Beclomethasone Dipropionate + Chloramphenicol + Clotrimazole + Lidocaine / Lignocaine

Dosage Forms Available

• Beclomethasone Dipropionate + Chloramphenicol + Clotrimazole + Lidocaine / Lignocaine is available as an ear drop solution for otic administration. This means the medicine is instilled directly into the ear canal.

Age and Dose Restrictions

• This combination medicine is intended for adults and children aged two years and above.

Contraindications

• This medicine is contraindicated in individuals who have known hypersensitivity to any component of the formulation. It is also contraindicated in patients with viral infections of the ear canal, such as herpes simplex or varicella zoster, and fungal infections not susceptible to clotrimazole.

Other Medications to Avoid

• This combination may interact with other local anaesthetics (e.g., prilocaine and benzocaine) and agents that cause bone marrow suppression (e.g., azathioprine, chlorambucil).

Overdose and Missed Dose

• Overdose with this combination of ear drops is unlikely when used as directed. However, excessive dosing or extended use could lead to increased side effects. If accidental ingestion occurs, emergency medical attention should be sought immediately.

• If a dose of this medicine is missed, it should be administered as soon as remembered. If it is nearing time for the next dose, the missed dose should be skipped, and the regular dosing schedule should be resumed. The dose should not be doubled to make up for a missed one.

Management of Side Effects

Most side effects are temporary and generally harmless, resolving once the medicine is discontinued. However, if you experience severe side effects or worsening symptoms, please consult your doctor.

• For minor itching or burning sensation in the ear after application, waiting for some time usually helps as these sensations tend to diminish on their own.

• If you experience temporary hearing loss or an unpleasant taste in your mouth after applying the drops, it might be helpful to lie down with the affected ear upwards for a few minutes after administering them.

Use in Driving and Operating Machinery

• This combination medicine may cause temporary hearing loss or mild dizziness. Therefore, driving or operating heavy machinery should be avoided until these effects disappear.

Use in Pregnancy and Lactation

• The safety of this combination in pregnant women has not been definitively established. It should be used during pregnancy only if the potential benefits outweigh the potential risks. Mothers should consult with a doctor before using this medicine while breastfeeding.

Caution in Other Conditions

• Patients with a history of glaucoma should exercise caution when using this medicine as it might increase intraocular pressure.

Special Dietary and Lifestyle Recommendations

• Regular ear hygiene practices, such as avoiding using cotton earbuds, can help prevent ear infections.

• Avoid introducing objects into the ear which can damage the ear canal and make it susceptible to infection.

• Try to keep your ears dry. Use a bathing cap, ear plugs or custom-fitted swim moulds when swimming.

• Protect your ears from cold winds, excessive noise, and traumatic injury to prevent ear infections.