| U.S. Brand Names |
| Allergan® Ear Drops; Auralgan®; Auroto®; Otocalm® Ear |
 |
| Generic Available |
|
Yes |
|
| Synonyms |
| Benzocaine and Antipyrine |
|
| Pharmacological Index |
|
Otic Agent, Analgesic; Otic Agent, Cerumenolytic |
|
| Use |
|
Temporary relief of pain and reduction of swelling associated with acute congestive and serous otitis media, swimmer's ear, otitis externa; facilitates ear wax removal |
|
| Pregnancy Risk Factor |
|
C |
|
| Adverse Reactions |
|
<1%: Local: Burning, stinging, tenderness Miscellaneous: Hypersensitivity reactions |
|
| Usual Dosage |
|
Otic: Fill ear canal; moisten cotton pledget, place in external ear, repeat every 1-2 hours until pain and congestion is relieved; for ear wax removal instill drops 3-4 times/day for 2-3 days |
|
| Dental Health: Local Anesthetic/Vasoconstrictor Precautions |
|
Information available to require special precautions |
|
| Dental Health: Effects on Dental Treatment |
|
No effects or complications reported |
|
| Patient Information |
|
For the ear |
|
| Nursing Implications |
|
Use of otic anesthetics may mask symptoms of a fulminating middle ear infection (acute otitis media); not intended for prolonged use |
|
| Dosage Forms |
|
Solution, otic: Antipyrine 5.4% and benzocaine 1.4% (10 mL, 15 mL) |
|
| References |
|
Rodriguez LF, Smolik LM, and Zbehlik AJ, "Benzocaine-Induced Methemoglobinemia: Report of a Severe Reaction and Review of the Literature," Ann Pharmacother, 1994, 28(5):643-9. |
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