Clotrimazole + Lidocaine / Lignocaine

Dosage Forms Available

• Clotrimazole + Lidocaine / Lignocaine is primarily available as ear drops, which are applied directly into the ear canal.

Age and Dose Restrictions

• This medicine is suitable for use in adults and children, with specific products available that are tailored for children's use depending on their age. Always check the label for age-specific recommendations.

Contraindications

• Clotrimazole + Lidocaine / Lignocaine ear drops are contraindicated in patients with known hypersensitivity to clotrimazole or lidocaine.

• They are also contraindicated for use if there is a known or suspected perforation (tear) of the eardrum.

Other Medications to Avoid

• This combination may interact with other local anaesthetics (such as bupivacaine and ropivacaine), and ototoxic medications (like gentamicin). These interactions could potentially increase the effects of either medication or worsen side effects.

Overdose and Missed Dose

• Overdosing on Clotrimazole + Lidocaine / Lignocaine could potentially result in increased local or systemic side effects such as irritation, burning sensation, or systemic toxicity symptoms like confusion or tremors. If you suspect an overdose, consult your doctor immediately.

• If you miss a dose of Clotrimazole + Lidocaine / Lignocaine ear drops, apply it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose and resume your usual dosing schedule. Do not apply extra drops to make up for a missed dose.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• If irritation or mild burning occurs, ensure the ear canal is dry before application.

• For minor dizziness, sit or lie down until the sensation passes.

Use in Driving and Operating Machinery

• Clotrimazole + Lidocaine / Lignocaine may cause temporary dizziness. It is advisable to avoid driving or operating heavy machinery until you know how the medication affects you.

Use in Pregnancy and Lactation

• The safety of Clotrimazole + Lidocaine / Lignocaine during pregnancy or lactation has not been fully established. Consult your doctor before using this medication if you are pregnant or breastfeeding.

Caution in Other Conditions

• Patients with severe inflammatory skin conditions of the ear may need to seek alternative treatments as Clotrimazole + Lidocaine / Lignocaine could potentially aggravate these conditions.

• Use with caution if there is a history of allergic reactions to similar medications.

Special Dietary and Lifestyle Recommendations

• Maintain good ear hygiene to support the treatment of otomycosis. This includes keeping ears dry and clean.

• Avoid inserting objects into the ear canal that could irritate it, such as cotton swabs or hairpins.

• Protect ears from excessive moisture during activities such as swimming by using protective earplugs.

• Manage stress levels as high stress can sometimes exacerbate symptoms of ear infections. Consider relaxation techniques like mindfulness or yoga.