Antipyrine / Benzocaine Otic Dosage

Usual Adult Dose for Otitis Media

Apply an amount of solution sufficient to fill the affected ear canal, repeated every 1 to 2 hours until congestion and pain are relieved

Comments:

• The US FDA has notified manufacturers to stop marketing products to be used for the relief of ear pain and swelling; this drug contains an active ingredient that has not been evaluated for effectiveness, quality, and safety.
• A cotton pledget should be moistened with the solution and inserted into the meatus after instillation.

Uses:

• Adjuvant therapy during systemic antibiotic administration for resolution of the infection
• Prompt relief of pain and reduction of inflammation in the congestive and serous stages

Usual Adult Dose for Cerumen Removal

Before cerumen removal: Apply an amount of solution sufficient to fill the affected ear canal 3 times a day for 2 to 3 days prior to cerumen removal

After cerumen removal: This drug may be used to dry the ear canal and/or relieve discomfort.

Comments:

• The US FDA has notified manufacturers to stop marketing products to be used for the relief of ear pain and swelling; this drug contains an active ingredient that has not been evaluated for effectiveness, quality, and safety.
• Before and after cerumen removal, a cotton pledget should be moistened with the solution and inserted into the meatus after instillation.
• This drug can help detach cerumen from the wall of the ear canal to facilitate removal.

Use: Facilitates the removal of excessive/impacted cerumen

Usual Pediatric Dose for Otitis Media

Children: Apply an amount of solution sufficient to fill the affected ear canal, repeated every 1 to 2 hours until congestion and pain are relieved

Comments:

• The US FDA has notified manufacturers to stop marketing products to be used for the relief of ear pain and swelling; this drug contains an active ingredient that has not been evaluated for effectiveness, quality, and safety.
• A cotton pledget should be moistened with the solution and inserted into the meatus after instillation.

Uses:

• Adjuvant therapy during systemic antibiotic administration for resolution of the infection
• Prompt relief of pain and reduction of inflammation in the congestive and serous stages

Usual Pediatric Dose for Cerumen Removal

Children:
Before cerumen removal: Apply an amount of solution sufficient to fill the affected ear canal 3 times a day for 2 to 3 days prior to cerumen removal

After cerumen removal: This drug may be used to dry the ear canal and/or relieve discomfort.

Comments:

• The US FDA has notified manufacturers to stop marketing products to be used for the relief of ear pain and swelling; this drug contains an active ingredient that has not been evaluated for effectiveness, quality, and safety.
• Before and after cerumen removal, a cotton pledget should be moistened with the solution and inserted into the meatus after instillation.
• This drug can help detach cerumen from the wall of the ear canal to facilitate removal.

Use: Facilitates the removal of excessive/impacted cerumen

Renal Dose Adjustments

Data not available

Liver Dose Adjustments

Data not available

Precautions

CONTRAINDICATIONS:

• Hypersensitivity to either active component, related substances, or to any of the ingredients
• In the presence of discharge
• In the presence of spontaneous perforation of the tympanic membrane

Consult WARNINGS section for additional precautions.

Dialysis

Data not available

Other Comments

Administration advice:

• The vial should be warmed in the hands for 1 to 2 minutes prior to administration to avoid dizziness associated with instillation of a cold solution into the ear canal.
• When instilling drops, patients should avoid touching the ear canal with the dropper tip.
• Once the dose is administered, patients should moisten a cotton ball/cotton pledget/cotton wool with this drug and insert it into the meatus.

Storage requirements:

• Protect from freezing, heat, and light.

General:

• The US FDA has notified manufacturers to stop marketing products to be used for the relief of ear pain and swelling; this drug contains an active ingredient that has not been evaluated for effectiveness, quality, and safety.
• Limitation of use: This drug should be used in the ears only.
• Otitis media is a common problem in children, in whom the eustachian tube (located near the nasal cavity) is shorter, wider, and more horizontal compared to adults.

Patient advice:

• Advise patients to speak to their healthcare provider if they become pregnant, intend to become pregnant, or are breastfeeding.

See also:

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer