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12.1 Drugs acting on the ear

12.1 Drugs acting on the ear


12.1.1 Otitis externa 
  Anti-inflammatory preparations with antibacterial
  GREEN       Locorten-Vioform® eardrops   
  GREEN      Betnesol® N ear drops
  GREEN      Otomize® ear spray    
                    
  Chronic/acute otitis media and otitis externa (necrotising) 
  RED          Ciprofloxacin 0.3%, dexamethasone 0.1% ear drops (Cilodex®) 
                          - ENT use only - not to be prescribed in Primary Care
  RED         Ciprofloxacin/fluocinolone  3mg/ml+ 0.25mg/ml ear drops  (Cetraxal Plus®)
                          -  ENT use only - not to be prescribed in Primary Care
  RED         Triamcinolone, Neomycin sulfate, gramicidin, nystatin  (Otocomb® ointment) 
                         -  ENT use only - off license use, not to be prescribed in Primary Care
 
                   NOTE: Ciprofloxacin eye drops 0.3% should not be prescribed in primary care for the ear
 
  Acute otitis media 
  GREEN     Phenazone 40mg/lidocaine hydrochloride 10mg [Otigo® ear drops, solution]
 
  The BNF considers the following product to be less suitable for prescribing. 
  GREEN      Sofradex®ear/eye drops     
 
  Anti-infective preparations 
  Use of gentamicin is contraindicated in those with perforated ear-drum.  
  See BNF section for further advice. 
 
  GREEN      Gentamicin ear/eye drops 0.3% 
  RED           Clotrimazole 1% drops (specialist use only)   
   
 
 12.1.3 Removal of ear wax
  Wax can be softened with simple remedies prior to syringing. 
  GREEN      Olive Oil 
  GREEN      Sodium Bicarbonate 5% ear drops    


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