DEWAX 0.5% Ear Drops (Solution)

What is DEWAX 0.5%

DEWAX 0.5% is an ear drop solution containing Docusate sodium 0.5% as the active ingredient. It is primarily used as a cerumenolytic agent—meaning it helps to soften, loosen, and remove excess earwax (cerumen) from the external auditory canal. DEWAX is formulated in a gentle, non-irritating solution and is typically available in a 10 ml dropper bottle for easy administration.

Key uses of DEWAX 0.5% include:

• Softening impacted earwax prior to ear irrigation or manual removal
• Reducing discomfort and pressure caused by hardened wax buildup
• Facilitating clearer hearing in cases where wax blockage impairs sound conduction

This product is often used by general practitioners, ENT specialists, and pharmacists as a first-line treatment for cerumen impaction. It is also appropriate for home use under healthcare supervision, especially in patients prone to recurrent wax accumulation or using hearing aids.

How to use DEWAX 0.5%

Proper use of DEWAX ear drops is essential for optimal results. Follow these steps:

1. Wash your hands thoroughly before application.
2. Warm the bottle by holding it in your hand for a few minutes to prevent dizziness from cold drops.
3. Shake the bottle gently if instructed.
4. Lie on your side or tilt your head to the opposite ear.
5. Instill 5 to 10 drops into the affected ear using the dropper.
6. Keep the head tilted for several minutes to allow penetration.
7. You may insert a soft cotton plug to prevent leakage, if necessary.
8. Repeat in the other ear if needed.

Usage Frequency:

• Apply once or twice daily for up to 3 days, or as directed by a healthcare professional.

Important Tips:

• Do not insert the dropper into the ear canal.
• Avoid using if the ear is actively discharging or if there's a suspected perforated eardrum.
• Consult your doctor if symptoms persist or worsen after use.

Mode of Action DEWAX 0.5%

Docusate sodium, the active agent in DEWAX, acts as a surfactant and cerumenolytic. It works by reducing surface tension and breaking down the cohesive lipids and keratinous materials in earwax, making it easier to remove.

Mechanism Highlights:

• Docusate sodium softens and emulsifies hardened cerumen.
• It alters the structure of wax, breaking it into smaller, more manageable fragments.
• This facilitates natural drainage or manual removal by healthcare providers.

Unlike oil-based ear drops (e.g., olive or mineral oil), DEWAX has the added advantage of rapid action without leaving a greasy residue. Its surfactant properties allow water to mix with the earwax, promoting quick loosening. It also helps prevent the recurrence of impaction when used periodically.

DEWAX 0.5% Interactions DEWAX 0.5%

Docusate sodium (topical otic formulation) has a low risk of drug interactions due to its localized action in the ear canal. However, a few points should be considered:

• No systemic absorption: Since DEWAX is not absorbed systemically, it does not interact with oral or injectable medications.
• Avoid concurrent use with other ear drops: Using DEWAX in combination with antibiotic or steroid ear drops without a doctor's recommendation may reduce the effectiveness of either product or cause unexpected local irritation.
• Disinfectant solutions: Using hydrogen peroxide or alcohol-containing solutions before or after DEWAX is discouraged, as it may interfere with the softening action or cause irritation.

Important Safety Tip: Always inform your doctor or pharmacist if you are using other ear medications or have a history of ear surgery or chronic ear conditions before using DEWAX.

Dosage of DEWAX 0.5%

Recommended dosage for adults and children over 6 years:

• Instill 5 to 10 drops into the affected ear(s) once or twice daily.
• Use for up to 3 consecutive days.

Children under 6 years:

• Use only under medical supervision.

Dosage adjustments are not typically required based on age, gender, or renal/hepatic function due to local application and minimal absorption.

Instructions during treatment:

• Ensure the dropper tip does not touch the ear or any other surface to maintain sterility.
• Do not use beyond the recommended period unless advised by a physician.

Following the 3-day course, if symptoms persist, ear irrigation or manual removal by a healthcare provider may be necessary.

Possible side effects of DEWAX 0.5%

Most users tolerate DEWAX well, but some may experience mild local reactions:

• Mild itching or tingling in the ear canal
• Temporary fullness or discomfort
• Ear irritation or inflammation (rare)

Rare or serious side effects:

• Burning sensation or pain, especially if applied to an already damaged eardrum
• Skin rash or allergic dermatitis
• Increased discharge if an underlying infection is present

Seek medical help immediately if:

• You notice persistent pain or swelling
• There is discharge with a foul odor
• You develop hearing loss or dizziness

Proper usage significantly reduces the risk of adverse effects. If symptoms worsen during use, discontinue and consult a healthcare provider.

DEWAX 0.5% Contraindications DEWAX 0.5%

Do NOT use DEWAX if you have:

• Perforated eardrum (known or suspected)
• Active ear infections or discharge without medical advice
• Known hypersensitivity to Docusate sodium or any component of the formulation
• Recent ear surgery unless advised by a physician

Use with caution in:

• Children under 6 years
• Patients with chronic otitis media or eczema affecting the ear canal

Always consult a healthcare provider to confirm earwax impaction and rule out other causes of ear discomfort before initiating treatment.

Storage of DEWAX 0.5%

Proper storage ensures the efficacy and safety of the product:

• Store at room temperature: 15–25°C (59–77°F)
• Keep the bottle tightly closed and upright
• Protect from direct sunlight and excessive heat
• Keep out of reach of children
• Do not freeze
• Do not use beyond the expiry date printed on the bottle or carton

After opening: Use within 4 weeks for optimal sterility and effectiveness.