Topical otic antibiotic + corticosteroid
Gentamicin with hydrocortisone
Brand names: Gentisone HC
Adult dose
Dose: 2–4 drops in affected ear TDS–QDS (max 7 days)
Route: Topical (otic)
Frequency: TDS-QDS
Clinical pearls
- Otitis externa with marked inflammation; short courses only
Contraindications
- Perforated tympanic membrane
- Viral/fungal otitis
Side effects
- Local irritation
- Ototoxicity if applied through perforation
- Hypersensitivity
Reference: BNF; https://bnf.nice.org.uk/drugs/gentamicin-with-hydrocortisone/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
Pathways
- Adult Upper Airway Obstruction (Stridor) · DAS 2015 unanticipated difficult airway; RCEM
- Epistaxis Management · ENT-UK / NICE
- Acute Otitis Media · NICE NG91 2018
- Tonsillitis and Sore Throat · NICE NG84 2018
- Benign Paroxysmal Positional Vertigo · NICE CG124 / AAO-HNS Guidelines
- Acute Rhinosinusitis · NICE NG79 2017 / EPOS 2020