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Advice & Guidance Service Anosmia Audiology (adult) Dizziness and Vertigo Ear wax and microsuction ENT HOT Clinic Epistaxis Hearing Problems Middle ear problems Moulded Ear Plugs Nasal Treatment Neck Lumps (including Goitre) Otitis Externa Rhinosinusitis & Nasal Polyps Snoring Speech & Language Tinnitus Tonsils Uvula
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Home > Formulary : Paediatric > Paediatric Chapters > 12. Ear, Nose and Oropharynx >

BNSSG Paediatric Joint Formulary

12.1 Ear

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Last edited: 20-02-2024

First line drugs Second line drugs Specialist drugs Secondary care drugs

12.1.1 Otitis externa

Anti-infectives

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

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

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

Gentamicin 0.3% ear/eye drops (TLS Green)

  • Specific indication - (in secondary care, only to be initiated by ENT)

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

Alternative:

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

Clotrimazole 1% solution (TLS Green)

Ciprofloxacin 0.3% drops (TLS Green)

  • N.B. As there is not a licensed ciprofloxacin ear drop preparation, ciprofloxacin eye drops are used (unlicensed use)
  • Local Consultants recommend use with a topical steroid to improve effectiveness

 

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)

 

12.1.3 Otitis media

Analgesic / local anaesthetic

Phenazone / lidocaine hydrochloride ear drops solution (Otigo) (TLS Blue)

  • second line option for local symptomatic treatment and relief of pain in acute congestive otitis media
  • only for use if oral analgesia is insufficient, an immediate oral antibiotic prescription is not given, and there is no eardrum perforation or otorrhoea.