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EarCalm Spray

Dr Tom Bracewell
Reviewed by Dr Tom BracewellReviewed on 13.10.2023 | 3 minutes read

EarCalm is a spray used to treat minor infections affecting the external ear canal (otitis externa). Symptoms of this can include redness, itching, soreness, white or yellow discharge, and discomfort in one or both ears, although usually just one ear is affected.

The active ingredient in EarCalm is acetic acid. It is designed to work by making your ear canal more acidic, which creates an environment that kills the bacteria and fungi responsible for the infection. EarCalm is suitable for adults and children aged twelve and above. It is also safe to use during pregnancy and breastfeeding, and it is not known to interact with any other medications. Therefore, you can use painkillers such as paracetamol or ibuprofen alongside it to help manage any associated ear pain.

How do I use the medication?

The dosage is the same for all ages groups. To treat your infection, you should administer one spray into each affected ear at least three times a day. In order to administer a spray, gently place the nozzle tip into your ear and press down once on the pump. You can use EarCalm more often than three times a day if you feel this is necessary. However, the maximum recommended dosage is one spray into each affected ear every two hours, and the maximum treatment length is seven days. You should continue using EarCalm for two days after your symptoms have disappeared (unless this would take the total treatment length over seven days) to ensure the infection is fully cleared up and does not return. If you have been prescribed EarCalm by your doctor, make sure you follow the dosage they have recommended.

Before using the spray for the first time, give the bottle a shake and press down on the pump a few times until it produces a fine mist. You should also shake the bottle before each use to evenly disperse the medication.

Are there any side effects?

Unlike some medications, EarCalm is not associated with lots of side effects. However, some people may experience a temporary burning or stinging sensation in the ear during the first few days of treatment.

When should I see my doctor?

You should speak with your doctor if you do not start to notice an improvement in your symptoms after two days of treatment or if you still have symptoms after seven days of treatment. You should book an appointment to see your doctor if you are experiencing severe ear pain that is not responding to painkillers, you are finding it difficult to drink fluids, or you have a very high fever that is not responding to medication.

If your hearing has suddenly reduced, which may be accompanied by discharge and paradoxically your pain improving, your eardrum may have burst (perforated). If this is the case it is worth getting this checked with your doctor. If you have severe pain on pressing the bony bit of the skull just behind your ear or there is swelling, seek urgent help. If you have ear symptoms and are immunocompromised because of medication or a condition, or you have long-term medical conditions such as heart, lung, kidney, or neurological illnesses, speak to your doctor. If you have a sudden loss of hearing without pain or any other signs of an ear or respiratory infection, you should seek urgent help from your doctor.

Who should not use the medication?

As always, do not use the medication if you are allergic to any of the ingredients in it. EarCalm should not be used in children under twelve years of age unless their doctor has recommended it.

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Dr Tom Bracewell
Reviewed by Dr Tom Bracewell
Reviewed on 13.10.2023
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