Proper Use

Drug information provided by: IBM Micromedex

Use this medicine exactly as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may increase the chance of side effects.

This medicine should come with patient information leaflet. Read and follow these instructions carefully. Ask your doctor if you have any questions.

This medicine should be used only in the ear. Do not put it in the eyes or nose, and do not take it by mouth or inject it. If this medicine is swallowed by accident or gets in your eyes, call your doctor right away.

To use the ear drops:

  • Wash hands thoroughly with soap and water.
  • Gently clean any fluid (discharge) from the outer ear using a clean cloth or tissue. Do not put a cotton swab or any other object in the ear canal.
  • Remove the medicine from the foil pouch. Do not open the foil pouch until you are ready to use it.
  • Pull apart 1 single dose vial. Hold the vial in your hands for 1 or 2 minutes to warm the medicine. Cold drops could cause you to become dizzy.
  • Lie down on your side with your infected ear facing up.
  • Twist off the vial cap to open. Drop the entire contents of one vial and pump the tragus 4 times.
  • Keep the ear tilted up for 1 minute.
  • If necessary, use another vial for the other ear and repeat the same steps.
  • Throw away the opened vials after use.


The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For otic dosage form (ear drops):
    • For acute otitis media with tympanostomy tubes:
      • Adults and children 6 months of age and older—0.25 milliliter (1 vial) two times a day for 7 days. Each dose should be 12 hours apart.
      • Children younger than 6 months of age—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Upon opening the foil pouch, use the vials within 7 days.