Have you ever had an earache, a burning sensation, or a discharge from your ear? When you go to the doctor, he or she will probably give you a small bottle of liquid medicine to put in your ear, called ear drops. This is the most common type of medicine prescribed. So today, let's talk about these ear drops, which are made by combining two drugs, Ciprofloxacin and Fluocinolone. We will talk in detail about what this does, how to use it properly, and what you need to be careful about.
What really happens with this medicine?
Simply put, this is a combination of two medications that work together like a team.
1. Ciprofloxacin: This is an antibiotic . Its job is to kill the bacteria that caused your ear infection. Like a soldier fighting an enemy.
2. Fluocinolone: This is a steroid . But it's not a big steroid that you put into your body, it's a very small, topical steroid. It works by reducing the swelling, redness, pain, and itching caused by an ear infection. It's like someone healing wounds after a fight.
So, together, these two will eliminate your ear infection and eliminate any discomfort it may cause.
Things you need to tell your doctor before using the medicine
Before your doctor prescribes this medicine, he or she will need to have a complete picture of your health. Therefore, if you have any of the following conditions, be sure to tell your doctor.
- If you have an allergic reaction to Ciprofloxacin, Fluocinolone, or any other medicine, food, or dye.
- If you have a viral infection in your ear, such as chickenpox or herpes.
- If you know you have a fungal infection in your ear.
- If you are pregnant or trying to get pregnant .
- If you are a breastfeeding mother .
- If you currently have any other active infections in your body.
It is very important for your safety to give this information to the doctor.
How do you use these ear drops correctly?
This is very easy, but it's important to do it correctly. Let's see how to do it step by step.
1. Wash your hands: Wash your hands thoroughly with soap before and after using the medicine.
2. Warm the vial: If it's in the fridge or cold, warm the vial by holding it in your hand for a minute or two. Putting it directly into your ear from the cold can cause dizziness.
3. Correct posture: Lie down with the infected ear facing up.
4. Put the medicine in the ear: Carefully squeeze the entire amount of medicine from the bottle into the ear without letting the tip of the medicine bottle touch the inside of your ear, your fingertips, or anywhere else.
5. Wait a while: After applying the medicine, hold the position for about 60 seconds (a minute) . This will allow the medicine to be absorbed well into the ear.
6. For the other ear (if necessary): If both of your ears are infected, apply the same medicine to the other ear as directed by the doctor.
Most importantly: Use this medicine for the full number of days prescribed by your doctor. Do not stop taking it even if you feel a little better. If you do, the infection may come back.
When used with young children?
Doctors sometimes prescribe this medicine even for babies as young as 6 months. However, this should be decided by your pediatrician . Therefore, be sure to consult him before using this on a child.
What to do if you overdose or forget to take the medicine?
In case of overdose: If you think you have taken too much medicine, do not panic. Go to the Emergency Department (ETU) of your nearest hospital immediately. Or call the National Poisons Information Centre at the Colombo National Hospital for advice.
If you miss a dose: If you forget to take a dose and then remember, take that dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take the next dose at the scheduled time. Never take a double dose to make up for a forgotten dose.
Possible side effects when using the medicine
Like all medications, this one can have minor side effects. Let's take a look at what they are and what to do about them in this table.
| Side Effect | Description and what to do |
|---|---|
| If you have these symptoms, call your doctor immediately. | |
| Allergic Reactions | If you notice any skin irritation, itching, swelling of the face, lips, or tongue, stop using the medicine and see a doctor immediately. |
| Increased ear pain | If the pain, inflammation, or redness in your ear gets worse instead of better after applying the medication, tell your doctor. |
| These are usually not serious, but if they persist, tell your doctor. | |
| A strange feeling inside the ear | You may feel a different sensation inside your ear after applying the medication. |
| Headache | Some people may get a slight headache. |
| It's difficult to administer medication. | You may feel a little discomfort when the drops fall into your ear. |
Be careful of these things when using the medicine.
- Keep the ear clean and dry: When bathing, be careful not to let water get into the infected ear. Wear a shower cap, or cover the ear with a water-tight covering.
- Avoid swimming: Do not go into swimming pools or the ocean until your doctor says it's "okay."
- Do not share: This medicine is for you only. Do not share it with anyone else for any reason. Also, avoid sharing your towels, pillowcases, etc. with others.
- Other ear drops: Do not use any other ear drops during this time without telling your doctor.
- Medicine storage: Keep medicine bottles out of the reach of children . Store at room temperature, away from light, in the original package it came in. Discard any remaining medicine after 7 days of opening the package.
If your condition does not improve after using the medicine for a few days, be sure to see your doctor again.
Take-Home Message
- Use the medicine for the full number of days prescribed by the doctor, without stopping halfway.
- Wash your hands before using the medicine, warm the bottle a little, place it correctly in your ear, and hold it in that position for about a minute.
- If skin irritation or allergy occurs, stop taking the medicine and see a doctor immediately.
- This medicine is for you only. Never share it with others.
- Discard any remaining medicine 7 days after opening the medicine packet.
- If you have any problems or doubts, talk to your doctor.


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