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Cetraxal
Cetraxal (ciprofloxacin) is an antibiotic ear drop solution used to treat outer ear infections (also known as swimmer's ear or acute otitis externa). Ciprofloxacin, a fluoroquinolone antibiotic, works by stopping the growth of bacteria in the ear canal, providing relief from symptoms such as pain, redness, and swelling.
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Frequently Asked Questions
Can Cetraxal be used to treat middle ear infections?
No, Cetraxal is only for outer ear infections (otitis externa). It is not effective for middle ear infections.
Can I use Cetraxal if I have a perforated eardrum?
No, Cetraxal should not be used if you have a perforated eardrum. Consult your doctor for an appropriate treatment.
How long does it take for Cetraxal to start working?
Most patients experience symptom relief within a few days of starting treatment.
Can I swim while using Cetraxal?
It’s best to avoid swimming or getting the affected ear wet until the infection is fully resolved.
Are there any side effects specific to ear drops?
Common side effects include mild itching or discomfort, but these are generally temporary and resolve on their own.
Comprehensive Drug Guide
How Does Cetraxal Work?
Cetraxal works by inhibiting the DNA gyrase enzyme in bacteria, preventing them from reproducing and effectively stopping the infection.
Common Dosages
- Each single-dose vial contains 0.2 mL of ciprofloxacin.
Typical Dosing
- The typical dosing is one vial (0.25 mL) in the affected ear twice daily for 7 days.
Typical Dosing
FDA Approved Indications
- Acute otitis externa (outer ear infection) caused by susceptible bacteria.
Who Shouldn't Take Cetraxal?
- Hypersensitivity to ciprofloxacin or other quinolones.
- Viral or fungal ear infections (Cetraxal is only effective against bacterial infections).
Advice From The Pharmacist
- Warm the vial in your hands before administration to avoid dizziness that may result from cold ear drops.
- Keep the affected ear tilted for a few minutes after application to allow the medication to penetrate the ear canal.
Side Effects of Cetraxal
Common Side Effects
- Itching or discomfort in the ear
- Headache
Uncommon/Severe Side Effects
- Severe allergic reactions such as rash, itching, or swelling.
Risks and Warnings of Cetraxal
- Tendon rupture: Ciprofloxacin has been associated with tendon inflammation and rupture in some patients, although this is rare when used in ear drops.
- Allergic reactions: In rare cases, allergic reactions to fluoroquinolones may occur.
Interactions with Cetraxal
Common Drug Interactions
- There are no significant interactions with other medications when used as ear drops.
Alternatives to Cetraxal
- Ofloxacin (Floxin Otic): Another fluoroquinolone ear drop for treating outer ear infections.
- Polymyxin B-neomycin-hydrocortisone: A combination ear drop used for outer ear infections.
