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Cortane-B (otic)

Generic name: chloroxylenol, hydrocortisone, and pramoxine (otic) [ KLOR-oh-ZYE-le-nol, HYE-droe-KOR-ti-sone, pra-MOX-een ]
Brand names: Cortane-B, Cortane-B Aqueous, Cortane-B Otic, Pramox-HC otic
Drug class: Otic steroids with anti-infectives

Medically reviewed by on Aug 16, 2023. Written by Cerner Multum.

What is Cortane-B otic?

Chloroxylenol is an antibiotic that treats infections caused by bacteria or fungus.

Hydrocortisone is a steroid. It reduces the actions of chemicals in the body that cause inflammation.

Pramoxine is a topical anesthetic. It works by interfering with pain signals sent from the nerves to the brain.

Cortane-B (for the ear) is a combination medicine used to treat infections in the ear canal, and to relieve the symptoms of itching or swelling. Cortane-B will not treat an inner ear infection (also called otitis media).

Medicinal use of this product to treat ear infections has not been approved by the FDA. Cortane-B should not be used in place of medication prescribed for you by your doctor.

Cortane-B may also be used for purposes not listed in this medication guide.

Cortane-B otic side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Although the risk of serious side effects is low when this medicine is used in the ears, side effects can occur if hydrocortisone is absorbed into your bloodstream.

Steroid medicine absorbed through the skin inside your ears can cause steroid side effects throughout the body, such as: thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

Stop using this medicine and call your doctor at once if you have severe burning or other irritation after using the ear drops.

Common side effects may include mild stinging or burning with the first use.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


Medicinal use of this product to treat ear infections has not been approved by the FDA.

You should not use Cortane-B if you have a hole in your ear drum (ruptured ear drum), or if you also have chickenpox or cowpox.

Before taking this medicine

You should not use this medicine if you are allergic to chloroxylenol, hydrocortisone, or pramoxine or if you have:

To make sure this medicine is safe for you, tell your doctor if you have:

It is not known whether Cortane-B will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medicine.

It is not known whether this medicine passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

Do not give this medicine to a child without medical advice. Children can absorb larger amounts of this medicine through the ear canal and may be more likely to have side effects.

How should I use Cortane-B otic?

Follow all directions on your prescription label. Do not use Cortane-B in larger or smaller amounts or for longer than recommended.

For best results, remove any ear wax or other debris before using this medicine. Ask your doctor about safe methods of ear wax removal.

To use the ear drops:

Do not touch the dropper tip or place it directly in your ear. It may become contaminated. Wipe the tip with a clean tissue but do not wash with water or soap.

Call your doctor if your symptoms do not improve after 10 days of treatment.

Do not use Cortane-B to treat any ear condition that has not been checked by your doctor.

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

An overdose of Cortane-B is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication.

What should I avoid while using Cortane-B otic?

This medicine is for use only in the ears. Avoid getting the medicine in your eyes, mouth, and nose, or on your lips. Rinse with water if this medicine gets in or on these areas.

Do not use other ear medications unless your doctor tells you to.

What other drugs will affect Cortane-B otic?

It is not likely that other drugs you take orally or inject will have an effect on Cortane-B used in the ears. But many drugs can interact with each other. Tell each of your healthcare providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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