Download A4Medicine Mobile App

Empower Your RCGP AKT Journey: Master the MCQs with Us! 🚀

A4Medicine

Otitis externa ( acute ) : topical treatment preparations

This table provides a comprehensive list of ear preparations, their recommended dosages, and notes that offer further insights or precautions related to each product

Product Name & ConcentrationIndications & DoseNotes
Aluminium acetate drops; combined acetic acid spray--
Prednisolone sodium phosphate 0.5% drops (Predsol®)Eczematous inflammation in otitis externa: 2–3 drops every 2–3 hrs, reduce when relief obtained.-
Betamethasone sodium phosphate 0.1% drops (Betnesol®, Vista-methasone®)--
Gentamicin 0.3% drops (Genticin®)--
Ciprofloxacin 2mg/ml (Ciloxan®, Cetraxal®)--
Clotrimazole 1% solution (Canesten®)Initial management of fungal infection: 2–3 times daily for at least 14 days after infection disappearance.Specialist referral if treatment fails.
Ciprofloxacin 0.3%, dexamethasone 0.1% ear dropsAcute otitis externa: Adults and children over 1 year, instil four drops in the affected ear(s) twice a day for 7 daysMay be preferred in cases of tympanic perforation (unlicensed indication). Manufacturer advises further evaluation if otorrhoea persists or if at least two episodes occur within 6 months.
Flumetasone 0.02%, clioquinol 1% ear dropsAcute otitis externa: Adults and children over 2 years, 2-3 drops into the ear twice daily for 7-10 daysCombines the anti-fungal and anti-bacterial properties of clioquinol with the anti-inflammatory activity...

Try our Free Plan to get the full article.