Otovel (Ciprofloxacin And Fluocinolone (Otic)) – Side Effects, Interactions, Uses, Dosage, Warnings

Ciprofloxacin is an antibiotic that treats infections caused by bacteria.

Fluocinolone is a steroid that reduces the actions of chemicals in the body that cause inflammation.

Ciprofloxacin and fluocinolone otic (for the ear) is a combination medicine used to treat an middle ear infection (also called otitis media). This medicine is for use in children who have ear tubes in place and who are at least 6 months old.

Ciprofloxacin and fluocinolone otic may also be used for purposes not listed in this medication guide.


What is Otovel (Ciprofloxacin And Fluocinolone (Otic)) used for?

  • Otitis Media


What is the most important information I should know about Otovel (Ciprofloxacin And Fluocinolone (Otic))?

You should not use this medicine if you are allergic to ciprofloxacin or fluocinolone, or if you have:

  • a viral infection affecting your ear canal, including herpes or chickenpox;
  • an ear infection caused by fungus; or
  • an allergy to any antibiotic similar to ciprofloxacin (Cipro), such as gatifloxacin (Tequin), levofloxacin (Levaquin), lomefloxacin (Maxaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), or ofloxacin (Floxin).

To make sure ciprofloxacin and fluocinolone otic is safe for you, tell your doctor about all your medical conditions or allergies.

Ciprofloxacin and fluocinolone should not be used on a child younger than 6 months old.

Tell the doctor if the person using this medicine is pregnant or breast-feeding a baby.

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Side Effects

What are the side effects of Otovel (Ciprofloxacin And Fluocinolone (Otic))?

Get emergency medical help if you have signs of an allergic reaction: hives, rash, itching; dizziness; fast or pounding heartbeat; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • the first sign of any skin rash, no matter how mild;
  • new or worsening symptoms of infection; or
  • ear drainage that continues for up to 6 months after you have finished all doses of this medicine.

Common side effects may include:

  • ear pain, swelling, or itching;
  • problems with balance; or
  • scar tissue on part of the ear.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Pregnancy & Breastfeeding

Can I take Otovel (Ciprofloxacin And Fluocinolone (Otic)) if I’m pregnant or breastfeeding?

Tell the doctor if the person using this medicine is pregnant or breast-feeding a baby.


What drugs and food should I avoid while taking Otovel (Ciprofloxacin And Fluocinolone (Otic))?

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Dosage Guidelines & Tips

How to take Otovel (Ciprofloxacin And Fluocinolone (Otic))?

Use Otovel (Ciprofloxacin And Fluocinolone (Otic)) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Do not take by mouth. Otic medicine is for use only in the ears.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

Wash your hands before using this medicine. Gently clean any ear drainage from the outer ear, using a clean tissue.

You may warm the medicine before use by holding the vial in your hand for 1 or 2 minutes. Using cold ear drops can cause dizziness, especially in a child who has ear tubes in place.

To use the ear drops:

  • Lie down or tilt your head with your ear facing upward. Open the ear canal by gently pulling your ear back, or pulling downward on the earlobe when giving this medicine to a child.
  • Hold the dropper upside down over your ear and drop the correct number of drops into the ear.
  • Stay lying down or with your head tilted for at least 1 minute. You may use a small piece of cotton to plug the ear and keep the medicine from draining out.
  • Do not touch the dropper tip or place it directly in your ear. It may become contaminated. Wipe the tip with a clean tissue but do not wash with water or soap.

Use this medicine only in the affected ear, unless your doctor tells you to use the medicine in both ears.

Rinse with water if this medicine gets in your eyes.

Use this medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics.

Call your doctor if your symptoms do not improve after 7 days of treatment, or if you have new symptoms.

Each plastic single-use vial contains enough of this medicine for one entire dose. Throw the vial away after one use, even if there is still some medicine left in it.

Store at room temperature away from moisture, heat, and light.

Keep unopened vials in the foil pouch until ready to use. After opening a vial, use the medicine right away. Once you have opened the foil pouch, you must use the vials within 7 days.

What should I do if I missed a dose of Otovel (Ciprofloxacin And Fluocinolone (Otic))?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

Overdose Signs

What happens if I overdose on Otovel (Ciprofloxacin And Fluocinolone (Otic))?

If you think you or someone else may have overdosed on: Otovel (Ciprofloxacin And Fluocinolone (Otic)),  call your doctor or the Poison Control center

(800) 222-1222

If someone collapses or isn't breathing after taking Otovel (Ciprofloxacin And Fluocinolone (Otic)), call 911


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