acetic acid (Acetic Acid)  solution/ drops 
[Bausch & Lomb Incorporated]

DESCRIPTION

Acetic Acid 2% in Aqueous Aluminum Acetate Otic Solution contains acetic acid 2% as the active ingredient, in a solution containing aluminum acetate (formed from Aluminum Sulfate, Calcium Carbonate, Glacial Acetic Acid), Boric Acid, Sodium Hydroxide and Purified Water. Sodium Hydroxide and/or Glacial Acetic Acid may be added to adjust the pH (3.5 to 5.0). Acetic Acid 2% in Aqueous Aluminum Acetate Otic Solution is instilled in the external auditory canal. Acetic acid is an astringent and antimicrobial agent.

Chemically, acetic acid is C2H4O2 and has the following structural formula:

Molecular weight: 60.05

CLINICAL PHARMACOLOGY

Acetic acid is antibacterial and antifungal and is effective against microorganisms (bacteria and fungi) that infect the ears of patients with acute diffuse external otitis. In vitro tests, minimum lethal-time was less than 0.25 minutes when bacteria and fungi isolated from patients with otitis externa were exposed to 2% acetic acid. Quantitative absorption of acetic acid 2% from external auditory canal is not known.

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 in this product. Perforated tympanic membranes is considered a contraindication to the use of any external ear canal medication.

WARNINGS

Avoid use or use with caution in patients with perforated tympanic membrane (See CONTRAINDICATIONS).

PRECAUTIONS

General

Care should be taken to assure that the Acetic Acid 2% in Aqueous Aluminum Acetate Otic Solution gets into the ear canal and stays in contact with the affected area long enough for the drug to act.

Discontinue promptly if sensitization or irritation occurs.

Carcinogenesis, mutagenesis, impairment of fertility

No long term studies in animals have been performed to evaluate the carcinogenic potential of Acetic Acid 2% in Aqueous Aluminum Acetate Otic Solution.

ADVERSE REACTIONS

Irritation may occur.

Overdosage

No Toxic effect has been reported with overdosage of Acetic Acid 2% in Aqueous Aluminum Acetate Otic Solution.

DOSAGE AND ADMINISTRATION

The patient should lie on the side with the affected ear uppermost. Instill 4 to 6 drops into the external auditory canal and maintain this position for 5 minutes. Repeat the procedure every 2 to 3 hours.

HOW SUPPLIED

Acetic Acid 2% in Aqueous Aluminum Acetate Otic Solution is available in 60 mL plastic squeeze bottle with otic tip.

Prod. No. 06620.

STORAGE

Store between 15˚ - 30˚ C (59˚ - 86˚ F).

PROTECT FROM FREEZING

DO NOT USE IF IMPRINTED NECKBAND IS NOT INTACT.

KEEP OUT OF REACH OF CHILDREN.

MANUFACTURER INFORMATION

Bausch & Lomb Incorporated
Tampa, FL 33637
©Bausch & Lomb Incorporated

X050181 R.12/03-72

Acetic Acid (Acetic Acid)

PRODUCT INFO Product Code 24208-615 Dosage Form SOLUTION/ DROPS Route Of Administration AURICULAR (OTIC) DEA Schedule

INGREDIENTS Name (Active Moiety) Type Strength Acetic Acid (Acetic Acid) Active 2 MILLIGRAM  In 1 MILLILITER Aluminum Sulfate Inactive   Boric Acid Inactive   Calcium Carbonate Inactive   Glacial Acetic Acid Inactive   Water Inactive   Sodium Hydroxide Inactive

IMPRINT INFORMATION Characteristic Appearance Characteristic Appearance Color Score Shape Symbol Imprint Code Coating Size

PACKAGING # NDC Package Description Multilevel Packaging 1 24208-615-77 1 BOTTLE In 1 CARTON contains a BOTTLE, PLASTIC 1 60 MILLILITER In 1 BOTTLE, PLASTIC This package is contained within the CARTON (24208-615-77)

Revised: 04/2008Bausch & Lomb Incorporated