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Home > Formulary : Adult > Chapters > 12. Ear, Nose and Oropharynx >

BNSSG Adult Joint Formulary

12.1 Ear

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Last edited: 01-02-2024

12.1.1 Otitis externa

First line drugs Second line drugs Specialist drugs Secondary care drugs

 

Anti-infectives

Betamethasone 0.1% and Neomycin 0.5% (Betnesol-N®) (TLS Green)

Dexamethasone 0.1% / Neomycin 3250units/mL spray (Otomize®) (TLS Green)

Alternative:

Hydrocortisone 1% / Gentamicin 0.3% drops (Gentisone HC®) (TLS Blue)

Dexamethasone 0.05% / Framycetin 0.5% / Gramicidin 0.005% drops (Sofradex®) (TLS blue)

Flumetasone pivalate 0.02% / Clioquinol 1% drops (Locorten-Vioform®) (TLS Blue)

Clotrimazole 1% solution (TLS Blue)

Ciprofloxacin 0.3% / Dexamethasone 0.1% (TLS Blue)

  • Prescribe as per microbial sensitivities

Triamcinolone acetonide 0.1% / Gramicidin 0.025% / Neomycin sulphate 0.25% / Nystatin 100,000 units/g ointment (Otocomb Otic Ear®) (TLS Red)

  • To be prescribed after ear drops
  • For second line use in ENT clinic
  • Unlicensed

 

Astringents

Aluminium acetate 13% drops (TLS Red)

  • Unlicensed – special order only

Acetic acid 2% spray (TLS Green)

 

Corticosteroids

Betamethasone 0.1% drops (TLS Green)

Prednisolone 0.5% drops (TLS Green)

 

12.1.2 Removal of ear wax

Sodium bicarbonate 5% drops (TLS Green)

Olive oil (TLS Green)

 

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