Cerumenolytic
Urea hydrogen peroxide
Brand names: Otex, Earex
Adult dose
Dose: 5 drops in affected ear BD-TDS for 3-4 days
Route: Topical (otic)
Frequency: BD-TDS
Clinical pearls
- Earwax softening before irrigation
- Avoid if eardrum perforation
Contraindications
- Perforated tympanic membrane
- Active otitis externa
- Hypersensitivity
Side effects
- Local irritation
- Effervescence sensation
Reference: BNF; NICE CG98; https://bnf.nice.org.uk/drugs/urea-hydrogen-peroxide/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Pathways
- Adult Upper Airway Obstruction (Stridor) · DAS 2015 unanticipated difficult airway; RCEM
- Epistaxis Management · ENT-UK / NICE
- Acute Otitis Media · NICE NG91 2018
- Tonsillitis and Sore Throat · NICE NG84 2018
- Benign Paroxysmal Positional Vertigo · NICE CG124 / AAO-HNS Guidelines
- Acute Rhinosinusitis · NICE NG79 2017 / EPOS 2020