SUMMARY OF PRODUCT CHARACTERISTICS

1    NAME OF THE MEDICINAL PRODUCT

Exterol 5%w/w Ear Drops, Solution

2    QUALITATIVE AND QUANTITATIVE    COMPOSITION

Urea Hydrogen Peroxide 5.0 %w/w For excipients see 6.1

3    PHARMACEUTICAL FORM

Ear drops, solution

Clear, straw coloured viscous ear drops

4    CLINICAL PARTICULARS

4.1    Therapeutic indications

As an aid in the removal of hardened ear wax

4.2    Posology and method of administration

For adults (including the elderly) and children:

Instill up to 5 drops into the ear. Retain drops in ear for several minutes by keeping the head tilted and then wipe away any surplus.

Repeat once or twice daily for at least 3 to 4 days, or as required.

4.3    Contraindications

Do not use if the eardrum is known or suspected to be damaged, in cases of dizziness, or if there is any other ear disorder (such as pain, discharge, inflammation, infection or tinnitus).

Do not use after ill-advised attempts to dislodge wax using fingernails, cotton buds or similar implements, as such mechanical efforts can cause the ear’s delicate inner lining to become damaged, inflamed or infected, whereupon the use of ear drops can be painful. For similar reasons, it is inadvisable to use Exterol within 2 to 3 days of syringing.

Do not use where there is a history of ear problems, unless under close medical supervision. Do not use if sensitive to any of the ingredients.

4.4    Special warnings and precautions for use

Keep Exterol away from the eyes

For external use only

Replace cap after use, and return bottle to carton

4.5    Interaction with other medicinal products and other forms of interaction

Exterol should not be used at the same time as anything else in the ear.

4.6    Pregnancy and lactation

No known side effects

4.7    Effects on ability to drive    and use machines

None known

4.8    Undesirable effects

Due to the release of oxygen, patients may experience a mild, temporary effervescence in the ear. Stop usage if irritation or pain occurs.

Instillation of ear drops can aggravate the painful symptoms of excessive ear wax, including some loss of hearing, dizziness and tinnitus. Very rarely, unpleasant taste has been reported. If patients encounter any of these problems, or if their symptoms persist or worsen, they should discontinue treatment and consult a doctor.

Reporting of suspected adverse reactions

Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard

4.9 Overdose

No adverse effects

5    PHARMACOLOGICAL PROPERTIES

5.1    Pharmacodynamic properties

After insertion of the drops into the ear, the urea hydrogen peroxide complex liberates oxygen which acts to break up the hardened wax. The hydrogen peroxide component is also an antiseptic, especially in sites with relative anaerobiosis. The glycerol assists in softening the wax, so that it may more easily be removed from the ear, either with or without syringing. The urea acts as a mild keratolytic, helping to reduce the keratin-load in the wax debris, thereby assisting penetration of the other components.

5.2    Pharmacokinetic properties

Exterol is intended only for the treatment of impacted wax in the external auditory canal. The ingredients of the formulation are therefore readily available for intimate contact with the affected area, as the drops are instilled into the ear and retained therein for several minutes by tilting the head.

5.3    Preclinical safety data

No special information

6 PHARMACEUTICAL PARTICULARS

6.1    List of excipients

8-Hydroxyquinoline

Glycerol

6.2    Incompatibilities

None known

6.3 Shelf life

24 months

Discard 4 weeks after first opening

6.4 Special precautions for storage

Store upright

Do not store above 25°C

Replace cap after use

6.5 Nature and contents of container

a)    12ml amber glass bottle incorporating a specially designed polythene pipette applicator enclosed in a polypropylene screw cap

b)    15ml low density polyethylene bottle with low density polyethylene nozzle applicator and tamper-evident screw cap *

c)    5ml low density polyethylene bottle with low density polyethylene nozzle applicator and tamper-evident screw cap *

* Plus intervening bottle capacities within the range 5ml to 15ml, all of exactly the same material

Supplied as original packs (OP)

6.6 Special precautions for disposal

Not applicable

7    MARKETING AUTHORISATION HOLDER

Diomed Developments Limited T/A Dermal Laboratories Tatmore Place Gosmore

Hitchin, Hertfordshire SG4 7QR, ENGLAND

8    MARKETING AUTHORISATION NUMBER

PL 0173/0037

9    DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION

10/01/2007

10    DATE OF REVISION OF THE TEXT

10/07/2015