Dosing and uses of EarGesic, Otogesic (antipyrine/benzocaine/phenylephrine)
Adult dosage forms and strengths
antipyrine/benzocaine/phenylephrine
otic solution
- 5%/5%/0.25%
Ear Pain/Congestion
Apply to ear canal (drop by drop) until ear canal filled, insert gauze into ear opening; may apply three times daily for two to three days
Pediatric dosage forms and strengths
antipyrine/benzocaine/phenylephrine
otic solution
- 5%/5%/0.25%
Ear Pain/Congestion
Apply to ear canal (drop by drop) until ear canal filled, insert gauze into ear opening; may apply three times daily for two to three days
EarGesic, Otogesic (antipyrine/benzocaine/phenylephrine) adverse (side) effects
Frequency not defined
Temporary stinging/burning in ear canaL
Local hypersensitivity reaction
Warnings
Contraindications & Cautions
Hypersensitivity
Perforated tympanic membrane
Cautions
Contact physician for severe pain/burning after instilling drops
Discontinue if rash, erythema, or dry skin develops
Pregnancy and lactation
Pregnancy category: C
Lactation: Unknown
Pregnant or breastfeeding patients should seek advice of health professional before using OTC drugs
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 EarGesic, Otogesic (antipyrine/benzocaine/phenylephrine)
Mechanism of action
Antipyrine elicits analgesic properties
Benzocaine is a local anesthetic agent
Phenylephrine elicits vasoconstrictive properties; decongestant



