What is the treatment for itching ears?

From the Guidelines

The most effective treatment for itching ears is the application of topical corticosteroids and other antipruritics, as well as gentle skin care and prevention of secondary skin infection, as recommended for eczema and other inflammatory dermatoses involving the ear canal 1. When considering the treatment for itching ears, it's essential to identify the underlying cause, which can range from eczema, seborrheic dermatitis, and other inflammatory dermatoses to contact dermatitis and infections.

• For eczema and seborrheic dermatitis, management includes gentle skin care, application of emollients, and the use of topical corticosteroids and other antipruritics, such as those used to reduce inflammation and itch in seborrheic dermatitis 1.
• Contact dermatitis, whether irritant or allergic, requires removal of the sensitizing agent and application of a topical steroid or other anti-inflammatory topical, such as calcineurin inhibitors like tacrolimus 0.1% ointment or pimecrolimus 1% cream 1. It's crucial to avoid inserting objects into the ear canal, as this can worsen irritation and potentially damage the ear. Keeping the ears dry during treatment, using earplugs while showering or swimming, can also help prevent further irritation.
• If excessive earwax is causing itching, gentle irrigation with warm water using a bulb syringe or professional removal may provide relief. Given the potential for itching ears to result from various causes, including infection, allergies, or dryness, addressing the specific cause is essential for effective treatment. If symptoms persist beyond a week or are accompanied by pain, discharge, or hearing loss, consulting a healthcare provider for proper diagnosis and treatment is necessary.

From the FDA Drug Label

For the treatment of superficial bacterial infections of the external auditory canal caused by organisms susceptible to the action of the antibiotics. The FDA drug label does not answer the question.

From the Research

Itching Ear Treatment

Itching ears can be a symptom of otitis externa, a common condition involving inflammation of the ear canal. The treatment for itching ears depends on the underlying cause of the condition.

• Topical antimicrobials or antibiotics: Such as acetic acid, aminoglycosides, polymyxin B, and quinolones are the treatment of choice in uncomplicated cases 2.
• Topical corticosteroids: The addition of corticosteroids may help resolve symptoms more quickly, including itching 3, 2.
• Antibiotic ear drops: Such as ofloxacin otic solution or neomycin sulfate/polymyxin B sulfate/hydrocortisone otic suspension can be effective in treating otitis externa 4, 5.
• Boric acid ear drops: Can be used as an alternative to antibiotic ear drops, with similar pain relief and effectiveness in treating acute otitis externa 6.
• Oral antibiotics: Are reserved for cases in which the infection has spread beyond the ear canal or in patients at risk of a rapidly progressing infection 2.

Prevention

To prevent itching ears and otitis externa, it is essential to:

• Avoid excessive moisture: In the ear canal, as it can impair the canal's natural defenses 3.
• Dry the ears: After swimming or bathing, using a hair dryer on a low setting 3.
• Avoid manipulating: The external auditory canal, as it can cause trauma and increase the risk of infection 3.