Otipax ear drops: instructions for use. Otipax - instructions for use for adults and children Otipax instructions after opening

Ear problems in children are the second most common reason for seeking medical attention after tummy problems. Inflammation of the middle ear occurs in every fourth or fifth child under the age of 6 years. Ear pain is often so severe that the child cannot eat, sleep, constantly cries. Therefore, for the treatment of similar diseases, it is necessary to choose not only a safe, approved for use in children, but also a fast-acting drug.

Dosage form

Released in one dosage form- in the form of a solution for instillation into the ears. The solution has a characteristic "alcohol" smell, it is clear and colorless (or yellowish).

Available in a dark glass bottle of 15 ml. with a separately inserted dropper (dispenser).

Compound

The composition for children contains two active components that complement each other.

- a popular anesthetic that is widely used in any field of medicine. It acts on nerve endings, slowing down the movement of nerve impulses. The duration of the therapeutic effect is about 90 minutes.

Phenazone is a component responsible for the analgesic and anti-inflammatory effect of the drug. Enhances action by increasing its bioavailability.

The composition of the drug also contains auxiliary components - ethanol, glycerol, water,. Glycerol and thiosulfate help soften fabrics ear canal.

Pharmacological group and pharmacokinetics

The medicine belongs to the group of local antiseptics with analgesic, anti-inflammatory properties.

Indications for use

Appointed by a therapist, pediatrician or otolaryngologist for local symptomatic therapy and relief of pain in such cases:

1. Ear pain resulting from the development of complications of SARS, influenza, rhinitis, sinusitis.
2. resulting from barotrauma (occurs during air travel or deep-sea diving).
3. Medium in acute course.
4. Mechanical damage to the auditory canal without breaking the integrity eardrum.

It is prescribed after consultation with a specialist if the child has the following symptoms:

1. When pressing on the cartilage at the entrance to the ear canal, the child begins to cry strongly - his ear hurts. Most often, this diagnostic tactic is used for newborn babies and toddlers who cannot yet complain on their own about what worries them, indicate where it hurts.
2. The child complains of crackling, pain in the ears.
3. The child is crying, screaming without visible reasons rubs his ear against his mother's hand or a pillow.
4. The baby has a fever and a fever.
5. Purulent masses are discharged from the ear.

Contraindications

The drug has a small list of contraindications:

1. Individual intolerance to the components.
2. Allergy to .
3. Perforation of the tympanic membrane, which most often occurs due to ear injury or infection.

Violation of the integrity of the eardrum is a very serious contraindication. If used in such a case, the drug may come into contact with the organs of the middle ear, and the child may develop serious complications, such as inflammation in the auditory ossicles. Parents cannot independently diagnose damage to the eardrum. Therefore, you should not take risks and start treatment with the drug without a doctor's examination.

Dosage and administration

The drug should be instilled only in the ear in which pain is felt. Sometimes it affects both ears, then you need to instill the medicine from both sides.

Before use, the bottle should be held in the palm of your hand to warm the drops and not cause additional discomfort to the patient.

First you need to remove the cap from the bottle, then screw the flexible dropper, which is included in the kit, into its place. After removing the cap, you need to turn the bottle over and wait for the formation of a drop, slightly pressing on the middle part of the dropper. Having measured the required number of drops, it is necessary to put a cap on the dropper, and remove the drug in a place inaccessible to children.

During the procedure of instillation of the drug, the patient's head should be in a horizontal position. The child can put his head on his mother's lap. In the case of children, you can use another method of instillation - drop the drug not into the ear, but onto a cotton flagellum, which is then put into the baby's ear. So the drug is guaranteed not to leak out of the ear canal. Or drip into the ear, and then put a cotton ball into the ear canal.

In especially severe cases of inflammation, the doctor, at his discretion, may increase the individual dosage of the drug, prescribe the simultaneous administration of antibiotics.

Dosage:

• Infants up to 12 months - 1 or 2 drops in the sore ear three times a day.
• Children 12-24 months - 3 drops in each sore ear three times a day.
• Older children, adolescents, adults, pregnant women, nursing mothers - 4 drops in the ear three times a day.

Some parents complain that after the first application, the effect did not last long. But this is normal, the minimum duration of treatment should be 3 days, only then can any significant results be expected from taking the drug.

At the same time, you can not use more than 10 days. If during this period the complete disappearance of the symptoms of inflammation has not occurred, you need to consult a doctor and reconsider the treatment regimen.

Side effects

During treatment, the occurrence of side effects is recorded quite rarely.

Possible side effects- these are different allergic reactions - itching, redness, swelling, hyperemia.

Interaction with other drugs

Does not affect the actions of others medications. It can be used in combination with any painkillers, antibiotics, drugs that affect the inflammatory process.

special instructions

The drug does not affect the ability to drive vehicles / mechanisms.

Treatment during pregnancy and lactation is possible only after the doctor has verified the integrity of the eardrum.

Athletes should be aware that treatment may affect doping control by giving a positive doping test.

Overdose

Cases of overdose have not been recorded. If the patient has taken the drug in large quantities or used it for other purposes, the attending physician should be informed.

1 g of the drug contains phenazole (40 mg) and lidocaine hydrochloride (10 mg).

Sodium thiosulfate (1 mg), glycerol (709 mg), ethanol (221.8 mg), water (18.2 mg) are auxiliary components.

Release form

Drops in a bottle with a dropper 15 ml. Clear, colorless or yellowish solution with an alcoholic odor.

pharmachologic effect

Anti-inflammatory, analgesic, antiseptic.

Pharmacodynamics and pharmacokinetics

Pharmacodynamics

Combined drug With local anesthetic and anti-inflammatory action .

Phenazone - non-steroidal anti-inflammatory agent, analgesic with anti-inflammatory action. It blocks cyclooxygenase and inhibits the synthesis of prostaglandins.

Lidocaine - local anesthetic. Violates the conduction of a pain impulse due to antagonism with sodium and calcium of the nerve fiber membrane. Lucky Combination of two active substances contributes to a rapid analgesic effect, increases its intensity and duration. The drug stimulates the liquefaction of mucus and its removal from the middle ear cavity through the Eustachian tube and the tympanic membrane.

Pharmacokinetics

When the integrity of the eardrum is preserved, it does not penetrate the body.

Indications for use

• otitis media in stage catarrh ;
• otitis barotraumatic ;
• otitis after the flu.

Contraindications

• allergic reaction to components;
• violation of the integrity of the eardrum.

Side effects

• irritation of the ear canal;
• allergic reactions.

Ear drops Otipaks, instructions for use (Method and dosage)

Drops in the ear are instilled 2-3 times a day, 3-4 drops. The dosage for children will be indicated below in a special section. Before use, the solution must be warmed by holding it between the palms. The course of treatment is not more than 10 days.

The instructions for use of Otipax contain a warning that the drug is not used for violation of the integrity of the eardrum .

Overdose

No cases of overdose have been reported.

Interaction

There are no data on interactions with other drugs.

Terms of sale

Released without a prescription.

Storage conditions

Storage temperature - up to 30°C. Keep out of the reach of children.

Best before date

5 years. Shelf life after opening the vial - 6 months.

Otipax for children

V childhood from the nasopharynx, the infection often enters the middle ear and causes otitis media. The safest drug for catarrhal otitis is Otipax for children, which has anti-inflammatory and analgesic effects.

In addition to catarrhal otitis, it is used for ear congestion ( eustachian ) in children, with otitis externa, some forms of purulent otitis and after extraction foreign bodies. They are used in children to relieve pain in the preperforative stage. otitis media starting from infancy.

Instructions for Otipax for children

Pre-drops are heated to 38-40 °C. It is better to bury the drops on a turunda made of cotton wool or gauze inserted into the ear. For children up to a year, 1-2 drops are used, from 1 to 2 years - 3 drops, for children preschool age and schoolchildren - 4 drops 3 times a day.

After instillation, it is necessary to hermetically close the ear canal with cotton wool lubricated with petroleum jelly - the drug will not evaporate and its effectiveness will be higher. A single use of the drug gives a short-term effect, so its course use is necessary. The anti-inflammatory effect is noted on the 2-3rd day.

Otipax during pregnancy

The drug is not absorbed into the blood and does not have a systemic effect, so Otipax can be used during pregnancy, provided that the eardrum is not damaged.

Otipax's analogs

Coincidence in the ATX code of the 4th level:

The price of Otipax analogs differs significantly. So, Otirelax 15 ml can be purchased for 100-200 rubles, Sofradex 5 ml for 190-500 rubles. Price Otinuma 10 ml 170-300 rubles, Anaurana 25 ml 270-470 rub.

Which is better: Otipax or Otinum?

It has an anti-inflammatory and moderate local anesthetic effect. The difference between the two drugs is in the active substance: Otinum contains choline salicylate - a derivative of salicylic acid, and there is no anesthetic, so the analgesic effect is not so pronounced. If it enters the middle ear, ototoxicity occurs. It is used in children from 1 year. Manufacturer ICN Polfa Rzeszow(Poland)

Anauran or Otipax - which is better?

Contains local anesthetic lidocaine and antibiotics polymyxin and . In terms of anti-inflammatory effect, this drug is stronger, but the presence of ototoxic antibiotics is a contraindication to their use in perforation of the eardrum. The drug is effective in otitis externa and otitis media until perforation occurs. Doesn't have age restrictions. Manufacturer Zambon S.P.A.(Italy).

Sofradex or Otipax - which is better?

Sofradex contains two antibiotics (and gramicidin ) and glucocorticoid dexamethasone . By the strength of the anti-inflammatory action, it surpasses the described drug. Glucocorticoids are not ototoxic, while antibiotics are ototoxic. Drops are intended for the treatment of otitis without violating the integrity of the eardrum. Of course, only a doctor can determine this upon examination, and, accordingly, recommend this or that drug. Used in children from 7 years. Manufacturer Aventis Pharma(India).

Otirelax or Otipax - which is better?

Otirelax - a structural analogue of Otipax (their composition is the same) and the action too. The difference is that the latter is the original drug, and Otirelax is a generic produced by Rompharm Company S.R.L.(Romania).

Otofa or Otipax - which is better?

It combines a pronounced antibacterial effect and the absence of ototoxic action. Active substance - rifamycin , which is not an ototoxic antibiotic and these drops can be used in the perforative stage. In this regard, this drug has an advantage, since all the drugs described above (Sofradex, Otinum, Otipax, Anauran) have the main contraindication - perforation of the eardrum. Manufacturer Bouchard-Recordati Laboratory(France).

Combined preparation for local use in otology with a pronounced analgesic and anti-inflammatory effect due to the synergism of the action of its components. Lidocaine exhibits a local anesthetic effect, while phenazone exhibits a pronounced anti-inflammatory effect. Phenazone significantly enhances the local anesthetic effect of lidocaine. The combined use of phenazone and lidocaine reduces the time of onset of the anesthetic effect, while increasing its severity and duration, which allows you to quickly eliminate pain syndrome with otitis. A decrease in the severity of pain and inflammation of the tympanic membrane is noted approximately 5 minutes after instillation, almost complete elimination of the pain syndrome - after 15-30 minutes.
When instilled into the ear, the components of Otipax act locally, are not resorbed and do not have a systemic effect. At topical application active components of the drug and their metabolites are not determined modern methods studies in the blood and other biological media of the body.

Indications for the use of Otipax

Local symptomatic treatment and anesthesia in acute otitis media; otitis with influenza; otitis due to barotrauma.

How to use Otipax

Children from infancy, adolescents and adults - instill 4 drops into the external auditory canal 2-3 times a day. The course of treatment should not exceed 10 days.

Contraindications to the use of Otipax

Damage to the eardrum due to infection or trauma; hypersensitivity to the components of the drug.

Side effects of Otipax

Very rarely - local reactions: irritation, hyperemia, itching.

Special instructions for the use of the drug Otipaks

Before the appointment, it is necessary to check the integrity of the eardrum. If the eardrum is perforated, the administration of the drug may lead to contact with the structures of the middle ear, causing adverse reactions in these tissues.
There are no data on contraindications to the use of the drug during pregnancy or lactation.
The drug does not affect the ability to drive vehicles and other mechanical devices.

Interactions with Otipax

With the local application of the drug, no interaction was found with simultaneously prescribed analgesics and anti-inflammatory drugs, antiseptics, antibiotics for local and systemic use.

Otipax overdose, symptoms and treatment

Otipax is well tolerated. An overdose of the drug, even with very frequent or excessive administration, is unlikely.

Storage conditions of the drug Otipaks

At temperatures below 25 °C. Shelf life after opening the bottle - 1 month.

List of pharmacies where you can buy Otipax:

• Saint Petersburg

– famous ear drops combined action, often prescribed for various forms of otitis media. They are recommended by both pediatricians and ENT doctors to patients of all ages.

This drug not only helps to defeat inflammation, but also quickly, in a matter of minutes, relieves pain. It is considered relatively safe for children, as the active substances do not enter the bloodstream.

Drops Otipaks: composition and properties, release form

Before instilling the drug in a child, you need to call a doctor and make sure that the membrane is intact.

There are certain rules for the use of Otipax:

1. To use the drug, carefully remove the aluminum protective film from the bottle and put on the silicone dropper. Attach it tightly to the neck of the bottle so that it does not fall during the use of the drug.
2. Follow the dosage carefully. Most often, adults are recommended 4 drops in a sore ear 2-3 times a day. Even if the anesthetic effect has passed earlier than expected, you do not need to drip the drug more often than recommended by the doctor.
3. Touching a cold vial to the ear (especially when treating a child) can be unpleasant. The drug can not be heated, but you can hold the bottle in your palms a little or rub it to make it more comfortable to use.
4. Immediately after instillation, you need to lie down on the side opposite the sore ear to let the drug drain in the right direction. When treating a child, it is desirable to convince him to lie down for at least a few seconds.
5. The course of treatment with Otipax lasts no more than 10 days. If after this period the pain in the ear persists, you should consult a doctor and undergo an examination, but it is not recommended to prolong the course of treatment with the drug on your own.

Contraindications and side effects

The main contraindication when using Otipax is perforation of the eardrum. Behind the tympanic membrane are the bones of the middle ear, which should not interact with the drug. If this happens, a hearing loss will occur that will be difficult to correct.

V rare cases there is an individual intolerance to the drug, for example, an allergic reaction to lidocaine. In this case, a rash can be noticed in the ear or neck area, and a burning sensation will be felt in the ear itself.

Allergies are rare, but you should pay attention to the reaction of the child during treatment. Children may also experience irritation in the ear canal, severe redness. If such side effects appear, you need to stop treatment with the drug and consult a doctor. He will suggest other ways

Content

Otitis media is a disease familiar to many since childhood, but although it affects mainly babies, even an adult can overtake the disease. Fortunately, today the pharmaceutical market is rich in drugs to eliminate this scourge. For example, inexpensive drops with two active components of Otipax will help prevent the development of complications in the body - instructions for use, which are mandatory to read before starting therapy.

Otipax ear drops

As a rule, inflammation of the middle ear is accompanied by severe swelling and pain. Combined drug Otipaks - effective remedy to fix such problems. The product is produced by a French pharmaceutical company and has been successfully used by ENT doctors in Russia for many years. The medicine has a local anesthetic and disinfecting effect.

Compound

Auxiliary substances of the drug are: ethanol, sodium thiosulfate, glycerol and water. They help to quickly deliver the active ingredients to the root of the problem and enhance the effectiveness of the drug. The active substances are two agents at once:

• Phenazone is a synthetic analgesic from the group of pyrazolones, which gives a local anesthetic and anti-inflammatory effect.
• Lidocaine hydrochloride - has a calming effect, blocks the appearance of pain in the ears, has a local anesthetic effect.

Release form

Outwardly, Otipax ear drops resemble a colorless liquid, sometimes a slightly yellowish solution, with a slight smell of alcohol. The medicine is produced in glass bottles with a convenient dropper tip for accurate dosage. The capacity of the jar is 15 ml. The medicine box contains detailed instructions for use with recommended dosages and indication of side effects.

Pharmacodynamics and pharmacokinetics

Thanks to the well-combined composition, Otipax has a pronounced anti-inflammatory and analgesic effect. The interaction of phenazone with lidocaine reduces the time before the onset of the analgesic effect, increasing its duration and severity, which is why ear drops can quickly and permanently eliminate pain in otitis media.

If the solution enters the ear, the drug has a local effect. The combination of phenazone with lidocaine does not penetrate into soft tissues and is not concentrated in blood plasma or other body fluids. A decrease in pain is observed 5 minutes after instillation, at the same time, the hyperemia of the tympanic membrane decreases. Completely painful sensations disappear after 15-30 minutes after use.

Indications for use

Otipax drops in the ears, the doctor may prescribe the causes of otitis media for the patient's complaints - hearing loss after an infection, pain syndrome, or the appearance of a feeling of stuffy ears. The drug has an anti-inflammatory effect, treats inflammatory processes of varying severity and localization, and helps prevent further spread of the infection. For Otipaks - instructions for use are as follows:

• otitis media during acute inflammation;
• disease of the middle ear, as a consequence of complications after the flu;
• purulent form of inflammation with the spread of infection inside the ear of mild severity;
• edema auricle and eardrum after an ear or head injury;
• external form of otitis;
• abscesses.

Otipax - contraindications

As with other medications, this drug has a number of contraindications in which the use of ear drops is prohibited. These include:

• Individual intolerance to one or more components of the drug. As a rule, these are allergic reactions to lidocaine.
• Perforated tympanic membrane, violation of the integrity after a bruise or injury to the organ as a result of surgical intervention.
• Sports, as the composition of the drug can distort the results of doping tests.
• Purulent otitis with widespread infection inside the ear and damage to the eardrum.

Method of application and dosage

The underlying document with a detailed algorithm for the use of the drug Otipax - official instruction by application. Due to the fact that it is necessary to store the medicine in the refrigerator, before use, manufacturers advise warming the bottle in your hands to a comfortable temperature. The standard treatment regimen involves the use of drops 2-3 times a day, 3-4 instillations into each external auditory canal. Duration of treatment inflammatory diseases ears should not exceed 8-10 days.

Algorithm for using ear drops:

1. At the first use, carefully remove the cap from the bottle and install the dropper dispenser that comes with the medicine.
2. Warm the bottle in your hands for several minutes to raise the temperature of the solution to normal.
3. Place a towel under your head and roll over on your side, inject a few drops of medicine into the sore ear.
4. Lie still for 5-7 minutes and repeat the procedure on the other side.
5. Subject to all the rules of treatment, discomfort disappears 2-3 days after the start of using the drops.

special instructions

Otipax refers to universal drugs that are approved for use by all family members. Drops quickly and effectively eliminate pain, have an anesthetic and anti-inflammatory effect. However, before using the product, it is imperative to exclude perforation of the eardrum, because exposure to lidocaine and phenazone can lead to complications.

Otipax drops do not cause drowsiness, disorders nervous system or other systemic disorders in the body. After using the medicine, work related to increased concentration of attention and driving vehicles are allowed. When playing professional sports, treatment with Otipax should be abandoned: the active component of the drug phenazone can give a positive result during doping control.

During pregnancy

According to the instructions for use, the drug has only a local effect on the body, and cannot serve as a contraindication to the use of Otipax for breastfeeding or during pregnancy. However, due to the lack of data on the necessary studies, some gynecologists do not recommend the drug in the first trimester of pregnancy, in order to avoid the occurrence of various abnormalities in the development of the fetus. In some cases, it is more expedient to replace the drops with medicines based on azithromycin.

Otipax for children

The danger of inflammation of the middle ear in childhood lies in the fact that very often the processes flutter too quickly and are accompanied by serious deviations. Otipax drops for children are allowed from the first year of life and are recommended for use immediately after the first symptoms of otitis media appear in a child. The course of treatment, as for adults, is 10 days, and the dosage is calculated according to the age of the child:

• children of the first year of life are allowed to inject 1-2 drops of liquid into the ear canal;
• for a child from 1 to 2 years old, the doctor may prescribe drops with a dosage of up to 3 pieces at a time;
• children older than two years of age need to drip 4 drops of the solution;
• for newborn children during the treatment of ear pain, the course of taking the medication and the dose are calculated individually by the attending physician.

Interaction with drugs

When conducting studies on the interaction of Otipax with other medicines it was found that with local exposure, the active substances of the drug do not enter into conflict reactions with other drugs. It is allowed to use ear drops along with analgesic, antibacterial, anti-inflammatory, disinfectant drugs. At the time of treatment, you should not limit the use of an antibiotic of a local or systemic principle of action.

Side effects and overdose

Negative reactions, subject to all the rules and regulations for the use of ear drops, are extremely rare. Cases of drug overdose have not been identified. Some patients treated with Otipax may experience:

• allergic reactions with individual intolerance to lidocaine or phenazone;
• hives around the ear, neck, ear, or face;
• itching or burning inside the ear canal;
• stuffy ears;
• skin irritation;
• partial or complete hearing loss if the medicine was instilled in the presence of a damaged eardrum.

Terms of sale and storage

Ear drops from pharmacies or other retail stores selling pharmacological agents are dispensed without a doctor's prescription. The drug is included in the WHO list of recommended medicines and belongs to list B. It is necessary to store the medicine in a place that is difficult for children to reach, at low temperatures - preferably on the bottom shelf of the refrigerator. Under these conditions, the shelf life of the drops is 5 years, however, when opening the vial, its contents must be used up within 6 months.

Analogues

Generics of Otipax are Otirelax, Oticain-Health, Otibru, Folicap, Droplex and Otton. They have absolutely similar composition and principle of influence on the body, dosage, course of administration and contraindications. In case of individual intolerance or the absence of these drugs in the pharmacy network for the treatment of otitis media, you can choose another analogue of Otipax:

• Otinum drops, the main active component of which is salicytate. Lidocaine is excluded from the composition of the product, which is important for people with allergic reactions to this substance. Otinium is used to combat ear plugs. A local anesthetic drug is effective against tympanitis and external otitis media. Pregnancy and lactation are a direct contraindication to the use of this remedy.
• Anauran drops are a broad-spectrum combined antibiotic with good feedback from patients. The drug is prescribed for purulent otitis media, external or middle inflammation of the ear, with recovery period after ear surgery. Active ingredients Anauran - lidocaine plus neomycin sulfate. The drug more often than Otipax can cause allergic reactions, and is unacceptable in the treatment of infants, pregnant or lactating mothers.
• Local anesthetic Holikaps is produced on the basis of choline salicylate. The drug can be used to dissolve earwax, with a diagnosis of otitis media of the outer or inner ear. Adverse reactions are insignificant and appear only in the form of an allergy: burning, redness or itching. It is not recommended to self-medicate with the use of this remedy during pregnancy, breastfeeding and children under one year old.

Price for Otipax