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Pronunciation |
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(trye
eth a NOLE a meen pol i PEP tide
OH lee ate-KON den sate) |
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U.S. Brand
Names |
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Cerumenex®
Otic |
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Generic
Available |
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No |
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Pharmacological Index |
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Otic Agent, Cerumenolytic |
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Use |
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Removal of ear wax (cerumen) |
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Pregnancy Risk
Factor |
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C |
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Contraindications |
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Perforated tympanic membrane or otitis media, hypersensitivity to product or
any component |
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Warnings/Precautions |
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Avoid undue exposure to peridural skin during administration and the flushing
out of ear canal; discontinue if sensitization or irritation
occurs |
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Adverse
Reactions |
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<1%: Mild erythema and pruritus, severe eczematoid reactions, localized
dermatitis |
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Drug
Interactions |
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No data reported |
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Mechanism of
Action |
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Emulsifies and disperses accumulated cerumen |
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Pharmacodynamics/Kinetics |
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Onset of effect: Produces slight disintegration of very hard ear wax by 24
hours |
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Usual Dosage |
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Children and Adults: Otic: Fill ear canal, insert cotton plug; allow to
remain 15-30 minutes; flush ear with lukewarm water as a single treatment; if a
second application is needed for unusually hard impactions, repeat the
procedure |
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Monitoring
Parameters |
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Evaluate hearing before and after instillation of
medication |
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Mental Health: Effects
on Mental Status |
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None noted |
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Mental Health:
Effects on Psychiatric
Treatment |
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None noted |
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Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
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No effects or complications reported |
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Patient
Information |
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For external use in the ear only; warm to body temperature before using to
improve effect; avoid touching dropper to any surface; hold ear lobe up and
back; lie on your side or tilt the affected ear up for ease of administration;
fill ear canal, let stand for 15-30 minutes, then flush |
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Nursing
Implications |
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Warm solution to body temperature before using; avoid undue exposure of the
drug to the periauricular skin |
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Dosage Forms |
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Solution, otic: 6 mL, 12 mL |
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References |
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Mehta AK,
"An In Vitro Comparison of the Disintegration of Human Ear Wax by Five Cerumenolytics Commonly Used in General Practice,"
Br J Clin Pract, 1985, 39(5):200-3.
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