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When the status of the ear drum is unclear (perhaps because it is hard to see) we favor using a non-ototoxic antibiotic otic drop based on a floxin such as ciprofloxin or floxin. We advise against putting in drops containing alcohol or an ototoxic antibiotic if one is unsure as to the status of the tympanic membrane (ear drum). It is indicated for the treatment of lack or loss of strength and energy, weakness and prevention & treatment of ischemic neurological deficits. Ocumox ophthalmic solution is indicated for the treatment of bacterial conjunctivitis caused by the susceptible strains of the microorganisms. Nosolone-AQ nasal spray is indicated for the treatment of the nasal symptoms of seasonal and perennial allergic rhinitis in adults and children 12 years of age or older.
Nebra is indicated for the treatment of infections of the external eye and its adnexae caused by susceptible bacteria e.g.
For steroid-responsive inflammatory ocular conditions for which a corticosteroid is indicated and where bacterial infection or a risk of bacterial ocular infection exists, For inflammatory conditions of the palpebral and bulbar conjunctiva, cornea and anterior segment of the globe where the inherent risk of steroid use in certain infective conjunctivitis is accepted to obtain a diminution in oedema and inflammation. Ofloxacin otic is used to treat outer ear infections in adults and children, chronic (long-lasting) middle ear infections in adults and children with a perforated eardrum (a condition where the eardrum has a hole in it), and acute (suddenly occurring) middle ear infections in children with ear tubes.
Antifungals or Burows solution (a mixture of acetic acid, aluminum sulfate and calcium carbonate) are generally used in this instance. If the TM is broken, the drops may get into the middle ear and cause hearing loss, dizziness or or severe pain. For chronic anterior uveitis and corneal injury from chemical, radiation or thermal burns, or penetration of foreign bodies.


There are many other ear drops that can be used if one is sure that the eardrum is intact (preferably with direct visualization).
This can be due to some thick, dry skin building up in your ear canal which then narrows it.
Causes of chronic otitis externa include: Sensitive ears If you get water, shampoo, soap, hairspray, etc, in your ears it may cause irritation or itch.
The inflammation and infection cause more itch, you then scratch which makes things worse, etc. So, despite treatment, the infection may continue if you continue to poke or scratch your ear.
Therefore: Try not to scratch or poke the ear canal with fingers, cotton wool buds, towels, etc. You can do this when you have a shower by placing a piece of cotton wool coated in soft white paraffin (eg Vaseline®) into the outer ear. Some swimmers use silicone rubber earplugs, but only use them if they do not irritate the skin in your ear canal. However, if the discharge is heavy, you may need to place some cotton wool lightly in the outer part of the canal to mop up the discharge. A change to a different type of ear drop may be advised if you have used the first one correctly, but there has been little improvement after a week or so. This may help to identify which germ is causing the infection, and which antibiotic is best to use against this germ.


They do this by using cotton wool on the end of a special stick which is gently pushed inside the ear canal to mop up any discharge or debris. You may need a regular clear-out of discharge every few days or so until the otitis externa has gone. Fungal germs are not killed by antibiotics - in fact antibiotic and steroid ear drops can make a fungal infection worse. A fungal infection may be suspected if an otitis externa does not clear with the usual treatment. The symptoms in the ear may be similar to an infection, but bacteria or fungal germs are not the cause. This is uncommon, but the inflammation in the ear may flare up now and then just as skin disorders flare up from time to time.
It is less likely to recur if you follow the advice given above in the section 'sensitive ears'.
The most important thing is to avoid scratching or poking the ear canal with fingers, towels, cotton wool buds or anything else.



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08.05.2014 admin



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