I am a Pediatric Physician Assistant and have received conflicting advice on the use of Cortisporin Otic Solution vs. Cortisporin Otic Suspension in a child with otitis media and PETs or a perforation. Please clear up my confusion on which I should use.
Reply: --------------------------
Generally, it is best to use "suspension" forms of otic drops in the presence of tympanic membrane perforation or tympanostomy tubes. The "solution" forms tend to be more likely to cause discomfort due to their lower pH. Often this can be avoided by using ophthalmic solutions instead of the commonly used otic drops as they are less likely to burn - however ophthalmic drops typically have shorter shelf lives than otic drops.
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Steve Dankle, MD
Otolaryngology-Head and Neck Surgery
Milwaukee, Wis
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