Corticosteroids (Otic)

Proper Use of This Medicine

To use ear drops :

• Lie down or tilt the head so that the affected 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 several (about 5) minutes to allow the medicine to run to the bottom of the ear canal. A sterile cotton plug may be gently inserted into the ear opening to prevent the medicine from leaking out. At first, your doctor may want you to put more medicine on the cotton plug during the day to keep it moist.

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

Do not use corticosteroids more often or for a longer time than your doctor ordered . To do so may increase the chance of side effects.

Do not use any leftover medicine for future ear problems without first checking with your doctor . This medicine should not be used if certain kinds of infections are present. To do so may make the infection worse.

Dosing - The dose of otic corticosteroids 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 corticosteroids. If your dose is different, do not change it unless your doctor tells you to do so.

For betamethasone
• For redness, itching, and swelling:
  • Adults and children - Use two or three drops in the ear every two or three hours. After symptoms are relieved, your doctor may lower the dose.

For dexamethasone
• For redness, itching, and swelling:
  • Adults and children - Use three or four drops in the ear two or three times a day. After symptoms are relieved, your doctor may lower the dose.

Missed dose - If you miss a dose of this medicine, use it as soon as you remember. 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.

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• Do not keep outdated medicine or medicine no longer needed.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.