Wednesday, October 23, 2013

Kenacomb vs Otodex

When treating ear infections, doctors commonly prescribe either kenacomb or otodex.

Recently there has been a shortage of otodex from suppliers, I have been told it won't be back until December. Today I have had to make phone calls to local doctors to ask them to substitute their otodex scripts to kenacomb.

What is the difference between the two products?

Both products are corticosteroids with anti-infective ingredients, and are both indicated to treat otitis externa.

The difference lies between the ingredients.

Kenacomb:

  • Corticosteroid: Triamcinolone 0.1%
  • Antibiotic: Neomycin 0.25%
  • Antibiotic: Gramicidin 0.025%
  • Anti-fungal: Nystatin 100 000 units/mL
     Dose: 3 drops 2-3 times a day.


Otodex:

  • Corticosteroid: Dexamethasone 0.05%
  • Antibiotic: Framycetin 0.5% 
  • Antibiotic: Gramicidin 0.005%
     Dose: 3 drops 3-4 times a day

Voi la, similar but different. Confusing to remember either way.

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