Hydrocortisone 1%

Hydrocortisone 1%
SPL v6
SPL
SPL Set ID 6383c722-84e2-4719-a13d-19c54e3eefff
Route
AURICULAR (OTIC)
Published
Effective Date 2019-12-02
Document Type 34391-3 HUMAN PRESCRIPTION DRUG LABEL

Drug Facts

Composition & Product

Active Ingredients
Hydrocortisone (10.4 mg) Acetic Acid (20.8 mg)
Inactive Ingredients
Sodium Acetate Anhydrous Citric Acid Propylene Glycol Propylene Glycol Diacetate Benzethonium Chloride

Identifiers & Packaging

Marketing Status
ANDA Active Since 2005-04-28

Description

(Hydrocortisone and Acetic Acid Otic Solution, USP) Rx only

Indications and Usage

For the treatment of superficial infections of the external auditory canal caused by organisms susceptible to the action of the antimicrobial, complicated by inflammation.

Dosage and Administration

Carefully remove all cerumen and debris to allow hydrocortisone 1% and acetic acid 2% otic solution to contact infected surfaces directly. To promote continuous contact, insert a wick of cotton saturated with the solution into the ear canal; the wick may also be saturated after insertion. Instruct the patient to keep the wick in for at least 24 hours and to keep it moist by adding 3 to 5 drops of the solution every 4 to 6 hours. The wick may be removed after 24 hours but the patient should continue to instill 5 drops 3 or 4 times daily thereafter, for as long as indicated. In pediatric patients, 3 to 4 drops may be sufficient due to the smaller capacity of the ear canal.

Contraindications

Hypersensitivity to hydrocortisone and acetic acid otic solution or any of the ingredients; herpes simplex, vaccinia and varicella. Perforated tympanic membrane is considered a contraindication to the use of any medication in the external ear canal.

Adverse Reactions

Stinging or burning may be noted occasionally; local irritation has occurred very rarely.

How Supplied

Hydrocortisone 1% and acetic acid 2% otic solution is available in 10 mL plastic, controlled dropper tip bottle. 10 mL bottle NDC 51672-3007-1


Medication Information

Indications and Usage

For the treatment of superficial infections of the external auditory canal caused by organisms susceptible to the action of the antimicrobial, complicated by inflammation.

Dosage and Administration

Carefully remove all cerumen and debris to allow hydrocortisone 1% and acetic acid 2% otic solution to contact infected surfaces directly. To promote continuous contact, insert a wick of cotton saturated with the solution into the ear canal; the wick may also be saturated after insertion. Instruct the patient to keep the wick in for at least 24 hours and to keep it moist by adding 3 to 5 drops of the solution every 4 to 6 hours. The wick may be removed after 24 hours but the patient should continue to instill 5 drops 3 or 4 times daily thereafter, for as long as indicated. In pediatric patients, 3 to 4 drops may be sufficient due to the smaller capacity of the ear canal.

Contraindications

Hypersensitivity to hydrocortisone and acetic acid otic solution or any of the ingredients; herpes simplex, vaccinia and varicella. Perforated tympanic membrane is considered a contraindication to the use of any medication in the external ear canal.

Adverse Reactions

Stinging or burning may be noted occasionally; local irritation has occurred very rarely.

How Supplied

Hydrocortisone 1% and acetic acid 2% otic solution is available in 10 mL plastic, controlled dropper tip bottle.

10 mL bottle NDC 51672-3007-1
Description

Hydrocortisone and Acetic Acid Otic Solution, USP contains Hydrocortisone (1%) and acetic acid, glacial (2%) in a propylene glycol vehicle containing benzethonium chloride (0.02%), citric acid (0.2%), propylene glycol diacetate (3%) and sodium acetate (0.015%).

Acetic acid has a molecular formula of CH 3COOH with molecular weight of 60.05. The structural formula is:

Hydrocortisone is a Synthetic Steroid used as an anti-inflammatory and antipruritic agent. Its chemical name is Pregn-4-ene-3,20-dione, 11, 17, 21-trihydroxy-, (11β)-. Hydrocortisone has a molecular formula of C 21H 30O 5with molecular weight 362.46. The structural formula is:

Hydrocortisone and acetic acid is available as a non-aqueous otic solution buffered at pH (2.0 to 4.0) for use in the external ear canal.

Section 42229-5

(Hydrocortisone and Acetic Acid Otic Solution, USP)

Rx only

Section 44425-7

Store at 20° to 25°C (68° to 77°F)[see USP Controlled Room Temperature]. Protect from freezing. Keep container tightly closed.

Warnings

Discontinue promptly if sensitization or irritation occurs.

Precautions

Transient stinging or burning may be noted occasionally when the solution is first instilled into the acutely inflamed ear.

Pediatric Use

Safety and effectiveness in pediatric patients below the age of 3 years have not been established.

Clinical Pharmacology

Acetic acid is anti-bacterial and antifungal; hydrocortisone is anti-inflammatory, antiallergic and antipruritic; propylene glycol is hydrophilic and provides a low surface tension; benzethonium chloride is a surface active agent that promotes contact of the solution with tissues.

Principal Display Panel 10 Ml Bottle Carton

10 mL

NDC 51672-3007-1

Hydrocortisone 1%

and Acetic Acid 2%

Otic Solution USP

FOR OTIC USE ONLY.

Keep this and all

medications out of the

reach of children.

Rx only

TARO


Structured Label Content

Section 42229-5 (42229-5)

(Hydrocortisone and Acetic Acid Otic Solution, USP)

Rx only

Section 44425-7 (44425-7)

Store at 20° to 25°C (68° to 77°F)[see USP Controlled Room Temperature]. Protect from freezing. Keep container tightly closed.

Warnings (WARNINGS)

Discontinue promptly if sensitization or irritation occurs.

Description (DESCRIPTION)

Hydrocortisone and Acetic Acid Otic Solution, USP contains Hydrocortisone (1%) and acetic acid, glacial (2%) in a propylene glycol vehicle containing benzethonium chloride (0.02%), citric acid (0.2%), propylene glycol diacetate (3%) and sodium acetate (0.015%).

Acetic acid has a molecular formula of CH 3COOH with molecular weight of 60.05. The structural formula is:

Hydrocortisone is a Synthetic Steroid used as an anti-inflammatory and antipruritic agent. Its chemical name is Pregn-4-ene-3,20-dione, 11, 17, 21-trihydroxy-, (11β)-. Hydrocortisone has a molecular formula of C 21H 30O 5with molecular weight 362.46. The structural formula is:

Hydrocortisone and acetic acid is available as a non-aqueous otic solution buffered at pH (2.0 to 4.0) for use in the external ear canal.

Precautions (PRECAUTIONS)

Transient stinging or burning may be noted occasionally when the solution is first instilled into the acutely inflamed ear.

How Supplied (HOW SUPPLIED)

Hydrocortisone 1% and acetic acid 2% otic solution is available in 10 mL plastic, controlled dropper tip bottle.

10 mL bottle NDC 51672-3007-1
Pediatric Use

Safety and effectiveness in pediatric patients below the age of 3 years have not been established.

Adverse Reactions (ADVERSE REACTIONS)

Stinging or burning may be noted occasionally; local irritation has occurred very rarely.

Contraindications (CONTRAINDICATIONS)

Hypersensitivity to hydrocortisone and acetic acid otic solution or any of the ingredients; herpes simplex, vaccinia and varicella. Perforated tympanic membrane is considered a contraindication to the use of any medication in the external ear canal.

Clinical Pharmacology (CLINICAL PHARMACOLOGY)

Acetic acid is anti-bacterial and antifungal; hydrocortisone is anti-inflammatory, antiallergic and antipruritic; propylene glycol is hydrophilic and provides a low surface tension; benzethonium chloride is a surface active agent that promotes contact of the solution with tissues.

Indications and Usage (INDICATIONS AND USAGE)

For the treatment of superficial infections of the external auditory canal caused by organisms susceptible to the action of the antimicrobial, complicated by inflammation.

Dosage and Administration (DOSAGE AND ADMINISTRATION)

Carefully remove all cerumen and debris to allow hydrocortisone 1% and acetic acid 2% otic solution to contact infected surfaces directly. To promote continuous contact, insert a wick of cotton saturated with the solution into the ear canal; the wick may also be saturated after insertion. Instruct the patient to keep the wick in for at least 24 hours and to keep it moist by adding 3 to 5 drops of the solution every 4 to 6 hours. The wick may be removed after 24 hours but the patient should continue to instill 5 drops 3 or 4 times daily thereafter, for as long as indicated. In pediatric patients, 3 to 4 drops may be sufficient due to the smaller capacity of the ear canal.

Principal Display Panel 10 Ml Bottle Carton (PRINCIPAL DISPLAY PANEL - 10 mL Bottle Carton)

10 mL

NDC 51672-3007-1

Hydrocortisone 1%

and Acetic Acid 2%

Otic Solution USP

FOR OTIC USE ONLY.

Keep this and all

medications out of the

reach of children.

Rx only

TARO


Advanced Ingredient Data


Raw Label Data

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