A-Cerumen Plus. Price, instructions for use, reviews

A-Cerumen Plus is a drug that is used for hygiene of the ear canals and prevention of otolaryngological diseases. This drug is indicated for use in adults and children, and also has a minimum number of medical restrictions on its use.

The drug A-Cerumen Plus has a high therapeutic efficacy and an affordable price, which does not exceed 400 rubles. for 1 bottle. The advantage of using this agent is that it can be used together with most other medicinal solutions for the treatment of diseases of the ENT organs.

Release form

A-Cerumen Plus is produced in the form of a clear solution with a slight yellowish tint without signs of turbidity or a specific odor. The filling of this medication is carried out in disposable dropper bottles, which are made of polymer material. The main packaging of the drug is a cardboard box complete with instructions for the use of an otolaryngological agent.

Each pack contains 2, 5 or 10 medicine bottles. The capacity of one dropper vial is 2ml. This amount of the drug is enough to carry out 1 rinsing of the ear canal. Most of the patients who used A-Cerumen Plus confirm the excellent effectiveness of this medication, as well as its affordable price.

The second form of release of the otolaryngological agent A-Cerumen Plus is a spray for injecting the solution into the cavity of the ear canal. In this case, the filling of the medication is carried out in bottles with a capacity of 40 ml each. The concentration of the main surfactants remains unchanged.

The excipients are used the same. A distinctive feature of the drug A-Cerumen Plus in the form of a spray is that it is more convenient for daily use. Especially if the hygienic or therapeutic procedures for cleaning the ear canal are performed independently.

Composition of the preparation

The otolaryngological agent A-Cerumen Plus has a simple biochemical composition. The table below lists the active ingredients of this drug, which perform the main therapeutic function.

Chemical component name

Dosage and characteristics of the constituent substance

Surfactants (liquid ether derived from sucrose and sodium acyl sarcosinate)

These components of the otolaryngological solution provide it with a hygienic effect on washing the ear canals of children and adults. The manufacturer of the drug A-Cerumen Plus focuses on the fact that these components are of plant origin, but the source of the raw material is not disclosed. The concentration of surfactants in the A-Cerumen Plus solution is 43.06 g per 100 ml of the finished product.

The auxiliary function of the drug A-Cerumen Plus is performed by the following substances:

• sterile water for injection, which undergoes industrial purification from foreign mineral impurities and pathogenic microorganisms;
• a humidifier so that the inner surface of the ear canal receives a sufficient amount of moisture, and the removal of sulfur plugs is as gentle as possible;
• food coloring that has a completely natural plant etiology.

The A-Cerumen Plus ear drops are completely free of preservatives and other chemicals of a synthetic origin, which extend the shelf life of this medication. Due to the safe biochemical formula, this otolaryngological solution is approved for use in patients of the youngest age group.

Pharmacological properties

A-Cerumen Plus (the price of a medication may vary slightly depending on the general situation on the pharmaceutical market) is a local-spectrum drug.

This drug has pharmacological properties:

• moisturizes the epithelial tissues of the ear canal from drying out;
• prevents the development of inflammatory processes caused by impaired ventilation of the inner ear;
• promotes better sound transmission through the ear canals;
• provides hygienic care for the elements of the internal structure of the ear;
• gently and completely painlessly removes wax from the ears;
• maintains a healthy microflora inside the ear canals;
• acts as a prophylactic agent for diseases of the inner ear;
• allows you to get rid of sulfur plugs that have formed in the ENT organ as a result of the inflammatory process or various kinds of disorders associated with the natural outflow of sulfur.

In adults and children who do not have chronic diseases of the inner ear, the accumulation of wax in the ear canals is a natural physiological process. The removal of this substance occurs gradually during the work of the masticatory muscles and structural elements of the zygomatic-orbital joint.

In the case of a decrease in the functions of these organs of the jaw apparatus, the process of removing sulfur from the ears occurs too slowly or completely stops. Sulfur plugs begin to form in the ears. The pharmacological properties of A-Cerumen Plus solution allow painless removal of this substance from the ENT organ without the use of special instruments that are used by otolaryngologists.

Pharmacodynamics and pharmacokinetics

A-Cerumen Plus (the price of the drug is considered affordable for most adults) is a medication, the pharmacodynamics of which is implemented locally in the area of ​​its application. After making a therapeutic dosage inside the ear canal, the surfactants of this solution are evenly distributed throughout its internal cavity. The active component of the hygienic product A-Cerumen Plus comes into contact with earwax, softening its dense structure.

After the sulfur plug has reached a sufficient level of softness, its partial dissolution has occurred, it is naturally washed out of the ear canal cavity. In the process of ENT organ hygiene, all active and auxiliary substances of A-Cerumen Plus are removed from the patient's body. The chemical compounds of this medication do not enter the general bloodstream, and also do not accumulate in the epithelial tissues at the site of their application. Due to the local action of surfactants, there are no data on the pharmacokinetic properties of the A-Cerumen Plus solution.

Indications for use

The drug A-Cerumen Plus is indicated for use for hygienic and therapeutic purposes. The intended purpose of this medication is determined by the attending otolaryngologist based on the results of a preliminary examination of the patient.

Hygiene of the ear canals

Preventive care for the state of the internal structure of the ear canal is carried out to prevent the formation of sulfur plugs and the development of inflammatory and infectious processes. In this case, the A-Cerumen Plus solution is introduced into each ear at least 2 times a week. After applying the drops, it is recommended to carry out additional cleaning of the ear canals to completely remove the remnants of sulfur deposits from the walls of the ENT organ.

Removing plugs

For patients diagnosed with the accumulation of sulfur plugs inside the ear canals, A-Cerumen Plus solution is indicated for use 2 times a day (morning and evening). The duration of the therapeutic course is from 3 to 4 days. Before the start of the treatment process for cleaning the ear canals from sulfur plugs, each patient is examined by an otolaryngologist. A similar diagnosis is performed upon completion of the therapeutic course.

Contraindications

A-Cerumen Plus (the price of the drug fully corresponds to the level of its effectiveness) has the following contraindications for its use for hygienic and therapeutic purposes:

• acute inflammation of the inner ear (in this case, the use of potent drugs with anti-inflammatory and antibacterial properties, and otolaryngological solution A-Cerumen Plus can be used at the recovery stage patient);
• surgical or traumatic perforation of the tympanic membrane;
• medical ventilation of the inner structure of the middle ear for the prevention of pyoinflammatory processes (in patients of this category in the ear canal there is a special tube that provides free passage air);
• individual intolerance to the constituent components of the drug.

Patients whose body is hypersensitive to surface-active compounds of this medication, the use of A-Cerumen Plus solution is contraindicated due to the risk of allergic reactions.

At what age can the drug be used?

The drug A-Cerumen Plus is approved for use in children who have reached the age of 6 months. Adults and the elderly use this remedy on a general basis without adjusting the dosage regimen. The safe chemical composition of the otolaryngological solution minimizes the risk of negative body reactions in patients of different age categories.

Instructions for use, dosage

For the correct use of this otolaryngological solution, it is necessary to follow the algorithm of actions:

1. Lie down on bed or stay upright.
2. Tilt your head to the side so that the ear, which requires treatment, is raised up, and after the introduction of the drug, its spontaneous flow does not occur.
3. Remove the cap from the dropper bottle, and then bring it to the ear canal.
4. Instill 1-2 drops of otolaryngological solution into the ear canal. If the drug A-Cerumen Plus is used in the form of a spray, then 2 injections must be made into the sore ear.
5. Carry out an independent massage of the epithelial tissues of the ear, which are located 1 cm higher from the lobe in the immediate vicinity of the entrance to the ear canal. The duration of this procedure is 1-2 minutes.
6. With the index finger of the hand, press the base of the ear for 1 minute to ensure a better interaction of the surfactants of the solution with sulfur deposits.
7. Unblock the ear, and then tilt the head so that spontaneous draining of the drug along with the dissolved sulfur occurs.
8. Wash the ear canal with saline or boiled water at room temperature. It is recommended to use a sterile disposable syringe during this hygiene procedure.
9. Wipe the walls of the ear canal from the remaining liquid. For these manipulations, a sterile cotton swab, made by yourself, or purchased in advance from a pharmacy, is suitable.

Patients who use the drug A-Cerumen Plus in the form of a spray, after each use of the medication, should remove the plastic nozzle of the bottle, and then rinse it with hot water. Upon completion of this treatment, the structural element of the medicine vial is placed on a clean, dry cloth until the moisture has completely evaporated.

Side effects

People with individual intolerance to the constituent components of the A-Cerumen Plus solution may experience side effects in the form of a local allergic reaction.

In a similar situation, symptoms may appear:

• redness of epithelial tissues located in the immediate vicinity of the entrance to the ear canal;
• severe itching in the ear canal, which intensifies the first 1-3 minutes. after the next use of the drug;
• the appearance of a red or pink rash inside the ear canal;
• a feeling of discomfort in the ears;
• a feeling of noise in the ear canals, as well as an increase in the effect of their congestion (the appearance of this symptom is associated with swelling of the walls of the ear canal in response to local irritation from surfactants solution).

The occurrence of the above symptoms is possible in people whose body initially has a tendency to manifestation of allergic reactions after contact with biochemical substances of plant or synthetic etiology.

Overdose

In medical practice, there are no cases of overdose with the drug A-Cerumen Plus. The manufacturer of this solution does not provide data on patients who have violated the procedure for using the drug. From a theoretical point of view, exceeding the prescribed dose for the use of ear drops can lead to side effects in the form of a local allergic reaction. Similar symptoms are described in the section above.

special instructions

Adults and children who use A-Cerumen Plus solution for hygienic or therapeutic purposes should observe the following recommendations:

• Do not use a dropper bottle or spray can if it shows signs of damage. A vial of otolaryngological solution, the packaging of which is broken, can be infected with pathogenic microorganisms. In this case, the introduction of drops into the ear canal will lead to the development of an infectious and inflammatory process.
• Do not push the tip of the medicine bottle tip into the ear canal to avoid local irritation symptoms.
• Refuse to use this medication in relation to patients who have suspicions of damage to the tympanic membrane, or the inner ear is infected with a bacterial, viral, fungal infection.
• If you have painful sensations inside the ear hole, you should consult with an otolaryngologist, and only then proceed with the hygienic or therapeutic cleaning of the ear canal from accumulations of sulfur.
• Do not allow A-Cerumen Plus solution to come into contact with the mucous membrane of the eyes and oral cavity. If this drug has entered the organ of vision, then you must immediately rinse your eyes under a stream of water, and then seek medical help from an ophthalmologist.
• Otolaryngological agent A-Cerumen Plus is prohibited for oral administration.

This drug does not have the properties of a negative effect on the functions of the central and peripheral nervous system. Patients who use A-Cerumen Plus solution to care for the ear canal can drive and perform work with increased danger (installation of electrical systems, cutting and welding of metals, labor activity at high-rise buildings, maintenance mechanisms).

Drug interactions

A-Cerumen Plus, the price of which is not higher than that of analog drugs, has no contraindications for its combined use together with other medicines. This ear canal rinsing solution can be used with medicines that are intended for the treatment of ENT organs. The local action of A-Cerumen Plus drops excludes chemical contact of its constituent components with substances from other medicines of injectable or tablet form of release.

Analogs

The table below shows drugs that are used in otolaryngology, and are also analogs of the A-Cerumen Plus solution.

Name of the medication	Average cost and characteristics of the medicinal product
Devaxil	A hygienic preparation for the prevention of otolaryngological diseases, as well as for the gentle removal of sulfur plugs. The active ingredients of this product are the following substances: hydrogen peroxide; Castor oil; boric acid. Devaxil is administered in 2-4 drops in each ear 3 to 4 times a day. The duration of therapy is 4 days. The average cost of this drug is 336 rubles. for 1 bottle with a capacity of 10 ml.
Remo-Wax	This otolaryngological solution in the form of a solution is developed for the hygiene of the ear canals, as well as for cleaning them from wax. Remo-Wax is approved for use in infants. The dosage regimen established for adult patients provides for the introduction of 20 drops of the solution into the sore ear with clogging of the ear canal with a sterile cotton swab. This procedure is done at night. In the morning, the ENT organ should be cleaned of cotton wool and residues of dissolved sulfur. These therapeutic manipulations are repeated 3-4 days in a row. The average cost of Remo-Wax ear drops is from 381 rubles.

The choice of medication for hygiene of the ear canal or therapeutic removal of wax plugs should be agreed with the attending otolaryngologist. Self-treatment is fraught with the development of complications.

Terms, conditions of sale and storage

Otolaryngological solution A-Cerumen Plus is dispensed without a doctor's prescription. Storage of the medication is carried out in temperature conditions from +10 to +40 degrees Celsius. This drug must not be frozen, as its therapeutic properties may be lost. After opening a disposable bottle with a droplet solution, it must be used within 1 day. A medicine that has been stored for more than 24 hours must be disposed of with household waste. A bottle with A-Cerumen Plus solution in the form of a spray must be used within 3 months from the date of the first opening.

Price

The average cost of the drug A-Cerumen Plus is 475 rubles. for 5 single-use dropper bottles with a capacity of 2 ml each. The purchase of this medication in the form of a spray (40 ml) will cost 713 rubles.

A-Cerumen Plus is a drug based on surface-active compounds of plant origin. This drug is available in the form of a droplet solution and a spray to be applied to the inside of the ear canal. The area of ​​application of this otolaryngological solution is the hygienic care of the ear canal and the therapeutic removal of the wax plug.

For prophylaxis, the drug is used 2 times a week by instilling 1-2 drops inside the ear. The course of therapy to get rid of excess sulfur deposits is 3-4 days. The price of this medication has remained stable over the past several years.

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