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Triethanolamine Polypeptide Oleate-Condensate
Pronunciation
U.S. Brand Names
Generic Available
Pharmacological Index
Use
Pregnancy Risk Factor
Contraindications
Warnings/Precautions
Adverse Reactions
Drug Interactions
Mechanism of Action
Pharmacodynamics/Kinetics
Usual Dosage
Monitoring Parameters
Mental Health: Effects on Mental Status
Mental Health: Effects on Psychiatric Treatment
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Patient Information
Nursing Implications
Dosage Forms
References

Pronunciation
(trye eth a NOLE a meen pol i PEP tide OH lee ate-KON den sate)

U.S. Brand Names
Cerumenex® Otic

Generic Available

No


Pharmacological Index

Otic Agent, Cerumenolytic


Use

Removal of ear wax (cerumen)


Pregnancy Risk Factor

C


Contraindications

Perforated tympanic membrane or otitis media, hypersensitivity to product or any component


Warnings/Precautions

Avoid undue exposure to peridural skin during administration and the flushing out of ear canal; discontinue if sensitization or irritation occurs


Adverse Reactions

<1%: Mild erythema and pruritus, severe eczematoid reactions, localized dermatitis


Drug Interactions

No data reported


Mechanism of Action

Emulsifies and disperses accumulated cerumen


Pharmacodynamics/Kinetics

Onset of effect: Produces slight disintegration of very hard ear wax by 24 hours


Usual Dosage

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


Monitoring Parameters

Evaluate hearing before and after instillation of medication


Mental Health: Effects on Mental Status

None noted


Mental Health: Effects on Psychiatric Treatment

None noted


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

No effects or complications reported


Patient Information

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


Nursing Implications

Warm solution to body temperature before using; avoid undue exposure of the drug to the periauricular skin


Dosage Forms

Solution, otic: 6 mL, 12 mL


References

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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