"Otipax": instructions for use (for adults and children), price, analogues are cheaper. An overview of the treatment of otitis media in children with otipax ear drops Otipax ear drops

Content

Otitis media is a disease familiar to many since childhood, but although it affects mainly babies, even an adult can overtake the disease. Fortunately, today the pharmaceutical market is rich in drugs to eliminate this scourge. For example, inexpensive drops with two active components of Otipax will help prevent the development of complications in the body - instructions for use, which are mandatory to read before starting therapy.

Otipax ear drops

As a rule, inflammation of the middle ear is accompanied by severe swelling and pain. The combination drug Otipax is an effective remedy for eliminating such problems. The product is produced by a French pharmaceutical company and has been successfully used by ENT doctors in Russia for many years. The medicine has a local anesthetic and disinfecting effect.

Compound

Auxiliary substances of the drug are: ethanol, sodium thiosulfate, glycerol and water. They help to quickly deliver the active ingredients to the root of the problem and enhance the effectiveness of the drug. The active substances are two agents at once:

Phenazone is a synthetic analgesic from the group of pyrazolones, which gives a local anesthetic and anti-inflammatory effect.
Lidocaine hydrochloride - has a calming effect, blocks the appearance of pain in the ears, has a local anesthetic effect.

Release form

Outwardly, Otipax ear drops resemble a colorless liquid, sometimes a slightly yellowish solution, with a slight smell of alcohol. The medicine is produced in glass bottles with a convenient dropper tip for accurate dosage. The capacity of the jar is 15 ml. The box with the drug contains detailed instructions for use with recommended dosages and the designation of side effects.

Pharmacodynamics and pharmacokinetics

Thanks to the well-combined composition, Otipax has a pronounced anti-inflammatory and analgesic effect. The interaction of phenazone with lidocaine reduces the time before the onset of the analgesic effect, increasing its duration and severity, which is why ear drops can quickly and permanently eliminate pain in otitis media.

If the solution enters the ear, the drug has a local effect. The combination of phenazone with lidocaine does not penetrate into soft tissues and does not concentrate in blood plasma or other body fluids. A decrease in pain is observed 5 minutes after instillation, at the same time, the hyperemia of the tympanic membrane decreases. Completely painful sensations disappear after 15-30 minutes after use.

Indications for use

Otipax drops in the ears, the doctor may prescribe the causes of otitis media for the patient's complaints - hearing loss after an infection, pain syndrome, or the appearance of a feeling of stuffy ears. The drug has an anti-inflammatory effect, treats inflammatory processes of varying severity and localization, and helps prevent further spread of the infection. For Otipaks - instructions for use are as follows:

otitis media during acute inflammation;
disease of the middle ear, as a consequence of complications after the flu;
purulent form of inflammation with the spread of infection inside the ear of mild severity;
swelling of the auricle and eardrum after an ear or head injury;
external form of otitis;
abscesses.

Otipax - contraindications

As with other medications, this drug has a number of contraindications in which the use of ear drops is prohibited. These include:

Individual intolerance to one or more components of the drug. As a rule, these are allergic reactions to lidocaine.
Perforated tympanic membrane, violation of the integrity after a bruise or injury to the organ as a result of surgical intervention.
Sports, as the composition of the drug can distort the results of doping tests.
Purulent otitis with widespread infection inside the ear and damage to the eardrum.

Method of application and dosage

The fundamental document with a detailed algorithm for using Otipax is the official instructions for use. Due to the fact that it is necessary to store the medicine in the refrigerator, before use, manufacturers advise warming the bottle in your hands to a comfortable temperature. The standard treatment regimen involves the use of drops 2-3 times a day, 3-4 instillations into each external auditory canal. The duration of treatment for inflammatory diseases of the ears should not exceed 8-10 days.

Algorithm for using ear drops:

At the first use, carefully remove the cap from the bottle and install the dropper dispenser that comes with the medicine.
Warm the bottle in your hands for several minutes to raise the temperature of the solution to normal.
Place a towel under your head and roll over on your side, inject a few drops of medicine into the sore ear.
Lie still for 5-7 minutes and repeat the procedure on the other side.
Subject to all the rules of treatment, discomfort disappears 2-3 days after the start of using the drops.

special instructions

Otipax refers to universal drugs that are approved for use by all family members. Drops quickly and effectively eliminate pain, have an anesthetic and anti-inflammatory effect. However, before using the product, it is imperative to exclude perforation of the eardrum, because exposure to lidocaine and phenazone can lead to complications.

Otipax drops do not cause drowsiness, nervous system disorders or other systemic disorders in the body. After using the medicine, work related to increased concentration of attention and driving vehicles are allowed. When playing professional sports, treatment with Otipax should be abandoned: the active component of the drug phenazone can give a positive result during doping control.

During pregnancy

According to the instructions for use, the drug has only a local effect on the body, and cannot serve as a contraindication to the use of Otipax during breastfeeding or during pregnancy. However, due to the lack of data on the necessary studies, some gynecologists do not recommend the drug in the first trimester of pregnancy, in order to avoid the occurrence of various abnormalities in the development of the fetus. In some cases, it is more expedient to replace the drops with medicines based on azithromycin.

Otipax for children

The danger of inflammation of the middle ear in childhood lies in the fact that very often the processes flutter too quickly and are accompanied by serious deviations. Otipax drops for children are allowed from the first year of life and are recommended for use immediately after the first symptoms of otitis media appear in a child. The course of treatment, as for adults, is 10 days, and the dosage is calculated according to the age of the child:

children of the first year of life are allowed to inject 1-2 drops of liquid into the ear canal;
for a child from 1 to 2 years old, the doctor may prescribe drops with a dosage of up to 3 pieces at a time;
children older than two years of age need to drip 4 drops of the solution;
for newborn children during the treatment of ear pain, the course of taking the medication and the dose are calculated individually by the attending physician.

Interaction with drugs

When conducting studies on the interaction of Otipax with other drugs, it was found that with local exposure, the active substances of the drug do not enter into conflict reactions with other drugs. It is allowed to use ear drops along with analgesic, antibacterial, anti-inflammatory, disinfectant drugs. At the time of treatment, you should not limit the use of an antibiotic of a local or systemic principle of action.

Side effects and overdose

Negative reactions, subject to all the rules and regulations for the use of ear drops, are extremely rare. Cases of drug overdose have not been identified. Some patients treated with Otipax may experience:

allergic reactions with individual intolerance to lidocaine or phenazone;
hives around the ear, neck, ear, or face;
itching or burning inside the ear canal;
stuffy ears;
skin irritation;
partial or complete hearing loss if the medicine was instilled in the presence of a damaged eardrum.

Terms of sale and storage

Ear drops from pharmacies or other retail stores selling pharmacological agents are dispensed without a doctor's prescription. The drug is included in the WHO list of recommended medicines and belongs to list B. It is necessary to store the medicine in a place that is difficult for children to reach, at low temperatures - preferably on the bottom shelf of the refrigerator. Under these conditions, the shelf life of the drops is 5 years, however, when opening the vial, its contents must be used up within 6 months.

Analogues

Generics of Otipax are Otirelax, Oticain-Health, Otibru, Folicap, Droplex and Otton. They have absolutely similar composition and principle of influence on the body, dosage, course of administration and contraindications. In case of individual intolerance or the absence of these drugs in the pharmacy network for the treatment of otitis media, you can choose another analogue of Otipax:

Otinum drops, the main active component of which is salicytate. Lidocaine is excluded from the composition of the product, which is important for people with allergic reactions to this substance. Otinium is used to combat ear plugs. A local anesthetic drug is effective against tympanitis and external otitis media. Pregnancy and lactation are a direct contraindication to the use of this remedy.
Anauran drops are a broad-spectrum combined antibiotic with good feedback from patients. The drug is prescribed for purulent otitis, external or middle inflammation of the ear, during the recovery period after surgical intervention on the ears. The active ingredients of Anauran are lidocaine plus neomycin sulfate. The drug more often than Otipax can cause allergic reactions, and is unacceptable in the treatment of infants, pregnant or lactating mothers.
Local anesthetic Holikaps is produced on the basis of choline salicylate. The drug can be used to dissolve earwax, with a diagnosis of otitis media of the outer or inner ear. Adverse reactions are minor and appear only in the form of an allergy: burning, redness or itching. It is not recommended to self-medicate with the use of this remedy during pregnancy, breastfeeding and children under one year old.

Price for Otipax

Many people are familiar with unpleasant, and often painful sensations in the ears, which usually occur suddenly and are symptoms of otitis media. Against the background of such a phenomenon, a reliable and safe medication is important, which will be able to return the patient to normal health in a short period of time. One of the drugs that help in the treatment of this disease is, judging by the reviews, Otipax. Let's get acquainted with the instructions for its use in children and adults, learn about existing analogues, and, in addition, find out what people who use this pharmaceutical agent write about it.

Characteristics of ear drops

Pain is a frequent companion of acute and chronic diseases of the ears, which are inflammatory in nature. It is not for nothing that one of the most effective means of eliminating symptoms is the French-made Otipax drops. In some cases, including against the background of a mild catarrhal form of unilateral otitis media, this medication can rightfully be considered the only necessary one. When the use of drops alone is not enough, therapy is supplemented with oral antibiotics.

If you believe the reviews, "Otipaks" is a remedy that is characterized by a local anti-inflammatory and analgesic effect. It is produced by the French pharmaceutical company Biocodex. A medication is produced in the form of ear drops, which resemble an oily liquid and have a slight alcohol aroma. The color of the substance can be either completely transparent or have a slightly yellowish tint.

This medication is sold in retail pharmacies. Otipax is sold in dark glass bottles with a volume of 15 ml. Each vessel has a soft sterile dropper. In addition, the carton contains instructions for using this medication.

The composition of the drug contains such active ingredients as lidocaine and phenazone. The first substance is an effective analgesic that prevents the conduction of a pain impulse and the interaction of the nerve fiber membrane with sodium and calcium. Phenazone is a non-steroidal anti-inflammatory agent. Its principle of action is to inhibit the production of certain enzymes, which prevents the development of the pathological process and eliminates pain.

The price of Otipax ear drops is of interest to many, but we will return to this issue a little later. Additional components in the composition of the medication were ethanol, water and glycerol, as well as sodium thiosulfate. This combination causes a quick analgesic effect, which increases its intensity and duration.

In addition, this medicinal product contributes to the process of thinning the mucous mass, as well as its removal from the middle ear area through the Eustachian tube.

"Otipaks": indications

Before you start using the medication, you need to make sure that the eardrum is intact. Otherwise, it is possible that the use of the drug will provoke serious complications due to direct contact of chemicals with the middle ear system. It should be noted that the substances contained in this medicinal product may have a positive effect on the results of a doping test.

The main indication for the use of these drops is the occurrence of pain in the ears. In reviews of Otipax, patients indicated in which cases they were prescribed this drug:

The presence of otitis media in the initial, as well as in the acute stage.
Occurrence of external inflammation of the middle ear.
Otitis, which occurs as a complication of sinusitis, tonsillitis, rhinitis and influenza.
Otitis, which develops against the background of traumatic injuries.

The described ear drops do have a good anesthetic effect, but they do not contain any antibacterial or antiviral components. With a disease of a microbial nature, this drug can only eliminate its symptoms, it is not able to cope with the pathogen. In this regard, many doubt whether Otipax is suitable for children.

Contraindications for use

Treatment with these drops is prohibited in case of:

the presence of perforative damage to the eardrums;
individual hypersensitivity of the patient's body to the active, as well as auxiliary components of this drug.

Judging by the reviews, "Otipaks" can really cause an allergic reaction. Against the background of the use of the drug, as, indeed, and other drugs, the manifestation of redness and irritation in the area of \u200b\u200bthe ear canal is likely.

The cost of the drug

To purchase this medicinal product, a prescription from the attending physician is not required, but, nevertheless, before starting therapy, it is necessary to visit a specialist to get advice on its use.

The price of Otipax ear drops directly depends on a particular pharmacy chain that sells the drug, as well as on the region. So, the average cost of these therapeutic drops in the cities of Russia ranges from 195 to 250 rubles. The highest fee for this drug is noted in a number of online pharmacies: it is unlikely that you will be able to buy Otipax cheaper than 300-350 rubles.

How to use medicinal drops correctly?

So, let's figure out how to use Otipax for children. The therapeutic course, according to the instructions for use, should be from seven to ten days, but in no case more. A single application against the background of pain for a child or an adult is determined by a short-term effect. For this reason, it is still desirable to undergo a full course of treatment with Otipax. The indications must be strictly followed.

The anti-inflammatory effect is achieved, as a rule, already on the third day of use, and a noticeable decrease in pain can be felt 10-15 minutes after instillation of the liquid. In addition, it is equally important to know how to drip Otipax correctly. To do this, you must follow the following sequence of actions:

First, wash your hands thoroughly.
After that, gently clean the ear shell with a soft cotton swab.
The substance is heated to body temperature. To do this, just hold the bottle in your palms for a few minutes.
The dropper should be carefully checked for any chips or cracks.
Next, you need to turn the bottle over, making sure that the substance is glass in the dropper.
The patient is laid on his side so that the diseased ear is on top.
Next, the ear should be slightly pulled back and up so that the ear canal can open, after which the agent is instilled in the required amount.
Later, light pressure is applied so that the drops can better penetrate the cavity of the ear canal.
After the instillation procedure, you should close the ear well with a cotton swab, on which you first need to smear a small amount of petroleum jelly. So the drops will not be able to evaporate, and the effectiveness of their use will be an order of magnitude higher.
Next, the bottle is closed with a lid and put in the refrigerator. This must be done according to the storage conditions of the product after opening.
At the end of the procedure, hands should be washed again.

Knowing everything about the correct use of Otipax drops, you still cannot use the drug on your own. To avoid negative consequences and side effects, the medication must be prescribed by a specialist.

Features of using drops

The medicine is allowed for use for adults and babies from the moment of birth. Pregnant women "Otipax" can be used for the symptomatic treatment of inflammatory diseases of the ears, which are accompanied by pain. True, it is still advisable to first go for a consultation with your doctor.

Immediately before instillation, the drug must be warmed up to +37 degrees, for example, by simply holding it in your hand, as described above.

When instilling the ears, the head should be placed horizontally to completely eliminate the leakage of fluid. It is most rational to put cotton turundas moistened with a medical solution.

For children of the first year of life, 1-2 drops are injected into the area of \u200b\u200bthe diseased ear, from a year 2-3 can be used during instillation, and older children, like teenagers, along with adults, are allowed up to four. The procedure is repeated 2-3 times a day, while the duration of treatment cannot exceed ten days.

In the event that during the course of treatment a flow of any liquid is detected from the ear, be it blood or pus, the use of Otipax should be stopped immediately. In addition, in the near future after the incident, be sure to contact an otolaryngologist. At the same time, it is very important to be able to correctly distinguish the outflow of an excess volume of the drug that occurs immediately after administration from other ear secretions.

Information on the compatibility of the described medicinal product with other medicines is not provided by the manufacturer, but, of course, it is necessary to warn the attending physician about all the drugs taken at the time of treatment. In the event that during the course of therapy a decrease in pain symptoms does not occur or the symptoms of the disease increase, it is important to urgently consult a doctor.

Methods of conducting therapy for children

Symptomatic treatment with Otipax for otitis media can be carried out as part of antibiotic therapy for otitis media of various etiologies, both in children who have not yet reached the age of two, and in adults. In mild forms of the disease, improvements occur within the first few days.

In the absence of pain in the ears, the use of Otipax is not required, but it will not harm. The drug does not have a systemic effect on the body, which can also be attributed to its undoubted advantages.

Analogues of "Otipaks"

The following medicines are similar in principle of action, medicinal composition and cost:

"Otirelax", the price of which is an average of 170 rubles, is a Romanian medical product. The active ingredients are identical to those contained in Otipax. "Otirelax" is used in the same dosage.
"Otinum" can be bought for 180 rubles. This is a Polish drug that has the same medicinal properties and indications for use as the described Otipax. True, "Otinum" differs in its composition, since it contains only one active ingredient, namely, choline salicylate. It is prohibited for use during pregnancy and lactation.
"Folicap" is a Russian remedy, identical in composition, as well as the method of exposure and dosage during treatment. It is released only by prescription of the attending physician.

In addition to the listed analogues, Otipax can be replaced by the following agents that have a similar mechanism of their effect on the body. We are talking about such medicines as Ottoslavin, Holikaps, Uniflox, Tsipromed, Sofradex. True, these medicines will not be cheaper than Otipax. In addition, it would not be entirely correct to call them analogues.

If a child has an inflamed ear, and this is manifested by severe pain, topical agents are often used. Otipax is one of the most popular drugs for ear diseases.

Adults often drip this medication with severe ear pain and other unpleasant symptoms of otitis media. But is it possible to use it in children, how does this drug act on an inflamed ear and in what dosage is it used? How to properly bury the ears in small patients and what remedies can replace Otipax in the treatment of otitis media of various nature?

Release form

Otipax is produced by the French company Biocodex in only one form - ear drops. They are sold in glass bottles, supplemented with a dropper, which is separately packed in a blister. The weight of the drug in one vial is 16 grams.

The medicine itself looks like a clear solution, which usually has no color, but sometimes has a yellow tint. The drug smells like alcohol.

Compound

The action of Otipax is associated with the presence of two active substances in the solution at once. One of them is phenazone, contained in 1 gram of the drug at a dose of 40 mg. The second active compound is lidocaine hydrochloride. Its amount per 1 g of solution is 10 mg.

To keep the drug liquid and not deteriorate, its auxiliary ingredients are ethyl alcohol, water, sodium thiosulfate and glycerol.

Operating principle

Otipax has an anti-inflammatory effect, which is provided by the phenazone present in the drops. This component is one of the non-steroidal anti-inflammatory drugs (belongs to the group of pyrazolones) that can block cyclooxygenase and disrupt the synthesis of prostaglandins. It not only eliminates the inflammatory reaction, but also reduces capillary permeability.

Another important therapeutic effect of Otipax is local anesthesia. This effect of drops is primarily due to lidocaine, because it is an effective anesthetic that acts due to antagonism to calcium and sodium ions. Such an effect on nerve fibers interferes with the perception and conduction of pain signals.

In addition, phenazone also has some analgesic effect, so the use of such ingredients in combination leads to faster pain relief, and the anesthetic effect is stronger and very long-lasting.

This is confirmed by laboratory studies, according to which no traces of the drug were found in the blood of patients who were instilled with Otipax in the ear.

At the same time, Otipax acts only at the place of use, that is, such drops affect only the tissues of the ear. If the integrity of the tympanic septum is not broken, the drug is unable to be absorbed into the bloodstream and have any harmful effect on the internal organs.

Indications

Otipax is used as a symptomatic therapy (primarily to relieve pain) with such pathologies:

Otitis media in the acute stage, characterized by an acute catarrhal or purulent inflammatory process.
Chronic otitis media.
Otitis, which developed with ARVI or influenza, as a complication of a viral infection.
Otitis caused by barotrauma of the ears.
Otitis externa.

Sometimes you can hear advice from mothers or doctors to use Otipax for prevention, for example, if the child has a severe runny nose and there is a high risk of developing otitis media.

Most specialists do not prescribe such drops for prophylactic purposes, but pay attention to the correct treatment of rhinitis.

At what age is it allowed to take?

Otipax is prescribed to children from birth, since such a remedy is considered harmless to both newborns and older patients. At the same time, the use of drops in a child with otitis media is recommended only after examination by an ENT doctor or pediatrician.

It is impossible to even drip such a remedy, safe for children, into the ears without consulting a doctor, because for treatment with Otipax, it is important to first clarify whether there is damage to the eardrum. If its integrity is violated, it threatens with the appearance of serious complications.

Contraindications

Drops are not prescribed in such cases:

If the child has a damaged eardrum.
If a small patient has hypersensitivity to lidocaine or any other component of Otipax.

There are no other contraindications to treatment with drops, and for adults they can be prescribed both during pregnancy and during breastfeeding.

Side effects

Allergic reactions may occur during treatment with Otipax. In some patients, contact of the drug with the tissues of the ear canal provokes redness and irritation. If such negative symptoms or any other adverse reactions appear in a child, you need to consult a doctor and replace the drops with another medication.

Instructions for use

Often, the doctor prescribes to drip the drug into the ear twice a day, but sometimes three times is required. A single dosage for a child of any age is 3-4 drops. This amount of solution must be injected into the external auditory canal using the dropper attached to the vial. To open the medicine, you need to remove the cap from the bottle, then remove the dropper from a separate package and, putting it on the bottle, tighten it tightly.

The next steps are:

Before dropping Otipax into the child's ear, the bottle with drops (if it was stored in a refrigerator) should be held for some time in a clenched palm so that the solution warms up a little. Contact of cold medication with the auricles is unacceptable.
To drip Otipaks, you need to turn the bottle over and press the center of the dropper. After injecting the medicine into the auricle, tightly close the dropper by twisting the white cap, and then remove the bottle away from children.

The baby's head is turned so that the affected ear is on top. After dripping the drug, the child's head should be held horizontally for some time so that the drops do not leak out. Also, to prevent leakage of the medicine, you can use cotton turundas.
If the drug is used with the help of cotton flagella, the dose of medicine prescribed by the doctor is dripped onto the end of the turunda and inserted into the ear canal.
The duration of use should be determined by the ENT doctor, but usually the medicine is not used for longer than 10 days. If during this period the symptoms of the disease have not disappeared, a second examination by a specialist and other treatment is required.

You also need to show the child to the doctor if no improvement is observed on the second or third day of treatment with Otipax.

Overdose

Cases of negative effects of a high dose of Otipax have not been registered to date. If the patient's tympanic septum is intact, the medication is not absorbed and does not harm the patient's body.

Interaction with other drugs

The manufacturer does not mention the incompatibility of Otipax with any other drugs, so the drug is often prescribed in combination with antibiotics, antiseptics and other drugs that help cure otitis and affect the cause of the disease.

However, if doctors prescribe such drops along with other topical medications, they do not advise instilling different drugs in the ear with an interval of less than 30 minutes.

This means that other ear drops can be used no earlier than half an hour after using Otipax.

Terms of sale

The purchase of Otipax in a pharmacy does not require a prescription, but it is advisable to consult a doctor before using such drops. The average price of one bottle of drops is approximately 240-270 rubles.

Storage features

The shelf life of a sealed vial of Otipax is 5 years, however, after the first use, the drops cannot be stored for longer than 6 months. If the drug was opened more than six months ago, it must be discarded.

You can keep the medicine at room temperature, but very often it is stored in the refrigerator.

It is important that the medication during such storage is inaccessible to babies.

Ear problems in children are the second most common reason for seeking medical attention after tummy problems. Inflammation of the middle ear occurs in every fourth or fifth child under the age of 6 years. Ear pain is often so severe that the child cannot eat, sleep, constantly cries. Therefore, for the treatment of similar diseases, it is necessary to choose not only a safe, approved for use in children, but also a fast-acting drug.

Dosage form

Released in one dosage form - in the form of a solution for instillation into the ears. The solution has a characteristic "alcohol" smell, it is clear and colorless (or yellowish).

Available in a dark glass bottle of 15 ml. with a separately inserted dropper (dispenser).

Compound

The composition for children contains two active components that complement each other.

- a popular anesthetic that is widely used in any field of medicine. It acts on nerve endings, slowing down the movement of nerve impulses. The duration of the therapeutic effect is about 90 minutes.

Phenazone is a component responsible for the analgesic and anti-inflammatory effect of the drug. Enhances action by increasing its bioavailability.

The composition of the drug also contains auxiliary components - ethanol, glycerol, water,. Glycerol and thiosulfate help soften the tissues of the ear canal.

Pharmacological group and pharmacokinetics

The medicine belongs to the group of local antiseptics with analgesic, anti-inflammatory properties.

Indications for use

It is prescribed by a therapist, pediatrician or otolaryngologist for local symptomatic therapy and pain relief in such cases:

Ear pain resulting from the development of complications of SARS, influenza, rhinitis, sinusitis.
resulting from barotrauma (occurs during air travel or deep-sea diving).
Medium in acute course.
Mechanical damage to the auditory canal without violating the integrity of the tympanic membrane.

It is prescribed after consultation with a specialist if the child has the following symptoms:

When pressing on the cartilage at the entrance to the ear canal, the child begins to cry strongly - his ear hurts. Most often, this diagnostic tactic is used for newborn babies and toddlers who cannot yet complain on their own about what worries them, indicate where it hurts.
The child complains of crackling, pain in the ears.
The child cries, screams for no apparent reason, rubs his ear against his mother's hand or a pillow.
The baby has a fever and a fever.
Purulent masses are discharged from the ear.

Contraindications

The drug has a small list of contraindications:

Individual intolerance to the components.
Allergy to .
Perforation of the tympanic membrane, which most often occurs due to ear injury or infection.

Violation of the integrity of the eardrum is a very serious contraindication. If used in such a case, the drug may come into contact with the organs of the middle ear, and the child may develop serious complications, such as inflammation in the auditory ossicles. Parents cannot independently diagnose damage to the eardrum. Therefore, you should not take risks and start treatment with the drug without a doctor's examination.

Dosage and administration

The drug should be instilled only in the ear in which pain is felt. Sometimes it affects both ears, then you need to instill the medicine from both sides.

Before use, the bottle should be held in the palm of your hand to warm the drops and not cause additional discomfort to the patient.

First you need to remove the cap from the bottle, then screw the flexible dropper, which is included in the kit, into its place. After removing the cap, you need to turn the bottle over and wait for the formation of a drop, slightly pressing on the middle part of the dropper. Having measured the required number of drops, it is necessary to put a cap on the dropper, and remove the drug in a place inaccessible to children.

During the procedure of instillation of the drug, the patient's head should be in a horizontal position. The child can put his head on his mother's lap. In the case of children, you can use another method of instillation - drop the drug not into the ear, but onto a cotton flagellum, which is then put into the baby's ear. So the drug is guaranteed not to leak out of the ear canal. Or drip into the ear, and then put a cotton ball into the ear canal.

In especially severe cases of inflammation, the doctor, at his discretion, may increase the individual dosage of the drug, prescribe the simultaneous administration of antibiotics.

Dosage:

Infants up to 12 months - 1 or 2 drops in the sore ear three times a day.
Children 12-24 months - 3 drops in each sore ear three times a day.
Older children, adolescents, adults, pregnant women, nursing mothers - 4 drops in the ear three times a day.

Some parents complain that after the first application, the effect did not last long. But this is normal, the minimum duration of treatment should be 3 days, only then can any significant results be expected from taking the drug.

At the same time, you can not use more than 10 days. If during this period the complete disappearance of the symptoms of inflammation has not occurred, you need to consult a doctor and reconsider the treatment regimen.

Side effects

During treatment, the occurrence of side effects is recorded quite rarely.

Possible side effects are various allergic reactions - itching, redness, swelling, hyperemia.

Interaction with other drugs

Does not affect the effect of other medications. It can be used in combination with any painkillers, antibiotics, drugs that affect the inflammatory process.

special instructions

The drug does not affect the ability to drive vehicles / mechanisms.

Treatment during pregnancy and lactation is possible only after the doctor has verified the integrity of the eardrum.

Athletes should be aware that treatment may affect doping control by giving a positive doping test.

Overdose

Cases of overdose have not been recorded. If the patient has taken the drug in large quantities or used it for other purposes, the attending physician should be informed.

Otipaks - ear drops used to relieve inflammation and eliminate pain in an acute inflammatory process that occurs in the ear. The anesthetic component begins to act immediately after application, the pain disappears after a few minutes. This remedy is one of the most prescribed drugs in otolaryngological practice.

Otipax is available only in the form of ear drops. It is a clear liquid with an alcoholic odor that may be almost colorless or have a slight yellowish tint.

1 g of drops contains:

phenazone (40 mg);
lidocaine hydrochloride (10 mg).

The composition of the drug includes auxiliary components:

glycerol;
sodium thiosulfate;
ethanol;
water.

Drops are in a vial containing 16 g of the drug. The bottle is packed in a cardboard box. In the same pack there should be a special dropper placed in a blister.

What is it used for

Drops Otipaks should be used to eliminate the symptoms that occur in acute inflammatory diseases of the external and middle ear, associated with severe pain:

otitis media in the acute stage (including purulent and unspecified);
otitis media that developed as a complication of influenza or SARS;
chronic otitis in the period of exacerbation (serous or mucous);
otitis externa;
abscess of the external ear.

This remedy is also prescribed to reduce the manifestations of otitis media resulting from barotrauma (a consequence of exposure to the body of sudden changes in pressure in the external environment).

pharmachologic effect

Otipax is a combined drug, the use of which has 2 effects at once: anti-inflammatory and local anesthetic.

The non-steroidal component phenazone is responsible for the anti-inflammatory effect of the drug. This is a substance that reduces the activity of cyclooxygenase, an enzyme that promotes the conversion of arachidonic acid into mediators of the inflammatory reaction (these include prostacyclin, as well as leukotrienes and prostaglandins). Since the concentration of substances decreases, hyperemia becomes less noticeable, swelling decreases, pain in the area covered by the inflammatory process decreases.

Lidocaine hydrochloride is a local anesthetic. It causes a blockage of impulses traveling along the nerve pathways, and as a result, the area of \u200b\u200bliving tissue that has been exposed to it temporarily loses sensitivity, including becoming immune to pain.

When these two components are combined in one preparation, the severity and duration of the analgesic effect increase and inflammation is removed faster. Also, the medicine helps soften mucus and inflammation products, which helps to remove them from the ear.

The drug has only a local effect, its components are not absorbed into the blood if there is no damage to the eardrum.

Instructions for use

Immediately before use, the bottle with the drug should be kept for some time in a warm place (about 25 ° C) so that its contents warm up to room temperature. For faster warming up, you can hold it in your palm for a few minutes.

The sequence of actions when applying ear drops is as follows:

Before using the drug (this applies to its first use), you should remove the cap that closes the vial and install the dropper attached to the vial with the medicine, which acts as a dispenser.
It is advisable to put a towel under your head, after which you need to lie on your side. In this position, you need to drip the medicine into the ear.
After instillation, it is necessary to lie on the same side without movement for about 5-7 minutes.
If you need to do this procedure for the other ear, you need to roll over to the opposite side, inject the drug and lie still for the same amount of time.

The medicine should be used 2-3 times a day. A single dose is 3-4 drops for one ear.

Usually 2-3 days of such therapy is enough for the complete disappearance of unpleasant symptoms. The maximum period of use of the drug Otipax, provided for by the official instructions, is 10 days. If, after the above period, the pain in the ears is still bothering or other symptoms appear, it is necessary to consult a doctor again.

Contraindications and side effects

Otipaks can not be prescribed for:

violation of the integrity of the tympanic membrane (with its physical damage or perforation due to a pathological process);
hypersensitivity to any component that is part of the drug (for example, if the patient has a tendency to allergic reaction to lidocaine).

Sometimes these drops can cause unwanted effects:

ear canal hyperemia;
local irritation;
allergy.

These phenomena occur infrequently, but if they do appear, you should consult a doctor. In such a situation, a complete review of treatment recommendations may be required.

Application for children

If the drug is used in accordance with the instructions and prescriptions of the doctor, then it is safe to take even for newborns. It should be taken into account that in children inflammatory processes can develop very quickly and lead to dangerous complications, therefore it is important to consult a doctor and start treatment within the first hours after the onset of symptoms of otitis media or other inflammatory diseases of the hearing organs.

The dosage of the drug takes into account the age of the child.

It should be dripped, like an adult patient, 2-3 times a day, unless the doctor has given other recommendations. The course of treatment is up to 10 days. Before starting the use of the drug, the child must be examined by a doctor.

special instructions

After the bottle with drops has already been opened, its contents are suitable for use for no more than 6 months.

The drug should not be used in patients whose tympanic membrane is damaged, since in this case the contact of its active ingredients with the anatomical elements of the middle ear can lead to serious complications. This will increase the likelihood of hearing impairment, even its complete loss is not ruled out.

The drug, when used as directed in accordance with the instructions, acts only in the local area and does not affect the activity of the central nervous system. It cannot interfere with driving a car or a potentially dangerous technical device.

This tool is allowed to appoint women during pregnancy and nursing mothers.

Professional athletes should be aware that one of the active ingredients (phenazone) in Otipax drops can cause a positive doping test result.

If participation in official sports competitions is expected, it is recommended to replace it with another product that does not contain substances prohibited in sports.

drug interaction

Cases of interaction of the drug with other drugs, which would lead to negative consequences, have not been registered in the entire history of its use in otolaryngological practice.

Conclusion

Otipax drops are used in otolaryngology for acute inflammatory diseases of the ear. This complex remedy contains an anesthetic and an anti-inflammatory component. The first of them copes with pain within 5-10 minutes after instillation into the ear, and the second helps to relieve inflammation and prevents the development of complications.

This remedy has no age restrictions on the use, it can be prescribed to children from birth. But do not forget that it can only be used if the integrity of the eardrum is not broken. Before starting treatment, you should definitely visit an otolaryngologist.