Otic + Dry Eye

Excessive/Impacted cerumen - Pharm

Carbamide peroxide 6.5% in anhydrous gelatin Only FDA approved nonprescription product to soften earwax 5-10 drops are instilled into the affected ear Solution should remain in EAC for several minutes for effective softening of earwax Use a otic bulb to gently rinse any remaining cerumen afterwards May be administered twice daily for up to 4 days.  Patients should contact a primary care provider if symptoms persist after 4 days of use, if adverse effects develop, or if the presence of infection is suspected ADR: include pain, rash, irritation, tenderness, redness, discharge, and dizziness

Water clogged ears - Pharm

• Isopropyl alcohol 95% in anhydrous gelatin 5%

  • Instill 4-5 drops in the affected ear

  • Leave in place for 1-2 minutes

Exclusion Criteria

• Signs of infection (irritation or rash)

• Pain associated with ear discharge

• Bleeding or signs of trauma

• Presence of ruptured tympanic membrane

• Ear surgery within prior 6 weeks

• Tympanostomy tubes present

• Incapable of following proper instructions

• Hypersensitivity to recommended agents

• >12 years old

• Worsening of condition after attempted self-treatment

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