Otipax: instructions for using ear drops for children of different ages. Instructions for use – Otipax® Can Otipax be used for children 2 years old?

Otipax - ear drops intended for topical use in otology.

They have a pronounced anti-inflammatory and analgesic effect due to the simultaneous action of its components: lidocaine hydrochloride (2%) and phenazone (4%). Otipax is the drug of choice for children with catarrhal otitis media in the acute phase and eustachitis (inflammation of the auditory tube).

In this article we will look at why doctors prescribe the drug Otipax, including instructions for use, analogues and prices for this drug in pharmacies. If you have already used Otipax ear drops, leave your feedback in the comments.

Composition and release forms

Otipax ear drops, solution (bottles) 15 ml (complete with dropper). A clear, colorless or yellowish solution with the odor of alcohol.

  • Active ingredients: lidocaine hydrochloride 10 mg, phenazone 40 mg;
  • Excipients: sodium thiosulfate 1 mg, ethanol 221.8 mg, glycerol 709 mg, water 18.2 mg.

Clinical and pharmacological group: a drug with anti-inflammatory and local anesthetic effects for local use in ENT practice.

Pharmacodynamics

A combined drug with local anesthetic and anti-inflammatory effects.

  • Lidocaine is a local anesthetic. It disrupts the conduction of pain impulses due to antagonism with sodium and calcium in the nerve fiber membrane. A successful combination of two active substances promotes rapid analgesic action, increases its intensity and duration. The drug stimulates the liquefaction of mucus and its removal from the middle ear cavity through the Eustachian tube and eardrum.
  • Phenazone is a non-steroidal anti-inflammatory drug, an analgesic with anti-inflammatory action. Blocks cyclooxygenase and inhibits prostaglandin synthesis.

What is Otipax used for?

The main indications for the use of Otipax are inflammatory diseases of the ears, accompanied by pain, the so-called otitis media, namely for:

  • otitis media in the acute period at the time of inflammation;
  • otitis as a complication after influenza;
  • barotraumatic edema.

If, during otitis, a rupture (otherwise known as perforation) of the eardrum occurs, then such drops cannot be used (due to the content of a substance that can damage the structural elements of the middle ear if it penetrates the membrane). Therefore, a preliminary examination by an otolaryngologist is necessary to ensure that there are no corresponding injuries.

Instructions for use

According to the instructions for use, Otipax is applied topically by instillation into the external auditory canal 2-3 times
3-4 drops per day. To avoid contact of the cold solution with the auricle, the bottle should be warmed in the palms before use.

The duration of use of Otipax is no more than 10 days, after which the prescribed treatment should be reconsidered. After opening the bottle for the first time, the drug should be used within 6 months. Do not use after the expiration date stated on the packaging.

Contraindications

The drug should not be used:

  1. Hypersensitivity to the components of the drug;
  2. Perforation of the eardrum.

With caution: you must ensure the integrity of the eardrum before starting to use the drug. If the drug is used with a perforated eardrum, the drug may come into contact with the organs of the middle ear and lead to complications.

Information for athletes: the drug contains an active component that can give a positive reaction during doping control.

Pregnancy and lactation

It is possible to use the drug Otipax during pregnancy and lactation according to indications, provided that the eardrum is intact.

Side effects

Possible side effects: hyperemia and irritation of the ear canal, allergic reactions.

special instructions

Before starting treatment with Otipax drops, the eardrum should be checked for integrity. If it is perforated, then the administration of the drug is highly likely to provoke adverse reactions due to contact with the middle ear.

Analogs

Drugs with a similar effect and component composition (concentration content may differ) include drops:

  • Lidocaine + Phenazone (Sintez OJSC, Russia);
  • Folicap (Masterlek JSC, Russia);
  • Otirelax (S.C. ROMPHARM Company S.R.L., Romania);
  • Droplex (S.C. ROMPHARM Company S.R.L., Romania)
  • Ototon (PJSC Farmak, Ukraine);
  • Otikain-Zdorovye (FC Zdorovye, Ukraine).

Attention: the use of analogues must be agreed with the attending physician.

Prices

The average price of OTIPAX drops in pharmacies (Moscow) is 230 rubles.

Storage conditions and periods

The drug should be stored out of the reach of children at a temperature not exceeding 30°C. Shelf life – 5 years. Do not use after the expiration date indicated on the package.

After opening the bottle, the drug should be used within 6 months.

Conditions for dispensing from pharmacies

The drug is approved for use as a means of OTC.

Many people are familiar with unpleasant and often painful sensations in the ears, which usually arise suddenly and are symptoms of the development of otitis media. Against the background of this phenomenon, a reliable and safe medicine is important, which will be able to return the patient to normal health in a short period of time. One of the drugs that helps in the treatment of this disease is, judging by the reviews, Otipax. Let's get acquainted with the instructions for its use in children and adults, learn about existing analogues, and, in addition, find out what people who have used this pharmaceutical write about it.

Characteristics of ear drops

Pain is a frequent accompaniment of acute and chronic ear diseases, which are inflammatory in nature. It is not for nothing that one of the most effective means of eliminating symptoms are drops of the French production “Otipax”. In a number of cases, including against the background of a mild catarrhal form of unilateral otitis media, this medication can rightfully be considered the only necessary one. When the use of drops alone is not enough, therapy is supplemented with oral antibiotics.

If you believe the reviews, Otipax is a remedy that is characterized by a local anti-inflammatory and analgesic effect. It is produced by the French pharmaceutical company Biocodex. The medication is available in the form of ear drops, which resemble an oily liquid and have a faint alcohol aroma. The color of the substance can be either completely transparent or have a slightly yellowish tint.

This medication is sold in retail pharmacies. Otipax is sold in dark glass bottles with a volume of 15 ml. Each vessel has a soft, sterile dropper. In addition, the carton contains instructions for using this medicine.

The drug contains active ingredients such as lidocaine and phenazone. The first substance is an effective pain reliever that prevents the conduction of pain impulses and the interaction of the nerve fiber membrane with sodium and calcium. Phenazone is a non-steroidal substance that has an anti-inflammatory effect. Its principle of action is to inhibit the production of certain enzymes, which prevents the development of the pathological process and eliminates pain.

The price of Otipax ear drops is of interest to many, but we will return to this issue a little later. Additional components in the composition of the drug were ethanol, water and glycerol, as well as sodium thiosulfate. This combination causes a rapid analgesic effect, which increases its intensity and duration.

In addition, this medicinal product promotes the process of liquefying the mucous mass, as well as its removal from the middle ear through the Eustachian tube.

"Otipax": indications

Before you start using the medication, you need to make sure that the eardrum is intact. Otherwise, it is possible that the use of the drug will provoke serious complications due to direct contact of chemicals with the middle ear system. It should be noted that the substances contained in this medicinal product can positively affect the results of a doping test.

The main indication for the use of these drops is the occurrence of pain in the ears. In reviews of Otipax, patients indicated in which cases they were prescribed this drug:

  • The presence of otitis media in the initial as well as acute stages.
  • The occurrence of external inflammation of the middle ear.
  • Otitis media, which occurs as a complication of sinusitis, sore throat, rhinitis and flu.
  • Otitis, which develops against the background of traumatic injuries.

The described ear drops actually have a good anesthetic effect, but they do not contain any antibacterial or antiviral components. In case of a disease of a microbial nature, this drug can only eliminate its symptoms, but is not able to cope with the pathogen. In this regard, many doubt whether Otipax is suitable for children.

Contraindications for use

Treatment with these drops is prohibited in the following cases:

  • the presence of perforated damage to the eardrums;
  • individual hypersensitivity of the patient's body to the active as well as auxiliary components of this drug.

Judging by the reviews, Otipax can indeed cause an allergic reaction. When using the drug, as well as other medications, redness and irritation in the ear canal are likely to occur.

Cost of the drug

To purchase this medicinal product, a prescription from your doctor is not required, but, nevertheless, before starting therapy, you must visit a specialist to get advice on its use.

The price of Otipax ear drops directly depends on the particular pharmacy chain that sells the drug, as well as on the region. Thus, the average cost of these medicinal drops in Russian cities ranges from 195 to 250 rubles. The highest price for this drug is noted in a number of online pharmacies: it is unlikely that you will be able to buy Otipax there for less than 300-350 rubles.

How to use medicinal drops correctly?

So, let's figure out how to use Otipax for children. The therapeutic course, according to the instructions for use, should be from seven to ten days, but in no case more. A one-time use against the background of pain for a child or adult is determined by short-term exposure. For this reason, it is still advisable to complete the full course of treatment with Otipax. The instructions must be strictly followed.

The anti-inflammatory effect is achieved, as a rule, already on the third day of use, and a noticeable reduction in pain can be felt 10-15 minutes after instillation of the liquid. In addition, it is equally important to know how to drip Otipax correctly. To do this, you need to follow the following sequence of actions:

  • First, you should wash your hands thoroughly.
  • After this, carefully clean the ear shell using a soft cotton swab.
  • The substance is heated to body temperature. To do this, just hold the bottle in your palms for a few minutes.
  • The dropper should be carefully checked for any chips or cracks.
  • Next, you need to turn the bottle over, making sure that the substance flows into the dropper.
  • The patient is placed on his side so that the affected ear is on top.
  • Next, the ear must be slightly pulled back and up so that the ear canal can open, after which the product is instilled in the required amount.
  • Later, light pressure is applied so that the drops can better penetrate into the cavity of the ear canal.
  • After the instillation procedure, you should close your ear well with a cotton swab, on which you first need to spread a small amount of Vaseline. This way the drops will not be able to evaporate, and the efficiency of their use will be much higher.
  • Next, close the bottle with a lid and put it in the refrigerator. This must be done in accordance with the storage conditions of the product after opening.
  • Upon completion of the procedure, hands should be washed again.

Knowing everything about the correct use of Otipax drops, you still cannot use the drug yourself. To avoid negative consequences and side effects, the medication must be prescribed by a specialist.

Features of using drops

The medicine is approved for use in adults and children from the moment of birth. Pregnant women can use Otipax for the symptomatic treatment of inflammatory ear diseases that are accompanied by pain. However, it is still advisable to first go for a consultation with your doctor.

Immediately before instillation, the medicine must be warmed to +37 degrees, for example, simply by holding it in your hand, as already described above.

When instilling ear drops, the head should be placed horizontally to completely prevent fluid from escaping. It is most rational to insert cotton wool soaked in a medical solution.

For children of the first year of life, 1-2 drops are injected into the area of ​​the sore ear; from one year of age, 2-3 drops can be used during instillation, and older children, like teenagers, along with adults, are allowed up to four. The procedure is repeated 2-3 times a day, and the duration of treatment cannot exceed ten days.

In the event that during treatment, any fluid is detected from the ear, be it blood or pus, the use of Otipax should be stopped immediately. In addition, be sure to contact an otolaryngologist as soon as possible after the incident. In this case, it is very important to be able to correctly distinguish the leakage of excess volume of the drug that occurs immediately after administration from other ear discharge.

Information on the compatibility of the described drug with other medications is not provided by the manufacturer, but, of course, it is necessary to warn the attending physician about all medications taken at the time of treatment. If during therapy there is no reduction in pain symptoms or the symptoms of the disease increase, it is important to urgently consult a doctor.

Therapy methods for children

Symptomatic treatment with Otipax for otitis media can be carried out as part of antibiotic therapy for otitis media of various etiologies, both in children who have not yet reached the age of two and in adults. In mild forms of the disease, improvements occur within the first few days.

If there is no pain in the ears, the use of Otipax is not required, but it will not harm. The drug does not have a systemic effect on the body, which can also be attributed to its undoubted advantages.

Analogues of "Otipax"

The following medications are similar in their principle of action, medicinal composition and cost:

  • Otirelax, whose price averages 170 rubles, is a Romanian medical product. The active ingredients are identical to those contained in Otipax. Otirelax is used in the same dosage.
  • "Otinum" can be bought for 180 rubles. This is a Polish drug that has the same medicinal properties and indications for use as the described “Otipax”. True, “Otinum” differs in its composition, since it contains only one active ingredient, namely choline salicylate. It is prohibited for use during pregnancy and breastfeeding.
  • "Folicap" is a Russian product, identical in composition, as well as the method of action and dosage during treatment. It is released only with a doctor's prescription.

In addition to the listed analogues, Otipax can be replaced with the following agents, which have a similar mechanism of action on the body. We are talking about such medications as Ottoslavin, Holikaps, Uniflox, Tsipromed, Sofradex. True, these medicines will not be cheaper than Otipax. Moreover, calling them analogues would not be entirely correct.

Instructions for use of Otipax contain a detailed description of the drug and very important information that should be read by everyone who has been prescribed this medication.

Painful sensations in the ear are probably familiar to many people who have at least once encountered a similar phenomenon. Pain in the ears is a sign that an inflammatory or infectious process is developing in the area of ​​the ENT organs. To get rid of this, doctors prescribe complex therapy, in which ear drops play a key role.

Pain is a frequent companion to acute and chronic ear diseases, which are predominantly inflammatory in nature. One of the most effective means to eliminate such symptoms is Otipax ear drops. The medicine is produced by a French manufacturer.

In most cases, Otipax ear drops are prescribed as an individual medicine for the treatment of a number of diseases associated with the ENT organs. But sometimes the drug is supplemented with antibiotics, which significantly enhances the effect of therapy.

The drug is sold in the form of ear drops. Otipax resembles an oily liquid and is characterized by a faint alcoholic odor. The color of the product is absolutely transparent, but depending on the batch it may have a slightly yellowish tint.

Ear drops are sold in almost any pharmacy and are available without a prescription. The original bottle of the medicine is made of dark glass, with a capacity of 15 ml. In addition, each bottle comes with a sterile rubber dropper, which makes the instillation procedure much easier.

Otipax drops have a wide spectrum of action, which, in fact, determines their high popularity.

Composition of the drug

Otipax ear drops, which are suitable for adults and children, include the following components:

  1. Phenazone. A non-steroidal substance from the group of analgesics, due to which it is possible to minimize or completely eliminate pain caused by the inflammatory process.
  2. Lidocaine. Local anesthetic. Reduces the sensitivity of nerve endings, dulling the painful syndrome.

The combination of these two components allows you to quickly provide an anesthetic effect that lasts longer than if you use one of them.

As auxiliary components, Otipax ear medicine contains the following substances:

  • sodium thiosulfate;
  • ethanol;
  • glycerol;
  • distilled water.

The composition of ear drops is not unique and, if desired, you can choose an analogue of the medication. Some, guided by the recipe data, even try to make their own medicinal composition. But dripping homemade solutions into the ear without first consulting a specialist is dangerous to your health!

Indications for use

Otipax has an anti-inflammatory and analgesic effect, so it is advisable to use it in almost any treatment of diseases of the ENT organs that cause complications in the ears.

The drug is used in the presence of a painful syndrome as a symptomatic treatment. This suggests that its action is aimed at eliminating symptoms, and not at the cause of the disease. Otipax for children and adults is indicated in the following cases:

  • developing external inflammation of the middle ear;
  • otitis media in the initial form;
  • otitis media in acute form at the stage of development of the inflammatory process;
  • otitis, as a result of sinusitis, sore throat, rhinitis;
  • otitis media, which is a complication after suffering from the flu;
  • otitis media developing against the background of traumatic injury to the ear;
  • barotraumatic otitis, provoked by a sharp change in pressure - observed, for example, in people who are keen on rock climbing or diving.

In addition, Otipax is effective against ear congestion, as well as against cerumen.

The main task of Otipax ear drops is to relieve the painful syndrome, and not to eliminate the cause of the development of the disease that provoked such concomitant symptoms.

The ear drug Otipax has a powerful anesthetic effect, but at the same time it does not contain any antibacterial or antimicrobial components. Therefore, if the disease develops due to the ingestion of a microbial form of bacteria, then the effectiveness of the medication is in question. In this case, it is more effective to use complex drugs that contain both anesthetics and antimicrobial components. Although this is all purely individual, at the discretion of the attending physician.

Directions for use: dosage, frequency

Attention! The information provided in this publication is for informational purposes only. It is highly undesirable to engage in self-diagnosis and self-medication. This is fraught with negative consequences for the patient’s health, in particular, we can even talk about hearing loss!

In order for ear drops to have maximum effect, you need to know how to use them. The speed of relief from the painful syndrome, as well as the relief of accompanying symptoms, depends on the correct use of the medication. Also, an incorrectly performed instillation procedure can provoke the development of additional complications in the middle ear area, which can aggravate the course of the existing disease.

According to the annotation, the therapeutic course of use of the medication is 7-10 days. The manufacturer does not recommend using Otipax ear drops for more than the specified period. The actual period of use of the medicine is regulated by an otolaryngologist - only a qualified specialist can, after conducting an examination and reviewing the results of clinical studies, determine the cause of the development of the inflammatory process and prescribe appropriate treatment.

A one-time use against the background of pain for an adult or child is characterized by a short-term effect. For this reason, it is highly undesirable to stop taking the drug and reduce the number of drops indicated in the doctor’s prescription after relieving ear pain. The indications must be strictly followed and at the slightest deviation from the treatment the doctor must be brought up to date. This will allow timely adjustment of therapy in order to eliminate alarming symptoms.

The anti-inflammatory effect with proper use of Otipax ear drops occurs, in most cases, already 3 days after the start of taking the drug, and the elimination of pain is observed within a quarter of an hour from the moment the medicine is instilled into the external canal of the ear.

How to properly instill Otipax for otitis media? Let's figure out how to use the drug:

  1. First of all, before the procedure, you must thoroughly wash your hands to avoid pathogens entering the already affected ear. If desired, you can even wear sterile gloves.
  2. After this, the auricle and ear canal should be cleaned of dirt. To do this, you can use hydrogen peroxide or camphor oil - both products will soften hardened dirt and wax, and will help to carefully remove it from the ear.
  3. Using an ear swab to clean the ear canals can lead to blockage of the canal and, as a result, the formation of wax plugs. Therefore, many otolaryngologists recommend rinsing the ear canals with warm water or using one of the above remedies.
  4. To avoid slight dizziness and discomfort, the drug must be warmed to a temperature of 35-36°C before being introduced into the ear canal. The easiest way to do this is to hold the bottle of medicine in your hand for several minutes - then the medicine will reach body temperature.
  5. Now we check the rubber dropper for chips or cracks. This will avoid overdosing and spilling the medicine.
  6. We take the correct position - lie on our side, with the sore ear facing up. This will allow the medicine to be distributed as much as possible throughout the tissues of the diseased ear.
  7. We turn the bottle with the medicine over and check whether the medicine has reached the dropper.
  8. We slightly pull the auricle back and up, which will open the ear canal. We insert the dropper into the ear no deeper than 5 mm and instill the number of drops indicated in the doctor’s prescription. After this, lightly press down on the wheel so that the medicine penetrates better into the cavity of the ear canal.
  9. Upon completion of the procedure, close the ear canal with cotton wool, pre-lubricated with Vaseline, and remain in the original position for another quarter of an hour. This approach will prevent the evaporation of the medication and allow it to be absorbed and penetrate into the affected ear tissue as much as possible.
  10. All that remains is to tightly close the bottle with a lid and put it in the refrigerator. This will allow you to preserve all the medicinal properties of the drug throughout the expiration date specified by the manufacturer.

We figured out how to properly drip Otipax into the ear. Now regarding the dosage. The abstract contains the following data: the medication is intended exclusively for external use.

The medication is dripped into the external auditory canal, 3-4 drops, 2-3 times a day. But, again, everything is at the discretion of the attending physician, who must take into account all the nuances of the course of the disease, as well as the age of the patient.

A few words about the safety of the drug

Many patients are interested in whether Otipax is an antibiotic or not? Judging by the composition, and according to the manufacturer, this medication does not belong to the category of antibiotics.

As for the issue of safety of taking Otipax. Back in 1993, clinical studies were conducted, during which it was possible to confirm the effectiveness and safety of using this drug in medical practice.

Thanks to its safe composition, the medicine can be prescribed not only to adults, but also to children. Moreover, in pediatrics, Otipax is prescribed even in newborns.

This safety is due to the fact that the substances of the medication do not penetrate the mucous membrane of the ear tissue and, accordingly, do not enter the bloodstream. In addition, all components of Otipax drops are removed without residue.

Adverse reaction

Clinical studies show that side effects when using Otipax ear drops are extremely rare. But possible side effects may include the following:

  • hyperemia;
  • irritation on the tissues of the ear canal;
  • allergic reaction - itching, burning, redness, rash.

If you take the medication in accordance with the doctor's instructions, there will be no side effects.

If one of the side effects occurs, it is recommended to consult a doctor to select an analogue of the drug.

Otipax is used as drops in the ears, that is, only externally. If the medication suddenly gets inside the body, the following symptoms may appear:

  • dizziness;
  • vomit;
  • nausea;
  • weakness;
  • diarrhea.

If the medicine gets inside, it is necessary to rinse the stomach as quickly as possible and take sorbents.

Contraindications, precautions

Not all patients can take Otipax for otitis media in adults or any other ear disease, even if indicated.

So, for otitis in adults and children, taking Otipax is prohibited in the following cases:

  1. Perforation/rupture of the eardrum. Under no circumstances should Otipax be instilled into a sore ear if there is a suspicion of damage to the eardrum.
  2. If there is an accumulation of pus in the cavity of the auricle, it is strictly forbidden to drip medicine into the ear.
  3. Hypersensitivity to the active and auxiliary components of the drug.
  4. Allergic reaction to lidocaine. Often this component can cause allergies. It is for this reason that it is necessary to conduct a drug compatibility test before the main use of a particular drug. We'll tell you how to do this a little later.

Only after consultation with a doctor can the medication be used if there are chronic diseases of the ENT organs

Otipax in pediatric therapy

Instructions for use Otipax allows the medication to be prescribed to children. According to the abstract, symptomatic treatment with medication for otitis media can be carried out as part of antibiotic therapy for ear diseases in childhood patients. Some pediatricians prescribe the drug to newborns. And if the disease is just beginning to develop, then it is possible to stop the symptoms within the first day.

If the disease is not accompanied by ear pain, then there is no need to use Otipax. But at the same time, the medicine, even in the absence of pain, does not harm. It does not have a systemic effect on the body, which is its undeniable advantage.

As for the dosage, the annotation states the following: for newborns and children of the first year of life, Otipax can not only be dripped into the ear, but also used as a solution for wetting turundas, which are inserted into the ear canal 3-4 times a day for 1-2 hours. The frequency of instillation into the sore ear is 2-3 drops three times a day.

It is worth adding here that treatment of a child with any drug, including Otipax ear drops, should be regularly monitored by a pediatrician and otolaryngologist. Not to mention the fact that prescribing medicine yourself is extremely dangerous for the baby’s health.

Otipax during pregnancy and lactation

The drug Otipax is approved for use by patients during pregnancy and breastfeeding for the symptomatic treatment of inflammatory ear diseases accompanied by pain. And, despite the high safety indicators of the drug, instilling the drug without the knowledge of the doctor is extremely undesirable. It is recommended to consult a specialist. The doctor will determine the need to use this particular medication as part of therapy and tell you how to instill the ear instillation so that the drug shows maximum effect.

Interaction with other drugs

There is no data on the compatibility of the drug Otipax with other medications in the annotation. It is for this reason that it is recommended to inform your doctor about all medications taken during therapy.

If, while taking other medications, Otipax does not give positive dynamics and does not help get rid of the pain syndrome, then a doctor’s consultation is necessary, during which a decision is made to replace the medication with another that does not give a similar reaction to this or that drug.

special instructions

Before using the drug for its intended purpose, it is recommended to test for the presence of an allergic reaction to the active and auxiliary components of the drug. To do this, apply a few drops of the product to the wrist or elbow and observe the reaction of the skin. In these areas, the skin is very thin and sensitive, so if you are allergic to one or another component of Otipax drops, then upon contact with the epidermis in this area of ​​the body a reaction will be observed.

If, after 3-10 hours, red spots or rashes do not appear on the skin, or it does not begin to burn or itch, then you can drop drops into the ear without fear that they will cause an allergic reaction.

As stated earlier, it is strictly forbidden to instill Otipax into the ear if there is any damage to the eardrum. Otherwise, complications may occur due to contact of the active components with the components of the middle ear, which can lead to hearing loss and even complete loss.

In addition, it is worth adding that the presence of uncharacteristic discharge from the cavity of the auricle - bloody, purulent or otherwise, prohibits the instillation of Otipax drops into the ear. This is fraught with negative consequences for the course of the existing disease.

Moreover, in this case, immediate consultation with a qualified specialist is required. Only a doctor can determine the etiology of the discharge and prescribe appropriate therapy.

Terms and conditions of storage

How long can Otipax be stored? According to the manufacturer, if storage conditions are observed correctly, the drops can retain their medicinal properties for 5 years. But we are talking about closed packaging. After opening the bottle, the shelf life of the medicine is 6 months.

As for storage conditions, they are as follows:

  • the place should be dry and dark;
  • Children and animals should not have access to the medicine;
  • temperature conditions – no more than 30°C;
  • Freezing of the medicinal composition is prohibited.

How can I replace Otipax?

Otipax ear drops have a number of analogues.

In terms of composition, Otipax can be replaced with the following medications:

  1. Lidocaine + Phenazone. Not a bad alternative to Otipax. The cost is a little cheaper than the original.
  2. Otirelax. The drug is from a Romanian manufacturer. The cost is lower than the original. The composition contains the same active ingredients as Otipax, in the same proportion. Therefore, the dosage of this medication is the same as the original.
  3. Otinum. The drug is made in Poland. It has the same healing properties as Otipax. But unlike the original, Otinum contains only one active ingredient - choline salicylate. And it is not recommended to be taken during pregnancy, lactation, or for children under 18 years of age.
  4. Folicap. Medicine from a domestic manufacturer. It has a composition almost similar to the original and, accordingly, medicinal properties. It is taken in the same dosage as Otipax. But unlike the original, Folicap is sold in pharmacies only with a doctor’s prescription.

In addition to the drugs described, instead of Otipax, other medicinal compositions can be dripped into the ear, characterized by a mechanism of action similar to the original:

  • Garazon;
  • Polydex;
  • Sofradex;
  • Uniflox;
  • Tsipromed;
  • Anauran.

The drugs from the latest series cannot be called analogues, because their composition is somewhat different. And in cost they are unlikely to be cheaper than the original.

In any case, the decision to replace Otipax ear drops is made by an otolaryngologist. In this case, all the nuances of the composition of the analogue drug must be taken into account, as well as the presence of increased sensitivity to the chosen replacement.

Summarize

And to conclude the publication, let’s summarize:

  1. Instructions for use of Otipax drops characterize the medication as a high-quality and highly effective anesthetic. The range of its effects is ear diseases.
  2. Otipax is prescribed for various forms of otitis media, as well as for ear pain associated with the development of an inflammatory process due to ENT diseases.
  3. Thanks to its unique composition, the medicine quickly relieves the painful syndrome and fights the symptoms of the inflammatory process. But they use it only as a painkiller, and not as the main drug to eliminate the cause of the disease.
  4. The frequency and dosage of taking Otipax are indicated in the annotation. But this is purely average statistical data. A more detailed treatment plan is indicated by the doctor.
  5. Even knowing how to properly drop Otipax drops into the ear, using the medication without the knowledge of the attending physician is strictly prohibited. In order to eliminate negative consequences and side effects, the medication should be prescribed by a specialist. Only a doctor, taking into account the data of clinical studies and conducting an examination, can correctly make a diagnosis, on the basis of which the correct therapy is selected.

And to summarize all of the above, I would like to add: in order to prevent the development of ear diseases, it is recommended to avoid hypothermia. During the cold season, do not forget about a hat - it will always protect your ears from hypothermia. And strengthen the immune system - vitamins, proper nutrition - all this will help the body create a natural barrier that prevents the penetration of pathogens.

Taking good care of your body is the key to health and well-being!

Otipax are ear drops used to relieve inflammation and eliminate pain during an acute inflammatory process occurring in the ear. The anesthetic component begins to act immediately after application, the pain disappears within a few minutes. This drug is one of the most prescribed drugs in otolaryngological practice.

Otipax is available only in the form of ear drops. It is a clear liquid with an alcoholic odor that may be almost colorless or have a slight yellowish tint.

1 g of drops contains:

  • phenazone (40 mg);
  • lidocaine hydrochloride (10 mg).

The composition of the drug includes auxiliary components:

  • glycerol;
  • sodium thiosulfate;
  • ethanol;
  • water.

The drops are in a bottle containing 16 g of the drug. The bottle is packed in a cardboard box. In the same pack there should be a special dropper placed in a blister.

What is it used for?

Otipax drops should be used to eliminate symptoms that occur in acute inflammatory diseases of the outer and middle ear, associated with severe pain:

  • otitis media in the acute stage (including purulent and unspecified);
  • otitis media that developed as a complication of influenza or ARVI;
  • chronic otitis media during exacerbation (serous or mucous);
  • otitis externa;
  • abscess of the outer ear.

This remedy is also prescribed to reduce the manifestations of otitis media caused by barotrauma (a consequence of the body being exposed to sudden changes in pressure in the external environment).

pharmachologic effect

Otipax is a combination drug, the use of which has two effects at once: anti-inflammatory and local anesthetic.

The non-steroidal component phenazone is responsible for the anti-inflammatory effect of the drug. This is a substance that reduces the activity of cycloxygenase, an enzyme that promotes the conversion of arachidonic acid into mediators of the inflammatory reaction (these include prostacyclin, as well as leukotrienes and prostaglandins). As the concentration of substances decreases, hyperemia becomes less noticeable, swelling decreases, and pain in the area affected by the inflammatory process decreases.

Lidocaine hydrochloride is a local anesthetic. It causes blocking of impulses traveling along the nerve pathways, and as a result, the area of ​​​​living tissue exposed to it temporarily loses sensitivity, including becoming insensitive to pain.

When these two components are combined in one preparation, the severity and duration of the analgesic effect increases and inflammation is relieved more quickly. The medicine also helps soften mucus and inflammatory products, which helps remove them from the ear.

The drug has only a local effect; its components are not absorbed into the blood unless the eardrum is damaged.

Instructions for use

Immediately before use, the bottle with the drug should be kept for some time in a warm place (about 25°C) so that its contents warm up to room temperature. To warm up faster, you can hold it in your palm for a few minutes.

The sequence of actions when using ear drops is as follows:

  1. Before you start using the drug (this applies to its first use), you should remove the cap that covers the bottle and install the dropper included with the medicine bottle, which acts as a dispenser.
  2. It is advisable to place a towel under your head, after which you need to lie on your side. In this position, you need to drip the medicine into the ear.
  3. After instillation, you need to lie on the same side without moving for about 5-7 minutes.
  4. If you need to do this procedure for the other ear, you need to turn over to the opposite side, inject the drug and lie still for the same amount of time.

The medicine should be used 2-3 times a day. A single dose is 3-4 drops for one ear.

Usually 2-3 days of such therapy are enough for the complete disappearance of unpleasant symptoms. The maximum period of use of the drug Otipax, provided for by the official instructions, is 10 days. If, after this period, the ear pain still bothers you or other symptoms appear, you should consult your doctor again.

Contraindications and side effects

Otipax should not be prescribed for:

  • violation of the integrity of the eardrum (if it is physically damaged or perforated due to a pathological process);
  • hypersensitivity to any component contained in the drug (for example, if the patient has a tendency to have an allergic reaction to lidocaine).

Sometimes these drops can cause unwanted effects:

  • hyperemia of the ear canal;
  • local irritation;
  • allergy.

These phenomena occur infrequently, but if they do occur, you should consult a doctor. In such a situation, a complete review of treatment recommendations may be necessary.

Application for children

If the drug is used in accordance with the instructions and prescriptions of the doctor, then its use is safe even for newborns. It should be taken into account that in children, inflammatory processes can develop very quickly and lead to dangerous complications, so it is important to consult a doctor and begin treatment in the first hours after the onset of symptoms of otitis media or other inflammatory diseases of the hearing organs.

When dosing the drug, the age of the child is taken into account.

The drips should be the same as for an adult patient, 2-3 times a day, unless the doctor gives other recommendations. The course of treatment is up to 10 days. Before starting to use the medicine, the child must be examined by a doctor.

special instructions

Once the bottle with drops has already been printed, its contents are suitable for use for no more than 6 months.

The drug should not be used in patients whose eardrum is damaged, since in this case contact of its active components with the anatomical elements of the middle ear can lead to serious complications. This will increase the likelihood of hearing deterioration, even complete loss is possible.

The drug, when used as directed in accordance with the instructions, acts only in the local area and does not affect the activity of the central nervous system. It cannot interfere with driving a car or a potentially dangerous technical device.

This drug can be prescribed to women during pregnancy and nursing mothers.

Professional athletes should note that one of the active components in Otipax drops (phenazone) may cause a positive doping test result.

If you intend to participate in official sports competitions, it is recommended to replace it with another product that does not contain substances prohibited in sports.

Drug interactions

There have been no cases of interaction of the drug with other drugs that would lead to negative consequences in the entire history of its use in otolaryngological practice.

Conclusion

Otipax drops are used in otolaryngology for acute inflammatory diseases of the ear. This complex product contains an anesthetic and anti-inflammatory component. The first of them copes with pain within 5-10 minutes after instillation into the ear, and the second helps relieve inflammation and prevents the development of complications.

This remedy has no age restrictions for use; it can be prescribed to children from birth. But do not forget that it can only be used if the integrity of the eardrum is not compromised. Before starting treatment, you should definitely visit an otolaryngologist.

Otipax ear drops are prescribed for otitis media in children. The drug has anti-inflammatory and analgesic effects. On average, twenty minutes is enough for the pain syndrome to disappear. It has a wide spectrum of action and is used for different types of otitis.

Otipax is produced by a French pharmaceutical company. The main components of the drug are two substances:

  • Phenazole has an anti-inflammatory effect, is a synthetic analgesic that eliminates pain;
  • Lidocaine is an anesthetic and has a sedative effect by affecting nerve endings. The effect of lidocaine is short-lived. The average is one and a half hours.

In addition to the main components, the preparation contains ethanol, water, glycerol and sodium thiosulfate. The last two soften the mucous membranes, preventing dryness and allergies.

Otipax for children is a solution that is used directly for instillation in the ears. Its color is transparent or slightly yellowish. Has a specific smell of alcohol.

The drug is sold in a bottle made of dark glass with a volume of 15 milliliters. It is imperative that the box contains a dispenser in the form of a dropper, which is necessary for the procedure. Instructions for use and dosage of the product are also included.

Indications for use

The use of Otipax drops for children is strictly controlled by a doctor. The reason for their prescription is pain or congestion in the ears, deterioration in the ability to hear. The medicine is used in local symptomatic therapy. It will relieve inflammation of any severity, help avoid complications, and avoid the spread of infection.

The main indications for prescribing the drug include:

  • Pain in the ears that appeared after suffering from influenza, acute respiratory infections;
  • Otitis due to barotrauma;
  • Acute form of otitis media;
  • The auditory canal is mechanically damaged.

The drug helps with damage to the eardrum due to injury to the hearing organ or infection. Otipax ear drops will also help eliminate pain that occurs when pressure is applied to the cartilage located in the auditory organ. This problem often occurs in newborns. They cannot tell about ear pain on their own, so they use this method of determining the disease.

Instructions for use

The instructions for use will help you understand how to use Otipax. It states that the drug should be instilled only into the organ of hearing that is inflamed. If the infection affects both ears, then the medicine should go into them accordingly.

Before using the drug, the bottle must be warmed to room temperature. To do this, just hold it in your palm for five minutes. This will warm the solution and, when instilled, it will cause minimal discomfort to the patient. After which the cap is removed and the dispenser is fixed. It will allow you to measure the required amount of the drug for one dose.

The patient's head should take a horizontal position when instilling ear drops. To simplify the procedure, you can moisten a cotton swab with the drug and place it in the child’s ear, so the medicine will not leak out.

Dosage

The dosage of the drug is individual and is prescribed based on the course of the disease; in particularly difficult cases it may be increased. The product is used three times a day for children of any age. Only the number of drops differs:

  • Children under one year old – 1-2 drops;
  • Children from one to two years - 3 drops;
  • From two years and older – 4 drops.

The results of the therapy can be seen after three days. Treatment should not exceed more than ten days. If after the specified period there is no improvement, a new treatment regimen is necessary.

Contraindications

The list of cases when the drug is contraindicated is small. This includes individual intolerance to the components of the product, since sometimes lidocaine causes allergies in a child.

Analogues and price

Otipax has analogues. There are a lot of drugs that have a similar effect. They are not only similar in composition, but also in their therapeutic effect. Therefore, in case of contraindications or other reasons, they will be an excellent alternative.

Analogues include:

  • Otiphon;
  • Otibru.

You can buy the drug at any pharmacy. This does not require a prescription. Its cost ranges from 220 to 370 rubles.

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