Generic Name: ciprofloxacin & hydrocortisone
Product Name: Ciproxin HC Ear Drops
Indication: What Ciproxin HC Ear Drops is used for
Ciproxin HC is used to treat an infection of the outer ear caused by bacteria. This condition is known as bacterial otitis externa. It may cause itching or pain.
Before prescribing Ciproxin HC Ear Drops for you or your child, your doctor will have examined the ears and decided that Ciproxin HC Ear Drops is the right medicine.
Your doctor may have prescribed Ciproxin HC Ear drops for another reason. Ask your doctor if you have any questions about why Ciproxin HC Ear Drops has been prescribed for you.
Use in children
Ciproxin HC is not recommended in children under the age of 2 years. The safety and effectiveness of Ciproxin HC in children under 2 years has not been established.
Action: How Ciproxin HC Ear Drops works
Ciproxin HC Ear Drops contains two active ingredients. Ciprofloxacin, a “fluoroquinolone” antibiotic, which kills the bacteria causing the infection; and hydrocortisone, a corticosteroid, that reduces the pain, redness and/or inflammation.
Ciproxin HC will not work against infections caused by viruses, such as colds or the flu, or infections caused by fungus.
It also contains the inactive ingredients benzyl alcohol as a preservative, polysorbate 20, sodium acetate, acetic acid (glacial), sodium chloride, hydrogenated soy phosphatidylcholine, polyvinyl alcohol, purified water.
Dose advice: How to use Ciproxin HC Ear Drops
Before you use Ciproxin HC Ear Drops
When you must not use it
Do not use Ciproxin HC Ear Drops if you or your child are allergic to:
- Any other “quinolone” antibiotics (e.g. nalidixic acid);
- Benzyl alcohol used as a preservative;
- Any of the other ingredients in Ciproxin HC Ear Drops;
Some of the symptoms of an allergic reaction may include:
- Shortness of breathl;
- Wheezing or difficulty breathing;
- Swelling of the face, lips, tongue or other parts of the body;
- Rash, itching or hives on the skin.
Do not use Ciproxin HC if you or your child:
- Have a perforated eardrum;
- Are being treated for a condition called necrotising malignant otitis externa. This is a condition common to people who suffer from diabetes;
- Have a viral or fungal infection of the external ear canal.
Ask your doctor or pharmacist to be sure you do not have any of these conditions.
Do not use Ciproxin HC Ear Drops just before having a bath, shower or going swimming. If you do, you may reduce the effectiveness of Ciproxin HC Ear Drops.
Do not use this medicine after the expiry date printed on the pack or bottle, or if the seal around the pack is broken or shows signs of tampering. If it has expired or is damaged, return it to your pharmacist for disposal. If you use this medicine after the expiry date has passed, it may not work.
Ciproxin HC Ear Drops has been developed for use in the ear only. This product is not suitable for use in the eye.
Before you start to use it
Tell your doctor if you have had an allergy to any other medicines or any other substances, such as foods, preservatives or dyes.
Tell your doctor if you are allergic to latex. The dropper cap contains natural rubber (latex) which may cause severe allergic reactions in some people.
Tell your doctor if you or your child have diabetes or any other medical condition.
Tell your doctor if you are pregnant or plan to become pregnant. Your doctor will discuss the possible risks and benefits of using Ciproxin HC during pregnancy.
Tell your doctor if you are breastfeeding. Your doctor will discuss the possible risks and benefits of using Ciproxin HC when you are breastfeeding.
If you have not told your doctor about any of the above, tell them before you use Ciproxin HC Ear Drops.
Using other medicines
Tell your doctor or pharmacist if you or your child are taking any other medicines, including other ear drops and any other medicines that you get without a prescription from a pharmacy, supermarket or health food shop.
Some medicines and Ciproxin HC may interact with each other. Your doctor or pharmacist will be able to tell you what to do when using Ciproxin HC Ear Drops with other medicines.
How to use Ciproxin HC Ear Drops
Carefully follow all directions given to you by your doctor and pharmacist. They may differ from the information here.
If you are being changed from one medicine to another, follow your doctor’s instructions carefully as to when to stop this medicine and when to start the new ear drops.
If you do not understand the instructions on the carton / bottle, ask your doctor or pharmacist for help.
How much to use
The usual dose in adults and children (2 years and older is 3 (three) drops in the affected ear(s) twice a day for 7 (seven) days.
The dosing instructions will be printed on the label your pharmacist puts on the bottle or carton.
How to use it
It is important to use Ciproxin HC exactly as your doctor or pharmacist has told you. If you use it less often than you should, it may not work as well and the ear problem may not improve. Using it more often than you should not improve the ear problem any faster and may cause increased side effects.
To open a new bottle of Ciproxin HC Ear Drops, remove the cap and replace it with the dropper cap supplied in the carton. Your pharmacist may have already done this for you.
Do not touch the tip of the dropper tip with your fingers, to the ear or any other surface. This will help prevent the ear drops becoming dirty or contaminated.
Follow these steps to use Ciproxin HC Ear Drops
- Step 1: Wash your hands thoroughly;
- Step 2: Shake the bottle;
- Step 3: Squeeze the bulb on the dropper cap to draw up the liquid into the dropper;
- Step 4: Tilt your/your child’s head to one side so that the affected ear is facing up. This may be easier in the sitting or lying down position (see Diagram 1);
- Step 5: Open the bottle and remove the dropper which has the liquid in it;
- Step 6: Put the tip of the dropper close to the ear and gently squeeze three drops into the ear (see Diagram 2);
- Step 7: Hold the head in the same position for about one minute. This will help the drops to reach deeper into the ear (see Diagram 3);
- Step 8: Repeat the above steps for the other ear if necessary.
There might be a slightly unpleasant feeling as the drops flow all the way into the ear. If this persists or is very uncomfortable, contact your doctor or pharmacist.
When to use it
Use Ciproxin HC at about the same time every day unless your doctor tells you otherwise. Using your ear drops at the same time each day will have the best effect on your ear infection. It will also help you remember when to use it.
How long to use it
Continue using your medicine for as long as your doctor tells you.
As Ciproxin HC starts to kill the bacteria that are causing the infection in your ear(s) you will start to feel better. However, it is very important that you continue to use Ciproxin HC for the full treatment period as directed by your doctor to ensure that the infection does not return.
If you are unsure about when to stop using Ciproxin HC, you should talk to your doctor or pharmacist.
Do not use Ciproxin HC Ear Drops longer than your doctor tells you. If you use Ciproxin HC Ear Drops longer than your doctor or pharmacist tells you, the chance of side effects may increase.
If you forget to use it
If you forget to use Ciproxin HC you should put the drops that you missed in the ear(s) as soon as you remember and then go back to using them as recommended by your doctor. If it is almost time for the next dose, skip the dose that you missed and continue using them as recommended.
Never take a double dose to make up for the one that you missed.
If you are not sure what to do, contact your doctor or pharmacist. If you have trouble remembering to use the medicine, ask your pharmacist for some hints.
If you use too much (overdose)
Immediately telephone the nearest Poisons Information Centre (in Australia call 13 1126; in New Zealand call 0800 POISON or 0800 764 766, your doctor or go to Casualty in the nearest hospital, if you think that you or someone else has swallowed Ciproxin HC Ear Drops. Do this even if there are no signs of discomfort or poisoning.
While using Ciproxin HC Ear Drops
Things you must do
If the symptoms of the infection do not improve within a few days, or if it becomes worse, tell your doctor.
Tell your doctor if, for any reason, you have not used Ciproxin HC Ear Drops exactly as prescribed. Otherwise, your doctor may think that it was not effective and change the treatment unnecessarily.
If you become pregnant while you are using this medicine, tell your doctor immediately.
If you or your child are about to be started on any new medicine, remind your doctor or pharmacist that you are using Ciproxin HC.
Tell all the doctors, dentists and pharmacists who are treating you or your child that you are using Ciproxin HC.
Things you must not do
Do not use Ciproxin HC to treat other complaints unless your doctor tells you to.
Do not give this medicine to anyone else, even if they appear to have the same condition as you.
Do not stop using Ciproxin HC or lower the dose without first asking your doctor.
Do not let children handle Ciproxin HC.
Things to be careful of
Be careful driving or operating machinery until you know how Ciproxin HC affects you and your hearing.
Be careful of sun exposure. Ciproxin HC may cause some people to sunburn more readily.
Ask your doctor or pharmacist if you are concerned about the length of time that you or your child have been using Ciproxin HC.
After using Ciproxin HC Ear Drops
Keep Ciproxin HC in a cool dry place, where the temperature stays below 25°C. Do not refrigerate or freeze. Cold ear drops may hurt your ear(s) or cause temporary dizziness.
Protect from light.
Do not store Ciproxin HC or any other medicine in the car, the bathroom or any other warm, damp place. Heat and dampness can destroy some medicines.
Do not carry the ear drops in the pockets of your clothes.
Do not leave the top off the bottle for any length of time, to avoid contaminating the ear drops.
Keep it out of the sight and reach of children. A locked cupboard at least one and a half metres above the ground is a good place to store medicines.
Write the date on the bottle when you first open the ear drops and throw out any remaining solution after 14 days.
Ciproxin HC contains a preservative which helps prevent germs growing in the solution for the first 14 days after opening the bottle. After this time there is a greater risk that the drops may become contaminated and cause an ear infection.
If your doctor tells you to stop using Ciproxin HC or it has passed its expiry date, ask your pharmacist what to do with any that is left over.
Schedule of Ciproxin HC Ear Drops
Ciproxin HC Ear Drops is a prescription only medicine (Schedule 4).
Side effects of Ciproxin HC Ear Drops
Tell your doctor or pharmacist as soon as possible if you or your child do not feel well while you are using Ciproxin HC. This medicine helps most people with an ear infection, but it may have unwanted side effects in a few people.
All medicines can have side effects. Sometimes they are serious, however most of the time they are not. You may need medical treatment if you or your child get some of the side effects.
Do not be alarmed by the following list of possible side effects. You may not experience any of them.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor or pharmacist if you notice any of the following and they worry you:
- Itchy ears;
- A sensation of fullness of ear;
- Ear discomfort;
- Redness of the ears.
Occasionally some people notice unwanted effects in the rest of their body as a result of using Ciproxin HC Ear Drops. These effects may include:
- Decreased sense of touch, pain or light;
- Decreased sense of hearing;
- Numbness or tingling;
- Itching and/or rash;
- Sensitivity to sunlight;
- Fungal nail infection;
- Flaking of skin.
On very rare occasions, you or your child may find a little bit of white material remaining in the ear while using Ciproxin HC Ear Drops. The formation of this white material may or may not be associated with symptoms such as ear discomfort, hearing disorder or ear pain.
Tell your doctor immediately and stop using Ciproxin HC Ear Drops at the first sign of an allergy. Symptoms of an allergy include:
- Skin rash;
- Swelling of the face, hands or feet;
- Wheezing, difficulty in breathing;
- Severe and sudden onset of pinkish, itchy swellings on the skin, also called hives.
Tell your doctor or pharmacist if you notice anything that is making you feel unwell. Other side effects not listed above may also occur in some people.
Do not feel alarmed by this list of possible side effects. You may not experience any of them.
For further information talk to your doctor.