Generic
Clotrimazole 1% Ear prep
2 brands available in the market
At a glance
Clotrimazole 1% Ear prep is an antifungal medication used for the treatment of fungal infections of the ear (fungal otitis externa).
Description
Clotrimazole is a broad-spectrum antifungal agent that is used for the treatment of dermal infections caused by various species of pathogenic dermatophytes, yeasts, and Malassezia furfur. The primary action of clotrimazole is against dividing and growing organisms. Clotrimazole inhibits ergosterol synthesis, resulting in abnormal cellular permeability. This inhibits fungal growth. It has also antibacterial activity. Clotrimazole ear drop is used for the treatment of fungal ear infections.
Indications
- Fungal otitis externa
Therapeutic class
Aural Anti-fungal preparations
Pharmacological class
Topical Antifungal (Imidazole Derivative)
Pharmacology
Clotrimazole kills fungi and yeasts by interfering with their cell membranes. It works by stopping the production of ergosterol, which is an essential component of fungal cell membranes resulting in increased membrane permeability and leakage of essential constituents of the fungal cells.
Mechanism of action
Clotrimazole is a broad-spectrum antifungal which binds to phospholipids in the cell membrane altering cell wall permeability causing a loss in essential intracellular elements.
Dosage
Adult Dose (Ear Drops): Apply 2-3 drops in the affected ear two or three times daily. Treatment should be continued for at least two weeks after the disappearance of all signs of infection to prevent re-infection.
Administration
Instill 2-3 drops in the affected ear two or three times daily. Shake well before use. Not for ophthalmic use.
Missed dose
If you miss a dose of Clotrimazole 1% Ear prep, use it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose. Do not double the dose.
Side effects
Common Side Effects (infrequent):
- Erythema (redness)
- Stinging
- Edema (swelling)
- Pruritus (itching)
- General irritation
Precautions & warnings
- For ear use only. Not for ophthalmic use.
- If local intolerance develops, consider withdrawal of the medicine and institution of appropriate therapy.
- Caution during pregnancy and lactation.
- Not recommended in children under 3 years.
Contraindications
- Hypersensitivity.
Drug interactions
Antagonism with polyene antibiotics. There have been reports of a heat reaction when this medication is used concomitantly with Sofradex drops in the ear.
Food interactions
No food interactions have been found or established.
Use in pregnancy
Systemic absorption of clotrimazole following topical application is marginal, so there should be low risk during pregnancy. However, consult your doctor before use.
Use in lactation
Systemic absorption of clotrimazole following topical application is marginal, so there should be no risk for the infant during lactation. However, consult your doctor before use.
Pediatric use
Not recommended in children under 3 years.
Geriatric use
Limited information is available regarding dose adjustment for elderly patients.
Renal / hepatic impairment
For topical/ear use, no dose adjustment is required in renal or hepatic impairment.
Overdose effects
In case of accidental oral ingestion, supportive measures should be taken.
Storage conditions
Protect from light, store in cool & dry place. Protect from freezing. Do not use more than 4 weeks after opening. Keep out of reach of children.
Chemical structure
Clotrimazole 1%