From the FDA Drug Label
For the treatment of superficial infections of the external auditory canal caused by organisms susceptible to the action of the antimicrobial, complicated by inflammation. Carefully remove all cerumen and debris to allow hydrocortisone 1% and acetic acid 2% otic solution to contact infected surfaces directly.
The treatment for ear canal itchiness and dryness may involve the use of hydrocortisone (OTIC), as it is indicated for the treatment of superficial infections of the external auditory canal complicated by inflammation 1. To use, carefully remove all cerumen and debris and insert a wick of cotton saturated with the solution into the ear canal, keeping it moist by adding 3 to 5 drops of the solution every 4 to 6 hours 1.
- Key points to consider:
- Removal of cerumen and debris is necessary for effective treatment
- Hydrocortisone 1% and acetic acid 2% otic solution may be used to treat superficial infections complicated by inflammation 1
- Patient instructions should include keeping the wick in for at least 24 hours and keeping it moist by adding the solution every 4 to 6 hours 1
From the Research
To treat ear canal itchiness due to dryness, it is recommended to use over-the-counter ear drops containing glycerin, mineral oil, or hydrogen peroxide solutions specifically formulated for ears, as they are effective in moisturizing the skin and relieving itchiness. Apply 2-3 drops in the affected ear once or twice daily for up to a week. Alternatively, place a few drops of warm olive oil or baby oil in the ear canal to moisturize the skin. Avoid inserting cotton swabs or other objects into the ear as they can remove protective earwax and worsen dryness and irritation. If you wear hearing aids, remove them periodically to allow the ear canal to breathe. Stay hydrated and consider using a humidifier in your home to prevent environmental dryness.
Some key points to consider when treating ear canal itchiness due to dryness include:
- Avoiding the use of corticosteroids, as they can cause allergic reactions, including anaphylaxis, in some individuals 2, 3, 4, 5, 6
- Using gentle and fragrance-free cleansers to clean the outer ear, and avoiding the use of harsh chemicals or soaps that can strip the ear canal of its natural oils
- Avoiding scratching or rubbing the ear canal, as this can further irritate the skin and worsen itchiness
- Considering the use of ear drops or ointments that contain ingredients such as aloe vera or tea tree oil, which have anti-inflammatory and soothing properties
It is essential to note that if symptoms persist beyond a week, worsen, or are accompanied by pain, discharge, or hearing loss, consult a healthcare provider as this could indicate an infection or other condition requiring medical treatment. Ear canal dryness often occurs due to lack of earwax production, excessive cleaning, or environmental factors that disrupt the ear's natural moisture balance.