Otofa ear drops with prescription or not. Otofa drops: an effective remedy for the treatment of otitis media

The drug Otofa is a drug with a pronounced antibacterial effect. The composition is produced in the form ear drops, often used in otolaryngological practice. The active ingredient of the composition is an antibiotic of the rifamycin group. The active substance actively suppresses the vital activity of many microorganisms.

Dosage form

Otofa is produced by a pharmacological company in the form of ear drops.

Description and composition

Otofa – ear drops with a dosing pipette for ease of use. The drug has a red-yellow color. The active component of the composition is sodium rifamycin. The list of auxiliary components used can be presented as follows:

• macrogol;
• disodium edetate;
• potassium disulfite;
• lithium hydroxide;
• purified water.

The given components make it possible to use rifamycin sodium in ear drop format.

Pharmacological group

The active component of the drug, namely rimaficin sodium, is an antibacterial component used in otolaryngological practice.

The principle of action of the active component is the formation of a permanent complex with DNA and RNA polymerase. This condition inhibits the production of pathogenic microorganisms.

The active component of the medicinal composition is active against the bulk of gram-negative and gram-positive bacteria that can provoke inflammatory pathologies of the outer and middle ear.

Indications for use

The list of indications for use of the drug can be presented as follows:

• outer ear;
• spicy medium;
• accompanied by perforation eardrum;
• chronic otitis;
• prevention of bacterial complications after operations on the middle ear.

for adults

If there are indications for use, the product can be used by patients of this age category. In most cases, the drug is well tolerated by the patient’s body and does not provoke the appearance of side effects.

for children

The drug can be used by patients in this group who have no contraindications for use. When determining the recommended dose, it is important to consider the patient's age and health status. Appearance adverse reactions– a signal for emergency withdrawal of the drug.

Data that can confirm the safety of using the drug during pregnancy and breastfeeding are missing. The drug can be used by women in a similar position if there are indications for use. The tolerability of the drug should be monitored by a doctor. Otofa can be used in short courses; after the woman’s well-being has stabilized, treatment is discontinued.

Contraindications

The use of the medicinal composition is prohibited for patients who have individual intolerance to individual components of the composition. If a hypersensitivity reaction occurs, the use of the drug is discontinued. In some cases, the composition can cause harm, which will significantly outweigh the expected benefit.

Applications and dosages

Dosage regimen medicinal product determined on an individual basis. The regimen and duration of therapy are determined by the attending physician for each individual patient. The drug is well tolerated provided the patient follows the instructions specified by the doctor.

for adults

The optimal duration of the course of exposure is 7 days. Since the opened bottle is stored in the refrigerator immediately before use, it is recommended to warm the composition in your hand. Exposure to a cold solution for otitis of various locations is unacceptable. A cold solution can cause discomfort in the auditory cavity. In the case of constant use of an unheated composition, the pathological process may worsen.

Before starting to use the composition, the patient should consult a doctor. In some cases, it is recommended to instill the product into the ear 2-3 times a day. It is important to observe equal intervals between uses. The allowable dose for patients in this group is 5 drops once.

for children

For children, Otofa is instilled 3 times a day, 3 drops or poured into the auditory cavity for 2-3 minutes. After this time, the ear is blotted with an absorbent napkin.

The maximum permissible duration of exposure for children is 7 days.

for pregnant women and during lactation

The use of the product during pregnancy and breastfeeding is not limited. In most cases, the drug can be used according to the schedule specified for adult patients. However, despite the foreseeable safety, the decision on the advisability of using the composition is determined by the attending physician on an individual basis.

Side effects

Side effects associated with the use of the drug are extremely rare. In most cases, the composition is well tolerated. In some cases, hypersensitivity reactions may occur. This condition is accompanied by a rash and itching.

Interaction with other drugs

Meaningful medicinal effect When using the composition in combination with other drugs, it was not detected. Before using other antibacterial ear drops in combination with Otofa, you should consult a doctor.

special instructions

During use of the product, the color of the eardrum may change to pink. You should use the drops carefully, following the rules of instillation; if the product gets on the fabric, it leaves stains that are quite difficult to remove.

Overdose

Systemic adsorption is weakly expressed, the likelihood of overdose is minimized. When using the composition in conditions of perforation of the eardrum, greater attention should be paid to compliance with the dosage regimen. Under such conditions, the likelihood of absorption of the drug into the systemic circulation increases. The occurrence of an overdose can be signaled by such reactions as acute intra-ear itching.

Storage conditions

The drug should be stored at a temperature of no more than 25 degrees. The product must be in its original packaging. Otofa should be protected from direct sunlight. The drug should be stored in a place protected from children.

Analogues

The drug Otofa, used in otolaryngological practice for the treatment various diseases outer and middle ear has a sufficient number of analogues for use. The advantage of this drug in comparison with drugs from other medicinal groups is its high safety, which allows treatment in conditions of perforation of the eardrum. The composition has its own analogues, which to some extent are inferior or superior to the composition of Otof. The main point is that patients should take into account the fact that it is possible to replace a drug prescribed by a specialist with an analogue only after a second consultation. Self-medication can cause irreparable damage to the patient's health.

The drug is used for the treatment of ophthalmological and otolaryngological pathologies. The drug has a pronounced antipruritic effect. The composition stops the inflammatory process and can be used as a local analgesic component. The pain is eliminated immediately after using the product - this is the main advantage of the component. Just like Otofa, the component is actively used in pediatric practice, the composition can be prescribed to pregnant and lactating women. The dosage regimen is set individually.

Oftamirin

Oftamirin is a surfactant with a pronounced antibacterial effect. The composition is used not only in otolaryngological but also in ophthalmological practice. Quite effective for middle ear problems. The product is highly safe; adverse reactions are extremely rare. The drug is effective against a wide range of bacteria. Can be used in pediatric practice for children aged 5 years and older. There are no data establishing the safety of use during pregnancy.

Oticaine is considered as a drug characterized by a combined effect. The composition is actively used for the treatment of otitis media of various etiologies in adult patients and children different ages. The advantage of this remedy is its multidirectional action. The composition eliminates the inflammatory process and eliminates pain. Oticaine does not have a systemic effect. The drug can penetrate into the bloodstream only if the patient has a perforated eardrum.

Price

The cost of Otofa is on average 186 rubles. Prices range from 161 to 212 rubles.

Pharmacological group: Otofa belongs to the group of ansamycins.

Release form and packaging: transparent solution from yellow to red, available in 10 ml yellow glass bottles, with a pipette, yellow cardboard packaging.

Composition of the drug Otofa: Rifampicin, macrogol, ascorbic acid, disodium edetate, potassium disulfite, lithium hydroxide, purified water. Active ingredient (rifampicin) 2.6%.

pharmachologic effect

The active component of Otofa drops is rifampicin, which belongs to the group of semisynthetic antibiotics. Its action is based on blocking RNA polymerase, which in turn disrupts the formation of RNA, which disrupts the synthesis of bacterial proteins.

These ear drops are used for almost all infections of the outer and middle ear, but it is worth remembering about resistant strains, as well as use for a long time, which can also cause bacterial resistance.

Pharmacodynamics

The drug is considered active against gram-positive and gram-negative bacteria, such as staphylococci, streptococci, pneumococci, mycobacterium tuberculosis, meningococci. By increasing the concentration of the drug, the sensitivity of bacteria such as Escherichia coli and Proteus can be achieved.

Indications for use

Otofa is used for infectious diseases middle and outer ear, with injuries of the eardrum, ear canal, as well as in the postoperative period in the middle ear area.

Mode of application

For adults, five drops of the drug are prescribed three times a day, for children - twice a day, three drops. When used in children under 1 year of age, special care is required. In this case, you don’t have to plug your ear; you can bend over so that the drops flow out naturally.

Drops are used for about seven days; for longer use, consultation with a doctor is necessary. If there is no therapeutic effect within 10 days, treatment tactics should be reconsidered.

Side effects

Side effects are associated with an allergic reaction to the components of Otof, and can manifest themselves in the form of itching, redness, swelling, and rash. It is possible to stain the ear canal and eardrum pink.

Contraindications

Absolute contraindications to the use of Otof are associated with known allergic reactions to the components of the product. A relative contraindication is pregnancy and lactation, because. there are no exact clinical data on the effect on the fetus. Otofa can be prescribed only when the therapeutic effect is greater than the effect on the fetus.

Use with other drugs

No side effects have been observed when used with other medications, but it is recommended to avoid the use of other medications to avoid unexpected chemical reactions.

Overdose

An overdose is unlikely, but no adverse reactions were observed with increasing doses. If any effects are detected, the use of the drug should be discontinued immediately.

Precautionary measures

Does not affect the ability to drive a car or operate moving machinery.

Storage conditions

Price and analogues

The average price for drops of Otofa in Russia is 180 - 200 rubles.

Perhaps the only analogue of this drug for the ears on our pharmaceutical market is Rifogal, in which the main active substance is also rifampicin, available in ampoules for intravenous or intramuscular administration.

Conditions for dispensing from pharmacies

Released only by prescription. Included in list B.

Additional Information

Otof's ear solution should be used with caution as may leave marks if touched. With sulfur intolerance, there may be allergic reactions. It should also be remembered that before starting use, you should consult a doctor, since self-medication can cause side effects if the dosage is incorrect, as well as bacterial resistance, after which it will be much more difficult to cure this infection.

Otofa - a medicine for the treatment inflammatory processes(otitis) in the middle and outer ear. It is also used when there is a hole (perforation) in the eardrum caused by purulent otitis middle ear.

Compound:

The main active ingredient of Otofa drops is rifampicin sodium (0.026 g per 1 ml of substance). As auxiliary substances, the drops contain ascorbic acid, macrogol, lithium hydroxide, and potassium rosulfate. Part of the solution is distilled purified water.

Release form:

Drops are sold in pharmacies in a dark glass bottle, which protects the contents from exposure to sunlight. There are 10 milliliters of solution in a bottle. The kit includes a dosage pipette that makes it easier to instill the drug into the ear.

Pharmacological properties:

Otofa is classified as an antibiotic due to its main active substance– rifampicin. Rifampicin is a semisynthetic antibiotic that has bactericidal properties and affects RNA synthesis. Thanks to this effect, it stops the reproduction of the protein of bacteria that caused the disease. Otofu is usually not recommended for use for more than seven days to prevent antibiotic resistance from developing.

Indications for use:

This drug will be effective for both different forms of otitis media (purulent, acute) and otitis externa. The advantage of these drops is that they can be used for perforation of the eardrum. Otofu is also prescribed to patients during the rehabilitation period after surgery on the ear canal due to its bactericidal properties.

Contraindications and side effects:

A contraindication is an allergic reaction to any component in the drops. This reaction can manifest itself as itching in the ear canal, redness of the skin, rash in the area auricle. Otofa can be prescribed during pregnancy, but there is no data on its complete harmlessness during this period. An overdose of such drops is unlikely, and the side effects resulting from it are unknown.

Instructions for use:

The drug is heated by holding the bottle in the palm of your hand for 30-40 seconds. After this, instill it using a dosage pipette three times a day for adults (5 drops) and twice a day for a child (three drops). During this procedure, the head should be turned to the side, you should not turn your head immediately after instillation, wait for the product to take effect for a few minutes, then you can lie on your back and allow the liquid to simply flow out of the ear canal.

Storage conditions:

Do not pour drops into any other container for further storage. The storage temperature of the drops should not exceed 25 degrees.

Best before date:

If all storage conditions are met, the bottle can be stored for three years.

Analogues:

Tsipromed, Normax are also antibacterial agents, which are used for ear inflammation.

Otofa (ear drops) are effective medicine with antibacterial action, used to treat ENT diseases.

Otof ear drops are produced in the form of a clear solution with a red-yellow tint.

The main active ingredient is rifamycin sodium, an active antibiotic.

It is used for topical use in ENT practice.

The drug exhibits an active effect on different groups of bacteria and harmful microorganisms in the treatment of diseases of the middle and outer ear.

Indications for use of the drug are:

• purulent otitis;
• otitis media in acute and chronic form;
• after operations on the middle ear.

The antibiotic effectively fights the following groups of pathogens:

• hemolytic streptococci;
• staphylococci;
• gonococci;
• pneumococci;
• Mycobacterium tuberculosis;
• with microorganisms that cannot be affected by penicillin and cephalosporin antibiotics.

Otofa ear drops are contraindicated in case of individual intolerance to the drug. Given medicine is a drug with a wide spectrum of action, capable of inhibiting different groups of microorganisms, which speeds up treatment and gives positive results. It is also effective in the treatment of chronic and acute forms ear diseases and its effectiveness is noticeable already in the first days of therapy, when the inflammatory manifestation of the disease begins to subside.

Along with positive aspects The drug also has some disadvantages. For example, an antibiotic is contraindicated during pregnancy and lactation. Also, Otofa, unlike many other ENT drugs, does not contain pain-relieving components, like other ear drops. In general, Otofa, like ear drops, has proven to be an effective remedy for the treatment of ear diseases with various etiologies. It is very encouraging that it can be used even in the presence of perforation of the eardrum, a disease such as chronic otitis media.

Side effects if the dosage is exceeded may include:

• skin rash;
• redness of the eardrum.

Most often, side effects occur due to the main active ingredient, an antibiotic, which can cause allergic reactions. If the patient is allergic to drugs containing sulfites, then it is necessary to replace the drug with an adequate one. effective analogue, but with the same effective and efficient action.

Otofa: instructions for use for children

For the drug Otofa, the instructions for use for children describe in detail the rules for using the product so as not to cause side effects.

Before using the drops, you should warm them a little in your hands so that they reach room temperature.

The product is dripped into the ear and after a few minutes you should tilt your head so that the product flows out of the ear.

The average course of treatment is usually no more than 7 days. If necessary, the doctor may extend the course of treatment. When self-treatment, prolongation of therapy, complications are possible.

Instructions for use of the drug Otofa for children recommends the following precautions:

• Avoid touching the open tip of the bottle with your fingers to avoid contamination of the solution.
• It is not recommended to use the medicine in complex therapy with other drugs that have a local effect. Drops may react with components of other medications and this will lead to undesirable physical and chemical reactions, disruption of the integrity of the skin, pain, and allergies.
• At the first sign of skin rash and redness of the eardrum, stop treatment immediately and consult your doctor.
• If after a course of treatment lasting 7 days the desired effect does not occur, you should also contact your doctor to prescribe another medication for effective therapy.

When treating otitis media, children are recommended to take 3 drops 3 times a day. Adults - 5 drops 3 times a day. The course of treatment is no more than 7 days. For external and purulent otitis, children need to pour the drug 2 times a day, and then tilt their head so that the solution flows out. Adults - 5 drops 3 times a day. When treating otitis media of various forms, dynamics are observed within the first 3 days: they disappear painful sensations, a feeling of congestion in the ears, the quality of hearing improves noticeably. At the same time, such indicators are present in otitis media and purulent otitis media.

With external otitis, itching, pain in the ears, headache, temporal, there is a feeling of stuffiness in the ears and a temperature reaction of the body is also possible. And these symptoms disappear when using the medicine, so Otofa is considered one of the most effective and efficient in the treatment of such diseases. Instructions for use for children recommend using this medicine in ENT practice.

Otitis media can affect not only children, but also adults at any age, and this disease is very unpleasant because it entails severe pain. It is very important to take treatment measures on time, when otitis media does not progress to acute and chronic stages, when the quality of hearing is not impaired. If a child develops otitis media and the parents did not notice the disease in time, it is quite possible that hearing loss and hearing loss will manifest themselves in adulthood.

With the help of the drug Otofa, the development of several stages of otitis can be prevented, as evidenced by the instructions for use for children, which contain recommendations for the treatment of external and otitis media.

Otofa during pregnancy: can it be used without threatening the life of the child?

Otofa is not recommended for use during pregnancy, as well as during breastfeeding. This is due to the fact that a clinical study on the effect of the drug on the health of the fetus in the womb, as well as lactation, has not been conducted, and there is no data yet on the nature of the action of the drug during pregnancy, when the baby is breastfed.

But in the case when the doctor sees the advisability of taking the drug, he can prescribe Otofa medication with caution during pregnancy. As for the compatibility of the drug with other topical antibiotics that are used in the treatment of ENT diseases, doctors strongly do not recommend combining the drug with other drugs. As a result of the combination of antibiotics, an undesirable reaction of a physical or chemical nature may occur.

If the Doctor nevertheless prescribed Otof to a child or during pregnancy, the drug should be used very carefully. Instill the permitted number of drops or pour in the amount of solution that corresponds to the volume of the dose of drops. When treating purulent otitis media, an attic cannula is used to administer the drug, which allows the solution to be effectively administered into the ear.

An effective analogue of the drug is Rifogal, which contains the same active antibiotic with a wide spectrum of action - rifamycin sodium. This medicine is taken as an injection. The cost of Otofa drops starts from 170 rubles. Reviews from official medicine about the drug indicate the effectiveness of the drug and the appearance of the first results of therapy already on the second or third day of starting treatment.

A positive factor that influences the prescription of Otof to patients, including children and during pregnancy, is its local and superficial effect. The components of the drug are not absorbed into the blood, which reduces the risk of developing various side effects, including allergic reactions.

For patients, the medicine is convenient to use; thanks to a special tip, drops can be easily administered and the drug dosed correctly. Doctors and patients also point out that the advantage of the medicine is the low absorption of the drug’s components into the blood. And that is why the doctor, although cautiously, can prescribe medication for the treatment of otitis media during pregnancy and during breastfeeding.

Clinical studies also did not reveal a negative impact of the components of the product on the health of newborns, and today drops are used to treat ear diseases, even in the smallest patients of ENT rooms. Drops are dispensed in pharmacies without a prescription, and you can even buy them in online pharmacies with home delivery.