Dosing and uses of VoSol (acetic acid otic)
Adult dosage forms and strengths
otic solution
- 2%
Otitis Externa
Remove all cerumen and debris
Insert cotton wick saturated with acetic acid otic solution into ear canal; alternatively, may saturate wick following insertion
Keep wick in place for at least 24 hr and maintain moisture by adding 3-5 gtt q5-6hr
Remove wick after 24 hr; thereafter, continue to instill 5 gtt to affected ear(s) three to four times daily for as long as indicated
Pediatric dosage forms and strengths
otic solution
- 2%
Otitis Externa
<3 years
- Safety and efficacy not established
>3 years
- Remove all cerumen and debris
- Insert cotton wick saturated with acetic acid otic solution into ear canal; alternatively, may saturate wick following insertion
- Keep wick in place for at least 24 hr and maintain moisture by adding 3-5 gtt q5-6hr
- Remove wick after 24 hr; thereafter, continue to instill 5 gtt to affected ear(s) three to four times daily for as long as indicated
- In children, 3-4 gtts may be sufficient because of smaller capacity of ear canal
VoSol (acetic acid otic) adverse (side) effects
Frequency not defined
Stinging/burning upon instillation
Local irritation (rare)
Warnings
Contraindications
Hypersensitivity
Perforated tympanic membrane
Cautions
Transient stinging or burning may occur after first instillation in acutely inflamed ear
Pregnancy and lactation
Pregnancy category: C
Lactation: Unknown whether distributed in breast milk
Pregnancy categories
A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.
B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.
C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.
D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.
X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.
NA: Information not available.
Pharmacology of VoSol (acetic acid otic)
Mechanism of action
Elicits antibacterial and antifungal effects
