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Otocerum is an ear drop solution used to soften and dissolve earwax plugs, making them easier to remove. It has antiseptic and mild analgesic properties that help with painless removal of ear wax. ## Composition and Formulation Otocerum contains several active ingredients that work together to dissolve earwax and provide antiseptic effects: - 150 mg turpentine essence per ml - 50 mg chlorobutanol per ml - 30 mg benzocaine per ml - 10 mg phenol per ml - 400 mg castor oil per ml The remaining excipient is ethanol[2]. ## Usage and Dosage Otocerum is indicated for adults and children over 2 years of age[2][5]. The recommended dosage is: - Apply 2-3 drops in the affected ear twice daily (morning and night) - Tilt the head to one side and maintain this position for about 30 seconds to allow better penetration - Use a cotton ball to plug the ear after application - Continue treatment for 3-4 days consecutively - If the earwax plug doesn't come out after this period, medical assistance should be sought for removal[2][5] ## Contraindications Otocerum should not be used in the following cases: - Children under 2 years of age - Allergies to any of the active ingredients (turpentine, chlorobutanol, benzocaine, phenol, or castor oil) - Perforated eardrum or ear leakage - When using other otic medications[2] ## Side Effects Possible side effects include: - Allergic reactions (skin changes or inflammation) - Skin irritation and dryness[2] ## Mechanism of Action The active ingredients in Otocerum work as cerumen solvents, antiseptics (antimicrobial), and provide mild analgesic effects to relieve itching[2][5]. The combination of these ingredients helps to soften and dissolve earwax, facilitating its removal in a painless manner.
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