Why is this medication prescribed?

Cetraxal is a brand name for the medication ciprofloxacin otic, which is an antibiotic used to treat ear infections, specifically acute otitis externa (outer ear canal infections) caused by susceptible bacteria.

Cetraxal is prescribed primarily for the treatment of bacterial infections of the outer ear canal. It is effective against a range of bacteria that commonly cause these infections.

How should this medicine be used?

Here are general guidelines for using Cetraxal:

• Dosage: Follow your doctor’s instructions regarding dosage. Typically, Cetraxal is administered as 4 drops in the affected ear(s) twice daily for 7 days.
• Administration:
  • Shake the bottle well before using.
  • Lie on your side or tilt your head to the side with the affected ear facing up.
  • Gently pull the earlobe up and back to straighten the ear canal.
  • Instill the prescribed number of drops into the ear canal.
  • Remain in this position for about 1 minute to allow the drops to penetrate deeply into the ear canal.
  • Repeat the process for the other ear if both ears are affected.
• Precautions:
  • Avoid touching the tip of the dropper to your ear or any other surface to prevent contamination.
  • Wash your hands before and after using Cetraxal to prevent the spread of infection.
  • Do not rinse the dropper after use; keep it tightly closed.
  • If you are using other ear drops, wait at least 5 minutes before applying them after Cetraxal.
• Completion of Treatment: Complete the full course of treatment as prescribed by your doctor, even if your symptoms improve before the end of the treatment period. Stopping early can lead to the infection returning or worsening.
• Storage: Store Cetraxal at room temperature, away from moisture and heat. Keep the bottle tightly closed when not in use.

Always consult your healthcare provider for specific instructions tailored to your condition. If you have any concerns or experience unexpected side effects, contact your doctor promptly.

Other uses for this medicine

• Chronic Suppurative Otitis Media: In some cases, Cetraxal may be used to treat chronic infections of the middle ear with perforated eardrums, though this is not its primary intended use.
• Prophylaxis: Sometimes, Cetraxal may be prescribed to prevent ear infections in certain situations, such as before or after swimming in contaminated water.
• Alternative Infections: Occasionally, it may be used off-label for other infections where the bacteria are susceptible to ciprofloxacin and local application is feasible.

What special precautions should I follow?

When using Cetraxal, it’s important to follow these special precautions to ensure safe and effective treatment:

• Allergies: Inform your doctor if you are allergic to ciprofloxacin, other quinolone antibiotics, or any other medications. This is crucial to avoid potential allergic reactions.
• Pregnancy and Breastfeeding: Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Cetraxal should be used during pregnancy or breastfeeding only if clearly needed and prescribed by your doctor.
• Other Medical Conditions: Inform your doctor about any other medical conditions you have, especially:
  • History of tendon disorders or tendonitis.
  • History of central nervous system disorders (e.g., epilepsy).
  • Myasthenia gravis (a neuromuscular disorder).
  • Kidney disease.
• Interactions: Cetraxal can interact with certain medications, vitamins, or herbal supplements. Make sure to inform your doctor about all medications you are currently taking, including over-the-counter drugs and supplements.
• Use in Children: Cetraxal is generally considered safe for use in children, but the dosage may need to be adjusted based on age and weight. Follow your doctor’s instructions carefully.
• Avoid Contact with Eyes: Cetraxal is for use in the ears only. Avoid getting it in your eyes, nose, or mouth. If accidental contact occurs, rinse thoroughly with water.
• Side Effects: Monitor for any side effects such as itching, redness, irritation, or swelling in or around the ear. Report any unusual symptoms to your doctor promptly.

Following these precautions and guidelines will help ensure that Cetraxal is used safely and effectively for its intended purposes. Always use medications as prescribed and directed by your healthcare provider.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with using Cetraxal. It can be taken with or without food. However, it’s important to maintain a healthy diet to support your overall health and recovery from the ear infection.

What should I do if I forget a dose?

If you forget to use a dose of Cetraxal, use it as soon as you remember unless it is almost time for your next scheduled dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

What side effects can this medication cause?

Cetraxal (ciprofloxacin otic) can cause side effects, although not everyone experiences them. Common side effects include:

• Ear discomfort: Mild ear pain, itching, or irritation at the site of application.
• Taste disturbance: A metallic taste in the mouth, especially if the medication drips into the mouth.
• Headache: Mild to moderate headaches have been reported in some cases.
• Dizziness: Feeling dizzy or lightheaded after using Cetraxal.
• Nausea: Some people may experience mild nausea.
• Superinfection: Prolonged or repeated use of Cetraxal may result in overgrowth of nonsusceptible bacteria or fungi. If new infections occur during treatment or if symptoms persist or worsen, discontinue use and contact your doctor.
• Allergic reactions: Though rare, allergic reactions such as rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, or trouble breathing may occur. If you notice any of these symptoms, seek immediate medical attention.

It’s important to note that these are not all the possible side effects of Cetraxal. If you experience any other unusual symptoms while using this medication, or if any of these side effects persist or worsen, contact your doctor or pharmacist promptly.

Additionally, because Cetraxal is applied directly into the ear canal, systemic side effects (those affecting the whole body) are less common compared to oral antibiotics. However, it’s always important to follow your doctor’s instructions carefully and report any concerns during your treatment.

What should I know about storage and disposal of this medication?

Storage and Disposal of Cetraxal:

• Storage:
  • Store Cetraxal at room temperature between 20-25°C (68-77°F).
  • Keep the bottle tightly closed when not in use.
  • Protect from light.
  • Keep out of reach of children and pets.
• Disposal:
  • Dispose of any unused Cetraxal solution after completing your prescribed treatment course.
  • Do not flush medications down the toilet or pour them into a drain unless instructed to do so.
  • Properly discard this product when it is expired or no longer needed.

In case of emergency/overdose

• Emergency: If you suspect an allergic reaction (e.g., rash, itching/swelling, severe dizziness, trouble breathing), seek immediate medical attention. For any other serious reaction or emergency situation related to Cetraxal, contact your local emergency services or go to the nearest emergency room.
• Overdose: Cetraxal is typically applied topically to the ear canal, so the risk of overdose is minimal with proper use. However, if you accidentally ingest Cetraxal or apply too many drops, contact a poison control center (1-800-222-1222 in the US) or emergency room immediately for advice.

What other information should I know?

• Avoiding Contamination: Do not touch the dropper tip to any surface, including the ear, to avoid contamination.
• Completion of Treatment: Finish the full course of Cetraxal as prescribed by your doctor, even if your symptoms improve before the end of treatment.
• Follow-up: Attend follow-up appointments with your healthcare provider as scheduled to monitor your response to treatment and ensure proper healing.
• Effectiveness: Cetraxal is effective against bacterial infections of the outer ear canal caused by susceptible organisms. It will not treat viral infections (e.g., common cold) or fungal infections.
• Consultation: Always consult your healthcare provider if you have any questions or concerns about using Cetraxal, including potential side effects or interactions with other medications.

By following these guidelines, you can ensure safe and effective use of Cetraxal for the treatment of your ear infection. Always use medications as directed by your healthcare provider and seek medical attention for any unexpected reactions or emergencies.