Hydrocortisone + Gentamicin is indicated for-

• Skin infection
• Otitis (media & externa)
• Pruritus
• Eczema

Skin Infection

Otitis

Pruritus

Eczema

Hydrocortisone + Gentamicin is available as suspension for ear drops and ointment.

Ear Infection: Instill 2-4 drops three to four times a day and at night in the infected ear, or more frequently if necessary. To avoid dizziness caused by the instillation of a cold suspension, the suspension should be warmed by holding the bottle in one's palm for one or two minutes.

How to administer ear drops

Ear Drop

Skin infection/other conditions: Apply to the affected area of the skin two or three times per day.

Hydrocortisone + Gentamicin may cause the following side effects-

• Allergic contact dermatitis
• Transient irritation
• burning
• stinging
• Increased redness
• lacrimation

Contact dermatitis

Excessive Tearing

Erythema

Burning sensation

• Long-term continuous topical therapy should be avoided. Prolonged use may lead to skin sensitisation and the emergence of resistant organisms. Cross sensitivity with other aminoglycoside antibiotics may occur.
• In severe infections, topical use of this medicine should be supplemented with appropriate systemic antibiotic treatment.
• The condition of the ear drum must always be checked before this medicinal product is prescribed. The medicinal product must not be used if the integrity of the ear drum cannot be guaranteed.
• Gentamicin may cause irreversible partial or total deafness when given systemically or when applied topically to open wounds or damaged skin. This effect is dose-related and is enhanced by renal and/or hepatic impairment and is more likely in the elderly.
• Irreversible toxic effects may result from direct contact of gentamicin with the middle and inner ear. The benefits of gentamicin therapy should be considered against the risk of infection itself causing hearing loss.
• Serious adverse reactions including neurotoxicity, ototoxicity and nephrotoxicity have occurred in patients receiving systemic gentamicin therapy. Although these effects have not been reported following topical optic use of gentamicin, caution is advised when used concomitantly with systemic aminoglycosides.