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.

Further information

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

Medical Disclaimer