|
| U.S. Brand
Names |
|
| Cerumenex®
Otic |

|
|
| Generic
Available |
|
|
No |

|
|
| Pharmacological Index |
|
|
Otic Agent, Cerumenolytic |

|
|
| Use |
|
|
Removal of ear wax (cerumen) |

|
|
| Pregnancy Risk
Factor |
|
|
C |

|
|
| Contraindications |
|
|
Perforated tympanic membrane or otitis media, hypersensitivity to product or
any component |

|
|
| Warnings/Precautions |
|
|
Avoid undue exposure to peridural skin during administration and the flushing
out of ear canal; discontinue if sensitization or irritation
occurs |

|
|
| Adverse
Reactions |
|
|
<1%: Mild erythema and pruritus, severe eczematoid reactions, localized
dermatitis |

|
|
| Drug
Interactions |
|
|
No data reported |

|
|
| Mechanism of
Action |
|
|
Emulsifies and disperses accumulated cerumen |

|
|
| Pharmacodynamics/Kinetics |
|
|
Onset of effect: Produces slight disintegration of very hard ear wax by 24
hours |

|
|
| Usual Dosage |
|
|
Children and Adults: Otic: Fill ear canal, insert cotton plug; allow to
remain 15-30 minutes; flush ear with lukewarm water as a single treatment; if a
second application is needed for unusually hard impactions, repeat the
procedure |

|
|
| Monitoring
Parameters |
|
|
Evaluate hearing before and after instillation of
medication |

|
|
| Mental Health: Effects
on Mental Status |
|
|
None noted |

|
|
| Mental Health:
Effects on Psychiatric
Treatment |
|
|
None noted |

|
|
| Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
|
|
No information available to require special precautions |

|
|
| Dental Health:
Effects on Dental Treatment |
|
|
No effects or complications reported |

|
|
| Patient
Information |
|
|
For external use in the ear only; warm to body temperature before using to
improve effect; avoid touching dropper to any surface; hold ear lobe up and
back; lie on your side or tilt the affected ear up for ease of administration;
fill ear canal, let stand for 15-30 minutes, then flush |

|
|
| Nursing
Implications |
|
|
Warm solution to body temperature before using; avoid undue exposure of the
drug to the periauricular skin |

|
|
| Dosage Forms |
|
|
Solution, otic: 6 mL, 12 mL |

|
|
| References |
|
|
Mehta AK,
"An In Vitro Comparison of the Disintegration of Human Ear Wax by Five Cerumenolytics Commonly Used in General Practice,"
Br J Clin Pract, 1985, 39(5):200-3.
|

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