Hydrocortisone and Acetic Acid

HYDROCORTISONE AND ACETIC ACID- hydrocortisone and acetic acid solution
Taro Pharmaceuticals U.S.A., Inc.

(Hydrocortisone and Acetic Acid Otic Solution, USP)

Rx only

DESCRIPTION

Hydrocortisone and Acetic Acid Otic Solution, USP contains Hydrocortisone (1%) and acetic acid, glacial (2%) in a propylene glycol vehicle containing benzethonium chloride (0.02%), citric acid (0.2%), propylene glycol diacetate (3%) and sodium acetate (0.015%).

Acetic acid has a molecular formula of CH₃ COOH with molecular weight of 60.05. The structural formula is:

Acetic Acid

Hydrocortisone is a Synthetic Steroid used as an anti-inflammatory and antipruritic agent. Its chemical name is Pregn-4-ene-3,20-dione, 11, 17, 21-trihydroxy-, (11β)-. Hydrocortisone has a molecular formula of C₂₁ H₃₀ O₅ with molecular weight 362.46. The structural formula is:

Hydrocortisone

Hydrocortisone and acetic acid is available as a non-aqueous otic solution buffered at pH (2.0 to 4.0) for use in the external ear canal.

CLINICAL PHARMACOLOGY

Acetic acid is anti-bacterial and antifungal; hydrocortisone is anti-inflammatory, antiallergic and antipruritic; 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.

Hydrocortisone and Acetic Acid Indications and Usage

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

CONTRAINDICATIONS

Hypersensitivity to hydrocortisone and acetic acid otic solution or any of the ingredients; herpes simplex, vaccinia and varicella. 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 to Hydrocortisone and Acetic Acid

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

DOSAGE AND ADMINISTRATION

Carefully remove all cerumen and debris to allow hydrocortisone 1% and acetic acid 2% otic solution to contact infected surfaces directly. To promote continuous contact, insert a wick of cotton saturated with the solution 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 the solution every 4 to 6 hours. The wick may be removed after 24 hours but the patient should continue to instill 5 drops 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

Hydrocortisone 1% and acetic acid 2% otic solution is available in 10 mL plastic, controlled dropper tip bottle.

10 mL bottle

NDC 51672-3007-1

Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature]. Protect from freezing. Keep container tightly closed.

Mfd. by: Taro Pharmaceuticals Inc.
Brampton, Ontario, Canada L6T 1C1
Dist. by: Taro Pharmaceuticals U.S.A., Inc.
Hawthorne, NY 10532

Revised: May, 2015

PK-4785-1
61
0515-1

PRINCIPAL DISPLAY PANEL — 10 mL Bottle Carton

10 mL

NDC 51672-3007-1

Hydrocortisone 1%
and Acetic Acid 2%
Otic Solution USP

FOR OTIC USE ONLY.

Keep this and all
medications out of the
reach of children.

Rx only

TARO

HYDROCORTISONE AND ACETIC ACID hydrocortisone and acetic acid solution

Product Information Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:51672-3007 Route of Administration AURICULAR (OTIC) DEA Schedule

Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength Hydrocortisone (Hydrocortisone) Hydrocortisone 10.4 mg in 1 mL Acetic Acid (Acetic Acid) Acetic Acid 20.8 mg in 1 mL

Inactive Ingredients Ingredient Name Strength propylene glycol propylene glycol diacetate benzethonium chloride sodium acetate anhydrous citric acid

Packaging # Item Code Package Description Multilevel Packaging 1 NDC:51672-3007-1 1 BOTTLE in 1 CARTON contains a BOTTLE 1 10 mL in 1 BOTTLE This package is contained within the CARTON (51672-3007-1)

Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date ANDA ANDA088759 04/28/2005

Labeler — Taro Pharmaceuticals U.S.A., Inc. (145186370)

Establishment
Name	Address	ID/FEI	Operations
Taro Pharmaceuticals Inc.		206263295	MANUFACTURE (51672-3007)

Revised: 12/2019 Taro Pharmaceuticals U.S.A., Inc.