Colistin, Neomycin, and Hydrocortisone (Otic)

Brand Names : Coly-Mycin S Otic, Coly-Mycin Otic

Proper Use of This Medicine

Before applying this medicine, thoroughly clean the ear canal and dry it with a sterile cotton applicator.

You may warm the ear drops to body temperature (37 �C or 98.6 �F), but no higher, by holding the bottle in your hand for a few minutes before applying. If this medicine gets too warm, it may break down and not work properly.

To apply this medicine:

• Lie down or tilt the head so that the infected ear faces up. Gently pull the earlobe up and back for adults (down and back for children) to straighten the ear canal. Drop the medicine into the ear canal. Keep the ear facing up for about 5 minutes to allow the medicine to coat the ear canal. (For young children and other patients who cannot stay still for 5 minutes, try to keep the ear facing up for at least 1 or 2 minutes.) Your doctor may have inserted a gauze or cotton wick into your ear and may want you to keep the wick moistened with this medicine. Your doctor also may have other directions for you, such as how long you should keep the wick in your ear or when you should return to your doctor to have the wick replaced. If you have any questions about this, check with your doctor.

To keep the medicine as germ-free as possible, do not touch the dropper to any surface (including the ear). Also, keep the container tightly closed.

Do not use this medicine for more than 10 days unless otherwise directed by your doctor.

To help clear up your infection completely, keep using this medicine for the full time of treatment , even if your symptoms begin to clear up after a few days. If you stop using this medicine too soon, your symptoms may return. Do not miss any doses .

Dosing - The dose of otic colistin, neomycin, and hydrocortisone combination 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 otic colistin, neomycin, and hydrocortisone combination. If your dose is different, do not change it unless your doctor tells you to do so.

• For otic suspension (ear drops) dosage form:
  • For infections of the ear canal:
    • Adults - Use four drops in the ear every six to eight hours.
    • Children - Use up to three drops in the ear every six to eight hours.

Missed dose - If you miss a dose of this medicine, apply 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.

Storage - To store this medicine:

• Keep out of the reach of children.
• Store away from heat and direct light.
• Keep the medicine from freezing
• Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.