Framycetin sulfate (fra-me-see-tin sul-fate), Gramicidin (grammy-sigh-din), Dexamethasone
Consumer Medicine Information (CMI)
What is in this leaflet
This leaflet answers some common questions about Otodex.
It does not contain all the available information. It does not take the place of talking
to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor or pharmacist has weighed the risks
of you using Otodex against the benefits they expect it will have for you.
If you have any concerns about using this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine.
You may need to read it again.
What Otodex is used for
Otodex is a medicine used to treat infection or inflammation of the ear. Otodex contains
antibiotics (framycetin sulfate and gramicidin) to kill germs and a corticosteroid
(dexamethasone) to stop inflammation, itching and weeping.
This medicine is available only with a doctor's prescription.
Before you use it
When you must not use it
Do not use Otodex if you have an allergy to Otodex or any of the ingredients listed
at the end of this leaflet.
Do not use Otodex if you are allergic to framycetin, gramicidin or dexamethasone.
Do not use Otodex if you have:
a hole in your eardrum
viral or tubercular lesions
chicken pox (varicella virus)
vaccinia - a type of virus
Do not use Otodex if you are pregnant or intend to become pregnant.
Like most aminoglycosides, Otodex is not recommended for use during pregnancy.
Do not use Otodex after the expiry date (EXP) printed on the pack.
If you use this medicine after the expiry date has passed, it may not work as well.
Do not use Otodex if the packaging is torn or shows signs of tampering, or if it doesn't
look quite right.
If you are not sure whether you should start using Otodex, contact your doctor or
Before you start to use it
Tell your doctor or pharmacist if you have allergies to:
framycetin, gramicidin or dexamethasone
any other medicines, especially antibiotics such as neomycin, paromomycin and kanamycin
any other substances, such as foods, preservatives or dyes
Tell your doctor if you are pregnant or intend to become pregnant.
Like most medicines of this kind, Otodex is not recommended to be used during pregnancy.
Your doctor or pharmacist will discuss the risks and benefits of using it if you are
Taking other medicines
Tell your doctor if you are taking any other medicines, including any that you buy
without a prescription from your pharmacy, supermarket or health food shop.
How to use it
Use Otodex only as directed by your doctor. Generally this will be as follows:
The drops are usually used 3 or 4 times daily. Remove the cap from the bottle immediately
before use and place it back on the bottle immediately after use. To use the drops,
tilt your head so that the affected ear is uppermost. Position the rubber dropper,
which is attached to the bottle, directly above the ear hole. With the bottle tipped
upside down, gently squeeze the rubber dropper until 2 or 3 drops fall into the ear.
Keep your head tilted for about a minute to allow the drops to penetrate deep into
Your doctor may decide to adjust your dosage if necessary or ask you to use Otodex
in a different way, according to his or her judgment.
Ask your pharmacist for advice if you need further instructions on how best to use
How long to use it
Continue using Otodex until your doctor or pharmacist tells you to stop.
Do not stop using it unless your doctor or pharmacist tells you to - even if you feel
If you forget to use it
If it is almost time for your next dose, skip the dose you missed and use your next
dose when you are meant to.
Otherwise, use it as soon as you remember, and then go back to using your medicine
as you would normally.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to use your medicine, ask your pharmacist for some
While you are using it
Things you must do
Use Otodex only in the ear unless your doctor advises differently. Contact your doctor
your condition worsens during treatment
an allergic reaction develops
you feel no better after completing the prescribed treatment
If you become pregnant while using Otodex, stop using it and tell your doctor or pharmacist
Things you must not do
Do not give Otodex to anyone else, even if they have the same condition as you.
Do not use Otodex to treat any other complaints unless your doctor or pharmacist tells
Do not stop using Otodex, or lower the dosage, without checking with your doctor or
Tell your doctor or pharmacist as soon as possible if you do not feel well while you
are using Otodex, even if the problem is not listed below.
Otodex helps most people with an infection or inflammation of the ear, but it may
have unwanted side effects in a few people. All medicines can have side effects. Sometimes
they are serious, most of the time they are not.
Tell your doctor or pharmacist if you notice any of the following and they worry you:
local allergic reaction: pain, itching, stinging, weeping or swelling around the site
These are the more common side effects of Otodex. Mostly these are mild and short-lived.
Other side effects not listed above may occur in some patients.
After using it
Keep Otodex in a cool dry place where the temperature stays below 25°C. Do not refrigerate.
Do not store Otodex or any other medicine in the bathroom or near a sink.
Do not leave it in the car on hot days or on window sills.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place
to store medicines.
If your doctor or pharmacist tells you to stop using Otodex or the medicine has passed
its expiry date, ask your pharmacist what to do with any that is left over.
Return any unused medicine to your pharmacist.
What it looks like
Otodex Ear Drops is supplied as a sterile clear solution in a glass dropper bottle.
framycetin sulfate (5 mg/mL)
gramicidin (0.05 mg/mL)
dexamethasone 0.5 mg/mL)
phenethyl alcohol (preservative)
industrial methylated spirit
citric acid monohydrate
sodium citrate dihydrate
Otodex is supplied in Australia by:
sanofi-aventis australia pty ltd
12-24 Talavera Road
Macquarie Park NSW 2113
This leaflet was prepared in April 2020.
Australian Registration Number
Otodex Ear Drops: AUST R 43840
® Registered Trademark