VoSol (acetic acid otic) dosing, indications, interactions, adverse effects, and more.

Sections

Sections acetic acid otic
Dosing & Uses
Adverse Effects
Warnings
Pregnancy
Pharmacology
Images
Patient Handout
Formulary

Dosing & Uses

AdultPediatric

Dosage Forms & Strengths

otic solution

Otitis Externa

Remove all cerumen and debris

Insert cotton wick saturated with acetic acid otic solution into ear canal; alternatively, may saturate wick following insertion

Keep wick in place for at least 24 hr and maintain moisture by adding 3-5 gtt q5-6hr

Remove wick after 24 hr; thereafter, continue to instill 5 gtt to affected ear(s) three to four times daily for as long as indicated

Dosage Forms & Strengths

otic solution

Otitis Externa

<3 years

Safety and efficacy not established

>3 years

Remove all cerumen and debris
Insert cotton wick saturated with acetic acid otic solution into ear canal; alternatively, may saturate wick following insertion
Keep wick in place for at least 24 hr and maintain moisture by adding 3-5 gtt q5-6hr
Remove wick after 24 hr; thereafter, continue to instill 5 gtt to affected ear(s) three to four times daily for as long as indicated
In children, 3-4 gtts may be sufficient because of smaller capacity of ear canal

Frequency Not Defined

Stinging/burning upon instillation

Local irritation (rare)

Contraindications

Hypersensitivity

Perforated tympanic membrane

Cautions

Transient stinging or burning may occur after first instillation in acutely inflamed ear

Discontinue promptly if sensitization or irritation occurs

Pregnancy & Lactation

Pregnancy Category: C

Lactation: Unknown whether distributed in breast milk

Pregnancy Categories

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.

Mechanism of Action

Elicits antibacterial and antifungal effects

Images

No images available for this drug.

Patient Handout

A Patient Handout is not currently available for this monograph.

Formulary

FormularyPatient Discounts

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The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information.

View explanations for tiers and restrictions

Tier	Description
1	This drug is available at the lowest co-pay. Most commonly, these are generic drugs.
2	This drug is available at a middle level co-pay. Most commonly, these are "preferred" (on formulary) brand drugs.
3	This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs.
4	This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
5	This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
6	This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
NC	NOT COVERED – Drugs that are not covered by the plan.

Code	Definition
PA	Prior Authorization Drugs that require prior authorization. This restriction requires that specific clinical criteria be met prior to the approval of the prescription.
QL	Quantity Limits Drugs that have quantity limits associated with each prescription. This restriction typically limits the quantity of the drug that will be covered.
ST	Step Therapy Drugs that have step therapy associated with each prescription. This restriction typically requires that certain criteria be met prior to approval for the prescription.
OR	Other Restrictions Drugs that have restrictions other than prior authorization, quantity limits, and step therapy associated with each prescription.

Medscape prescription drug monographs are based on FDA-approved labeling information, unless otherwise noted, combined with additional data derived from primary medical literature.

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