Otoflush by Dermcare is an ear flush for dogs that is designed to help treat infections of the outer and middle ear. It can also be used as a maintenance agent once a week, to help keep bacterial and yeast under control in the ear, and flush out any debris. Otoflush by Demcare is a neutral buffered solution, so it is non-sting. It is also safe to use when your dog has a ruptured ear drum, which can occur with chronic infections. Otoflush comes in a 125ml and 250ml bottle. Otoflush is registered for use in dogs only. Otoflush cleans the ear canal of wax and exudates in dogs, thereby improving the penetration of prescribed ear medications. It has also been shown to reduce microbial (bacterial and yeast) numbers and increase bacterial susceptibility to commonly used antibiotics. How To Use Remove the cap of the flush nozzle. Insert the nozzle just into the ear canal opening and squeeze to fill the ear canal (approx 0.5mL for small breeds or 1.5mL for larger breeds). Gently massage the ear then allow the dog to shake its head to remove debris and excess Otoflush liquid from the ear. Repeat this process until the Otoflush liquid coming out of the ear is clean. Wipe off any debris and excess liquid from the ear and ear opening. Remove any adherent ear exudate from the flush nozzle before replacing the cap. For routine ear cleaning repeat this procedure once weekly only. For use in conjunction with an antibiotic ear treatment, use as directed by your veterinarian.