Stephen J. Schueler, M.D.

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Swimmers Ear Pain in Adults

Medications commonly used to control pain and inflammation in adults with otitis externa include:

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.





NSAID Precautions

Continue to Swimmers Ear Pain in Children

Last Updated: Dec 22, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Swimmers Ear References
  1. Bhandary S, Karki P, Sinha BK. Malignant otitis externa: a review. Pac Health Dialog. 2002 Mar;9(1):64-7. [12737420]
  2. McCoy SI, Zell ER, Besser RE. Antimicrobial prescribing for otitis externa in children. Pediatr Infect Dis J. 2004 Feb;23(2):181-3. [14872192]
  3. Roland PS, Pien FD, Schultz CC, et al; Ciprodex Otic AOE Study Group. Efficacy and safety of topical ciprofloxacin/dexamethasone versus neomycin/polymyxin B/hydrocortisone for otitis externa. Curr Med Res Opin. 2004 Aug;20(8):1175-83. [15324520]
  4. van Balen FA, Smit WM, Zuithoff NP, Verheij TJ. Clinical efficacy of three common treatments in acute otitis externa in primary care: randomised controlled trial. BMJ. 2003 Nov 22;327(7425):1201-5. [14630756]
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