ACUTE OTITIS MEDIA OF VARIOUS ETIOLOGIES
-Prompt relief of pain and reduction of inflammation in the congestive and serous stages. -Adjuvant therapy during systemic antibiotic administration for resolution of the infection.
REMOVAL OF CERUMEN
REMOVAL OF CERUMEN: Before: Instill Auralgan three times daily for two or three days to help detach cerumen from wall of canal and facilitate removal.
| Facilitate ear wax removal:
Mechanism of Action
Carbamide peroxide releases hydrogen peroxide which serves as a source of nascent oxygen upon contact with catalase. Softens impacted cerumen due to its foaming action
Dosage: [Otic preparation should not be used for >4 days.]
| Indications: CIPRODEX® Otic is indicated for the treatment of infections caused by susceptible isolates of the designated microorganisms in the specific conditions listed below: Acute Otitis Media in pediatric patients (age 6 months and older) with tympanostomy tubes due to Staphylococcus aureus, Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, and Pseudomonas aeruginosa.
Acute Otitis Externa in pediatric (age 6 months and older), adult and elderly patients due to Staphylococcus aureus and Pseudomonas aeruginosa.
Four drops (0.14 mL, 0.42 mg ciprofloxacin, 0.14 mg dexamethasone) instilled into the affected ear twice daily for seven days. The suspension should be warmed by holding the bottle in the hand for one or two minutes to avoid dizziness, which may result from the instillation of a cold suspension. The patient should lie with the affected ear upward, and then the drops should be instilled. The tragus should then be pumped 5 times by pushing inward to facilitate penetration of the drops into the middle ear. This position should be maintained for 60 seconds. Repeat, if necessary, for the opposite ear. Discard unused portion after therapy is completed.
The recommended dosage regimen for the treatment of acute otitis externa is: For patients (age 6 months and older): Four drops (0.14 mL, 0.42 mg ciprofloxacin, 0.14 mg dexamethasone) instilled into the affected ear twice daily for seven days. The suspension should be warmed by holding the bottle in the hand for one or two minutes to avoid dizziness, which may result from the instillation of a cold suspension. The patient should lie with the affected ear upward, and then the drops should be instilled. This position should be maintained for 60 seconds to facilitate penetration of the drops into the ear canal. Repeat, if necessary, for the opposite ear. Discard unused portion after therapy is completed.
Supplied: CIPRODEX® (ciprofloxacin 0.3% and dexamethasone 0.1%) Sterile Otic Suspension.
| Dosing: Otitis externa: The recommended dosage for all patients is three drops of the suspension in the affected ear twice daily for 7 days.
[Children >1 year of age and Adults: Otic: The recommended dosage for all patients is three drops of the suspension in the affected ear twice daily for seven day; twice-daily dosing schedule is more convenient for patients than that of existing treatments with hydrocortisone, which are typically administered three or four times a day]
Supplied: Otic suspension: Ciprofloxacin 0.2% and hydrocortisone 1% (10 ml)
| Duration of use should be limited to 10 days unless otherwise directed by the physician
Otic solution is used only for swimmer’s ear (infections of external auditory canal)
Suspension, otic: Neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone 10 mg per mL (10 mL)
Acute otitis media with tympanostomy tubes: Children 1-12 years: Instill 5 drops (or the contents of 1 single-dose container) into affected ear(s) twice daily for 10 days
Chronic suppurative otitis media with perforated tympanic membranes: Children >12 years and Adults: Instill 10 drops (or the contents of 2 single-dose containers) into affected ear twice daily for 14 days
Children >/= 13 years and Adults: Instill 10 drops (or the contents of 2 single-dose containers) into affected ear(s) once daily for 7 days
Floxin® Otic Singles™: 0.3% (0.25 mL) [contains benzalkonium chloride; packaged as 2 single-dose containers per pouch, 10 pouches per carton, total net volume 5 mL]
| Facilitate ear wax removal:
Mechanism of Action
CERUMENEX Eardrops emulsify and disperse excess or impacted earwax. The triethanolamine polypeptide oleate, a surfactant, in a hygroscopic vehicle lyses cerumen to facilitate removal by subsequent water irrigation.
| Indications: For the treatment of superficial infections of the external auditory canal caused by organisms susceptible to the action of the antimicrobial.
Supplied: Acetic Acid Otic Solution USP, 2% is supplied in 15 mL measured drop, safety-tip plastic bottles.)
National Institutes of Health, U.S. National Library of Medicine, DailyMed Database.
Provides access to the latest drug monographs submitted to the Food and Drug Administration (FDA). Please review the latest applicable package insert for additional information and possible updates. A local search option of this data can be found here.
The authors make no claims of the accuracy of the information contained herein; and these suggested doses are not a substitute for clinical judgment. 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.PLEASE READ THE DISCLAIMER CAREFULLY BEFORE ACCESSING OR USING THIS SITE. BY ACCESSING OR USING THIS SITE, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS SET FORTH IN THE DISCLAIMER. Read the disclaimer