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Cipro HC Otic (ciprofloxacin/hydrocortisone)

Indications

Cipro HC Otic is prescribed to treat bacterial infections of the outer ear canal (acute otitis externa), also known as swimmer’s ear.

Ingredients

• Active Ingredients: Ciprofloxacin Hydrochloride and Hydrocortisone
• Inactive Ingredients: Benzyl alcohol, polysorbate 20, acetic acid, sodium acetate, propylene glycol, and purified water.

Dosage and Administration

• Follow the prescription: Use Cipro HC Otic exactly as prescribed by your healthcare provider.
• Warm the bottle: Warm the bottle in your hands for 1-2 minutes before use to prevent dizziness from cold drops.
• Lie down or tilt head: Lie down or tilt your head to the side so that the affected ear is facing up before administering the drops.
• Use as directed: Apply the prescribed number of drops into the ear and stay in that position for several minutes to allow the medication to reach the affected area.
• Complete the course: Use the medication for the full prescribed length of time, even if symptoms improve before completing the course.
• Do not touch the dropper: Avoid touching the dropper tip or letting it come into contact with any surface to keep it sterile.
• Do not miss doses: Consistency is crucial for the effectiveness of the treatment; do not miss doses.
• Avoid contaminating the dropper: Do not let the dropper touch your ear or any other surface to prevent contamination.
• Do not stop early: Do not stop using the medication early, even if you feel better, unless directed by your doctor.

Mechanism of Action

• Ciprofloxacin is an antibiotic that works by stopping the growth of bacteria. Hydrocortisone is a corticosteroid that reduces the inflammation and swelling associated with ear infections. Together, they treat the infection and relieve symptoms like itching, redness, and swelling.

Contraindications

• Allergy to ingredients: Do not use if you are allergic to ciprofloxacin, hydrocortisone, or any other ingredients in Cipro HC Otic.
• Viral or fungal ear infections: Avoid if you have viral infections like herpes simplex or fungal ear infections.
• Tympanic membrane perforation: Do not use it if you have a perforated eardrum (hole in the eardrum).

Side Effects

Common Side Effects

• Itching in the ear
• Ear discomfort or pain
• Headache
• Unusual taste in the mouth

Serious Side Effects

• Severe allergic reactions (rash, itching, swelling, severe dizziness, trouble breathing)
• Signs of new infection (fever, persistent sore throat)
• Severe burning or stinging in the ear
• Hearing changes (temporary hearing loss)

Precautions

• Medical history: Inform your doctor of your complete medical history, especially if you have ear infections that keep coming back or if you have had surgery on your ear.
• Avoid contamination: Keep the dropper tip clean and avoid contaminating it with your hands or ear.
• Monitor for side effects: Be aware of potential side effects and seek medical attention if serious symptoms occur.
• Use only in the ear: This medication is for use only in the ear; avoid contact with the eyes or mouth.
• Pregnancy and breastfeeding: Consult your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

Storage Instructions

• Store at room temperature: Keep Cipro HC Otic at a controlled room temperature, between 20°C to 25°C (68°F to 77°F).
• Avoid moisture and light: Store in a dry place away from light and moisture.
• Keep out of reach of children: Ensure that the medication is stored safely out of reach of children and pets.
• Do not freeze: Do not freeze the medication and avoid storing it in the bathroom due to humidity.

References

https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/020805s011lbl.pdf