Carbamide peroxide

By Medically reviewed by hellodoktor

Generic Name: Carbamide peroxide Brand Name(s): Carbamide peroxide.

Uses

What is carbamide peroxide used for?

Carbamide peroxide is used to treat earwax buildup. It helps to soften, loosen, and remove the earwax. Too much earwax can block the ear canal and reduce hearing. This medication releases oxygen and starts to foam when it comes in contact with the skin. The foaming helps break up and remove the earwax.

How should I take carbamide peroxide?

This medication is for use only in the ear. Apply this medication into the ear, usually twice daily or as directed by your doctor. Do not use this medication for more than 4 days at a time unless your doctor instructs you to.

To make sure that the right amount of medication is given, and to avoid touching the ear with the dropper, have another person give the drops if possible. To lower the risk of dizziness, hold the container in your hand for a few minutes to warm it.

To apply ear drops, wash your hands first. To avoid contamination, do not touch the dropper tip or let it touch your ear or any other surface. Lie on your side or tilt the affected ear upward. Hold the dropper directly over the ear and place 5 to 10 drops into the ear canal. To help the drops roll into the ear of an adult, hold the earlobe up and back. In children, hold the earlobe down and back. Keep the head tilted for several minutes or insert a soft cotton plug in the ear.

If there is any wax remaining after treatment, it may be removed by gently rinsing the ear with warm water or using an ear syringe with a soft rubber bulb. Consult your doctor or pharmacist about using an ear syringe safely.

Do not rinse the dropper. Replace the dropper cap after use.

Avoid getting this medication in your eyes. If this occurs, rinse the eyes thoroughly with water.

If your condition persists after 4 days of use or if it worsens, or if you think you may have a serious medical problem, seek immediate medical attention.

How do I store carbamide peroxide?

Carbamide peroxide is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store carbamide peroxide in the bathroom or the freezer. There may be different brands of carbamide peroxide that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush carbamide peroxide down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using carbamide peroxide?

Before using this drug, tell your doctor if:

  • You are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.
  • You are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
  • You have allergy with any of active or inactive ingredients of carbamide peroxide or other medications.
  • You have any other illnesses, disorders, or medical conditions.

Consult your doctor before using this product in children younger than 12 years.

Is it safe during pregnancy or breastfeeding?

There are no adequate studies in women for determining risk when using this medication during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking this medication. This medication is pregnancy risk category N, according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk
  • B=No risk in some studies
  • C=There may be some risk
  • D=Positive evidence of risk
  • X=Contraindicated
  • N=Unknown

Side effects

What side effects can occur from carbamide peroxide?

If you notice these side effects when using this drug, seek medication attention immediately:

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with carbamide peroxide?

Carbamide peroxide may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Does food or alcohol interact with carbamide peroxide?

Carbamide peroxide may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with carbamide peroxide?

Carbamide peroxide may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Especially if you have:

  • Other ear problems (e.g., ear drainage, infection, pain, rash, injury, recent ear surgery, hole/perforation in the eardrum)
  • Dizziness

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using carbamide peroxide.

What is the dose of carbamide peroxide for an adult?

SolutionCerumen Removal

The recommended dose is 5 to 10 drops of the solution instilled into the affected ear(s) 2 times daily for up to 4 days. The patient should remain in this position for several minutes to allow the solution to penetrate the ear. Cotton may be placed in the ear to lengthen the amount of time that the solution is in contact with the cerumen.

Otic – Cerumen Removal

The recommended dose is 5 to 10 drops of the solution instilled into the affected ear(s) 2 times daily for up to 4 days. The patient should remain in this position for several minutes to allow the solution to penetrate the ear. Cotton may be placed in the ear to lengthen the amount of time that the solution is in contact with the cerumen.

What is the dose of carbamide peroxide for a child?

Solution – Cerumen Removal

<12 years: 1 to 5 drops (according to patient’s size) of the solution instilled into the affected ear(s) 2 times daily for up to 4 days (non-FDA approved use). The patient should remain in this position for several minutes to allow the solution to penetrate the ear. Cotton may be placed in the ear to lengthen the amount of time that the solution is in contact with the cerumen.

12 to 18 years: 5 to 10 drops of the solution instilled into the affected ear(s) 2 times daily for up to 4 days. The patient should remain in this position for several minutes to allow the solution to penetrate the ear. Cotton may be placed in the ear to lengthen the amount of time that the solution is in contact with the cerumen.

Otic Cerumen Removal

<12 years: 1 to 5 drops (according to patient’s size) of the solution instilled into the affected ear(s) 2 times daily for up to 4 days (non-FDA approved use). The patient should remain in this position for several minutes to allow the solution to penetrate the ear. Cotton may be placed in the ear to lengthen the amount of time that the solution is in contact with the cerumen.

12 to 18 years: 5 to 10 drops of the solution instilled into the affected ear(s) 2 times daily for up to 4 days. The patient should remain in this position for several minutes to allow the solution to penetrate the ear. Cotton may be placed in the ear to lengthen the amount of time that the solution is in contact with the cerumen.

How is carbamide peroxide available?

Carbamide peroxide is available in the following dosage forms and strengths:

  • Solution 10%

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of carbamide peroxide, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

Review Date: May 9, 2017 | Last Modified: September 13, 2019

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