Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Dexamethasone + framycetin + gramicidin (combination preparation)

Generic name
Dexamethasone + framycetin + gramicidin (combination preparation)
Brand name
ATC Code
S02CA06

Pharmacokinetics in children

No information

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dose recommendation of formulary compared to licensed use (on-label versus off-label)

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Available formulations

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Dosages

Chronic recurrent middle ear inflammation with otorrhoea
  • Auricular
    • 1 month up to 18 years
      • 2 - 3 drop(s)/dose 3-4x daily.
      • Duration of treatment:

        Maximum 7 days

      • Treatment by or after consultations with a paediatric specialist (ENT) who has experience using this drug for this indication.

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Renal impaiment in children > 3 months

No information available on dose adjustment in renal impairment.

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The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects

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The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications

No information available on specific contra indications in children.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions in children

The use of topical agents when the middle ear is open involves a (mild) risk of ototoxicity leading to high-frequency hearing loss and vestibulotoxicity that can cause balance problems. Ototoxicity is very rare in clinical settings, estimated at 0.01-0.03%, and is clearly less common than perceptual hearing loss due to a chronically secreting middle ear inflammation. Swollen middle ear mucosa as a result of chronically secreting middle ear inflammation also protects the middle ear against the ototoxic components of the ear drops. Long-term use in children can lead to the suppression of the production of adrenal cortex hormones. 

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Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

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References

  1. Rademaker C.M.A. et al, Geneesmiddelen-Formularium voor Kinderen, 2007
  2. Mylanus E.A.M. et al, Standpunt nota \"Gebruik van oordruppels bij otitis media met trommelvliesperforatie en in operatieholtes\", Nederlandse Vereniging voor KNO en heelkunde van het hoofdhals gebied, 2006
  3. Sanofi Aventis Netherlands BV, SPC Sofradex (RVG 04961) 09-02-2015, www.geneesmiddeleninformatiebank.nl

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Changes

Changes