Indication

Inflammation of the external ear

Administration

Instill ear drops directly into the auditory canal of the affected ear. Patient should be seated or lying down with the treated ear turned upwards during application. Maintain this position for at least 1-2 minutes after application.

Adult Dose

Otic/Aural\r\nInflammation of the external ear with suspected secondary infection\r\nAdult: Instill 2-3 drops bid directly into the auditory canal of the affected ear. Recommended treatment duration: 7-10 days. Patient should be seated or lying down with the treated ear turned upwards during application. Maintain this position for at least 1-2 minutes after application.

Contraindication

Hypersensitivity to any component of the formulation or iodine. Primary bacterial, viral or fungal infections of the outer ear. Tympanic membrane perforation. Children <2 yr.

Mode of Action

Flumetasone pivalate is a moderately potent glucocorticoid, usually used for local application. It has an anti-inflammatory, anti-allergic, vasoconstrictive and anti-proliferative effect. Clioquinol, is a bacteriostatic agent that is active against a broad spectrum of pathogenic micro-organisms, including fungi and gram-positive bacteria (e.g. staphylococci). It has only a moderate inhibitory effect on gram-negative bacteria.

Precaution

Prolonged use may lead to adrenal suppression. Preparation should not come into contact with the conjunctiva. Discontinue treatment if there is severe irritation or sensitisation or if there is no improvement after 1 wk of application. Pregnancy and lactation.

Side Effect

May cause irritation at the site of application such as burning sensation, itching or skin rash. May cause hair discolouration.