Cetraxal Plus Ear Drops Solution

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Chong Zhan Pong
Written byDr. Chong Zhan PongDoctor of Medicine (MD), International Medical University (IMU)

Last updated:

Overview

Cetraxal Plus Ear Drops Solution is a prescription-only medicine (POM) that contains Ciprofloxacin 0.2% w/v (as ciprofloxacin hydrochloride) and Fluocinolone acetonide 0.01% w/v. It is supplied as ear drops and is dispensed in Malaysia only against a valid prescription issued by a registered doctor.

Under Malaysian rules for prescription medicines, this page carries product, safety and handling information only. Your doctor or pharmacist will explain whether this medicine is suitable for you, the dose you should take, and how long you should take it.

On DoctorOnCall, Cetraxal Plus Ear Drops Solution is reviewed by a licensed doctor through an online consultation and dispensed by a registered pharmacist before delivery. Always follow the instructions on your prescription label and the package insert supplied with the product, and do not share this medicine with anyone else.

Directions for Use

Warm the bottle briefly in your hand before use, as cold drops can cause dizziness. Lie down with the affected ear facing up, or tilt your head to the side, and gently pull the earlobe upward and backward (for adults) or downward and backward (for young children) to help straighten the ear canal before instilling the prescribed number of drops. Keep your head tilted or gently press the small flap in front of the ear canal for 1-2 minutes afterwards to help the drops stay in place, and avoid letting the dropper tip touch the ear.

Dosage

The usual dose of Cetraxal Plus Ear Drops Solution is a small number of drops instilled into the affected ear canal twice daily for about 7 days, or as directed by your doctor. Your doctor will confirm the exact number of drops and duration appropriate for your age and the severity of the infection, and the full course should be completed even if symptoms improve early.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Nausea or vomiting
  • Diarrhoea
  • Headache or dizziness
  • Rash or skin irritation
  • Joint or muscle pain
  • Increased sensitivity to sunlight
  • Trouble sleeping or restlessness

Contraindications

  • Known hypersensitivity to ciprofloxacin, other fluoroquinolones, or corticosteroids
  • Fungal ear infections, which this product does not treat and which the steroid component may worsen
  • A perforated eardrum, unless your doctor has specifically confirmed this product is suitable for you

Drug / Food Interactions

  • Do not use other ear drops or ointments at the same time without your doctor’s advice
  • Avoid getting water in the ear canal (e.g. swimming, showering without ear protection) during treatment, as this can reduce effectiveness
  • Ear wax removal products used at the same time may affect how well this medicine reaches the ear canal

Quick Tips

  • Complete the full course exactly as prescribed, even if your symptoms improve early
  • Keep the affected ear dry and avoid swimming until your doctor confirms the infection has cleared
  • Warm the bottle in your hand briefly before use to reduce dizziness on instillation
  • Do not share this medicine with others, even if they have similar symptoms

Ingredients / Active Ingredients

  • Ciprofloxacin 0.2% w/v (as ciprofloxacin hydrochloride)
  • Fluocinolone acetonide 0.01% w/v

Safety Advice

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Use With Care

Use with caution. Monitor infant for potential adverse reactions.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Not Advisable

It is not advisable to drive if you experience side effects from this medicine.

Frequently Asked Questions

Product Specifications

BrandHyphens
ClassificationPrescription medicine
Ingredients / Active IngredientsCiprofloxacin
Volume10ml
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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