Follow the instructions provided by your doctor when Otodex was prescribed, including the number of days it should be used. Talk to your doctor if you are breastfeeding or intend to breastfeed. 3. What if I am taking other medicines?

Otodex contains the active ingredients framycetin sulfate, gramicidin and dexamethasone. Otodex is used to treat infection or inflammation of the ear. Otodex contains antibiotics (framycetin sulfate and gramicidin) to kill germs and a corticosteroid (dexamethasone) to stop inflammation, itching and weeping. These types of liquid solution usually allow you to be fairly liberal with how much solution you put in your pup’s ears, however they work in the same way as normal ear drops. Again this can get quite messy! Ear Powder/ Canker PowderYes, like many medications, dog ear cleaner does have a best before date and can eventually become less effective. Your doctor may decide to adjust your dosage if necessary or ask you to use Otodex in a different way, according to his or her judgment.

However there are several types of dog ear cleaner available and you may find your dog has a preference in terms of what is most comfortable, and you may also find that certain types provide a much faster or effective clean than others. If you have trouble remembering to use your medicine, ask your pharmacist for some hints. If you use too much Otodex To guide PCH ED staff with the assessment and management of otitis externa in children who present to the Emergency Department.Gentamicin and other aminoglycosides cross the placenta. There is evidence of selective uptake of aminoglycosides by the fetal kidney resulting in damage (probably reversible) to immature nephrons. Eighth cranial nerve damage has also been reported following in utero exposure to some of the aminoglycosides. Sofradex ®, Otodex ® for bacterial infection. Refer to Ear, Nose, Throat and Dental Infections: Paediatric Empiric Guidelines - ChAMP you are allergic to framycetin sulfate, gramicidin, dexamethasone, or any of the ingredients listed at the end of this leaflet. Topical treatment should be used instead of oral antibiotics (topical antibacterial/corticosteroid combinations are usually first line).

Visual disturbance may be associated with systemic and topical corticosteroid use. If a patient presents with symptoms such as blurred vision or other visual disturbances, the patient should be considered for referral to an ophthalmologist for evaluation of possible causes which may include cataract, glaucoma or rare diseases such as central serous chorioretinopathy (CSCR) (see Section 4.8 Adverse Effects (Undesirable Effects)). There have been reported cases of ototoxicity with aminoglycosides administered to patients with mitochondrial mutations, particularly the m.1555A > G mutation, which suggests an increased risk of ototoxicity in these patients, including cases where the patient's aminoglycoside serum levels were within the recommended range. Some cases were associated with a maternal history of deafness and/or mitochondrial mutation. Mitochondrial mutations are rare, and the penetrance of this observed effect is unknown. know (or think) you have a mitochondrial disease (mutations in the parts of your cells which help make energy). These diseases may increase your risk of hearing loss with this product. have allergies to any other medicines, especially antibiotics such as neomycin, paromomycin and kanamycinTo use, tilt your head so that the affected ear is uppermost. Position the rubber dropper directly above the ear hole. With the bottle tipped upside down, gently squeeze the rubber dropper until 2 or 3 drops fall into the ear. Keep your head tilted for about a minute to allow the drops to penetrate deep into the ear. Some drugs may have Authority Required (Streamlined) status which does not require an explicit approval from Medicare, instead the doctor can use the Authority code found in the published Schedule for a given drug/indication. You should do this even if there are no signs of discomfort or poisoning. 5. What should I know while using Otodex? Things you should do

Do not use Otodex if you have an allergy to Otodex or any of the ingredients listed at the end of this leaflet. 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.

Specially developed ear drops for cats and dogs to assist with skin and ear problems.

Paediatric use. Although it is unlikely that infants will be treated with Otodex for prolonged periods, there is a risk of adrenal suppression, even without occlusive dressings, after prolonged treatment of these patients with topical steroids. For infections, Vet Organics Eco Ears is a great choice, as it uses no harmful ingredients and utilises plant-based products to naturally combat all dog ear issues! Similar to eye drops or human ear drops, this type of cleaner is simple to use and allows you to administer a few drops of solution into your dog’s ear canal, before massaging the base of the ear to help distribute it through the inner structure of the canal. This helps dissolve wax build up and debris trapped in the ear hole. Downsides to ear drops is that they can be quite messy, as a canine will naturally want to shake their head to rid their ears of excess liquid. Ear Wash Hypersensitivity to the active substances (see Section 2 Qualitative and Quantitative Composition) or to any of the excipients listed in List of Excipients. Do not use Otodex if you are pregnant or intend to become pregnant. Like most aminoglycosides, Otodex is not recommended for use during pregnancy.