Template:Otitis Externa Antibiotics: Difference between revisions

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#'''Floxin Otic''': 5 drops in affected ear BID x 7 days<ref name="CPGENT2014">Clinical Practice Guideline: Acute Otitis Externa Executive Summary. Otolaryngology -- Head and Neck Surgery 2014 150: 161 DOI: 10.1177/0194599813517659 [http://www.aepap.org/sites/default/files/otitis_externa_guia2014-rosenfeld-161-8_0.pdf PDF]</ref>
#'''[[Floxin otic]]''': 5 drops in affected ear BID x 7 days<ref name="CPGENT2014">Clinical Practice Guideline: Acute Otitis Externa Executive Summary. Otolaryngology -- Head and Neck Surgery 2014 150: 161 DOI: 10.1177/0194599813517659 [http://www.aepap.org/sites/default/files/otitis_externa_guia2014-rosenfeld-161-8_0.pdf PDF]</ref>
#*Safe with perforations
#*Safe with perforations
#'''Cipro HC Otic''': 3 drops in affected ear BID x 7 days  
#'''[[Cipro HC otic]]''': 3 drops in affected ear BID x 7 days  
#*Contains hydrocortisone to promote faster healing
#*Contains hydrocortisone to promote faster healing
#*Not safe with perforation
#*Not safe with perforation
#'''CiproDex''': 3 drops in affected ear BID x 7 days
#'''[[CiproDex]]''': 3 drops in affected ear BID x 7 days
#*Similar to Cipro HC but contains Dexamethasone
#*Similar to Cipro HC but contains [[dexamethasone]]
#*Also not recommended with perforations
#'''[[Cortisporin otic]]''' (neomycin/polymixin B/hydrocortisone)
#'''Cortisporin Otic''' (neomycin/polymixin B/hydrocortisone)
#*4 gtt in ear TID-QID x 7dy
#*4 gtt in ear TID-QID x 7dy
#*Use '''suspension''' (NOT solution) if possiblity of perforation
#*Use '''suspension''' (NOT solution) if possiblity of perforation
#*Animal studies suggest possible toxicity from the neomycin although rigorous data is lacking<ref>Wright, C. et al. Ototoxicity of neomycin and polymyxin B following middle ear application in the chinchilla and baboon. Am J Otol. 1987 Nov;8(6):495-9.</ref>
#*Animal studies suggest possible toxicity from the neomycin although rigorous data is lacking<ref>Wright, C. et al. Ototoxicity of neomycin and polymyxin B following middle ear application in the chinchilla and baboon. Am J Otol. 1987 Nov;8(6):495-9.</ref>

Revision as of 21:46, 25 June 2018

  1. Floxin otic: 5 drops in affected ear BID x 7 days[1]
    • Safe with perforations
  2. Cipro HC otic: 3 drops in affected ear BID x 7 days
    • Contains hydrocortisone to promote faster healing
    • Not safe with perforation
  3. CiproDex: 3 drops in affected ear BID x 7 days
  4. Cortisporin otic (neomycin/polymixin B/hydrocortisone)
    • 4 gtt in ear TID-QID x 7dy
    • Use suspension (NOT solution) if possiblity of perforation
    • Animal studies suggest possible toxicity from the neomycin although rigorous data is lacking[2]
  1. Clinical Practice Guideline: Acute Otitis Externa Executive Summary. Otolaryngology -- Head and Neck Surgery 2014 150: 161 DOI: 10.1177/0194599813517659 PDF
  2. Wright, C. et al. Ototoxicity of neomycin and polymyxin B following middle ear application in the chinchilla and baboon. Am J Otol. 1987 Nov;8(6):495-9.