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You would think that the instructions would make more
sense
Just for fun, I guess that they are only missing at the end of the first sentence just a comma which would behave like an "or".
If confirmed than it would be: 2 tablets orally or 1 topically (in the ear).
1 tablet in the ear may indicate a veterinary prescription for a dog, just as an example.
No idea why just the left ear is pointed to, but that could have a trivial reason too.
 
a proctologist

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