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Rectal: 283 mg per 5 mL: 283 mg (1 enema) 1 to 3 times dailyĬeruminolytic (off-label use): Intra-aural: Administer 1 mL of docusate sodium in 2 mL syringes if no clearance in 15 minutes, irrigate with 50 or 100 mL lukewarm normal saline (Singer 2000) Dosing: GeriatricĬonstipation (occasional), treatment stool softener:Ĭhildren 2 years to <12 years: 50 to 150 mg/day in single or divided dosesĬhildren ≥12 years and Adolescents: 50 to 360 mg/day in single or divided doses Note: The following are general dosing guidelines refer to specific product labeling for dosing instructions.ĭocusate sodium: 50 to 360 mg once daily or in divided doses OTC labeling: When used for self-medication, do not use for longer than 7 days when abdominal pain, nausea, or vomiting is present or concomitantly with mineral oil (oral products only) Dosage and Administration Dosing: Adult Additional trials may be necessary to further define the role of intra-aural docusate in the treatment of this condition. Despite these data, the use of saline is still considered to be first-line McCarter 2007. Stool softener: Prevention of straining during defecation and constipation associated with hard, dry stools relief of occasional constipation Use: Off Labelĭata from a small, prospective, randomized, double-blind controlled study comparing the intra-aural use of docusate to triethanolamine polypeptide (not available in the US) and subsequent irrigation with lukewarm normal saline as needed supports the use of docusate intra-aurally as a ceruminolytic Singer 2000. Oral: 12 to 72 hours Rectal: 2 to 15 minutes Use: Labeled Indications Reduces surface tension of the oil-water interface of the stool resulting in enhanced incorporation of water and fat allowing for stool softening (Roering, 2010) Pharmacokinetics/Pharmacodynamics Excretion Stool Softener: 240 mg Ĭolace: 100 mg ĭocQLace: 100 mg ĭOK: 100 mg, 250 mg ĭulcolax Stool Softener: 100 mg Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option.Excipient information presented when available (limited, particularly for generics) consult specific product labeling. Intra-aural tick, otalgia, vertigo, facial palsy Key words: Intra-aural tick, otalgia, vertigo, facial palsy Item Type: More than half of the patients (53%) had traumatic experience due to failure of attempted removal of intra-aural tick by non- ENT doctors and two cases presented with vertigo and facial nerve palsy. Seventy-eight percent of patients came to our center within 3 days upon tick entry into the ear. Majority of patients (77%) were below 14 years old.
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We recorded the demography of patients as well as the clinical findings.Ī total of 91 intra-aural tick cases over a one-year period in which 2 cases had neurological complications. We reviewed retrospectively all cases who were diagnosed as intra-aural tick from our clinic notes during the period of 1st of January 2001 to 31st December 2001. We aim to specify the safest way to handle patient with intra-aural tick. Ear examination and attempt to remove the tick from the ear is difficult especially in a frightened and irritable child.
#Intra aural skin
It grips firmly into the skin of the external auditory canal and the tympanic membrane. Tick in the ear is very painful and distressing.