TAM (Treatments and Medicines) NHS Highland
Important: Therapy notes
Important: Formulation and dosage details
Formulation:
Solution 1%
Dosage:
Apply into ear 2 to 3 times daily continuing for at least 14 days after infection disappears.
Anti-infective preparations (Formulary)
Important: Therapy notes
MHRA advice: Flouroquinolone antibiotics: must now only be prescribed when other commonly recommended antibiotics are inappropriate. Updated safety advice is available here including a patient information leaflet. Side effects may be disabling, long-lasting and sometimes irreversible. Systems affected include musculoskeletal (tendonitis/rupture), neurological (muscle weakness), sensory (peripheral neuropathy) and psychiatric (tiredness, anxiety, depression and suicidal thoughts). Fluoroquinolones should not be prescribed for self-limiting or mild to moderate infections or non-bacterial (chronic) prostatitis (January 2024).
MHRA alert: Fluoroquinolone antibiotics: new restrictions and precautions for use due to very rare reports of disabling and potentially long-lasting or irreversible side effects (March 2019) (www.gov.uk).
Important: Formulation and dosage details
Formulation:
Single-dose ear drops 2mg/mL
Dosage:
Apply contents of 1 single ampoule into the ear twice daily for 7 days.
As per SMC 1230/18: treatment of acute otitis externa in adults and children older than 1 year
with an intact tympanic membrane, caused by ciprofloxacin susceptible microorganisms.
SMC restriction: when off-label or unlicensed ciprofloxacin formulations would otherwise be used.