cbrsmurf Posted January 15, 2013 Share Posted January 15, 2013 Anything inexpensive for otitis externa? All the fluroquinolones seem to be kind of expensive. Link to comment Share on other sites More sharing options...
Teasip Posted January 16, 2013 Share Posted January 16, 2013 Cortisporin. Just make sure that you're not concerned about pseudomonas (lakes/streams). Link to comment Share on other sites More sharing options...
cbrsmurf Posted January 16, 2013 Author Share Posted January 16, 2013 how much $? according to epocrates retail is $78 or $85? any issues with adverse reactions? Link to comment Share on other sites More sharing options...
flyingsquirrel Posted January 16, 2013 Share Posted January 16, 2013 apple cider vinegar...as long as the TM is intact Link to comment Share on other sites More sharing options...
benm93 Posted January 16, 2013 Share Posted January 16, 2013 ciprodex is an expensive choice many people use. (cipro + dexamethosone). I use a discount card to take it down to 20 bucks. cipro and dexamethasone by themselves are available as generics, as well as acetic acid, all of which are cheap on insurance. (i work at a pharmacy, awaiting to hear back from PA schools) Link to comment Share on other sites More sharing options...
Guest Paula Posted January 16, 2013 Share Posted January 16, 2013 Cortisporin otic comes in generic, and according to epocrates is $27-$30. Caution with perforated ear drum. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted January 16, 2013 Moderator Share Posted January 16, 2013 Cortisporin. Just make sure that you're not concerned about pseudomonas (lakes/streams). also diabetics need either an oral or otic floroquinolone to cover for this. Link to comment Share on other sites More sharing options...
jen0508 Posted January 16, 2013 Share Posted January 16, 2013 are any abx ear drops safe for perforated TM? Or do you guys use oral abx? Link to comment Share on other sites More sharing options...
cbrsmurf Posted January 16, 2013 Author Share Posted January 16, 2013 found this on the aafp website ABLE 3 Cost of Topical Agents Commonly Used to Treat Bacterial Otitis Externa[TABLE=width: 100%] [TR] [TH=class: th, colspan: 1]Agent[/TH] [TH][/TH] [TH=class: th, colspan: 1]Cost*[/TH] [/TR] [TR] [TD=colspan: 2]2% Acetic acid otic solution (VoSoL) [/TD] [TD=colspan: 1]$49 (generic: 3 to 10) [/TD] [/TR] [TR] [TD=colspan: 1][/TD] [TD=colspan: 1]With hydrocortisone (VoSoL HC Otic) [/TD] [TD=colspan: 1]59 (generic: 6 to 12) [/TD] [/TR] [TR] [TD=colspan: 1][/TD] [TD=colspan: 1]With aluminum acetate (Otic Domeboro) [/TD] [TD=colspan: 1]18 (generic: 7) [/TD] [/TR] [TR] [TD=colspan: 2]Neomycin otic solutions and suspensions [/TD] [TD=colspan: 1][/TD] [/TR] [TR] [TD=colspan: 1][/TD] [TD=colspan: 1]With polymyxin B–hydrocortisone (Cortisporin) [/TD] [TD=colspan: 1]42 (generic: 28) [/TD] [/TR] [TR] [TD=colspan: 1][/TD] [TD=colspan: 1]With hydrocortisone-thonzonium (Coly-Mycin S) [/TD] [TD=colspan: 1]25 (N/A) [/TD] [/TR] [TR] [TD=colspan: 2]Polymyxin B–hydrocortisone (Otobiotic) [/TD] [TD=colspan: 1]22 (N/A) [/TD] [/TR] [TR] [TD=colspan: 2]Quinolone otic products [/TD] [TD=colspan: 1][/TD] [/TR] [TR] [TD=colspan: 1][/TD] [TD=colspan: 1]Ofloxacin 0.3% solution (Floxin Otic) [/TD] [TD=colspan: 1]34 (N/A) [/TD] [/TR] [TR] [TD=colspan: 1][/TD] [TD=colspan: 1]Ciprofloxacin 0.3% and hydrocortisone suspension (Cipro HC Otic) [/TD] [TD=colspan: 1]59 (N/A) [/TD] [/TR] [TR] [TD=colspan: 2]Quinolone ophthalmic solutions [/TD] [TD=colspan: 1][/TD] [/TR] [TR] [TD=colspan: 1][/TD] [TD=colspan: 1]Ofloxacin 0.3% (Ocuflox) [/TD] [TD=colspan: 1]29 (N/A) [/TD] [/TR] [TR] [TD=colspan: 1][/TD] [TD=colspan: 1]Ciprofloxacin 0.3% (Ciloxan) [/TD] [TD=colspan: 1]30 (N/A) [/TD] [/TR] [TR] [TD=colspan: 2]Aminoglycoside ophthalmic solutions [/TD] [TD=colspan: 1][/TD] [/TR] [TR] [TD=colspan: 1][/TD] [TD=colspan: 1]Gentamicin sulfate 0.3% (Garamycin) [/TD] [TD=colspan: 1]19 (generic: 6 to 7) [/TD] [/TR] [TR] [TD=colspan: 1][/TD] [TD=colspan: 1]Tobramycin sulfate 0.3% (Tobrex) [/TD] [TD=colspan: 1]29 (generic: 13 to 16) [/TD] [/TR] [/TABLE] N/A = not available. *—Estimated cost to the pharmacist for dispensing one bottle (costs are rounded to the nearest dollar amount). Based on average wholesale prices in Red book. Montvale, N.J.: Medical Economics Data, 1999. Cost to the patient will be higher, depending on prescription filling fee. http://www.aafp.org/afp/2001/0301/p927.html Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted January 16, 2013 Moderator Share Posted January 16, 2013 are any abx ear drops safe for perforated TM? Or do you guys use oral abx? quinolone drops are ok with perfed tm. oflox cheapest I think. Link to comment Share on other sites More sharing options...
Teasip Posted January 16, 2013 Share Posted January 16, 2013 Concur with EMEDPA's comment. This was the whole idea behind the fluroquinolones for otitis externa since it was felt to be safe in the middle ear. Link to comment Share on other sites More sharing options...
Moderator ventana Posted January 17, 2013 Moderator Share Posted January 17, 2013 for a real otitis external I use cipro to cover pseudomonas also will do ofloaxacin for sig infection for the little irritated ? infection I use corticosporin for the swimmer or someone with lots of was - 50/50 white vinegar and rubbing alcohol a few drops after done swimming for the day I tried to use this as treatment but never really works Link to comment Share on other sites More sharing options...
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