (a sulfa-drug, good against bacteria)

prednisone (a steroid, to help her ears feel better).

Given topically, I wouldn't worry much about side-effects from any of these, and it seems pretty appropriate prescription for a whopping ear infection for a dog. I'm sure they had to put the "deafness" disclaimer in there for the rare cases where the eardrum might be ruptured and the solution got into the middle ear, and *might* be toxic to sensory cells *if* it could diffuse across various membranes (Round window or oval window membranes, all very unlikely).

An ear infection could certainly be making her feel crummy and lethargic, or there could be something else going on?
dinahprincedaly
Apr. 9th, 2012 06:29 pm (UTC)
the lethargy is coming after she's been getting the medicine for six days, well five, it started yesterday...
cedarfield
Apr. 9th, 2012 06:29 pm (UTC)
I'm sorry I don't know anything about Surolan or about bilateral ear infections. I would think the first thing to do is to call the vet and speak to him/her directly about your concerns. If you still don't feel comfortable, don't hesitate to consult a different vet. I've learned the hard way that you have to be very proactive on your dog's behalf.
Please let us know how she's doing. Do they have any idea what type of infection it is and why/how she got it?
dinahprincedaly
Apr. 9th, 2012 06:42 pm (UTC)
thanks, I begged my way into an appointment this afternoon, they were trying to put me off til wednesday and I emailed the vet she sees in CT... its a yeast infection and the vet didn't say what caused it but commented that I should be pulling the hair from her ears...
I haven't pulled it since she was a puppy and kept finding it irritated her ears and CAUSED infections, so I just left them alone and leaving them alone except for cleaning for the last three years they've been fine... Its possible that because I still have not given her her spring cut could have caused it too... the weird early hot and then really cold weather we've been having, I just thought she should keep her winter shagginess being a single coat dog until it was really going to be warmer---so anyway, it could have been that, the hot spell and not enough ventilation?
cedarfield
Apr. 9th, 2012 06:46 pm (UTC)
I'm not sure about pulling the hair either. Zodi gets yeast infections all the time and she has almost no hair in her ears. She does like to drink out of the outdoor faucet which means water may be splashing into her ears as she does that. My vet told me to dry her ears with a towel whenever she's been doing that. I've noticed that her ears are much better when she doesn't swim and splash in the water but I can't deny her some summertime fun. Obviously Stella hasn't been swimming but is there some other way she could be getting moisture in her ears?
dinahprincedaly
Apr. 9th, 2012 06:53 pm (UTC)
when i go in today I'll ask for theories on what caused it, because no swimming, bathed over a month ago and even then I am so very careful about no water in her ears, and she just drinks from a bowl... Could be no agility to lift her ears to the sun and wind (like in this icon picture) because she's been on restricted activity for her illiopsoas : )
cedarfield
Apr. 9th, 2012 06:54 pm (UTC)
Well, I sure hope she feels better soon. Please let us know...
dinahprincedaly
Apr. 9th, 2012 10:54 pm (UTC)
vet seems to think she's much better than last week, to keep giving her the same meds and flush her ear every day with a wash until the crud is gone... can't figure out why she's lethargic, no temp, but she has a small sore in one ear, maybe she did that rubbing her ears? she did eat tonight so thats good... i don't know, I'll just keep an eye on her
meecie
Apr. 9th, 2012 06:56 pm (UTC)
hahahaha - that's funny, but it's a valid possibility. I had a dog who was prone to ear issues, especially in warm weather, and I'd just make him look like a dork by turning his ears inside-out and letting him walk around like that for a while, which helped a fair bit :-)
penichops
Apr. 9th, 2012 08:22 pm (UTC)
I had a Sri Lankan friend who would do that with her enormous evil looking rottweiler, then to top it off she would put big chunks of garlic poking out too.

Oh that used to make me laugh so much.

Love and kisses to poor stella.
dinahprincedaly
Apr. 9th, 2012 10:50 pm (UTC)
i've heard garlic oil to prevent ear infections... but whole cloves of garlic? whoa! probably to keep away vampires
cdozo
Apr. 10th, 2012 01:52 am (UTC)
I don't know much about dogs, but I get external ear infections from moisture. I have to tend to my ears every day or they get horribly infected. So maybe my input might help. Here's what I know:

Putting Neosporin (which contains polymyxin B) in the ear canal can lead to deafness. From what I've been told, this is an exposure over time situation. I've been using it in my ears for years and I'm not deaf. I've always had tinnitus and it is worse, but I think that's because I'm getting older.

The way I keep my ears dry is by putting a few drops of a mixture containing about 2/3 91% isopropyl alcohol and 1/3 white vinegar in my ears every time they get wet. If the infections continue, I suggest you ask your vet about trying a dog-adapted version of this mixture (or the professional stuff they sell at the drug store called Swim Ear).

Sometimes, if the drops are cold when I put them in my ears, I get dizzy. This can last up to about 20 minutes. That may account for some of your dog's lethargy.

You dog's ears may be getting damp from walking in the dewy grass in the morning or hanging out somewhere where the humidity is high like the laundry room.

I hope this helps.
meecie
Apr. 10th, 2012 10:41 am (UTC)
The ingredient in neosporin (also known as triple antibiotic) that can cause deafness is the aminoglycoside antibiotic (neomycin), not the sulfa drug (polymyxin B sulfate).


Edited at 2012-04-10 10:42 am (UTC)
cdozo
Apr. 10th, 2012 01:59 pm (UTC)
Ah, thanks.
dinahprincedaly
Apr. 10th, 2012 02:43 pm (UTC)
Carrol you are SO RIGHT! That could be where she'ss getting her ears wet-- she has been rolling ruling rolling in the dewy grass these spring mornings---one of her favorite things these days!!!!!!
matildasmom
Apr. 10th, 2012 02:20 am (UTC)
I'm sorry this infection s still hanging on. Was she depressed because you were away, this on top of the infection?
dinahprincedaly
Apr. 10th, 2012 02:45 pm (UTC)
she had Sinead while we were away!!!! (mostly) she seems a little better today... friday we see the PT and fingers tails and toes crossed we get the go ahead to do some agility
meecie
Apr. 10th, 2012 05:39 pm (UTC)
Here's hoping getting back to agility perks her up. Sometimes it just feels better to get back to doing stuff.
emmabcdog
Apr. 13th, 2012 07:19 am (UTC)
How is Stella doing by now? I'm just now catching up on my blog reading. Several years ago, when the pollen level was extremely high for days and days, Roxie had a bad infection in both ears. The vet said Roxie was having an allergic reaction to the unusually high pollen levels and her short eustachian tubes had gotten backed up and were retaining fluid, which promoted bacterial growth and the resultant infection. He explained it was similar to how babies with a cold get frequent ear infections because their tubes have yet to grow.

Don't know if that's the case with Stella, but thought I'd just put Roxie's story out there. Hope Stella is doing better.
dinahprincedaly
Apr. 14th, 2012 03:14 pm (UTC)
allergies occurred to me too. she's better, thanks for asking! yesterday we got the go-ahead to ease back into agility!!!!!!!!!!!!!!!
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