Chloramphenicol Ear drops
Indications
Chloramphenicol Ear drops is used for:
Bacterial Ear infections
Adult Dose
Otic/Aural
Otitis externa
Adult: Instill 2-3 drops into the ear bid-tid.
Hepatic impairment: Dose reduction may be required.
Child Dose
Renal Dose
Renal impairment: Dose reduction may be required.
Administration
Contra Indications
History of hypersensitivity to the drug; Perforated ear drum. Herpes simplex and other virul conditions of the ear, mycosis.
Precautions
Avoid prolonged use. Discontinue immediately if local hypersensitivity reactions occur.
Pregnancy-Lactation
Interactions
Decreased effects of iron and vitamin B12 in anaemic patients. Phenobarbitone and rifampin reduce efficacy of chloramphenicol. Impairs the action of oral contraceptives.
Potentially Fatal: Increases the effect of oral anticoagulants, oral hypoglycaemic agents, phenytoin. Avoid concomitant administration with drugs that depress bone marrow function.
Adverse Effects
Side effects of Chloramphenicol Ear drops :
Ear drops: Ototoxicity.
Mechanism of Action
Chloramphenicol inhibits bacterial protein synthesis by binding to 50s subunit of the bacterial ribosome, thus preventing peptide bond formation by peptidyl transferase. It has both bacteriostatic and bactericidal action against H. influenzae, N. meningitidis and S. pneumoniae.