FDA Label for Acetic Acid

View Indications, Usage & Precautions

Acetic Acid Product Label

The following document was submitted to the FDA by the labeler of this product Akorn. The document includes published materials associated whith this product with the essential scientific information about this product as well as other prescribing information. Product labels may durg indications and usage, generic names, contraindications, active ingredients, strength dosage, routes of administration, appearance, warnings, inactive ingredients, etc.

Description



Acetic Acid Otic Solution, USP is a solution of acetic acid (2%) in a propylene glycol vehicle containing propylene glycol diacetate (3%), benzethonium chloride (0.02%), and sodium acetate (0.015%). The empirical formula for acetic acid is CH3COOH, with a molecular weight of 60.05. The structural formula is:

Acetic Acid is available as a nonaqueous otic solution buffered at pH 3 for use in the external ear canal.


Clinical Pharmacology



Acetic acid is antibacterial and antifungal; propylene glycol is hydrophilic and provides a low surface tension; benzethonium chloride is a surface active agent that promotes contact of the solution with tissues.


Indications And Usage



For the treatment of superficial infections of the external auditory canal caused by organisms susceptible to the action of the antimicrobial.


Contraindications



Hypersensitivity to acetic acid or any of the ingredients. Perforated tympanic membrane is considered a contraindication to the use of any medication in the external ear canal.


Warnings



Discontinue promptly if sensitization or irritation occurs.


Precautions



Transient stinging or burning may be noted occasionally when the solution is first instilled into the acutely inflamed ear.


Pediatric Use



Safety and effectiveness in pediatric patients below the age of 3 years have not been established.


Adverse Reactions



Stinging or burning may be noted occasionally; local irritation has occurred very rarely.


Dosage And Administration



Carefully remove all cerumen and debris to allow acetic acid to contact infected surfaces directly. To promote continuous contact, insert a wick of cotton saturated with acetic acid into the ear canal; the wick may also be saturated after insertion. Instruct the patient to keep the wick in for at least 24 hours and to keep it moist by adding 3 to 5 drops of acetic acid every 4 to 6 hours. The wick may be removed after 24 hours but the patient should continue to instill 5 drops of acetic acid 3 or 4 times daily thereafter, for as long as indicated. In pediatric patients, 3 to 4 drops may be sufficient due to the smaller capacity of the ear canal.


How Supplied



Acetic Acid Otic Solution, USP, containing 2% acetic acid, is available in 15 mL (NDC 50383-889-15) measured-drop, safety-tip plastic bottles.


Storage



Store at 20°- 25°C (68°-77°F). Keep container tightly closed.

Hi-Tech Pharmacal Co., Inc.

Amityville, NY 11701

Rev. 889:02 11/09


Package/Label Principal Display Panel



NDC 50383-889-15

Acetic Acid Otic Solution, USP

15 mL

Rx only


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