Olive oil ear drops

How it works

The oil lubricates and softens hardened ear wax, helping it to disperse or migrate out of the canal and easing subsequent removal if needed.

Prescribing in practice

• It should not be used if the eardrum is known to be perforated or if there is ear discharge suggesting infection, without first seeking advice.
• Warming the drops to body temperature before use reduces the chance of transient dizziness.
• It is a wax-softening agent and does not treat ear infections.

Monitoring

No formal monitoring is required; review if wax-related symptoms such as hearing loss or discomfort persist after a reasonable period of use.

Counselling the patient

• Lie with the treated ear uppermost for a short time after instilling the drops.
• Do not use cotton buds, which can push wax further in.
• Seek advice if you have ear pain, discharge, or a known hole in the eardrum.

Evidence & guidelines

Olive oil is recommended by NICE as a wax-softening option in the management of ear wax.