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Otitis

Ear Possible therapeutic alternatives
External otitis (Swimmers ear)

NEW MONOGRAPHS
Common pathogens
Cortisporin (Hydrocortisone,  polymyxin, neomycin): Instill 4 drops into the affected ear qid or  
Ofloxacin (Floxin otic): instill 10 drops into the affected ear bid or
Cipro HC Otic: Instill 3 drops into the affected ear bid for 7 days.  
Acute malignant
otitis externa
Common pathogens
Cipro 500-750mg po q12h or Cipro 400mg IVPB q12h or
Ceftazidime 1-2g IVPB q8h or Cefepime 2g IVPB q12h or Imipenem 500mg ivpb q6h
Otitis media: Common pathogens
Amoxicillin 250-500mg po q8h or 
Augmentin 500mg po tid or 875 mg bid or
Ceclor 250-500mg po q8h or
Cefzil 250-500mg po q12h or 
Ceftin 250-500mg po q12h or 
Lorabid 400mg po q12h or 
Moxifloxacin 400mg po q24h or 
Vantin 100-200mg po q12h or 
Cedex 400mg po qd 
Alternatives (Penicillin allergic): Bactrim  or  Clarithromycin or Zithromax.
Pain relief (Acute otitis media)
Auralgan ® Otic Solution:  Instill Auralgan permitting the solution to run along the wall of the canal until it is filled. Avoid touching the ear with dropper. Then moisten a cotton pledget with Auralgan and insert into meatus. Repeat every one to two hours until pain and congestion are relieved.

Images

Otitis externa

References - Infectious Disease Section

Infectious Disease References

Disclaimer

The authors make no claims of the accuracy of the information contained herein; and these suggested doses are not a substitute for clinical judgement. Neither GlobalRPh Inc. nor any other party involved in the preparation of this program shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user's use of or reliance upon this material.
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