Wilderness: Ear Infection (cont.)
Ear Infection Treatment
- Rest: avoid further scuba dives, coughing, sneezing, bending, and attempts to equalize the ears.
- Pain may be relieved with 1 to 2 acetaminophen (Tylenol) every four hours and/or 1 to 2 ibuprofen (Advil, Motrin) every 6 to 8 hours.
- Pseudoephedrine (the active ingredient in over-the-counter medications such as Sudafed) 30 mg tablets, one every six hours for 2 to 3 days, may ease ear pressure. (People with a history of high blood pressure should avoid this product.)
- For infections of the ear canal (otitis externa): neomycin (Ak-Spore HC, Cortisporin, Neotricin HC, Ocutricin-HC), polymyxin B, and hydrocortisone (Cortisporin, Otocort, Poly Otic), two drops in the ear canal four times per day for five days, may also be used.
- Flouroquinolone antibiotics specifically for the ear are also available (ofloxacin, and ciprofloxacin with dexamethasone) to treat otitis externa and otitis media with a perforation or in the presence of ear tubes.
- If pain occurs, discontinue treatment and seek medical attention.
- Oral antibiotics are usually recommended for discharge from the ear, nose, or mouth. If infection develops, continue antibiotics for at least five days after all signs of infection have cleared. Tell your doctor of any drug allergy prior to starting any antibiotic. The doctor will recommend the right antibiotic. Some can cause sensitivity to the sun, so use a sunscreen (at least SPF 15).
Medically Reviewed by a Doctor on 5/29/2014
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