(Nystatin-Neomycin Sulfate-Thiostrepton-Triamcinolone Acetonide)
EnteDerm is an antimicrobial treatment for skin and ear infections in pets.
Each ml contains:nystatin (100,000 units), neomycin sulfate equivalent to neomycin base (2.5 mg), thiostrepton (2,500 units), triamcinolone acetonide (1 mg)
The preparation is intended for local therapy in a variety of cutaneous disorders of dogs and cats; it is especially useful in disorders caused, complicated, or threatened by bacterial and/or candidal (monilial) infection.
Dosage and Administration:
Frequency of administration is dependent on the severity of the condition. For mild inflammations, application may range from once daily to once a week; for severe conditions EnterDerm Ointment may be applied as often as two to three times daily, if necessary. Frequency of treatment may be decreased as improvement occurs.
Wear gloves during the administration of the ointment or wash hands immediately after application.
Otitis -Clean ear canal of impacted cerumen. Inspect canal and remove any foreign bodies such as grass awns, ticks, etc. Instill three to five drops of EnterDerm Ointment.
Preliminary use of a local anesthetic may be advisable.
Infected Anal Glands, Cystic Areas, etc. - Drain gland or cyst and then fill with EnterDerm Ointment.
Other Dermatologic Disorders - Clean affected areas, removing any encrusted discharge or exudate. Apply EnterDerm Ointment sparingly in a thin film.
Nystatin, neomycin sulfate, thiostrepton and triamcinolone acetonide ointment is not intended for the treatment
of deep abscesses or deep-seated infections such as inflammation of the lymphatic vessels. Parenteral antibiotic
therapy is indicated in these infections. Nystatin, neomycin sulfate, thiostrepton and triamcinolone acetonide
ointment has been extremely well tolerated. Cutaneous reactions attributable to its use have been extremely
rare. The occurrence of systemic reactions is rarely a problem with topical administration.
There is some evidence that corticosteroids can be absorbed after topical application and cause systemic effects.
Therefore, an animal receiving nystatin, neomycin sulfate, thiostrepton and triamcinolone acetonide ointment
therapy should be observed closely for signs such as polydipsia, polyuria, and increased weight gain. Nystatin,
neomycin sulfate, thiostrepton and triamcinolone acetonide ointment is not generally recommended for the
treatment of deep or puncture wounds or serious burns.
Sensitivity to neomycin may occur. If redness, irritation or swelling persists or increases, discontinue use. Do
not use if pus is present since the drug may allow the infection to spread.
Keep this and all medications out of the reach of children.
Avoid ingestion. Oral or parenteral use of corticosteroids (depending on dose, duration of use, and specific
steroid) may result in inhibition of endogenous steroid production following drug withdrawal.
Clinical and experimental data have demonstrated that corticosteroids administered orally or by injection to animals may induce the first stage of parturition if used during the last trimester of pregnancy and may precipitate premature parturition followed by dystocia, fetal death, retained placenta and metritis.
Additionally, corticosteroids administered to dogs, rabbits, and rodents during pregnancy have resulted in cleft
palate in the offspring. In dogs, other congenital anomalies have resulted; deformed forelegs, phocomelia, and anasarca.
SAP and SGPT (ALT) enzyme elevations, polydipsia and polyuria, vomiting, and diarrhea (occasionally bloody) have been observed following parenteral or systemic use of synthetic corticosteroids in dogs.
Cushing's syndrome has been reported in association with prolonged or repeated steroid therapy in dogs.
Temporary hearing loss has been reported in conjunction with treatment of otitis with products containing corticosteroids. However, regression usually occurred following withdrawal of the drug. If hearing dysfunction is noted during the course of treatment with Animax Ointment, discontinue its use.
Before instilling any medication into the ear, examine the external ear canal thoroughly to be certain the
tympanic membrane is not ruptured in order to avoid the possibility of transmitting infection to the middle ear
as well as damaging the cochlea or vestibular apparatus from prolonged contact. If hearing or vestibular
dysfunction is noted during the course of treatment, discontinue the use of nystatin, neomycin sulfate,
thiostrepton and triamcinolone acetonide ointment.
For use in dogs and cats only.
Federal law restricts this drug to use by or on the order of a licensed veterinarian.
Do not store above 86° F. 7.5 mL, 15 mL, 30 mL tubes: Store at room temperature; avoid
excessive heat (104° F).