Do not use Otodex if you have an allergy to Otodex or any of the ingredients listed at the end of this leaflet. If it is almost time for your next dose, skip the dose you missed and use your next dose when you are meant to. If you have trouble remembering to use your medicine, ask your pharmacist for some hints. If you use too much Otodex Otodex Ear Drops is supplied as a sterile clear solution in a glass dropper bottle (Aust R 43840). Who distributes Otodex Authority to prescribe an Authority medicine is granted for specific indications and/or for certain patient circumstances. Authority may be obtained by telephone to Medicare Australia (known as "phone approval") or in writing from an authorised delegate of the Minister for Health.

These guidelines have been produced to guide clinical decision making for the medical, nursing and allied health staff of Perth Children’s Hospital. They are not strict protocols, and they do not replace the judgement of a senior clinician. Clinical common-sense should be applied at all times. These clinical guidelines should never be relied on as a substitute for proper assessment with respect to the particular circumstances of each case and the needs of each patient. Clinicians should also consider the local skill level available and their local area policies before following any guideline. Ear swabs are not required for simple otitis externa, they are unhelpful as the organisms grown on culture may or may not be true pathogens. Ear wax is a normal secretion of the ear. It is produced to provide a protective layer in the ear and on the ear drum. There are times when too much wax is produced. This can result in hearing difficulties and may cause pain. If your doctor or pharmacist tells you to stop using Otodex or the medicine has passed its expiry date, ask your pharmacist what to do with any that is left over. Following treatment, prophylaxis with 2% acetic acid drops (e.g. Aqua-ear) should be instilled after swimming and showering. These drops can also be used to prevent recurrences.Contraindicated in perforated tympanic membrane.For more information, including what to do if you have any side effects, see Section 6. Are there any side effects? in the full CMI. During therapy with Otodex, a possible increased need for insulin or antidiabetics should be considered in patients with diabetes. The hypoglycaemic reactions can be reduced. have allergies to any other medicines, especially antibiotics such as neomycin, paromomycin and kanamycin There are no available data on the presence of Otodex in human milk, milk production, or the effects on the breastfed infant. No conclusions can be drawn regarding whether or not Otodex is safe for use during breastfeeding. Otodex should be used during breastfeeding only if the potential benefits to the mother outweigh the potential risks, including those to the breastfed child. Like most aminoglycosides, Otodex is not recommended for use during pregnancy. Your doctor or pharmacist will discuss the risks and benefits of using it if you are pregnant.

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Sofradex ®, Otodex ® for bacterial infection. Refer to Ear, Nose, Throat and Dental Infections: Paediatric Empiric Guidelines - ChAMP Shaw KN & Bachur RG. Fleisher & Ludwig’s Textbook of Pediatric Emergency Medicine. 8thed. Philadelphia: Lippincott Williams & Wilkins, 2020. Do not leave it in the car on hot days or on window sills. Heat and dampness can destroy some medicines. Mechanism of action. Framycetin sulfate is a bactericidal antibiotic active against a wide variety of Gram-positive and Gram-negative bacteria commonly found in superficial infections; staphylococci (including strains resistant to other antibiotics), Pseudomonas aeruginosa, coliforms and pneumococci.