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Acetic Acid  (0087)
[ a-cee'-tik as'-id ]
Ingredients: Acetic Acid
Indications: Infection, ear, external
Pregnancy Category: (none)
FDA Approved: 1981- 12- 01
Classes: Anti- infectives, otic; Otics
Brand Names: Acetasol - US ; Aquaear - Australia ; Earcalm - England ; Vasotate - US ; Vosol - US ;
DEA schedules: (none)
Cost of therapy: $3.78 ( External Ear Infections ; Generic Otic Solution (Watson) ; 2%; 15 ml ; 20 drops/day ; 7 day supply )
$4.31 ( External Ear Infections ; Vasotate ; 2%; 15 ml ; 20 drops/day ; 7 day supply )
$10.50 ( External Ear Infections ; Acetasol ; 2%; 15 ml ; 20 drops/day ; 7 day supply )

DESCRIPTION

  Vosol (acetic acid otic solution) is a solution of acetic acid (2%), in a propylene glycol vehicle containing propylene glycol diacetate (3%), benzethonium chloride (0.02%), and sodium acetate (0.015%). The empirical formula for acetic acid is CH3 COOH, with a molecular weight of 60.05.
Acetic acid is available as a nonaqueous otic solution buffered at pH 3 for use in the external ear canal.

CLINICAL PHARMACOLOGY

  Acetic acid is anti- bacterial and anti- fungal; propylene glycol is hydrophilic and provides a low surface tension; benzethonium chloride is a surface active agent that promotes contact of the solution with tissues.

INDICATIONS AND USAGE

  For the treatment of superficial infections of the external auditory canal caused by organisms susceptible to the action of the antimicrobial.

CONTRAINDICATIONS

  Hypersensitivity to acetic acid or any of the ingredients. Perforated tympanic membrane is frequently considered a contraindication to the use of any medication in the external ear canal.

WARNINGS

  Discontinue promptly it sensitization or irritation occurs.

PRECAUTIONS

  Transient stinging or burning may be noted occasionally when the solution is first instilled into the acutely inflamed ear.

ADVERSE REACTIONS

  Stinging or burning may be noted occasionally; local irritation has occurred very rarely.

DOSAGE AND ADMINISTRATION

  Carefully remove all cerumen and debris to allow acetic acid to contact infected surfaces directly. To promote continuous contact, insert a wick saturated with acetic acid into the ear canal; the wick may also be saturated after insertion. Instruct the patient to keep the wick in for at least 24 hours and to keep it most by adding 3- 5 drops of acetic acid every 4- 6 hours. The wick may be removed after 24 hours but the patient should continue to instill 5 drops of acetic acid 3 or 4 times daily thereafter, for as long as indicated.

Storage: Store at room temperature; avoid excessive heat. Keep container tightly closed.

PRODUCT IDENTIFICATION

  None Available

PATIENT DRUG CONSULT HANDOUT

  Acetic Acid (otic)

PRODUCT LISTING - RATED THERAPEUTICALLY EQUIVALENT

 
solution - irrigation - 0.25% -
250.0 ml x 24.0 $131.04 GENERIC
Abbott Pharmaceutical
00074614322
250.0 ml x 12.0 $233.42 GENERIC
Abbott Pharmaceutical
00074614302
500.0 ml x 6.0 $144.00 GENERIC
B. Braun/ McGaw Inc
00264230410
1000.0 ml x 12.0 $31.60 GENERIC
Baxter I.V. Systems Division
00338065604
1000.0 ml x 12.0 $37.04 GENERIC
Abbott Pharmaceutical
00074614309
1000.0 ml x 6.0 $146.40 GENERIC
B. Braun/ McGaw Inc
00264230400
solution - otic - 2% -
15.0 ml $1.73 GENERIC
Morton Grove Pharmaceuticals Inc
60432074115
15.0 ml $3.32 GENERIC
Qualitest Pharmaceuticals Inc
00603703541
15.0 ml $3.78 GENERIC
Watson Pharmaceuticals
00364073272
15.0 ml $4.19 GENERIC
Sandoz Inc
00781631085
15.0 ml $4.25 Acetasol
IVAX Corporation
00182177564
15.0 ml $4.31 Vasotate
Major Pharmaceuticals Inc
00904031535
15.0 ml $9.98 GENERIC
Thames Pharmaceuticals Inc
49158019542
15.0 ml $10.50 Acetasol
Alpharma USPD
00472088099
15.0 ml $10.63 GENERIC
Allscripts Healthcare Solutions
54569231100
15.0 ml $31.00 GENERIC
Southwood Pharmaceuticals Inc
58016608201
15.0 ml x 3.0 $198.66 Vosol
MedPointe Healthcare Inc
00037361110
60.0 ml $9.00 GENERIC
Allscripts Healthcare Solutions
54569123700

PRODUCT LISTING - EQUIVALENTS NOT AVAILABLE

 
solution - compounding - 36% -
500.0 ml $12.38 GENERIC
Mallinckrodt Medical Inc
00019250414
500.0 ml $14.00 GENERIC
Amend Drug And Chemical Company Inc
17317021101
500.0 ml $14.68 GENERIC
Mallinckrodt Medical Inc
00406250403
500.0 ml $15.60 GENERIC
A- A Spectrum Healthcare Products
49452003001
2500.0 ml $30.80 GENERIC
A- A Spectrum Healthcare Products
49452003002
4000.0 ml $42.70 GENERIC
A- A Spectrum Healthcare Products
49452003003
solution - otic - 2% -
15.0 ml $6.08 GENERIC
Prescript Pharmaceuticals
00247014215

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