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because of symptoms :

Itching of the ears, head and neck
Excessive scratching at ears and around head
Frequently shaking the head
Thick red-brown or black crusts in the outer ear
Coffee ground like bumps in the ear canal
Those could also just be signs of an ear infection with yeast or bacteria. Since Ivermectin is NOT safe for all dogs, do NOT decide to give it on your own. Have the vet see if it's an infection or mites and get appropriate treatment.
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