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With .5% hydrocortisone Highly effective in the management of acute and chronic otitis due to bacterial, fungal and yeast infections. Works without antibiotics. The powerful enzymatic action of patented LP3 Enzyme system naturally cleans and disinfects while destroying even the most resistant microbes. Broad spectrum, tested proven against: Pseudomonas Malassezia pachydermatitis Methicillin Resistant Staphylococcus aureus Staphylococcus aureus Candida albicans Proteus mirabilis Eschericha coli Streptococcus intermedius Streptococcus pyogenes