Otipax: Indications, Side Effects, Contraindications, Interactions, Dosage and Helpful Tips

Earache is considered one of the most unpleasant symptoms that can occur.

Otipax is a combined drug for local application in otology, with a pronounced analgesic and anti-inflammatory effect caused by the synergistic action of its components.

Phenazone also greatly increases the effect of lidocaine (local anesthesia).

Otipax is used to reduce pain and inflammation of the tympanic membrane. Pain relief occurs in approximately 5 minutes after instillation and almost complete disappearance of pain in 15-30 minutes.

The drug is widely used in pediatrics , including for the treatment of newborns.

Treatment initiated in a timely manner allows to avoid serious complications and other unfavorable processes.


The main purpose of Otipax is to relieve pain in the ears, the drug is prescribed in the following cases:

  • Acute otitis media : especially with intolerable or severe pain.
  • Otitis media after the flu.
  • Otitis after trauma : Often after an injury, the ear becomes infected, especially if the wound has not been treated.
  • Nasal discharge.
  • An abscess.

Side effects

The drug is generally well tolerated. Rarely symptoms can occur locally due to hypersensitivity to the drug.


Otipax is contraindicated when there is a perforation of the eardrum caused by infection or trauma, or when there is hypersensitivity to any of the ingredients of the drug.

Interaction with other medications

If you take other medications or over-the-counter products at the same time, the effects of Otipax may change. This can increase your risk of side effects or make your medicine not work properly.

Tell your doctor about all the medications, vitamins, and herbal supplements you are using, so your doctor can help you prevent or manage drug interactions.

Otipax can interact with the drug Disulfiram.


For pain relief in acute otitis media with intact eardrum, the usual dose is 4 drops of solution in the sore ear 2 or 3 times a day.

The maximum daily dose is 12 drops in the painful ear canal. Adults and children over 2 years of age, within 48 – 72 h.

If symptoms (ear pain and fever) do not improve, contact your doctor.

For children under 2 years: within 24 to 48 hours.

If symptoms (ear pain and fever) do not improve, contact your doctor.

Adults can also have acute otitis media. It is usually a barotrauma otitis (developed during a flight or diving).

Otipax is also suitable for adults with the same dose indicated for children.

Pregnancy and Otipax

Otipax is indicated for use, provided there is no harm to the baby.

Lactation and Otipax

The drug is prohibited for use during lactation.

Some studies have shown that Otipax may be present in small amounts in breast milk and blood.

Helpful tips

  • To have a better administration of the product, tilt the opposite direction to the patient’s head when instilling the drops.
  • Otipax drops also go down the ear canal through the eardrum. You must maintain the proper position for several seconds after administration.
  • To avoid contact with cold liquid in the ear, it is recommended to warm the Otipax container between your hands before use.
  • For athletes : the product contains an active substance that can give a positive reaction to drug tests.
  • After instillation, tightly close the cap and hide the bottle in a container to protect from light.

Storage conditions

The storage period for Otipax is 3 years (unopened bottle).

Otipax should not be used after the expiration date.

Otipax should be stored below 30 ° C. Otipax should be out of the sight and reach of children.

Useful life

The shelf life of unused Otipax is 5 years.

After opening the container, the drug should be used within 6 months.


Otipax is composed of 1g of solution that contains:

Active substances:

  • Fenazona 40mg
  • Lidocaine hydrochloride 10 mg.

Excipients :

  • Sodium thiosulfate.
  • Ethanol, glycerol.
  • Purified water.

Appearance of Otipax and contents of the package : 15 ml amber glass vial, closed with a plastic screw cap, containing 16 g of a clear, colorless or slightly amber solution, with an alcohol odor.

The box is packed with a vial and a soft blister dropper.

Terms of delivery: Otipax is an over-the-counter drug. It does not require a prescription.