Adult Dosing & Uses
Dosing Forms & Strengths
ciprofloxacin/dexamethasone
otic suspension
- 0.3%/0.1%
Acute Otitis Externa
4 gtt in affected ear BID x7 days
Other Indications & Uses
Acute otitis media in children
Pediatric Dosing & Uses
Dosing Forms & Strengths
ciprofloxacin/dexamethasone
otic suspension
- 0.3%/0.1%
Acute Otitis Media with Tympanostomy Tubes, Acute Otitis Externa
<6 months old: Not recommended
6 months or older: 4 gtt in affected ear BID x7 days
Administration
AOM: Administer through tympanostomy tube
Adverse Effects
Frequency Not Defined
Headache
Migraine headache
Dysguesia
Hyperesthesia
Paresthesias
Pruritis
Fungal dermatitis
Rash
Dermatitis
Urticaria
Alopecia
Contraindications & Cautions
Contraindications
Hypersensitivity to any component (contains benzalkonium chloride)
Fungal or viral infections of external canal including varicella & herpes simplex infections
Cautions
Discontinue if hypersensitivity or superinfection occurs
Re-evaluate if no improvement after 1 wk
Pregnancy & Lactation
Pregnancy Category: C
Lactation: excretion in milk unknown/not recommended
A:Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.
B:May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.
C:Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.
D:Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.
X:Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.
NA:Information not available.
Pharmacology
Mechanism of Action
Ciprofloxacin: Inhibits DNA gyrase & topoisomerase IV; bactericidal
Dexamethasone: suppresses inflammatory response
Pharmacokinetics
Absorption: negligible systemic
Excretion: urine
Pricing & Images
Patient Handout
- Cefpodoxime No Match for Ciprofloxacin in Acute Cystitis
- An Evaluation of Ciprofloxacin Pharmacokinetics in Critically Ill Patients Undergoing Continuous Veno-venous Haemodiafiltration
- Life-Years Gained with Meropenem Over Ciprofloxacin in Penicillin-allergic Patients with Gram-negative Bacilli Sepsis

