Myringotomy Medication

Updated: Jan 06, 2016
  • Author: Brian Kip Reilly, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
  • Print
Medication

Medication Summary

The goals of pharmacotherapy are to reduce morbidity and prevent complications.

Next:

Analgesics, Other

Class Summary

Pain control is essential to quality patient care. Analgesics ensure patient comfort, promote pulmonary toilet, and have sedating properties, which are beneficial for patients who experience pain. In most cases, oral acetaminophen suffices for analgesia in this setting.

Acetaminophen (Aspirin Free Anacin, FeverAll, Tylenol, Mapap)

Acetaminophen is the drug of choice for treating pain in patients with documented hypersensitivity to aspirin or NSAIDs, with upper GI disease, or who are taking oral anticoagulants.

It is effective in relieving mild to moderate acute pain; however, acetaminophen has no peripheral anti-inflammatory effects. It may be preferred in elderly patients because of fewer GI and renal adverse effects.

Previous
Next:

Antibiotics, Otic

Class Summary

An otic antibiotic suspension may be used intraoperatively, or the patient is placed on antibiotic eardrops postoperatively.

In December 2015, an otic suspension of ciprofloxacin was approved by the FDA for pediatric patients with bilateral otitis media with effusion undergoing tympanostomy tube placement. In a double-blind, randomized clinical trial, 83 children (mean age 2.8 y) were administered intraprocedural otic drops or placebo. Through day 15 postprocedure, treatment failures accounted for ~15% in the antibiotic group compared with 43-45% in the placebo group. [6]

Ciprofloxacin otic (Otiprio)

Ciprofloxacin is an ototopical fluoroquinolone. This class of antimicrobial has a broad spectrum of activity. Additionally, fluoroquinolones do not cause vestibular or cochlear toxicity recognized with aminoglycosides. The sustained-exposure ciprofloxacin suspension (Otiprio) is indicated for pediatric patients with bilateral otitis media with effusion undergoing tympanostomy tube placement. It is administered as a single intratympanic administration of 0.1 mL (6 mg) into each affected ear, following suctioning of the middle ear effusion.

Ofloxacin Otic

Ofloxacin is an ototopical fluoroquinolone. This class of antimicrobial has a broad spectrum of activity. Additionally, fluoroquinolones do not cause vestibular or cochlear toxicity recognized with aminoglycosides.

Previous
Next:

Anesthetics, Topical

Class Summary

Local anesthetics are used for local pain relief.

Lidocaine (Xylocaine)

Lidocaine decreases permeability to sodium ions in neuronal membranes. This results in the inhibition of depolarization, blocking the transmission of nerve impulses. It is used for relief of pain associated with postherpetic neuralgia and has been used for pain relief of many other types of pain generators as well.

Previous