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Antibacterial / antifungal ear preparation (acidifying)

Acetic acid: uses, side effects & precautions

Also known as EarCalm, Acetic acid 2% spray, VoSoL.

Diese Informationen dienen ausschließlich der allgemeinen Orientierung und stellen keine medizinische Beratung dar. Konsultieren Sie bei persönlichen gesundheitlichen Anliegen stets eine qualifizierte medizinische Fachkraft. Wählen Sie im Notfall Ihre örtliche Notrufnummer.

What it is used for

  • Mild outer ear infection (swimmer's ear / otitis externa)
  • Itchy, mildly inflamed outer ear canal

How it works

Acetic acid makes the ear canal more acidic, which discourages the bacteria and fungi that cause outer-ear infections from growing. This helps settle mild infection and irritation in the ear canal.

How it is taken

Comes as ear drops or a spray. The medicine is applied into the affected ear canal. Wash your hands first and follow your pharmacist's or the label's directions exactly. Do not use if you may have a perforated eardrum, grommets, or a middle-ear infection without checking with a clinician. Stop if symptoms worsen.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Brief stinging or burning in the ear on application
  • Mild itching
  • Temporary feeling of warmth in the ear

Serious effects — get help

  • Increasing ear pain, swelling, discharge or fever (signs the infection is worsening or spreading)
  • Hearing loss or dizziness
  • Signs of an allergic reaction such as facial swelling, rash or breathing difficulty

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Other ear drops (ask a pharmacist before combining)

Who should take care

  • Do not use with a suspected perforated eardrum or grommets without advice
  • Not for middle-ear infections
  • See a clinician if you have severe pain, fever or spreading redness
  • Tell a pharmacist if symptoms do not improve within the expected time

Frequently asked questions

What is swimmer's ear?
It is an infection of the outer ear canal, often after water exposure, causing itch, pain and sometimes discharge. Acidifying drops can help mild cases.
Why does it sting?
Brief stinging is common because the canal is inflamed. If the pain is severe or lasting, stop and see a clinician.
Can I keep swimming while using it?
It is best to keep the ear dry and avoid swimming until the infection settles. Ask your clinician when it is safe to return.
When should I see a doctor instead?
Seek care if you have severe pain, fever, spreading redness, discharge, hearing loss or no improvement, as you may need a different treatment.
Is Acetic acid safe to take?
For most people it is safe when taken exactly as a doctor or pharmacist advises and as printed on the label. Tell your clinician about your other medicines and health conditions, and seek urgent care for any serious reaction.

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