CETRAXAL 2MG/ML EAR DROPS SOLUTION
Active substance(s): CIPROFLOXACIN HYDROCHLORIDE
ear drops solution
Read all of this leaflet carefully before you start using this medicine because it contains
important information for you.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others. It may harm
them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible
side effect not listed in this leaflet. See section 4.
What is in this leaflet
1. What Cetraxal is and what it is used for.
2. What you need to know before you use Cetraxal.
3. How to use Cetraxal.
4. Possible side effects.
5. How to store Cetraxal.
6. Contents of the pack and other information.
WHAT CETRAXAL IS AND WHAT IT IS USED FOR
Cetraxal 2mg/ml ear drops solution is a solution for auricular use (in the ear) that contains
ciprofloxacin, the active substance which is an antibacterial agent belonging to the group of
fluoroquinolones. Ciprofloxacin works by killing bacteria that cause infections. Cetraxal 2mg/ml
ear drops solution is indicated for the treatment of acute external otitis of bacterial origin in adults
and children older than 1 year where the eardrum is still intact (see section 2. What you need to
know before you use Cetraxal).
WHAT YOU NEED TO KNOW BEFORE YOU USE CETRAXAL
Do not use Cetraxal:
• if you are allergic (hypersensitive) to ciprofloxacin, to any member of the quinolone class of
antimicrobial agents or any of the other ingredients of this medicine (listed in section 6).
Warnings and Precautions
• Once treatment has begun, if you develop urticaria (hives), skin rash or any other allergic
symptoms (e.g. sudden swelling of face, throat or eyelids, respiratory difficulty), you must stop
treatment immediately and you should consult with your doctor. Serious hypersensitivity
reactions may need immediate emergency treatment.
• This preparation should only be applied to the ear. It should not be swallowed, injected or
inhaled. It should not be used in the eye.
• Tell the doctor if the symptoms do not improve within one week of starting treatment.
• As with all antibiotics, sometimes additional infections may occur caused by organisms which
are not affected by ciprofloxacin. In case of such infection appropriate treatment should be
started by your doctor.
• Cetraxal 2mg/ml ear drops solution should be used with caution in patients with known or
suspected perforation, or where there is a risk of perforation of the tympanic membrane.
Other medicines and Cetraxal
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other
medicines, including medicines obtained without a prescription. The use in conjunction with other
ear preparations is not recommended.
Pregnancy, breast-feeding and fertility
Cetraxal can be used during pregnancy and during breast-feeding.
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby,
ask your doctor or pharmacist for advice before taking this medicine.
Driving and using machines
Cetraxal does not affect the ability to drive vehicles or operate dangerous machinery.
HOW TO USE CETRAXAL
Always use this medicine exactly as your doctor has told you. Check with your doctor or pharmacist
if you are not sure.
This medicine is intended to be administered into the ear. It should not be swallowed, injected
The recommended dose is for children (age 1 year and older) and adults, the contents of 1 single
ampoule should be instilled into the affected ear twice daily for seven days.
Warm the solution, by holding the ampoule in the hand for several minutes, to avoid the dizziness
that may result from the instillation of a cold solution into the ear canal. Lie with the affected ear
upward and then instil the drops pulling several times on the auricle. Maintain the position for
around 5 minutes, to facilitate penetration of the drops into the ear. When you stand up again, some
drops can fall out. You can dry them with a non-sterile absorbent paper. Repeat, if necessary, for
the opposite ear.
If the auditory canal is narrow, the medicine can be made to reach the eardrum by pulling the
It is of the most importance to follow this instruction to have a good efficacy of the drug in your
ear. When you instil ear drops, maintaining your head vertically or moving your head too rapidly
will cause you to lose a part of the drug because drops are going to run down on your face and do
not go into the depth of the auditory canal.
Discard the single-dose container after the use. Do not keep it for subsequent use.
If you use more Cetraxal than you should
Since this is a single-dose preparation, an accidental overdose is unlikely. In any case you should
contact your doctor or pharmacist for advice.
If you forget to use Cetraxal
Do not use a double dose to make up for a missed one.
If you forget to apply your drops, apply the correct dose when you remember or if it is close to your
next application then wait until this time.
If you stop using Cetraxal
It is very important to use these eardrops for as long as the doctor has instructed, even if the
symptoms improve. Do not interrupt your treatment before time, as the infection could return.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Uncommon: may affect up to 1 in 100 people:
• Ear pruritus (itching), ringing in the ears.
• Local skin reactions or irritation (Dermatitis)
• Pain in the application site
Very rare: may affect up to 1 in 10,000 people:
• Blistering and tissue break down (Toxic epidermolysis)
• Redness and scaling of the skin (Exfoliative dermatitis)
• Serious allergic reaction with fever, red patches, joint pain and/or eye problems
• Skin allergy with development of itchiness and wheals (Urticaria)
If you consider that any of the side effects you suffer are serious, or if you notice any side effects
not listed in this leaflet, please tell your doctor or pharmacist.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects
not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme
(website: www.mhra.gov.uk/yellowcard). By reporting side effects, you can help provide more
information on the safety of this medicine.
HOW TO STORE CETRAXAL
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the package. The expiry date
refers to the last day of that month.
Store below 30°C in the original package, in order to protect from light.
The ampoule contents should be used immediately after opening the single dose ampoule. Any
unused contents should be discarded.
Once the pouch is opened, use by 8 days.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist
how to dispose of packaging and medicines no longer required. These measures will help protect
CONTENTS OF THE PACK AND OTHER INFORMATION
What Cetraxal contains
• The active substance is ciprofloxacin as hydrochloride.
1ml solution contains 2mg of ciprofloxacin as hydrochloride. Each ampoule delivers 0.25ml
of solution that contains 0.58mg of ciprofloxacin hydrochloride corresponding to 0.50mg of
• The other ingredients are povidone-K-90-F (E1201), glycerol (E422), purified water and
sodium hydroxide (E524) and/or lactic acid (E270) for pH-adjustment.
What Cetraxal looks like and contents of the pack
Cetraxal is a clear ear drops solution contained in ampoules. The ampoules are packed in an
aluminium foil overwrap pouch for protection. Each pack contains 15 ampoules.
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder
Laboratorios SALVAT, S.A.
C/ Gall, 30-36
08950 Esplugues de Llobregat
Laboratorios SALVAT, S.A.
C/ Gall, 30-36
08950 Esplugues de Llobregat
This leaflet was last revised in 05/2017.
Date of first artwork:
Reason for request:
Date of revision:
Aspire Pharma Limited
Cetraxal 2mg/ml ear drops solution
375mm x 130mm
Dimensions and style supplied
4 May 2017
Artwork in User Tested style: layout edit
11 May 2017
8 on 9pt Times New Roman
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.