NEOMYCIN/COLISTIN/HYDROCORTISONE/THONZONIUM SUSPENSION - OTIC

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NEOMYCIN/COLISTIN/HYDROCORTISONE/THONZONIUM SUSPENSION - OTIC

PHONETIC PRONUNCIATION: (nee-oh-MY-sin/koh-LIH-stin/hi-dro-KOR-tih-sown/thon-ZHO-nee-um)

COMMON BRAND NAME(S): Cortisporin-TC

GENERIC NAME(S): neomycin sulf/colistin sul/hydrocortisone ac/thonzonium brom

Uses

USES: This ear drop is used to treat outer ear infections caused by bacteria (also known as swimmer's ear). This product contains neomycin and colistin, which are antibiotics that work by stopping the growth of bacteria. It also contains hydrocortisone, which is an anti-inflammatory corticosteroid that works by reducing ear swelling and discomfort, and thonzonium, which helps this medication pass through dead cells and pus inside the ear. This medication treats only bacterial ear infections. It will not work for other types of ear infections. Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness.


How to use NEOMYCIN/COLISTIN/HYDROCORTISONE/THONZONIUM SUSPENSION - OTIC

HOW TO USE: This medication is usually used 3 or 4 times a day or as directed by your doctor. The ear canal should be clean and dry before using this medication. For accuracy and to avoid contamination, have another person insert the drops if possible. Before using, hold the container in your hand for a few minutes in order to warm it. This will minimize dizziness. To apply ear drops, wash your hands first. To avoid contamination, do not touch the dropper tip or let it touch your ear or any other surface. Shake the container well before using. Lie on your side with the treated ear upward. Hold the dropper directly over the ear and place the prescribed number of drops into the ear canal. To help the drops roll into the ear of an adult, hold the earlobe up and back. For children, hold the earlobe down and back. Keep the head tilted with the treated ear upward for 5 minutes or insert a soft cotton plug if so directed. Another way to give this medication is to place a cotton wick in the ear canal and moisten it with the prescribed number of drops as often as directed. The wick should be replaced at least once a day. Repeat the above steps for the other ear if so directed. Do not rinse the dropper. Replace the cap after use. Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same times each day. Continue using it for the full time prescribed, even if symptoms disappear after a few days. Stopping this medication too early may allow bacteria to continue to grow, which may result in a relapse of the infection. Do not use this medication more often than prescribed or continue to use it for longer than 10 days. Inform your doctor if your condition persists or worsens. Do not use in the eye.

Side Effects

SIDE EFFECTS: This medication may temporarily sting or burn your ear for a minute or two when applied. If these effects persist or worsen, notify your doctor or pharmacist promptly. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor right away if this rare but very serious side effect occurs: hearing problems (e.g., hearing loss). Use of this medication for prolonged or repeated periods may result in a new fungal ear infection. Do not use it for longer than prescribed. Contact your doctor if you notice new or worsening symptoms. A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), redness of the ears, severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

PRECAUTIONS: Before using this medication, tell your doctor or pharmacist if you are allergic to neomycin, colistin, hydrocortisone, or thonzonium; or to aminoglycoside antibiotics (e.g., gentamicin, tobramycin); or to corticosteroids (e.g., dexamethasone, prednisone); or if you have any other allergies. This product may contain inactive ingredients (such as preservatives like thimerosal), which can cause allergic reactions or other problems. Talk to your pharmacist for more details. This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: other ear problems (e.g., a hole in your eardrum, middle ear infection), an ear infection caused by a virus (e.g., herpes simplex, varicella). Before using this medication, tell your doctor or pharmacist your medical history. This medication should be used only if clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known whether this medication passes into breast milk. Consult your doctor before breast-feeding.

Interactions

DRUG INTERACTIONS: Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it. Do not start, stop or change the dosage of any medicine before checking with them first. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

Overdose

OVERDOSE: If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. This medicine may be harmful if swallowed.

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Faq for NEOMYCIN/COLISTIN/HYDROCORTISONE/THONZONIUM SUSPENSION - OTIC

Neomycin/Colistin/Hydrocortisone/Thonzonium Suspension - Otic is used to treat bacterial infections of the ear.

It works by killing or inhibiting the growth of the bacteria causing the infection. The hydrocortisone component reduces inflammation, and thonzonium acts as a surfactant to aid in the removal of debris from the ear canal.

Shake the bottle well before use. Tilt your head to the side, and gently pull your earlobe upward and backward to straighten the ear canal. Administer the prescribed number of drops into the ear canal, and keep your head tilted for a few minutes to allow the medication to reach the infection site.

Common side effects may include itching, redness, burning, or stinging sensation in the ear. In rare cases, it may cause allergic reactions or hearing loss. Contact your healthcare provider if you experience any severe or persistent side effects.

No, you should not use this medication if you have a perforated eardrum as it may cause damage to the middle ear. Consult your doctor before using any medication if you have a perforated eardrum.

This medication is generally safe for use in children, but it is important to follow the dosage instructions provided by your doctor. Consult a pediatrician before using it in infants or young children.

You should use it for the full prescribed duration, even if your symptoms improve before that. Discontinuing the medication prematurely may result in a recurrence of the infection.

Avoid using other ear drops or medications unless specifically instructed by your doctor. They may interact with each other and affect the effectiveness of the treatment.

If you miss a dose, apply it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule.

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Disclaimer

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.