Jump to content
Sign in to follow this  
lkd27583

Otomycosis

Recommended Posts

I know this old but since no other responses I figured I’d answer. I usually try acetic acid-hydrocortisone ear drops and PO diflucan first. If that doesn’t work I’ll do clotrimazole drops next

Share this post


Link to post
Share on other sites

Kitchen sink approach.  Suction/clean the ear thoroughly.  Apply Gentian Violet.  Insert topical ointment mixture of ketoconazole/triamcinolone/nystatin to fill the ear canal.  Return in 1 week to suction out the medication.  Works >95% of the time for me.  No oral medications, which is unnecessary 99% of the time for otitis externa.  Keep the ear dry, no drops.


I get a ton of recurrences when using acetic acid or clotrimazole drops, but on the other hand by the time they see me, they've been tried on a bunch of different medications already.

 

 

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Sign in to follow this  

×
×
  • Create New...

Important Information

Welcome to the Physician Assistant Forum! This website uses cookies to ensure you get the best experience on our website. Learn More