EarCalm Spray.

Acetic Acid (Glacial) Ph. Eur., 2.0% w/w

Ear spray for auricular use.

EarCalm Spray is indicated for the treatment of superficial infections of the external auditory canal.

Route of administration: Topical. For external aural use to the external auditory canal only.

Adults, children, aged 12 years and above, and the elderly.

For treatment of superficial infections of the outer ear: one metered dose (60 milligrams) to be administered directly into each affected ear at least three times daily (morning, evening and after swimming, showering or bathing). Maximum dosage frequency one spray every 2 - 3 hours.

Treatment should be continued until two days after symptoms have disappeared but no longer than 7 days.

Before using the product for the first time, prime the pump by depressing actuator 6 - 10 times until a fine spray is obtained. Use within 1 month of first actuation. If more than one week has elapsed since the last use, dispose of the contents of the pump chamber by 1 or 2 depressions of the actuator.

The product should not be used in patients with a known sensitivity to any of the ingredients.

Not recommended for children under 12 years of age without medical advice.

Do not use for more than 7 days. Avoid spraying near the eyes.

If pain occurs during use, or if symptoms worsen or do not improve within 48 hours, or if your hearing becomes impaired, stop treatment and consult your doctor.

Patients who are known to have a perforated ear drum should only use the product under medical supervision.

None known.

There are no known restrictions to the use of the product in pregnancy and lactation.

Unresolved ear problems could themselves effect driving ability.

Some patients may experience a transient stinging or burning sensation after dosing for the first few days of treatment.

Overdosage by this route is extremely unlikely.

If EarCalm should be accidentally swallowed, neutralisation with milk or water may be required.

Acetic acid possesses antibacterial activity. It is reported to be active against: Haemophilus and Pseudomonas species, Candida and Trichomonas.

EarCalm Spray is applied topically to the external auditory meatus and acts locally.

Acetic acid is widely available and toxicity problems at this concentration are unlikely.

Macrogol (2) stearyl ether

Macrogol (20) stearyl ether

Stearyl alcohol

Methyl parahydroxybenzoate

Propyl parahydroxybenzoate

Purified water

None known.

Shelf-life in the product as packaged for sale: 18 months from the date of manufacture.

Shelf-life after first opening of the container: Use within one month of first use.

Do not store above 25°C. Keep container upright in the outer carton.

5 ml of the product is supplied in a 8.5ml capacity amber glass bottle fitted with a spray device.

Shake the bottle well before use. Before first use, press actuator down several times to obtain a fine spray. Each press then delivers one metered dose. Do not inhale the spray. Administer spray directly by gently placing nozzle tip into ear opening and pressing down once on the actuator.

Use within one month of first use. If there is a period of more than one week since last use, press actuator down a few times before using again.

Forest Laboratories UK Limited

Riverbridge House

Anchor Boulevard

Crossways Business Park

Dartford

Kent

DA2 6SL

U.K.

PL 00108/0334

8 June 1999

April 2012