Red ear drops

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Otofa drops - official instructions for use

Registration number:

Dosage form:

Rifamycin sodium 2.6 g, which corresponds. M.E.

Excipients: macrogol 400, ascorbic acid, sodium edetate, potassium metabisulfite, lithium hydroxide, purified water

Table of contents:

Description: transparent liquid of red-orange color.

Pharmacotherapeutic group:

Antibiotic from the rifamycin group for local use in otolaryngology. The mechanism of action of rifamycin is associated with the formation of a stable complex with DNA-dependent RNA polymerase, which prevents bacterial growth. Active against most gram-positive and gram-negative bacteria that cause the development of infectious and inflammatory diseases of the middle ear.

Indications for use

Acute external otitis; exacerbation of chronic otitis media (including in the presence of persistent perforation of the eardrum); conditions after surgical interventions on the middle ear.

Hypersensitivity to rifamycin. With caution: pregnancy.

Adults: instill 5 drops into the ear 3 times a day or pour the drug into the ear for a few minutes 2 times a day.

The drug can be used to rinse the tympanic cavity through an attic cannula.

For children: drop 3 drops into the ear 3 times a day or pour the drug into the ear for a few minutes 2 times a day.

The duration of treatment is no more than 7 days.

Before using ear drops, it is recommended to warm the bottle by holding it in your hand to avoid discomfort associated with cold liquid getting into the ear.

Local reactions: pink coloration of the eardrum (visible during otoscopy). Rarely - skin allergic reactions.

Due to the low degree of absorption into the systemic circulation, overdose is unlikely

Contact of the drug with clothing should be avoided, because the solution may stain fabric.

A 10 ml yellow glass bottle complete with a pipette is placed in a cardboard box along with instructions for use.

Do not use after the expiration date stated on the packaging.

At a temperature not exceeding 25 °C, out of the reach of children.

By doctor's prescription.

Manufacturer:

68, rue Marjolin

Representative office in Moscow:

Source: http://medi.ru/instrukciya/otofa_9064/

Review: the use of Otofa ear drops for the treatment of otitis media in children

In the first years of life, a child is especially susceptible to inflammatory diseases. These include otitis media. At an early age, this disease is diagnosed at least once in most children. This is explained by the anatomical features of the child’s ear and nasopharynx.

To treat otitis media in children, otolaryngologists actively use antibiotics. One of them is the drug Otofa, which will be discussed in our review.

Otofa is an antibiotic-based drop that acts only locally.

Composition and action

The active substance in the drug is rifamycin - an element extremely aggressive towards harmful microorganisms. Otofa stimulates the formation of an enzyme that prevents the growth and reproduction of bacteria. This substance is produced under the influence of the medicine by the child’s body itself and copes well with pathogenic microbes that cause inflammation of the middle and outer ear.

The experiment involved patients with both catarrhal otitis (inflammation of the mucous membranes) and the purulent form of the disease.

Indications

In order to use the drug Otofa for children, you need to show the little patient to the doctor and get a prescription, since this medicine is dispensed only by prescription and if there are appropriate indications.

The medicine is prescribed for various infectious lesions of the auditory canal.

Otof drops are prescribed to children for ear pain accompanied by inflammation. They can be caused by the following diseases and symptoms:

  • otitis media in chronic form;
  • external inflammation;
  • acute and otitis media;
  • infection of the eardrum;
  • in the case of a child recovering from middle ear surgery (drops are used to protect against bacteria).

Manufacturer, release form and price

The medicine is produced in France only in the form of ear drops. They are suitable for both adults and children (the only difference in use is the dosage). The liquid is transparent and has a slight reddish color with an orange tint. The drug is sold in yellow glass vials, packed in cardboard boxes with the inscription “Otofa”. The package contains instructions for use and a convenient pipette for instilling the medicine. The average price of drops in Russia is 210 rubles.

Dosage and administration

The drug is instilled into the patient's ear. The course of treatment is 7 days. Dosage for a child: three drops twice a day (regardless of his age).

Before use, it is advisable to warm the bottle of medicine under running warm water or in your hands (you can also instill the medicine with a heated pipette). Using cold liquid can cause unnecessary irritation to your baby, who may have ear pain.

It is recommended to carefully clean the ear with a cotton swab. To ensure that the drug reaches the source of inflammation, after instillation, lightly press two or three times on the protruding ear cartilage. Then it is best for the baby to lie still and insert cotton swabs into the ear.

When cleaning your ears, use cotton swabs with a stopper for added safety.

Contraindications and side effects

No adverse reactions have been identified after using Otof drops, and there are no reviews on this topic among patients. However, in the instructions for use, the manufacturer warns about possible skin rashes.

Contraindications include:

  • allergy to the active substance of the drug;
  • increased sensitivity to its other components.

The drug can cause redness of the eardrum, skin rash in the ear canal and itching.

The instructions warn that the drops have different coloring properties. The ear canal may acquire a pinkish tint during treatment.

In the practice of using the drug Otofa, no cases of overdose have been identified. No adverse reactions were recorded when used together with other drugs. However, doctors recommend using drops separately from drugs that have a similar effect, as well as from ear ointments. This precaution will avoid possible incompatibility of drugs at the level of their chemical composition.

Analogs

Otofa has several analogues. Let's give a brief overview of them.

  • Otipax. These drops contain lidocaine and phenazone as active substances. The first provides pain relief, the second effectively relieves inflammation. In the preparation, these substances increase each other’s productivity. At the same time, Otipax is not addictive, and therefore is not contraindicated for young children. The downside is the lack of antibacterial substances. In addition, lidocaine can cause allergies. It is usually prescribed at an early stage of otitis media. If a child has inflammation of the eardrum, the drug is contraindicated for him. The average cost is 240 rubles.

Otofa's analogue is Otipax.

  • Otinum. Drops are used for external and otitis media. The medicine dissolves earwax and has an excellent anti-inflammatory effect. Also, Otinum, thanks to its active substance, relieves acute pain in the baby. The drug is contraindicated in children under 1 year of age and in patients with a damaged membrane, as it can cause hearing impairment in such cases. The average cost of drops is 190 rubles.
  • Sofradex. Contains antibiotics and an anti-inflammatory substance. The drug quickly stops itching, from which children suffer greatly. However, Sofradex is contraindicated for children under one year of age (due to the excessive sensitivity of their body to the components of the drug). The average price is 280 rubles.
  • Anauran includes antibiotics and pain relief. Long-term use of these drops can cause severe burning and itching in the baby, as well as peeling of the skin on the ear. Children under 1 year of age are allowed to use Anauran only in extreme cases. The drug costs about 300 rubles.
  • Polydexa is also a combination of the anti-inflammatory drug dexamethasone and antibiotics. It eliminates infections of both the outer and middle ear. Side effects include allergies and skin rashes. Use as directed by your doctor, because... in the case of inflammatory processes on the membrane, when using the product there is a risk of hearing impairment and even the functioning of the vestibular apparatus. You can buy Polydex drops for 280 rubles.

For ear pain, an Otofa analogue, Polydex, can be prescribed, a local antibiotic.

  • Tsipromed. This drug is prescribed to children only when treatment with other drops does not have the desired effect. The main active ingredient of Tsipromed is a strong antibiotic of a rare and ototoxic group, members of which can adversely affect hearing. These drops are not prescribed to children unless there is an objective need. The average cost is 140 rubles.

Reviews

Reviews found on the Internet will help you get a more complete picture about the drug Otofa.

Anna from Nizhny Tagil writes:

“Last year we went to the sea with our two-year-old daughter. I will never forget those three weeks. The first one turned out to be gloomy, like a cloud - my daughter had a blown ear. Hellish pain made her cry day and night. For three days she could not sleep at all, until the doctor prescribed Otofu. On the second day of using the drops, we slowly began to go outside. By the fifth, the pain had almost subsided. The baby has been bathing for the past week. This is our experience."

Usually the disease subsides on the 3rd day, although improvement is noticeable by the end of the first day of using the drops.

Marina, Stary Oskol, says:

“As our doctor told us, we had a problem with ear hygiene. At the beginning of last fall, our baby (he is 3 years old) began to cry. After a while they realized that his ear hurt. A doctor was invited. They thought it was a cold. However, the doctor said that the boy had an infection and recommended Otof drops. They dripped as much as they were supposed to - everything went away. The doctor said that at this age you need to clean your ears every day.”

Yana Samoilova, an otolaryngologist from Belgorod, recommends:

“For ear inflammation and otitis in my little patients, I recommend that their mothers buy Otofa drops, because this is the safest remedy. Over the course of seven years of practice, I have never recorded any side effects. The only disadvantage of this drug is the lack of analgesic effect.”

Otofa ear drops are a remedy for the treatment of otitis with a wide spectrum of action. Practicing ENT doctors note the safety and effectiveness of the drug in chronic forms of the disease.

The main drawback of the medicine is the lack of pain-relieving components, which sometimes forces parents to combine it with the use of other drugs.

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Source: http://www.o-my-baby.ru/zdorovie/lekarstva/ot-boli-v-uhe/otofa.htm

Ear drops – which ones are better? Otipax and others, from the point of view of an ENT doctor

With today’s publication I want to begin a series of articles – reviews of medications. These will mainly be drugs that I, as an ENT doctor, use in my own practice to treat all kinds of ENT diseases. I would like to note that the articles will not be of an advertising nature, and all opinions about certain drugs will be based solely on my own observations.

Which ear drops are right for you?

When treating patients, many medications are prescribed. Depending on the results (efficacy, safety, tolerability, price), as well as a number of other factors, it will be possible to make a comparative analysis of them. These results will undoubtedly be of interest both to the patients themselves who buy them, and to practicing family and ENT doctors, especially novice specialists, in order to develop an effective treatment regimen.

Today's article is about ear drops. I will analyze the four main drugs that I most often use in personal practice; they can also be freely purchased in the Kiev pharmacy chain. DON'T MISS At the end of the article, I will share with you important information that is often forgotten to be included in the instructions for medications!

Otipax - advantages and disadvantages

Otipax - ear drops contain phenazone and lidocaine. Phenazone is a substance with pronounced anti-inflammatory properties. Lidocaine has a local anesthetic effect. It should also be noted that the interaction of these two components in this drug enhances the local anesthetic (pain-relieving) effect, which then has a positive effect on the result.

  1. Excellent analgesic effect;
  2. Good anti-inflammatory effect;
  3. Lack of systemic action (the drug is practically not absorbed into the blood, lymph, or cerebrospinal fluid), which makes it possible to use it in children from infancy;
  4. Possibility of using the drug during pregnancy and lactation according to indications;
  1. Lack of local antibacterial component;
  2. The presence of lidocaine makes the drug vulnerable in terms of tolerability, since many people have a reaction to lidocaine quite often. This fact must be taken into account in order to avoid unpleasant allergic reactions.

The drug, in general, has proven itself well for relieving pain in the ear, as well as for treating acute otitis media in the initial stages! The average price of the drug in pharmacies in the city of Kiev UAH. (rub.) Overall score in points from 1 to 10 – 7 points.

Otofa - pros and cons

The drug is based on rifamycin. This is an antibacterial drug. Otofa drops have a bactericidal effect on microorganisms that cause inflammation and otitis media. Rifamycin is a fairly strong antibiotic. It is effective even where penicillins and cephalosporins are already powerless. This explains the good effectiveness of treatment for acute and chronic diseases of the middle ear.

  • Wide spectrum of action against various microorganisms, due to which the desired result is quickly achieved during the treatment of otitis media;
  • Possibility of use for chronic otitis media;
  • Lack of anti-inflammatory and analgesic components in the drug;
  • The presence of a sufficiently strong antibiotic in the composition does not provide grounds for using the drug in pregnant women, as well as in women breastfeeding;
  • The price of the drug is quite high: from 60 to 80 UAH. rub.)

The drug Otofa has established itself as an effective drug for the treatment of otitis media of various etiologies. Of course, it is encouraging that the drug can be used even in the presence of perforation of the eardrum, as well as chronic otitis media. The only thing I don’t like about the drug is that it has a red-orange color, and this complicates the diagnosis and correct interpretation of the results during treatment. Overall score in points from 1 to 10 – 8 points.

Normax - drops with a strong antibiotic!

Drops, both eye and ear, contain the antibiotic norfloxacin. This is a broad-spectrum antibiotic, belongs to the group of fluoroquinolones. Drops, like otofa, have a bactericidal effect.

  1. Excellent antimicrobial effectiveness of norfloxacin, resulting in rapid treatment results;
  2. Good tolerance;
  3. Affordable price (the drug costs about hryvnia, or 40 Russian rubles in pharmacies);
  1. Impossibility of use during pregnancy, lactation, in childhood and adolescence (up to 18 years), in case of cerebrovascular accident, epilepsy, renal/liver failure;
  2. Lack of anti-inflammatory and analgesic components in the drug;

Despite all the contraindications and disadvantages, Normax is one of my favorite drugs. It has earned trust primarily for its effectiveness and good price. The drug is transparent and does not stain the walls of the external auditory canal and the eardrum red like Otofa! Overall score in points from 1 to 10 – 9 points.

Candibiotic - all in one bottle!

Combined drug for the treatment of acute otitis media and externa. The composition of the candibiotic includes:

  • Chloramphenicol is a broad-spectrum bacteriostatic antibiotic. Active against gram-positive and gram-negative bacteria;
  • Beclomethasone dipropionate is a glucocorticosteroid. Has anti-inflammatory and anti-allergic effects;
  • Clotrimazole is also a broad-spectrum antifungal agent for topical use;
  • Lidocaine hydrochloride is a local anesthetic;
  1. The drops contain all the necessary components for the effective treatment of otitis media;
  2. The presence of an antifungal component in the composition is also, of course, a plus. (As you may have noticed, none of the above drugs contain an antifungal component);
  1. Due to the presence of many components in the composition (including lidocaine), allergic reactions cannot be ruled out;
  2. The instructions list contraindications as pregnancy, breastfeeding and children under 6 years of age;

From personal experience, the drug, for some reason, is not always quite effective. Unfortunately, I don’t know the reasons for this. A patient had an unpleasant experience with an allergic reaction to a drug. The average price of the drug is UAH, or RUB. Overall rating in points from 1 to 10 – 7 points.

I also recommend reading

In conclusion, I would like to tell you what you MUST know! when using drops in the ear! Very often, in the instructions for medications and the doctors themselves forget about this point!

The fact is that for different forms of otitis, it is IMPORTANT to use different drops! For example, for acute otitis media with perforation of the eardrum, not all drops are suitable! Suitable (Normax, Otofa, Uniflox, Tsipromed), not suitable! (Candibiotic, Otipax, Otinum, Garazon, Sofradex, Anauran, Polydexa), they can damage the auditory nerve!

Suitable for acute otitis media without perforation (otinum, otipax, anauran, otofa, candibiotic)

Suitable for external otitis (candibiotic, garazon, sofradex, anauran, tsipromed, otofa, polydexa)

The winner of this review is not so obvious. All drops, of course, have their pros and cons. I want you to remember that it is best for your ear drops to be selected by an ENT doctor individually. Then there is a high probability that all factors will be taken into account, and the treatment will only benefit you. If you are interested in which drops are the safest and can be used in young children and during pregnancy, then read my article: Otitis in children, features of the disease in childhood

You can make an appointment for a consultation and appointment with me personally. Just leave a comment on the article, or email me. The email address is on the about the author page.

PS Watch the video about drops in the ears, how to properly instill drops, treatment of acute otitis media!

Then share it with your friends on forums on social networks and Twitter, I will be grateful to you. Subscribe to new blog articles so as not to miss a new, interesting article! Also, if you have any questions, ask them in the comments, I will be happy to answer! As always, I wish you good health and see you on the next pages of ENT Online!

In general, of course, I like to write some kind of obscene criticism, but there’s nothing to complain about here! 🙂

if there is a lot of sulfur and other dirt already in the ear (soot from candles) or the mucous membrane is already burnt (it is necessary to anoint it with linimensints. 10%) incorrect use of warming drops (it is necessary to make turundas with glycerin = -O *CRAZY* ohm it turns out it is desirable) - then none of these remedies will save you from pain, because you will be torn at night, lidocoin will not penetrate... it is important to rinse your ear with warm peroxide and only then apply everything... But here’s why (on Turkish sites it is) - no one advises yawning , make faces and CHEW GUM... the pain goes away during such manipulations..

a child 2.10 woke up today and complained of pain in the ear, after a while he began to cry. This has happened before, we immediately went to the doctor, they diagnosed otitis. They prescribed Otipax and Otofa drops. Now it’s the weekend and it’s impossible to see a doctor, maybe you can advise what to use on the weekend in the ear or some other methods?

=) when I got sick, the doctor wrote me a candibiotic that helped me a lot.

Since Normax was prescribed to me, I have not had any problems with my ears! (Ugh ugh ugh) I just drop them as soon as the itching starts and everything goes away. They are always in the home medicine cabinet. Harmless, inexpensive and effective =)!

THANKS A LOT! GREAT ARTICLE. I HAVE BEEN SUFFERED FROM MY EARS SINCE CHILDHOOD AND ONLY IN YOUR ARTICLE I DISCOVERED NORMAX DROPS, WHICH ENTREPRENEURISTS ARE SILENT ABOUT FOR SOMEHOW.

Last year I tried Droplex on myself for the first time, and now it’s the only one I always have in my first aid kit in case someone gets an earache. I never thought that my ear could hurt so much that I had to climb the wall. I, an adult aunt, cried... But how can the poor children endure it. Here you need to act immediately. Fortunately, a smart pharmacist came to my husband at the pharmacy and gave him Droplex. Literally minutes and that’s it, no pain. I drank it for a couple of days and everything went away

Thank you very much! health and success to you.

Thank you very much! very useful information. We wish you all the best.

How can I determine what kind of otitis media I have? One thing and then another flowed immediately. They flow very strongly. +Three months ago the left one started to hurt. What drops do I need? Help me please.

Good afternoon, dear Vladimir. I have this problem. I recently went on a long trip in my car, and my left ear blew out with the window open. Upon arrival, at first I felt stuffiness in my ear, and after a while pain appeared. Well, my wife and I started self-medicating: compresses with vodka, boric alcohol. Everything seemed to go quickly (3-4 days). But then, after being out in nature, swimming in the river, my ear started to get blocked again and hurt with renewed vigor. I didn’t sleep for 2 nights due to severe pain. Painkillers (ketorol) helped only for 2-3 hours, and then again unbearable pain, which began to be transmitted along the entire left side of the head from the jaw to the crown. After the second sleepless night, I went to the local clinic to see an ENT doctor, but... I don’t have a policy, she accepted me “quickly”, not for free, of course. She looked in the ear, said that everything had festered there, she didn’t say the diagnosis, she just prescribed treatment: soak a cotton swab with boric alcohol, coat it with levomekol and stick it in the ear for 2 hours 3 times a day. In addition, Flemaxinraza per day, and Ibuklin - 2 times a day. She said that it would go away in 2-3 days. It was yesterday. I immediately started the entire course of treatment, today I could hardly stand the night on painkillers. But today I can no longer stick cotton wool into my ear. The ear canal has narrowed so that even a cotton swab cannot fit. I continue to take pills and stick cotton wool in as best I can. It's not getting any better yet. I don’t know what will happen next, but I don’t want to go to her anymore. I want to hear your opinion, doctor, and, if possible, some advice. Thank you in advance!

He did not treat the ears, everything festered, and the doctor is to blame - then you should see a psychiatrist, he will definitely explain everything

Hello. Help my daughter. She is 17 years old. D-z 2-sided. Sensorineural hearing loss of 3-4 degrees. 2-sided prosthetics. The right ear is currently without a device, because I've had chronic otitis media for 3 years now. We want to get an implant. What do you recommend?

Source: http://lor-online.com.ua/uho/ushnye-kapli-%E2%80%93-kakie-luchshe-otipaks-i-drugie-s-tochki-zreniya-lor-vracha.html

OTOFA

Ear drops 2.6% in the form of a transparent solution of red-yellow color.

Excipients: macrogolg, ascorbic acid mg, disodium edetate - 12 mg, potassium disulfite mg, lithium hydroxide mg, purified water - up to 100 ml.

10 ml - dark glass bottles (1) complete with dosing pipette - cardboard packs.

Acute and chronic otitis:

— acute otitis media (including with perforation of the eardrum);

— conditions after surgical interventions on the middle ear.

For adults, 5 drops are instilled into the ear 3 times a day or the drug is poured into the ear for a few minutes 2 times a day.

For children, 3 drops are instilled into the ear 3 times a day or the drug is poured into the ear for a few minutes 2 times a day.

The average duration of therapy is 7 days.

Before using ear drops, it is recommended to warm the bottle by holding it in your hand to avoid discomfort associated with cold liquid getting into the ear.

The drug gives a pink color to the eardrum (visible during otoscopy).

Contact of the drug with clothing should be avoided, because the solution may stain fabric.

The drug should be stored at a temperature not exceeding 25°C. Shelf life: 3 years.

To ask a question about the project or contact the editors, use this form.

Source: http://health.mail.ru/drug/otofa/

Drops in the ear for otitis media in adults

Inflammatory processes in the ear (otitis media) can cause partial or complete hearing loss. The clinical picture of the disease is characterized by the appearance of headaches (sometimes very severe), disturbances in general well-being and hearing.

The temperature may rise slightly, purulent fluids are sometimes released from the auricle, and an unpleasant odor appears. The presence of such signs should be a reason to contact the clinic. Depending on the stage and cause of the disease, various treatment regimens are developed. In the initial stages and in the absence of complications, drops are quite effective.

Otitis is treated with special drops

Types of ear drops

The list of medications is selected after examining the patient and establishing a diagnosis of the disease. Based on the composition of the active medical substance, the drops are divided into several groups:

  • anti-inflammatory drugs. Eliminate inflammatory processes in the ear and localize the disease. The most commonly used are Otipax and Otinum;
  • antibacterial drugs. Destroy pathogenic bacteria that cause otitis media. This group includes Normax, Otofa;
  • combination drugs. Prescribed to eliminate inflammatory processes and pathogenic bacteria. Garazon, Folicap, Anauran.

Drugs for the treatment of otitis media

Drops are ineffective during the treatment of internal otitis and eustachitis due to the distance of the source of the disease from the external passage. When the disease passes into the perforated stage with a rupture of the eardrum, drops are used extremely rarely and only under the constant supervision of the attending physician.

Anti-inflammatory ear drops

Prescribed during the treatment of inflammatory processes to relieve pain and eliminate infection. The treatment regimen should take into account the stage of the disease (catarrhal or purulent). Anti-inflammatory monodrugs have a local anesthetic effect, relieve swelling and reduce pain. But they do not affect purulent processes.

Antibacterial ear drops

Depending on the specific types of bacteria, the active substance is selected. Eliminate the causes of inflammatory processes, dosage and use are strictly limited. Self-treatment can cause various complications.

Combination drugs

The most frequently used, they have a complex effect on the course of the disease. Correct use allows you to quickly cure the patient and prevent the development of complications.

Drops in the ears for otitis media

List of the most commonly used drops

The active ingredient used is choline salicylate; one gram contains 0.2 g of choline salicylate, a clear, light yellow liquid. Prescribed for external, purulent and unspecified otitis media. Ethanol, glycerol and chlorobutanol are additional auxiliary medications. The weight of the bottle is 10 g, there is a dosing device.

Relieves inflammation, has an analgesic effect, relieves pain, inhibits the synthesis of prostaglandins. Prescribed for catarrhal inflammation of the external meatus, effective for complications caused by infections. The middle ear and membrane are treated, sometimes used as a prophylactic before washing the ear canal.

Ear drops Otinum photo

The drug is prohibited for use if the integrity of the membrane is damaged or the body is hypersensitive. Breastfeeding and pregnant women cannot use these drops. It can cause allergic reactions and temporary hearing loss in patients. The dose for adults is 3-4 drops three times a day; during instillation, the patient is recommended to lie on his side; after the procedure, he should not move for several minutes.

One bottle contains 16 g of medication, the active ingredients phenazone and lidocaine hydrochloride, accompanying substances sodium thiosulfate, glycerin and medical alcohol. The active medicine inhibits the biosynthesis of prostaglandins and interferes with the transmission of nerve pain signals. It is prescribed for various types of otitis, including biotraumatic and post-influenza.

Otipax ear drops

Use is limited in the presence of mechanical damage to the eardrum and hypersensitivity. May cause allergic reactions. Dripping for no more than 10 days, 4 drops three times a day.

Belongs to the group of fluoroquinolones, the drops are transparent and colorless. The active substance is norfloxacin. Benzalkonium chloride, disodium edetate and acetic acid are auxiliary. Packaged in dark glass bottles with a capacity of 50 ml, there are special droppers.

The drug is antibacterial, enhances the production of the enzyme DNA gyrase, which blocks the processes of protein synthesis of pathogenic microorganisms. It has increased activity and low systemic absorption. On the first day, the maximum dose of 2 drops every two hours is prescribed, then 2-4 times a day, two drops, is sufficient. The treatment period is limited to two months. Before burial, the passage must be sanitized.

Normax – antibacterial eye/ear drops

Avoid overdose; it is not recommended to prescribe during pregnancy or lactation. The drug can sometimes cause anorexia, diarrhea, nausea and heartburn. Long-term overdose may disturb sleep and cause headaches. Allergic reactions in the form of itching and skin rash are possible.

Antibacterial drug, red-yellow solution in a 10 ml package. Active ingredient: rifamycin sodium, auxiliary ingredients: disodium edetate, macrogol, lithium hydroxide and potassium disulfite. The kit includes a dosing pipette. A topical medicine that prevents the proliferation of pathogenic bacteria and actively inhibits most microorganisms. May be prescribed after surgery. Sometimes it turns the eardrum pink.

Otofa ear drops

For adults, 5 drops are prescribed three times a day, the course of treatment is no more than seven days. For the treatment of inflammation of the middle and outer ear. Overdose is unlikely; clinical safety studies have not been conducted in pregnant women. Sometimes it can cause allergic reactions in the form of a rash on the skin.

4-5 drops should be injected into the ear canal three times a day for no more than seven days. Admission to pregnant and nursing mothers is determined individually, taking into account the state of the body and the course of the disease. In case of overdose, a burning sensation may rarely occur at the site of direct contact of the drug with the skin.

For local use during therapeutic conservative treatment of ENT diseases. Antifungal medicine, has a wide spectrum of action. The active substance disrupts the synthesis of ergosterol in the fungal cell membrane, which causes cell lysis. The active substance chloramphenicol belongs to the group of bacteriostatic antibiotics and has antiallergic and anti-inflammatory effects.

Otirelax ear drops

Has an anesthetic effect, eliminates inflammatory processes, for local use. It is made on the basis of phenazone and lidocaine, glycerol, sodium thiosulfate pentahydra and medical alcohol are used as auxiliaries. A complex action drug, a combination of various active ingredients speeds up treatment, relieves pain symptoms and minimizes the occurrence of complications.

Otirelax ear drops photo

The medicine is not absorbed into the circulatory system, which eliminates the occurrence of adverse reactions. The dosage of use is 3 drops three times a day; the solution must be warmed before use. The course of treatment cannot exceed ten days. The drug is prescribed to pregnant and nursing mothers only in cases where the expected therapeutic effect significantly outweighs the possible negative consequences.

Polydexa ear drops

Complex action, medicinal substances: polymyxin B sulfate, neomycin sulfate and sodium metasulfobenzoate. It is produced in dark glass bottles, there is a dosage pipette. It has anti-inflammatory and antibacterial effects and can be used in combination with other antibiotics, which can significantly expand the spectrum of action. Actively inhibits anaerobic bacteria. If the integrity of the eardrum is damaged, the systemic effect is neutralized.

Polydex ear drops - composition

Used for no more than six days, 5 drops twice a day, overdose is unlikely. No clinical safety studies have been conducted in pregnant and breastfeeding women. Sometimes allergic reactions may occur in the form of a skin rash.

A combined drug that has an anesthetic and antibacterial effect. Made from polymyxin sulfate, neomycin sulfate and lidocaine. One bottle contains 25 ml of medicine, with a dropper-shaped cap. Broad spectrum of action, inhibits the proliferation of microorganisms.

Anauran ear drops

For adults, 5 drops three times a day are recommended; taking into account the course of the disease, the dose can be adjusted. The drug is incompatible with amikacin and monomycin and may cause local allergic reactions. Systemic deviations due to slow absorption of the drug into the circulatory system rarely occur. Pregnant women are prescribed only when absolutely necessary. For persistent infections, treatment must be supplemented with various antibiotics.

Active ingredients: gentamicin and betamethasone, 5 ml in one bottle. A broad-spectrum drug used as an antibacterial and analgesic. Suppresses the increased permeability of affected capillaries, which inhibits the proliferation of pathogenic microorganisms.

The initial dose is 1-2 drops three times a day, then the course of the disease is taken into account and the amount and frequency of instillation changes depending on the clinic. In cases of complications of the disease, it is allowed to insert a cotton swab soaked in medicine into the ear canal. If the treatment is very long, then minor disturbances in the functioning of the adrenal glands are possible. Should not be used during lactation and pregnancy.

It is prescribed to eliminate acute medial, paratraumatic and post-influenza otitis media; use is not allowed for mechanical damage to the integrity of the membrane. May cause minor local allergic reactions.

The dosage is two drops in the ear three times a day; during treatment, constant monitoring of the patient’s condition is necessary. Depending on the clinic, dose adjustment is possible. In case of hypersensitivity, the drug is not prescribed.

Ottoslavin - ear drops

The active ingredients procaine and boric acid relieve pain. It has an antiseptic effect, adults are prescribed 2-3 drops three times a day, tampons soaked in the drug can be inserted into the ear.

In case of overdose or kidney problems, adverse reactions may occur in the form of nausea, vomiting, and diarrhea. Sometimes there is confusion of speech and headache.

How to instill drugs

Before instillation, you need to carefully clean the ear canal. In this case, it is strictly forbidden to use cotton swabs. Before use, the preparations should be heated; this can be done in a bath of warm water or held in your hand for a while.

  1. Wash your hands thoroughly with soap and warm running water.
  2. Clean the ear canal with a soft damp cloth, do not insert any objects into the ear canal. In medical institutions, the ear canals are cleaned only by rinsing with a special syringe.
  3. Heat the drops by any means to a temperature of ≈ +37°C.
  4. If the drug is made in the form of a suspension, then the bottle must be shaken until a completely homogeneous liquid is obtained.
  5. Check the integrity of the dropper tip and rinse or wipe it. The dropper must be intact; chips or other mechanical damage are strictly prohibited.

Instillation of the drug into the ear

It is advisable that the drops be instilled by a doctor or any assistant, and the patient should be in a supine position.

Video - Symptoms and treatment of otitis media

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Source: http://med-explorer.ru/otolaringologiya/medicinskie-preparaty/kapli-v-uxo-pri-otite-u-vzroslyx.html

Otofa ear drops: instructions, cost, analogues

Pharmacological group: Otofa belongs to the group of ansamycins.

Release form and packaging: transparent solution from yellow to red, available in 10 ml yellow glass bottles, with a pipette, yellow cardboard packaging.

Composition of the drug Otofa: Rifampicin, macrogol, ascorbic acid, disodium edetate, potassium disulfite, lithium hydroxide, purified water. Active ingredient (rifampicin) 2.6%.

pharmachologic effect

The active component of Otofa drops is rifampicin, which belongs to the group of semisynthetic antibiotics. Its action is based on blocking RNA polymerase, which in turn disrupts the formation of RNA, which disrupts the synthesis of bacterial proteins.

These ear drops are used for almost all infections of the outer and middle ear, but it is worth remembering about resistant strains, as well as use for a long time, which can also cause bacterial resistance.

Pharmacodynamics

The drug is considered active against gram-positive and gram-negative bacteria, such as staphylococci, streptococci, pneumococci, mycobacterium tuberculosis, meningococci. By increasing the concentration of the drug, the sensitivity of bacteria such as Escherichia coli and Proteus can be achieved.

Indications for use

Otofa is used for infectious diseases of the middle and outer ear, for injuries of the eardrum, ear canal, as well as in the postoperative period in the middle ear area.

Mode of application

Before use, it is recommended to warm Otofa slightly, holding the bottle in your hand for several minutes. The medicine is instilled into the ear using a pipette.

For adults, five drops of the drug are prescribed three times a day, for children - twice a day, three drops. When used in children under 1 year of age, special caution is required. In this case, you don’t have to plug your ear; you can bend over so that the drops flow out naturally.

Drops are used for about seven days; for longer use, consultation with a doctor is necessary. If there is no therapeutic effect within 10 days, treatment tactics should be reconsidered.

Side effects

Side effects are associated with an allergic reaction to the components of Otof, and can manifest themselves in the form of itching, redness, swelling, and rash. The ear canal and eardrum may turn pink.

Contraindications

Absolute contraindications to the use of Otof are associated with known allergic reactions to the components of the product. A relative contraindication is pregnancy and lactation, because There are no exact clinical data on the effect on the fetus. Otofa can be prescribed only when the therapeutic effect is greater than the effect on the fetus.

Use with other drugs

No side effects have been observed when used with other medications, but it is recommended to avoid the use of other medications to avoid unexpected chemical reactions.

Overdose

An overdose is unlikely, but no adverse reactions were observed with increasing doses. If any effects are detected, the use of the drug should be discontinued immediately.

Precautionary measures

Does not affect the ability to drive a car or operate moving machinery.

Storage conditions

It is recommended to store Otofa in commercial packaging, at a temperature of 250C the drug is good for three years, stored in a dark, dry place out of reach of children.

Price and analogues

The average price for Otof drops in Russia is rubles.

Perhaps the only analogue of this drug for the ears on our pharmaceutical market is Rifogal, in which the main active substance is also rifampicin, available in ampoules for intravenous or intramuscular administration.

Conditions for dispensing from pharmacies

Dispensed only with a doctor's prescription. Included in list B.

Additional Information

Otofa ear solution should be used with caution, because... If it gets into contact with fabric, it may leave marks. If you are intolerant to sulfur, there may be allergic reactions. It should also be remembered that before starting use, you should consult a doctor, since self-medication can cause side effects if the dosage is incorrect, as well as bacterial resistance, after which it will be much more difficult to cure this infection.

Please note: all information published on the site is for informational purposes only and should not be construed as medical advice or recommendations! To obtain the most complete information about your health, as well as to receive the necessary treatment, we strongly recommend that you consult a doctor in person!

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How to use Otofa ear drops: indications, analogues, pharmacological properties

Otofa – antibacterial ear drops. Use only after consulting a doctor.

Composition, release form, packaging

The drops contain 26 mg (20 thousand IU) per ml of rifamycin sodium. One bottle contains 260 mg (200 thousand IU). Macrogol, ascorbic acid, potassium metabisulfite and some other components are used as excipients.

The cardboard pack contains one bottle made of dark glass. It is complemented by a dosage pipette. The liquid itself is transparent red-orange in color.

Manufacturer

Drops are produced in France at the BOUCHARD-RECORDATI Laboratory.

Indications for use

Drops are used for various infectious lesions of the auditory canal. Effective for diseases caused by:

The drug affects various strains of microorganisms that are not sensitive to other antibiotics. Therefore, they can be used for treatment:

Contraindications

The main limitation is increased sensitivity to rifamycin. Adequate studies of the safety of the drug when taken during pregnancy have not been conducted. Therefore, drops are indicated for pregnant women and breastfeeding women in extreme cases.

Mechanism of action

The therapeutic effect of the drops is associated with the specific binding of bacterial RNA polymerase by rifamycin. Thanks to this, the growth and reproduction of bacteria is stopped. In addition to the antibacterial effect, the drops have an anti-inflammatory effect; with long-term therapy, microbes may develop tolerance to the active components.

Rifimycin acts in two directions at once. First, it has a bactericidal effect and then blocks their reproduction. Therefore, most middle ear infections are effectively eliminated.

Instructions for use

Adults are instilled with five drops three times a day. You can pour the drug into the ear for a few minutes twice a day. Children are prescribed three drops three times a day. The duration of treatment is one week. It is recommended to warm the bottle before using the drops. To do this, you need to hold it in your hand. This will allow the solution to reach the desired temperature.

Release form of the drug Otofa

Side effects

Otofa can cause redness and irritation of the skin. Sometimes allergic manifestations appear. In this case, the drug should be abandoned. When instilled, the eardrum may turn pink. This becomes noticeable only when examining the ear canal during otoscopy.

Overdose

Due to the fact that the medicine is practically not absorbed and does not pass into the bloodstream, an overdose is unlikely.

special instructions

It is not recommended to allow the solution to come into contact with clothing, as stains may remain on it. In addition, due to the rapid emergence of drug-resistant strains, long-term use of Otofa is not recommended.

Drug interactions

No clinically significant interactions of the drug with other drugs have been identified.

Reviews of drops

Many people emphasize the possibility of curing otitis media with drops in a short time. Users note that it does not relieve pain, so it can be used in conjunction with other painkillers.

Instructions for using Otofa in our video:

Prices for Otofa drops

The cost of ear drops depends on the specifics of the pharmacy chain. The lowest price is 180 rubles. In some online stores you will have to pay about 600 rubles for the medicine and delivery.

Analogs

There are no complete analogues. However, the active substance rifamycin is contained in Rifogal injection solution. Oftamirin, Otinum, Otipax and some others have a similar effect.

Cheap analogues

Nasal drops Noxprey, Rinazolin, Sofradex, Loprax are less expensive. But these drugs have a completely different composition.

The photo shows analogues of Otofa ear drops

Drug synonyms

Anauran. These are also ear drops, which contain lidocaine, neomycin, polymyxin B.

Conditions for dispensing from pharmacies

The drug is sold by prescription only.

Storage conditions and shelf life

The bottle can be stored in a place protected from light at a temperature not exceeding 15 degrees. The shelf life is three years.

Source: http://gidmed.com/otorinolarintologija/lekarstva-lor/otofa.html

Otofa for children: instructions for use

In the treatment of inflammatory and infectious diseases of the ears, topical agents are often used. One of them is a French medicine called Otofa.

When is it prescribed and how does it affect the human body and pathogenic bacteria? Is it allowed to drip this medication into the ears of children, in what dosage and how to instill the solution correctly? Isn't it better to replace Otofu with the popular Otipax drops or some other medicine?

Release form

Otofa is available in only one dosage form – ear drops. The drug is available in glass bottles, closed with a stopper and foil, which are accompanied by a separately packaged polymer dosing pipette.

One bottle contains 10 milliliters of a clear solution that is red-orange or red-yellow in color.

Compound

The active substance in Otofa drops is rifamycin in the form of rifamycin sodium. Its concentration in the solution is 2.6%, so the amount of this compound in 100 ml of the drug is 2.6 grams (in them the antibiotic is represented by the ME dosage).

Additionally, the solution contains potassium disulfite, disodium edetate and macrogol 400. Otofa also contains ascorbic acid, purified water and lithium hydroxide.

Operating principle

The active component of the drops is an antibiotic of the rifamycin group. It is active against various harmful microorganisms that provoke ear infections (streptococci, E. coli, Brucella, pneumococci, Legionella, Proteus, tuberculous mycobacteria, enterococci, chlamydia, pasteurella, staphylococci, etc.).

As a result of the effect of this antibacterial substance on the RNA polymerases of bacteria, their growth stops and the pathogen is destroyed.

In this case, the drops act only locally, without penetrating into the bloodstream and without having any systemic effects.

In addition, the medication is capable of destroying microbes that have developed resistance to the most common antibacterial agents (for example, penicillins).

Indications

Otofa is used in the treatment of:

  • Otitis externa.
  • Acute otitis media (including a disease complicated by perforation of the eardrum).
  • Chronic otitis media.

The medicine is also prescribed after various operations in the middle ear and manipulations in the ear canal, for example, after puncture of the eardrum. Some ENT doctors also prescribe medication for infectious rhinitis (drip into the nose).

At what age is it prescribed to children?

The manufacturer does not mention any age restrictions for the use of Otofa in children, however, such medication should be dripped into the ears of children only after the child has been examined by a specialist.

The use of any ear drops without consulting a doctor in childhood is not recommended.

Contraindications

The medicine should not be dripped if you are hypersensitive to rifamycin or another ingredient of the solution. There are no other contraindications for the use of Otofa.

Side effects

In rare cases, when treated with Otofa, a child may experience an allergic skin reaction. Once on the eardrum, the medicine gives it a pink color, which is clearly visible during otoscopy.

Instructions for use for children

  • To open the bottle, pull the foil tab and remove the packaging, as well as the stopper, and then place the pipette, freed from the blister, on the bottle.
  • If the medication is stored in the refrigerator, then before use it should be slightly warmed in your hands so that cold liquid does not get into the ear (this causes severe discomfort).
  • On average, the drug is prescribed for a course lasting 3-7 days. A single dosage for children is often 3 drops, and the product is dripped three times a day.
  • You can also pour Otofu into the ear in larger quantities and leave for a few minutes. This application is prescribed 2 times a day.
  • The medication should be dripped carefully, as the solution may leave stains on clothing.
  • During the procedure, the child should lie with his head turned to the side, and immediately after drops enter the ear canal, he should not turn his head. You need to wait about 5 minutes and only then get up or roll over onto your back.
  • If by the end of the course of treatment prescribed by the doctor, the child still has signs of otitis media, a re-examination and other therapy are required. A small patient should be shown to an ENT specialist even if there is no improvement after 2-3 days of using the medicine.

Overdose

Since the ingredients in the drops are practically not absorbed, cases of overdose have not previously been recorded, and the manufacturer calls them unlikely.

Drug interactions

There is no data on the incompatibility of Otofa with any other medications, including local medications, but ENT doctors do not recommend taking any other medicine at the same time as Otofa.

When prescribing other drugs, there is usually a break of at least 30 minutes between their use.

Terms of sale

Otofa is sold in pharmacies by prescription, so to purchase such drops you should first visit a doctor with your child. The average price of one bottle is rubles.

Storage conditions

You can keep a bottle of drops at room temperature at home, but many mothers prefer to store Otofu in the refrigerator, which is also allowed. The shelf life of a sealed medicine is 3 years and does not change in any way for an opened bottle.

Reviews

The treatment of otitis in children with Otof drops is generally positive. Since very often the cause of ear inflammation is pathogenic bacteria, the use of such a medicine for purulent otitis media gives a fairly quick and noticeable effect, improving the child’s condition and, on average, completely eliminating the inflammatory process in 4-5 days.

According to parents, young patients tolerate the drops mostly well. Otofa does not have such negative effects of antibiotics as suppression of local immunity and the development of dysbacteriosis. Only rarely does a child react to the use of the medicine with allergic rashes, which is why the medicine has to be discontinued.

In most children, the use of such drops does not cause any side effects.

The main disadvantage of Otofa is the bright color of the solution, which is why its use changes the color of the ear tissue and can stain clothes.

Most mothers consider the cost of the medicine to be affordable, so other complaints about the drug are very rare.

Analogs

The most common replacement for Otof drops is Otipax, but these ear drops have both advantages and some disadvantages:

  • Otipax has a more pronounced anesthetic effect, because its composition includes two components with an analgesic effect.
  • Otipax, like Otofu, can be taken at any age, even for infants, because both medications act exclusively locally.
  • Unlike Otofa, Otipax does not include any antibacterial components, therefore it acts only as a symptomatic treatment, but has no effect on infectious agents.
  • Since Otipax contains lidocaine, the risk of an allergic reaction to such drops is higher than when using Otofa.
  • Otipax should not be used if the eardrum is damaged. In addition, this drug is not prescribed for chronic otitis media.
Other ear drops can replace Otofu, for example:
  • Anauran. Such drops include lidocaine and two antibiotics, so they are in demand for otitis media with severe pain. The drug is prescribed to patients older than one year.
  • Polydexa. This medication also contains 2 antibacterial substances, but they are supplemented with glucocorticoid. It is used in children from birth.
  • Candibiotic. This multicomponent product contains an anesthetic, an antibacterial substance, a glucocorticoid hormone and an antifungal component, so it has a very wide range of effects on otitis media. In the treatment of children, these drops are allowed from 6 years of age.
  • Sofradex. The composition of this medication includes a hormonal component and compounds with antibacterial action. It is prescribed for children aged 1 month and older.
  • Otirelax. This medicine is an analogue of Otipax and is used for ear pain. It is prescribed to children from birth.

The composition of these and other topical medications prescribed by ENT doctors is different, so you should not use any of these drops without consulting a doctor.

All doctors, including the popular pediatrician Komarovsky, emphasize that the use in the treatment of children, even drugs that are approved at any age and have only a local effect, without a prescription from a specialist is unacceptable.

If a child has painful sensations in the ear, a feeling of stuffiness or other signs of otitis, first of all you need to see a doctor and undergo an examination, and only then give the baby the medicine that will be prescribed to him.

To learn how to treat otitis media in children, watch the following video.

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