EARS - Otitis Externa, Otomycosis (Fungal)

 

Nystatin

(Mycostatin®, Nilstat®)

Generics available

Pregnancy: B; Lactation: Safe

 

Cream 100,000 U/g

Oint 100,000 U/g

 

 

Children and Adult: Apply topically with swab twice daily for 10 days.

 

Important side effects: Well tolerated.

 

Prevention: 1:1 mixture of rubbing alcohol and vinegar in external canal after swimming.

 

Clotrimazole Sol

(Lotrimin®)

Pregnancy: B; Lactation: Unk

 

Topical Solution 1%

 

 

Children and Adult: Instill 2-4 drops in the affected ear(s) twice daily for 7 days.

 

Important side effects: May cause local irritation.

 

Caution: Use only with intact tympanic membrane.

 

Acetic acid 2%

(VoSol® otic)

Pregnancy: Unk; Lactation: Unk

 

Sol 2%

 

Children and Adult: Saturate cotton wick and insert in ear. Apply 3-5 drops to wick every 4-6 hours for 24 hours. Remove wick, then instill 3-5 drops in affected ear(s) three to four times daily for as long as needed.