5A/6A Diabetes
ENDOCRINE SYSTEM
; ACETIC ACID ; ANTIPYRINE ;
BENZOCAINE ; U-POLYCOSANOL
410 (ERICERUS PELA)
AURALGAN OTIC TRx
Analgesic ; local anesthetic ; antibacterial. Acetic
acid 0.01%, antipyrine 5.4%, benzocaine 1.4%,
u-polycosanol 410 (Ericerus pela) 0.01%; per mL; otic
soln; contains aluminum acetate.
Indications: To reduce pain and inflammation
in acute otitis media (AOM), alone or as adjunct
to systemic antibiotics. To remove excessive or
impacted cerumen.
Adults and Children: AOM: Fill ear canal with
soln, then moisten cotton plug with soln and insert
into meatus. Repeat every 1–2 hrs until pain and
congestion relieved. Cerumen removal: Instill 3 times
daily for 2–3 days. Insert moistened (w. soln) cotton
plug into meatus before and after cerumen removal.
Contraindications: Spontaneous perforation or
discharge.
Warnings/Precautions: Discontinue if
sensitization or irritation occurs. Pregnancy (Cat.C).
Nursing mothers.
How supplied: Soln–14mL (w. dropper)
; CIPROFLOXACIN ;
DEXAMETHASONE
CIPRODEX OTIC Alcon
Antibiotic (quinolone) ; steroid. Ciprofloxacin (as
HCl) 0.3%, dexamethasone 0.1%; otic susp.
Indications: Acute otitis media in pediatric patients
with tympanostomy tubes. Acute otitis externa.
Adults and Children: ;
6 months: not
recommended. ;
6 months: 4 drops in affected
ear(s) twice daily for 7 days.
Contraindications: Viral otic infections (eg, herpes
simplex).
Warnings/Precautions: Discontinue if
superinfection or hypersensitivity occurs. Reevaluate
if no improvement after 1 week. Pregnancy (Cat.C).
Nursing mothers: not recommended.
Adverse reactions: Ear discomfort/pain, pruritus,
debris, dysgeusia, erythema.
How supplied: Susp– 7.5mL
; CIPROFLOXACIN ;
HYDROCORTISONE
CIPRO HC OTIC Alcon
Antibiotic (quinolone) ; steroid. Ciprofloxacin (as
HCl) 0.2%, hydrocortisone 1%; otic susp.
Indications: Acute otitis externa.
Adults and Children: To minimize dizziness, warm
susp by holding bottle in hand for 1–2 minutes before
use. ;1yr: not recommended. ;1yr: 3 drops in
affected ear(s) twice daily for 7 days.
Contraindications: Perforated tympanic
membrane. Viral otic infections (eg, varicella, herpes
simplex).
Warnings/Precautions: Discontinue if
hypersensitivity reaction occurs. Reevaluate if no
improvement after 1 week. Pregnancy (Cat.C). Nursing
mothers: not recommended.
Adverse reactions: Headache, pruritus.
How supplied: Susp–10mL (w. dropper)
;OFLOXACIN
FLOXIN OTIC Daiichi Sankyo
Antibiotic (quinolone). Ofloxacin 0.3%; otic soln.
Indications: Otitis externa in adults and children.
Chronic suppurative otitis media in adults with
perforated tympanic membrane. Acute otitis media in
children with tympanostomy tubes.
Adults and Children: ;6months: not
recommended. Otitis externa: 6months–13yrs: 5
drops in affected ear(s) once daily. ;13yrs: 10 drops
in affected ear(s) once daily. Both: treat for 7 days.
Acute otitis media: 1–12yrs: 5 drops in affected
ear(s) twice daily for 10 days. Chronic suppurative
otitis media: ;12yrs: 10 drops in affected ear(s)
twice daily for 14 days.
Warnings/Precautions: Discontinue if
hypersensitivity reaction occurs. Reevaluate if no
improvement after 1 week. Pregnancy (Cat.C). Nursing
mothers: not recommended.
Adverse reactions: Pruritus, taste perversion,
local reactions, dizziness, earache, headache,
vertigo, superinfection, paresthesia, rash.
How supplied: Soln–5mL, 10mL (dropper bottles);
Singles 0.25mL ( 5 drops/container)– 20
;CAPTOPRIL
CAPOTEN Par
ACE inhibitor. Captopril 12.5mg, 25mg, 50mg,
100mg; scored tabs.
Indications: Diabetic nephropathy in type 1
diabetes with retinopathy.
Adults: Take 1 hr before meals. 25mg 3 times daily.
Children: Not recommended.
Contraindications: History of ACEI-associated or
other angioedema. Pregnancy (Cat.D in 2nd and 3rd
trimesters).
Warnings/Precautions: See literature. Salt/
volume depletion. Dialysis (esp. high-flux membrane).
CHF. Aortic stenosis. Monitor WBCs and renal
function in renal and collagen vascular disease.
Monitor for hyperkalemia in diabetics and renal
insufficiency. Surgery. Discontinue if neutropenia,
agranulocytosis, angioedema, or laryngeal edema
