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Easotic

Hydrocortisone aceponate + Miconazole + Gentamicin · Virbac

1 form: ear drops. In force in Georgia: 1 of 1 (veterinary register).

Forms and doses1 of 1 in force in Georgia

The dose from the product's label, by species and weight. Check the label of the pack you use.

Form Species Dose Frequency Georgia
Ear drops · Dog Dog 1 ml
Otitis externa: 1 ml (one pump) into each affected ear once a day for 5 days. Clean and dry the canal first and check that the eardrum is intact. Not with other drugs that damage hearing; not in generalised demodicosis.
· once daily for 5 days
once daily for 5 days Georgia Yes, veterinary
Details: pack, label wording, sources, registration

Easotic, Ear drops

hydrocortisone aceponate 1.11 mg/ml + miconazole 15.1 mg/ml + gentamicin 1505 IU/ml, ear drops, suspension for dogs
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog
7.8/10
Good
vetman assessment

Easotic

hydrocortisone aceponate 1.11 mg/ml + miconazole 15.1 mg/ml + gentamicin 1505 IU/ml, ear drops, suspension for dogs
Assessed clinical scopeDog · Labelled topical treatment of susceptible mixed bacterial and fungal otitis externa in dogs after otoscopy and ear cleaning · Into the ear
Care settingVeterinary-diagnosed outpatient otitis treatment
vetman score 7.8/10 Good
Evidence confidence: High Georgia: Yes, veterinary · Verified on 18 Oct 2026

A practical, evidence-supported short-course option for correctly diagnosed susceptible canine otitis externa; never use through a perforated tympanum.

Regulatory and scientific credibility8.5/10

The exact three-component ear suspension has a current September 2026 UK SPC and active Georgian veterinary registration, plus comparative clinical trial evidence.

Clinical efficacy8.0/10

The corticosteroid-antifungal-aminoglycoside combination addresses inflammation and susceptible mixed infection, with controlled trial support; cytology and response should determine antimicrobial fit.

Safety and tolerability6.5/10

An intact tympanum is mandatory because gentamicin is potentially ototoxic; hypersensitivity, generalised demodicosis and concurrent ototoxic treatment are hard restrictions.

Clinical practicality8.5/10

One calibrated pump per affected ear once daily for five days is simple and short, provided the canal is first cleaned, dried and examined.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Never use with a perforated tympanum; examine the ear before treatment.
  • Do not combine with other ototoxic substances or use in generalised demodicosis.
  • Use cytology and clinical response to confirm that a gentamicin-miconazole combination is justified.
Assessment sources
Assessed: 21 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Hydrocortisone aceponate1.11 mg/ml Miconazole15.1 mg/ml Gentamicin1505 IU/ml
Formulation Type
Ear drops
Administration route
Into the ear
Manufacturer
Virbac · France
Registration
Georgia Yes, veterinary
EU Yes, veterinary
№ EU/2/08/085
Verified on: 18 Oct 2026
UK Yes, veterinary
№ Vm 05653/5002
Verified on: 18 Oct 2026
US Yes, veterinary
№ NADA 141-330
Verified on: 18 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 18 Oct 2026
DoseSpeciesWeightRouteFrequencySource
1 ml
Otitis externa: 1 ml (one pump) into each affected ear once a day for 5 days. Clean and dry the canal first and check that the eardrum is intact. Not with other drugs that damage hearing; not in generalised demodicosis.
Dog Any weight Into the ear once daily for 5 days
VMD SPC 2026
Official product label (SPC), VMD, UK
Approved by the UK Veterinary Medicines Directorate (VMD) as part of the product's authorisation. It applies to that product as authorised there.
Easotic ear drops, suspension for dogs (multidose) - Summary of Product Characteristics
UK Veterinary Medicines Directorate, 2026

Hydrocortisone aceponate: No dose supported by a publicly verifiable source yet

Miconazole: No dose supported by a publicly verifiable source yet

Gentamicin: No dose supported by a publicly verifiable source yet

Known Contraindications

  • Critical Gentamicin
    Do not use if hypersensitive to gentamicin or other aminoglycosides.
    Sources: UK SPC
  • Critical Hydrocortisone aceponate
    Do not apply hydrocortisone aceponate to skin ulcers; in the ear, not with a perforated eardrum.
    Sources: UK SPC
  • Critical Hydrocortisone aceponate
    Do not use if hypersensitive to hydrocortisone aceponate or excipients.
    Sources: UK SPC
  • Caution Hydrocortisone aceponate
    Under 7 months: glucocorticoids slow growth; use after a benefit-risk assessment with regular checks.
    Sources: UK SPC
  • Caution Hydrocortisone aceponate
    Cushing syndrome: use only after a benefit-risk assessment. Treat no more than about a third of the body surface.
    Sources: UK SPC
  • Caution Hydrocortisone aceponate
    Pregnancy: use only after a benefit-risk assessment.
    Sources: UK SPC
  • Caution Hydrocortisone aceponate
    Lactation: use only after a benefit-risk assessment.
    Sources: UK SPC
  • Critical Miconazole
    Do not use if hypersensitive to miconazole or other azole antifungals.
    Sources: UK SPC

All of this shows in vetman as you prescribe

The dose for the patient's weight, registration in Georgia and controlled status, right on the prescription.