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I find this a very effective ear cleaner and easy to use.
I used it for a few days according to instructions then my dog was sick so stopped using the water additive in case that caused the problem. My dogs stomach settled. There's no advice on the label on possible reactions.
My older dog was violently sick a couple of hours after taking it.
These joint tablets are so good for my dogs. And easy to order and much more cost friendly.
My dog loves it and that's the main thing.