Ear Wax Removal (otic)

Ear Wax Removal (for the ears) is used to soften and loosen ear wax, which helps make it easier to remove.

Ear Wax Removal may also be used for other reasons not mentioned in this medication guide.

You should not use Ear Wax Removal if you have a hole in your ear drum (ruptured ear drum), or if you have any signs of ear infection or injury, such as pain, warmth, swelling, drainage, or bleeding.

You should not use Ear Wax Removal if you are allergic to it, or if you have a hole in your ear drum (ruptured ear drum).

Ask a doctor or pharmacist if it is safe for you to use this medicine if you have other medical conditions, especially:

• recent ear surgery or injury;
• ear pain, itching, or other irritation;
• drainage, discharge, or bleeding from the ear; or
• warmth or swelling around the ear.

Ear Wax Removal should not be used on a child younger than 12 years old.

Get emergency medical help if you notice signs of an allergic reaction: hives; trouble breathing; swelling of your face, lips, tongue, or throat.

Ear Wax Removal may lead to serious side effects. Stop using Ear Wax Removal and contact your doctor immediately if you experience:

• dizziness; or
• new or worsening ear issues.

Common side effects of Ear Wax Removal may include:

• a foaming or crackling sound in the ear after using the ear drops;
• temporary decrease in hearing after using the drops;
• a mild feeling of fullness in the ear; or
• mild itching inside the ear.

This is not a complete list of side effects and others may happen. Contact your doctor for medical advice about side effects. You can report side effects to the FDA at 1-800-FDA-1088.

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Ear Wax Removal comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Wash your hands before and after using Ear Wax Removal.

To use the ear drops:

• Lie down or tilt your head with your ear facing upward. Open the ear canal by gently pulling your ear back, or pulling downward on the earlobe when giving this medicine to a child.
• Hold the dropper upside down over your ear and drop the correct number of drops into the ear.
• You may hear a bubbling sound inside your ear. This is caused by the foaming action of Ear Wax Removal, which helps break up the wax inside your ear.
• Stay lying down or with your head tilted for at least 5 minutes. You may use a small piece of cotton to plug the ear and keep the medicine from draining out. Follow your doctor's instructions about the use of cotton.
• Do not touch the dropper tip or place it directly in your ear. It may become contaminated. Wipe the tip with a clean tissue but do not wash with water or soap.

Ear Wax Removal may be packaged with a bulb syringe that is used to flush out your ear with water. To use the bulb syringe:

• Fill the syringe with warm water that is body temperature (no warmer than 98 degrees F). Do not use hot or cold water.
• Hold your head sideways with your ear over a sink or bowl. Gently pull your ear back to open the ear canal. Place the tip of the bulb syringe at the opening of your ear canal. Do not insert the tip into your ear.
• Squeeze the bulb syringe gently to release the water into your ear. Do not squirt the water with any force, or you could damage your ear drum.
• Remove the syringe and allow the water to drain from your ear into the sink or bowl.

Do not use Ear Wax Removal for longer than 4 days in a row. Call your doctor if you still have excessive earwax after using this medicine, or if your symptoms get worse.

Clean the bulb syringe by filling it with plain water and emptying it several times. Do not use soap or other cleaning chemicals. Allow the syringe to air dry.

Keep the medicine bottle tightly closed and store it in the outer carton at room temperature, away from moisture and heat.

Since Ear Wax Removal (otic) is used as needed, you might not have a dosing schedule. If you do have a schedule, take the missed dose as soon as you remember. If it's almost time for your next scheduled dose, skip the missed dose. Do not use extra medicine to make up for the missed dose.

An overdose of carbamide peroxide (otic) is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication.

Avoid getting Ear Wax Removal in your eyes or mouth.

Do not use other ear drops unless your doctor has told you to.

It is unlikely that other medications you take by mouth or inject will affect Ear Wax Removal used in the ears. However, many medications can interact with each other. Inform all your healthcare providers about all the medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.