This liquid flush is formulated with ketoconazole to target yeast and fungal organisms on the skin and within the ear canal, while tromethamine works to help break down bacterial cell walls. A blend of ceramides, oat kernel extract, and glycerin helps condition the skin and support its natural barrier during cleansing. The solution carries no added fragrance, which helps reduce the chance of irritation on sensitive skin. It is intended for external use on the ears and skin of dogs and cats only. The liquid is applied directly with a cotton ball, gauze, or other absorbent material rather than requiring any setup. Shaking the bottle before each use helps keep the formula evenly mixed.