Do I need a prescription to buy Xepa Dextracin Eye/Ear Drop?

No. Xepa Dextracin Eye/Ear Drop is a non-prescription product and can be ordered without a prescription. It is still dispensed by a registered pharmacist on DoctorOnCall.

What does Xepa Dextracin Eye/Ear Drop contain?

Xepa Dextracin Eye/Ear Drop is ear drops containing Dexamethasone (corticosteroid). The full ingredient list is shown in the Composition or Ingredients section on this page and on the product packaging.

What pack sizes does Xepa Dextracin Eye/Ear Drop come in?

It is supplied in a pack size of 5ml. Choose the pack size you need from the options shown on this page before adding the item to your cart.

Why is there no information here about what Xepa Dextracin Eye/Ear Drop is for?

This page is limited to product, safety and handling information in line with Malaysian rules on medicine information. If you want advice on whether this product suits you, book an online consultation with a doctor or pharmacist on DoctorOnCall.

How should I use Xepa Dextracin Eye/Ear Drop?

Follow the instructions printed on the label and in the leaflet supplied with the pack, and do not exceed the stated amount or duration. Handling steps are set out in the Directions for Use section on this page.

Can I speak to a doctor or pharmacist about Xepa Dextracin Eye/Ear Drop before I buy it?

Yes. DoctorOnCall offers online consultations with licensed doctors and registered pharmacists, so you can ask about this product, your existing medicines, or anything on the label before you place an order.

What should I do if I notice side effects after using Xepa Dextracin Eye/Ear Drop?

Stop using the product and speak to a doctor or pharmacist about any reaction that concerns you. Seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.

How long will delivery take?

Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day. Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.

What payment methods can I use?

Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay. FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.

Can Xepa Dextracin Eye/Ear Drop be delivered to Singapore?

Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee. Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.

Is Xepa Dextracin Eye/Ear Drop registered with the authorities?

Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number. An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.

Who do I contact if there is a problem with my order?

DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre. For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.

Xepa Dextracin Eye/Ear Drop | dexamethasone neomycin | eye ear infection steroid drop | DoctorOnCall Malaysia

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Xepa Dextracin Eye/Ear Drop

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Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester

Written byDr. Chong Zhan PongDoctor of Medicine (MD), International Medical University (IMU)

Last updated: October 15, 2026

Overview

Xepa Dextracin Eye/Ear Drop contains Dexamethasone (corticosteroid) and is presented as ear drops. It is supplied in a pack size of 5ml.

It is classified as a non-prescription medicine, so no prescription is needed to order it. Under Malaysian rules for medicine information, this page carries product, safety and handling information only.

You can consult a doctor or pharmacist online on DoctorOnCall about this product before or after you order. Every order is checked by a registered pharmacist before it is delivered. Always read the label and the leaflet supplied with the pack.

Directions for Use

Xepa Dextracin should be used strictly as directed by the prescribing doctor, typically instilled as drops into the affected eye or ear a few times daily for a limited course. Hands should be washed before use, the dropper tip should not touch the eye, ear, or any surface, and the cap should be replaced securely after each use to avoid contamination.

Dosage

The dose and duration of treatment are determined individually by the prescribing doctor based on the condition being treated and its severity, and the course should not be extended beyond what is prescribed, as prolonged unsupervised steroid-antibiotic use carries additional risks to the eye or ear.

Shelf Life

Xepa Dextracin should be used before the expiry date printed on the bottle and carton, and any remaining solution should be discarded after the treatment course ends or per the discard period stated on the label once opened, as an opened bottle should not be kept for future unsupervised use.

Storage Instructions

Store Xepa Dextracin at room temperature away from direct sunlight and heat, and keep it out of reach of children. Keep the bottle tightly closed when not in use and avoid contaminating the dropper tip.

Side Effects

Skin irritation or redness (with topical use)
Nausea or vomiting (with oral use)
Hearing problems (in rare or high-dose cases)
Kidney function changes
Diarrhoea or upset stomach
Rash or allergic reaction

Contraindications

Viral infections of the eye, including herpes simplex keratitis (dendritic keratitis) and other viral corneal or conjunctival infections
Fungal infections of the eye or ear
Tubercular eye infection
Untreated bacterial, fungal, or viral infections where the cause has not been properly diagnosed
Perforated eardrum, unless specifically directed by a doctor for ear use
Known hypersensitivity to dexamethasone, neomycin, or related antibiotics

Drug / Food Interactions

Using other eye or ear medicines at the same time should be spaced apart and discussed with your doctor to avoid reduced effectiveness or increased side effects
Concurrent use with other ototoxic medicines (that can affect hearing) should be reviewed by a doctor if used in the ear
Wearing contact lenses during treatment is generally not recommended unless advised otherwise by your doctor
Combining with other topical steroid products should be avoided unless directed, to reduce the risk of prolonged steroid exposure

Quick Tips

Do not use Xepa Dextracin for longer than the course prescribed by your doctor
Do not let the dropper tip touch your eye, ear, fingers, or any surface to avoid contamination
Seek medical review if symptoms do not improve within the expected timeframe or if they worsen
Avoid wearing contact lenses while using the eye drop unless your doctor says otherwise
Never share this medicine with another person, even if their symptoms look similar
Report any vision changes, increased eye pain, or persistent discomfort to your doctor promptly

Ingredients / Active Ingredients

Neomycin

Dexamethasone (corticosteroid)
Neomycin Sulphate (aminoglycoside antibiotic)
Sterile ophthalmic/otic vehicle and preservative excipients standard to combination eye/ear drop formulations

Safety Advice

Pregnancy

Safe If Prescribed

This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.

Breastfeeding

Limited Data

Limited data on excretion in breast milk. Consult a doctor before use.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Generally Safe

Generally safe, but caution may be required in some patients.

Alcohol

Not Advisable

It is not advisable to consume alcohol while taking this medicine.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Relevant Information

Xepa Dextracin combines a corticosteroid with an antibiotic, and using a steroid-antibiotic combination without a confirmed diagnosis can mask a worsening infection, delay proper treatment, or, in the case of certain viral eye infections, cause serious corneal damage. It is dispensed only against a valid prescription following an online consultation with a DoctorOnCall doctor, who will assess your specific eye or ear symptoms before prescribing. Prolonged or repeated use of steroid-containing eye drops without medical supervision can raise eye pressure and increase the risk of glaucoma or cataract with long-term use, so treatment should be limited to the course and duration your doctor advises, with follow-up review if symptoms persist.