Shake the closed bottle gently before each use
Clean and dry the ears
Do not use soap, it may stop the medicine working
Do not put the drops in your eyes.
Additive toxicity with neurotoxic, ototoxic or nephrotoxic drugs. Increased neuromuscular blockade and possibly respiratory depression with neuromuscular blocking agents if significant amounts of neomycin absorbed significantly.
Contraindicated-
if you are allergic (hypersensitive) to polymyxin B sulphate, neomycin sulphate, hydrocortisone or any of the other ingredients of this preparation.
if you are allergic (hypersensitive) to aminoglycoside antibiotics such as framycetin, kanamycin or gentamicin
if you have a perforated ear drum
if you have either a viral, fungal or tubercular (TB) infection
for a child under 3 years old.
The following side effects rarely may happen with this medicine: seem to get worse instead of better, become red, scaly and itchy.
Do not use this preparation if you are pregnant or plan to get pregnant. Do not breast-feed while using this.
Caution should be taken if you have kidney problems. If you have a long-standing infection of your outer ear.