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Ciprodex® Otic Suspension for Ear Infections
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This prescription ear-drop medicine treats certain bacterial ear infections. It combines an antibiotic and an anti-inflammatory to target infection and ease swelling. You can view options with US delivery from Canada, compare formats, and see ways to save without insurance.
What Ciprodex Is and How It Works
Ciprodex® is a sterile otic suspension containing ciprofloxacin, a fluoroquinolone antibiotic, and dexamethasone, a corticosteroid. The antibiotic helps stop the growth of susceptible bacteria. The steroid helps reduce ear canal inflammation, redness, and discomfort. Together, the ear drops are used for acute otitis externa and for acute otitis media in patients with tympanostomy tubes.
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
This medicine is instilled into the ear canal. It is not for the eyes, by mouth, or injection. The drops are typically used twice daily for a short course as directed on the product label. Avoid touching the dropper tip to the ear or any surface to keep the suspension clean. For broader ear, nose, and throat needs, explore our Ear Nose Throat category.
When uncertain about your symptoms, speak with a healthcare professional. Ear pain that comes with high fever, severe swelling, or drainage may need a different evaluation before drops are used.
Who It’s For
The treatment is indicated for acute otitis externa caused by susceptible bacteria and for acute otitis media in pediatric patients with tympanostomy tubes. It may be appropriate for adults and children when the prescriber confirms a bacterial cause. People with known hypersensitivity to ciprofloxacin, dexamethasone, or any component should not use this product.
Avoid use if a fungal or viral ear infection is suspected unless a clinician advises otherwise. The suspension is for patients generally 6 months of age and older. If your symptoms reflect seasonal allergies rather than infection, review our guide on Allergic Rhinitis. For ear-specific conditions, see our pages for Otitis Externa and Otitis Media.
Dosage and Usage
Follow the official label and your prescriber’s instructions. Typical labeled dosing is four drops into the affected ear twice daily for seven days. Shake the bottle well before each dose. Warm the closed bottle in your hands for a minute to reduce dizziness from cold drops.
How to instill:
- Prepare drops: Wash hands and shake the bottle thoroughly.
- Position: Lie or tilt the head with the affected ear upward.
- Instill: Place the prescribed number of drops into the ear canal.
- Stay still: Keep the ear upward for 60 seconds to help the medicine coat the canal.
- For tubes: The prescriber may advise gentle tragus pumping to help the drops reach the middle ear.
- Finish: Replace the cap tightly; avoid touching the tip.
Use only in the ear. Do not share bottles. If you are using other otic products, ask a clinician about spacing administration. For package sizes, many prescriptions are written for Ciprodex 7.5 mL.
Strengths and Forms
This product is supplied as a sterile otic suspension in a dropper bottle. Commonly available presentation:
- Ciprofloxacin 0.3% and Dexamethasone 0.1% Otic Suspension in a 7.5 mL bottle.
Availability may vary by pharmacy and country of origin. Your prescriber will specify the amount and course based on the labeled indication.
Missed Dose and Timing
If you miss a dose, administer it when remembered unless it is close to the next dose. If it is nearly time for the next one, skip the missed dose and resume your normal schedule. Do not double doses. Try to keep doses roughly 12 hours apart during the course for consistent exposure.
Storage and Travel Basics
Store the bottle at room temperature as described on the label. Keep it tightly closed and upright when not in use. Do not freeze. Protect from contamination and keep out of children’s reach. When traveling, carry the original labeled container in your hand luggage. Bring a copy of your prescription if you will pass through security or customs. Pack a small resealable bag to prevent leakage onto other items.
Do not use the drops if the suspension has changed in color, has particles, or the seal is damaged. Mark your start date on the carton to help you track the 7-day course. As an added safeguard for online orders, our checkout is encrypted.
Benefits
This medicine treats the infection while helping reduce swelling and pain in the ear canal. Twice-daily dosing is straightforward for most routines. Short labeled courses can encourage adherence. The dropper bottle enables targeted therapy at the site of infection and may limit systemic exposure compared with oral antibiotics used for similar conditions.
Side Effects and Safety
Common effects can include mild ear discomfort, itching, a sensation of ear residue, or a taste in the throat after instillation. These are usually temporary. Stop use and seek medical help for signs of allergic reaction such as rash, hives, or swelling of the face or throat. Prolonged use may allow overgrowth of non-susceptible organisms, including fungi, so follow the prescribed duration.
Do not use in the eyes. Keep the tip clean. If significant ear pain, worsening swelling, persistent discharge, fever, or hearing changes occur, contact a healthcare professional. Children should be supervised during administration.
Drug Interactions and Cautions
Because the treatment acts locally in the ear, systemic interactions are unlikely. Still, tell your clinician about all medicines you use, including other ear products. Avoid concurrent use of other otic drops unless directed. Let your prescriber know about prior reactions to fluoroquinolones or corticosteroids. Do not use for viral infections such as herpes zoster oticus unless your clinician recommends it.
What to Expect Over Time
Symptoms may start to ease during the course as the infection is treated and inflammation decreases. Finish the full prescribed duration even if you feel better early. Keep the ear dry during therapy unless your clinician gives different guidance. If you do not notice steady improvement during the course or if symptoms recur after completion, arrange a follow-up evaluation.
Compare With Alternatives
Some patients may be treated with oral antibiotics when drops are not suitable or when infection extends beyond the ear canal. Two options sometimes used for ear-related bacterial infections include Cephalexin and Ceftin Suspension. Your prescriber will choose based on the organism suspected, the site of infection, and your history.
Pricing and Access
Canadian pharmacies often publish transparent rates for ear drops. You can review Ciprodex Otic Suspension Price details and see how cash-pay totals compare to local options. If you are looking for deals, check for a Ciprodex Otic Suspension Coupon when available. We offer US shipping from Canada with prescription validation. For region-specific information, see Canada. You may also find periodic offers on our Promotions page.
Availability and Substitutions
If the requested brand is temporarily unavailable, a prescriber may recommend an alternative otic fluoroquinolone or a different anti-infective/steroid combination. Some pharmacies may dispense a Generic Ciprofloxacin and Dexamethasone Otic Suspension when allowed by your prescriber and local regulations. Availability can differ by supplier. We do not promise restock dates; your clinician can guide a safe substitution when needed.
Patient Suitability and Cost-Saving Tips
Good candidates are patients with confirmed bacterial otitis externa or pediatric patients with tubes who have acute otitis media caused by susceptible organisms. People with allergies to any component should avoid this medicine. Those with chronic or recurrent infections should ask about culture-directed therapy. If you are prone to swimmer’s ear, discuss preventive strategies with your clinician.
To manage expenses, ask your prescriber if one bottle covers the full course, or if a second bottle is advisable for a bilateral infection. If you anticipate seasonal recurrences, a prescription with refills may reduce clinic visits. Sign up for refill reminders so you can request your bottle ahead of travel. When comparing cash-pay options, consider Canadian pricing, fulfillment timing, and your prescriber’s flexibility on brand or generic.
Questions to Ask Your Clinician
- Diagnosis confirmation: Is my ear problem bacterial and suitable for drops?
- Administration tips: Should I use tragus pumping with my ear tubes?
- Course length: How many days should I use the suspension?
- Water exposure: Can I swim or should I keep the ear dry?
- Pain control: What can I take safely for discomfort while using these drops?
- Follow-up: When should I recheck if symptoms do not improve?
- Alternatives: If this therapy is not suitable, what options fit my case?
Authoritative Sources
FDA Prescribing InformationDailyMed: Ciprofloxacin and Dexamethasone OticHealth Canada Drug Product Database
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Disclaimer: This page is informational and does not replace professional medical advice. Always follow your prescriber’s instructions and the official product label.
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Is it okay to use Ciprodex if I have ear tubes?
Yes, Ciprodex is commonly used for patients with ear tubes and is considered safe when prescribed for that purpose.
Can I get my ear wet during treatment?
It’s best to avoid swimming or submerging the ear in water. Use ear protection if water exposure is unavoidable.
What if I miss a dose of Ciprodex?
Apply the missed dose as soon as you remember, unless it’s almost time for the next one. Never double up doses.
Can Ciprodex be used in both ears?
Yes, but only if your doctor has prescribed it for both ears. Don’t assume the same condition exists in both ears without evaluation.
Is hearing loss a side effect of Ciprodex?
Temporary hearing changes are rare. If you notice hearing loss or worsening symptoms, consult your doctor promptly.
How long are these ear drops usually used?
Most labeled courses are seven days when directed for acute bacterial ear infections. Your prescriber may tailor the duration based on the diagnosis and your response. Use the drops exactly as instructed on the label. Do not stop early even if symptoms improve. If the condition has not improved by the end of the course, or if it worsens at any time, contact your healthcare professional for guidance.
Can children use this medicine for ear infections?
Yes, the suspension is indicated for pediatric patients with tympanostomy tubes who have acute otitis media and for children with acute otitis externa when a bacterial cause is suspected. Use is generally appropriate from 6 months of age and older. Administration should be supervised by an adult to ensure correct dosing and hygiene. If your child has fever, severe pain, or unusual drainage, seek clinical advice before using ear drops.
What is the correct way to apply the drops?
Wash hands and shake the bottle well. Tilt the head or have the patient lie with the affected ear upward. Instill the prescribed number of drops, then keep the ear facing up for about a minute. Avoid touching the dropper tip to the ear or fingers. If ear tubes are present, your clinician may advise gentle pressure on the tragus to help the drops reach the middle ear space.
Can I swim or get my ear wet during treatment?
Many clinicians prefer that patients keep the ear dry during treatment for an active infection. Avoid swimming and use caution during bathing to limit water entry into the ear canal. If your prescriber gives different instructions based on your situation, follow their guidance. Earplugs may be discussed for some patients, but do not insert anything into the canal unless instructed.
Are there common side effects I should know about?
Mild ear discomfort or itching can occur. Some people notice a brief taste after instillation. These effects are usually temporary. Stop using the drops and seek medical help if you develop rash, hives, or swelling of the face or throat. Keep the dropper tip clean to avoid contamination, and do not use the suspension in the eyes or by mouth.
What if symptoms do not improve during the course?
If you do not see steady improvement during the treatment window, arrange a follow-up with your prescriber. Persistent pain, fever, or drainage may require culture, a different medicine, or a change in treatment approach. Do not extend the course without medical direction. Bring your bottle to the visit so your clinician can confirm technique and adherence.
Is there a generic version available?
Some markets have a ciprofloxacin and dexamethasone otic suspension supplied as a generic. Availability can vary by supplier and region. Your prescriber can indicate whether substitution is appropriate for your prescription. If the brand is not available, your clinician might consider an alternative ear drop or an oral antibiotic based on your diagnosis and history.
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