Thursday 22 September 2016

Hydrocortisone and Acetic Acid




Hydrocortisone 1%

and Acetic Acid 2%

Otic Solution

(Hydrocortisone and Acetic Acid Otic Solution, USP)


Rx only



Hydrocortisone and Acetic Acid Description


Hydrocortisone and Acetic Acid Otic Solution, USP contains Hydrocortisone (1%) and acetic acid, glacial (2%) in a propylene glycol vehicle containing propylene glycol diacetate (3%) and benzethonium chloride (0.02%), sodium acetate (0.015%) and citric acid (0.2%).


Acetic acid has a molecular formula of CH3COOH with molecular weight of 60.05. The structural formula is:


Acetic Acid



Hydrocortisone is a Synthetic Steroid used as an anti-inflammatory and antipruritic agent. Its chemical name is Pregn-4-ene-3,20-dione, 11, 17, 21-trihydroxy-, (11β)-. Hydrocortisone has a molecular formula of C21H30O5 with molecular weight 362.46. The structural formula is:


Hydrocortisone



Hydrocortisone and Acetic Acid is available as a non-aqueous otic solution buffered at pH (2.0 to 4.0) for use in the external ear canal.



Hydrocortisone and Acetic Acid - Clinical Pharmacology


Acetic acid is anti-bacterial and antifungal; hydrocortisone is anti-inflammatory, antiallergic and antipruritic; propylene glycol is hydrophilic and provides a low surface tension; benzethonium chloride is a surface active agent that promotes contact of the solution with tissues.



Indications and Usage for Hydrocortisone and Acetic Acid


For the treatment of superficial infections of the external auditory canal caused by organisms susceptible to the action of the antimicrobial, complicated by inflammation.



Contraindications


Hypersensitivity to Hydrocortisone and Acetic Acid otic solution or any of the ingredients; herpes simplex, vaccinia and varicella. Perforated tympanic membrane is considered a contraindication to the use of any medication in the external ear canal.



Warnings


Discontinue promptly if sensitization or irritation occurs.



Precautions


Transient stinging or burning may be noted occasionally when the solution is first instilled into the acutely inflamed ear.



Pediatric Use


Safety and effectiveness in pediatric patients below the age of 3 years have not been established.



Adverse Reactions


Stinging or burning may be noted occasionally; local irritation has occurred very rarely.



Hydrocortisone and Acetic Acid Dosage and Administration


Carefully remove all cerumen and debris to allow hydrocortisone 1% and acetic acid 2% otic solution to contact infected surfaces directly. To promote continuous contact, insert a wick of cotton saturated with the solution into the ear canal; the wick may also be saturated after insertion. Instruct the patient to keep the wick in for at least 24 hours and to keep it moist by adding 3 to 5 drops of the solution every 4 to 6 hours. The wick may be removed after 24 hours but the patient should continue to instill 5 drops 3 or 4 times daily thereafter, for as long as indicated. In pediatric patients, 3 to 4 drops may be sufficient due to the smaller capacity of the ear canal.



How is Hydrocortisone and Acetic Acid Supplied


Hydrocortisone 1% and acetic acid 2% otic solution is available in 10 mL plastic, controlled dropper tip bottle.


 

10 mL bottle NDC 51672-3007-1


Store at 15°- 30°C (59°- 86°F) [see USP Controlled Room Temperature]. Protect from freezing. Keep container tightly closed.



Mfd. by: Taro Pharmaceuticals Inc.

Brampton, Ontario, Canada L6T 1C1

Dist. by: Taro Pharmaceuticals U.S.A., Inc.

Hawthorne, NY 10532



Issued: June 2004


PK-4785-0 149



PRINCIPAL DISPLAY PANEL - 10 mL Carton


10 mL


NDC 51672-3007-1


Hydrocortisone 1%

and Acetic Acid 2%

Otic Solution USP


FOR OTIC USE ONLY.


Keep this and all

medications out of the

reach of children.


Rx only


TARO










Hydrocortisone and Acetic Acid 
Hydrocortisone and Acetic Acid  solution










Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)51672-3007
Route of AdministrationAURICULAR (OTIC)DEA Schedule    











Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
Hydrocortisone (Hydrocortisone)Hydrocortisone10.4 mg  in 1 mL
Acetic Acid (Acetic Acid)Acetic Acid20.8 mg  in 1 mL














Inactive Ingredients
Ingredient NameStrength
propylene glycol 
propylene glycol diacetate 
benzethonium chloride 
sodium acetate 
anhydrous citric acid 


















Product Characteristics
Color    Score    
ShapeSize
FlavorImprint Code
Contains      














Packaging
#NDCPackage DescriptionMultilevel Packaging
151672-3007-11 BOTTLE In 1 CARTONcontains a BOTTLE
110 mL In 1 BOTTLEThis package is contained within the CARTON (51672-3007-1)










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
ANDAANDA08875904/28/2005


Labeler - Taro Pharmaceuticals U.S.A., Inc. (145186370)









Establishment
NameAddressID/FEIOperations
Taro Pharmaceuticals Inc.206263295MANUFACTURE
Revised: 08/2011Taro Pharmaceuticals U.S.A., Inc.

More Hydrocortisone and Acetic Acid resources


  • Hydrocortisone and Acetic Acid Side Effects (in more detail)
  • Hydrocortisone and Acetic Acid Use in Pregnancy & Breastfeeding
  • Hydrocortisone and Acetic Acid Support Group
  • 1 Review for Hydrocortisone and Acetic Acid - Add your own review/rating


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