CIPRODEX® (ciprofloxacin 0.3% and dexamethasone 0.1%) Sterile Otic Suspension

Manufacturer
Rebel Distributors Corp
Effective date
2011-08-23
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
1
Source
full-release
Hydrated at
2026-05-31 20:13:06

Label at a glance#

ProductCIPRODEX
Active ingredientCIPROFLOXACIN HYDROCHLORIDE, DEXAMETHASONE
Label structure16 sections

Indications and uses

CIPRODEX® Otic is indicated for the treatment of infections caused by susceptible isolates of the designated microorganisms in the specific conditions listed below: Acute Otitis Media in pediatric patients (age 6 months and older) with tympanostomy tubes due to Staphylococcus aureus , Streptococcus pneumoniae , Haemophilus influenzae , Moraxella catarrhalis , and Pseudomonas aeruginosa . Acute Otitis Externa in pe...

Dosage and administration

CIPRODEX® OTIC SHOULD BE SHAKEN WELL IMMEDIATELY BEFORE USE CIPRODEX® Otic contains 3 mg (3000 ug/mL) ciprofloxacin and 1 mg/mL dexamethasone. Acute Otitis Media in pediatric patients with tympanostomy tubes: The recommended dosage regimen for the treatment of acute otitis media in pediatric patients (age 6 months and older) through tympanostomy tubes is: Four drops (0.14 mL, 0.42 mg ciprofloxacin, 0.14 mg dexamet...

Label contents#

Full prescribing information#

DESCRIPTION

DESCRIPTION SECTION

CIPRODEX® (ciprofloxacin 0.3% and dexamethasone 0.1%) Sterile Otic Suspension contains the synthetic broad-spectrum antibacterial agent, ciprofloxacin hydrochloride, combined with the anti-inflammatory corticosteroid, dexamethasone, in a sterile, preserved suspension for otic use. Each mL of CIPRODEX® Otic contains ciprofloxacin hydrochloride (equivalent to 3 mg ciprofloxacin base), 1 mg dexamethasone, and 0.1 mg benzalkonium chloride as a preservative. The inactive ingredients are boric acid, sodium chloride, hydroxyethyl cellulose, tyloxapol, acetic acid, sodium acetate, edetate disodium, and purified water. Sodium hydroxide or hydrochloric acid may be added for adjustment of pH.

Ciprofloxacin, a fluoroquinolone is available as the monohydrochloride monohydrate salt of 1-cyclopropyl-6-fluoro-1,4-dihydro-4-oxo-7-(1-piperazinyl)-3-qui nolinecarboxylic acid. The empirical formula is C17H18FN3O3·HCl·H2O and the structural formula is:

ciprochemical
ciprochemical

Dexamethasone,

9-fluoro-11(beta),17,21-trihydroxy-16(alpha)-methylpregna-1,4-di ene-3,20-dione, is an anti-inflammatory corticosteroid. The empirical formula is C22H29FO5 and the structural formula is:

dexchemical
dexchemical

CLINICAL PHARMACOLOGY

CLINICAL PHARMACOLOGY SECTION

Pharmacokinetics: Following a single bilateral 4-drop (total dose = 0.28 mL, 0.84 mg ciprofloxacin, 0.28 mg dexamethasone) topical otic dose of CIPRODEX® Otic to pediatric patients after tympanostomy tube insertion, measurable plasma concentrations of ciprofloxacin and dexamethasone were observed at 6 hours following administration in 2 of 9 patients and 5 of 9 patients, respectively.

Mean ± SD peak plasma concentrations of ciprofloxacin were 1.39 ± 0.880 ng/mL (n=9). Peak plasma concentrations ranged from 0.543 ng/mL to 3.45 ng/mL and were on average approximately 0.1% of peak plasma concentrations achieved with an oral dose of 250-mg [1]. Peak plasma concentrations of ciprofloxacin were observed within 15 minutes to 2 hours post dose application.

Mean ± SD peak plasma concentrations of dexamethasone were 1.14 ± 1.54 ng/mL (n=9). Peak plasma concentrations ranged from 0.135 ng/mL to 5.10 ng/mL and were on average approximately 14% of peak concentrations reported in the literature following an oral 0.5-mg tablet dose[2]. Peak plasma concentrations of dexamethasone were observed within 15 minutes to 2 hours post dose application.

Dexamethasone has been added to aid in the resolution of the inflammatory response accompanying bacterial infection (such as otorrhea in pediatric patients with AOM with tympanostomy tubes).

Microbiology: Ciprofloxacin has in vitro activity against a wide range of gram-positive and gram-negative microorganisms. The bactericidal action of ciprofloxacin results from interference with the enzyme, DNA gyrase, which is needed for the synthesis of bacterial DNA. Cross-resistance has been observed between ciprofloxacin and other fluoroquinolones. There is generally no cross-resistance between ciprofloxacin and other classes of antibacterial agents such as beta-lactams or aminoglycosides.

Ciprofloxacin has been shown to be active against most isolates of the following microorganisms, both in vitro and clinically in otic infections as described in the INDICATIONS AND USAGE section.

Aerobic and facultative gram-positive microorganisms

Staphylococcus aureus

Streptococcus pneumoniae

Aerobic and facultative gram-negative microorganisms

Haemophilus influenzae

Moraxella catarrhalis

Pseudomonas aeruginosa

INDICATIONS AND USAGE

INDICATIONS & USAGE SECTION

CIPRODEX® Otic is indicated for the treatment of infections caused by susceptible isolates of the designated microorganisms in the specific conditions listed below:

Acute Otitis Media in pediatric patients (age 6 months and older) with tympanostomy tubes due to Staphylococcus aureus, Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, and Pseudomonas aeruginosa.

Acute Otitis Externa in pediatric (age 6 months and older), adult and elderly patients due to Staphylococcus aureus and Pseudomonas aeruginosa.

CONTRAINDICATIONS

CONTRAINDICATIONS SECTION

CIPRODEX® Otic is contraindicated in patients with a history of hypersensitivity to ciprofloxacin, to other quinolones, or to any of the components in this medication. Use of this product is contraindicated in viral infections of the external canal including herpes simplex infections.

WARNINGS

WARNINGS SECTION

FOR OTIC USE ONLY

(This product is not approved for ophthalmic use.)

NOT FOR INJECTION

CIPRODEX® Otic should be discontinued at the first appearance of a skin rash or any other sign of hypersensitivity. Serious and occasionally fatal hypersensitivity (anaphylactic) reactions, some following the first dose, have been reported in patients receiving systemic quinolones. Serious acute hypersensitivity reactions may require immediate emergency treatment.

PRECAUTIONS

PRECAUTIONS SECTION

General:

GENERAL PRECAUTIONS SECTION

As with other antibacterial preparations, use of this product may result in overgrowth of nonsusceptible organisms, including yeast and fungi. If the infection is not improved after one week of treatment, cultures should be obtained to guide further treatment. If otorrhea persists after a full course of therapy, or if two or more episodes of otorrhea occur within six months, further evaluation is recommended to exclude an underlying condition such as cholesteatoma, foreign body, or a tumor.

The systemic administration of quinolones, including ciprofloxacin at doses much higher than given or absorbed by the otic route, has led to lesions or erosions of the cartilage in weight-bearing joints and other signs of arthropathy in immature animals of various species.

Guinea pigs dosed in the middle ear with CIPRODEX® Otic for one month exhibited no drug-related structural or functional changes of the cochlear hair cells and no lesions in the ossicles. CIPRODEX® Otic was also shown to lack dermal sensitizing potential in the guinea pig when tested according to the method of Buehler.

No signs of local irritation were found when CIPRODEX® Otic was applied topically in the rabbit eye.

Information for Patients

INFORMATION FOR PATIENTS SECTION

For otic use only. (This product is not approved for use in the eye.) Warm the bottle in your hand for one to two minutes prior to use and shake well immediately before using.

Avoid contaminating the tip with material from the ear, fingers, or other sources.

Protect from light.

If rash or allergic reaction occurs, discontinue use immediately and contact your physician.

It is very important to use the ear drops for as long as the doctor has instructed, even if the symptoms improve.

Discard unused portion after therapy is completed.

Acute Otitis Media in pediatric patients with tympanostomy tubes Prior to administration of CIPRODEX® Otic in patients (6 months and older) with acute otitis media through tympanostomy tubes, the suspension should be warmed by holding the bottle in the hand for one or two minutes to avoid dizziness which may result from the instillation of a cold suspension. The patient should lie with the affected ear upward, and then the drops should be instilled. The tragus should then be pumped 5 times by pushing inward to facilitate penetration of the drops into the middle ear. This position should be maintained for 60 seconds. Repeat, if necessary, for the opposite ear (see DOSAGE AND ADMINISTRATION).

Acute Otitis Externa

Prior to administration of CIPRODEX® Otic in patients with acute otitis externa, the suspension should be warmed by holding the bottle in the hand for one or two minutes to avoid dizziness which may result from the instillation of a cold suspension. The patient should lie with the affected ear upward, and then the drops should be instilled. This position should be maintained for 60 seconds to facilitate penetration of the drops into the ear canal. Repeat, if necessary, for the opposite ear (see DOSAGE AND ADMINISTRATION).

Drug Interactions

DRUG INTERACTIONS SECTION

Specific drug interaction studies have not been conducted with CIPRODEX® Otic.

Carcinogenesis, Mutagenesis, Impairment of Fertility

CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY SECTION

Long-term carcinogenicity studies in mice and rats have been completed for ciprofloxacin. After daily oral doses of 750 mg/kg (mice) and 250 mg/kg (rats) were administered for up to 2 years, there was no evidence that ciprofloxacin had any carcinogenic or tumorigenic effects in these species. No long term studies of CIPRODEX® Otic have been performed to evaluate carcinogenic potential.

Eight in vitro mutagenicity tests have been conducted with ciprofloxacin, and the test results are listed below:

Salmonella/Microsome Test (Negative)

E. coli DNA Repair Assay (Negative)

Mouse Lymphoma Cell Forward Mutation

Assay (Positive)

Chinese Hamster V79 Cell HGPRT Test (Negative)

Syrian Hamster Embryo Cell Transformation

Assay (Negative)

Saccharomyces cerevisiae Point Mutation

Assay (Negative)

Saccharomyces cerevisiae Mitotic Crossover and Gene

Conversion Assay (Negative)

Rat Hepatocyte DNA Repair Assay (Positive)

Thus, 2 of the 8 tests were positive, but results of the following 3 in vivo test systems gave negative results:

Rat Hepatocyte DNA Repair Assay

Micronucleus Test (Mice)

Dominant Lethal Test (Mice)

Fertility studies performed in rats at oral doses of ciprofloxacin up to 100 mg/kg/day revealed no evidence of impairment. This would be over 100 times the maximum recommended clinical dose of ototopical ciprofloxacin based upon body surface area, assuming total absorption of ciprofloxacin from the ear of a patient treated with CIPRODEX® Otic twice per day according to label directions.

Long term studies have not been performed to evaluate the carcinogenic potential of topical otic dexamethasone. Dexamethasone has been tested for in vitro and in vivo genotoxic potential and shown to be positive in the following assays; chromosomal aberrations, sister-chromatid exchange in human lymphocytes and micronuclei and sister-chromatid exchanges in mouse bone marrow. However, the Ames/Salmonella assay, both with and without S9 mix, did not show any increase in His+ revertants.

The effect of dexamethasone on fertility has not been investigated following topical otic application. However, the lowest toxic dose of dexamethasone identified following topical dermal application was 1.802 mg/kg in a 26-week study in male rats and resulted in changes to the testes, epididymis, sperm duct, prostate, seminal vessicle, Cowper's gland and accessory glands. The relevance of this study for short term topical otic use is unknown.

Pregnancy

PREGNANCY SECTION

Teratogenic Effects. Pregnancy Category C:

TERATOGENIC EFFECTS SECTION

Reproduction studies have been performed in rats and mice using oral doses of up to 100 mg/kg and IV doses up to 30 mg/kg and have revealed no evidence of harm to the fetus as a result of ciprofloxacin. In rabbits, ciprofloxacin (30 and 100 mg/kg orally) produced gastrointestinal disturbances resulting in maternal weight loss and an increased incidence of abortion, but no teratogenicity was observed at either dose. After intravenous administration of doses up to 20 mg/kg, no maternal toxicity was produced in the rabbit, and no embryotoxicity or teratogenicity was observed.

Corticosteroids are generally teratogenic in laboratory animals when administered systemically at relatively low dosage levels. The more potent corticosteroids have been shown to be teratogenic after dermal application in laboratory animals.

Animal reproduction studies have not been conducted with CIPRODEX® Otic. No adequate and well controlled studies have been performed in pregnant women. Caution should be exercised when CIPRODEX® Otic is used by a pregnant woman.

Nursing Mothers:

NURSING MOTHERS SECTION

Ciprofloxacin and corticosteroids, as a class, appear in milk following oral administration. Dexamethasone in breast milk could suppress growth, interfere with endogenous corticosteroid production, or cause other untoward effects. It is not known whether topical otic administration of ciprofloxacin or dexamethasone could result in sufficient systemic absorption to produce detectable quantities in human milk. Because of the potential for unwanted effects in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.

Pediatric Use:

PEDIATRIC USE SECTION

The safety and efficacy of CIPRODEX® Otic have been established in pediatric patients 6 months and older (937 patients) in adequate and well-controlled clinical trials. Although no data are available on patients less than age 6 months, there are no known safety concerns or differences in the disease process in this population that would preclude use of this product. (See DOSAGE AND ADMINISTRATION.)

No clinically relevant changes in hearing function were observed in 69 pediatric patients (age 4 to 12 years) treated with CIPRODEX® Otic and tested for audiometric parameters.

ADVERSE REACTIONS

ADVERSE REACTIONS SECTION

In Phases II and III clinical trials, a total of 937 patients were treated with CIPRODEX® Otic. This included 400 patients with acute otitis media with tympanostomy tubes and 537 patients with acute otitis externa. The reported treatment-related adverse events are listed below:

Acute Otitis Media in pediatric patients with tympanostomy tubes

The following treatment-related adverse events occurred in 0.5% or more of the patients with non-intact tympanic membranes.

Adverse Event Incidence (N=400)
Ear discomfort 3.0%
Ear pain 2.3%
Ear precipitate
(residue)
0.5%
Irritability 0.5%
Taste perversion 0.5%

The following treatment-related adverse events were each reported in a single patient: tympanostomy tube blockage; ear pruritus; tinnitus; oral moniliasis; crying; dizziness; and erythema.

Acute Otitis Externa

The following treatment-related adverse events occurred in 0.4% or more of the patients with intact tympanic membranes.

Adverse Event Incidence (N=537)
Ear pruritus 1.5%
Ear debris 0.6%
Superimposed ear
infection
0.6%
Ear congestion 0.4%
Ear pain 0.4%
Erythema 0.4%

The following treatment-related adverse events were each reported in a single patient: ear discomfort; decreased hearing; and ear disorder (tingling).

DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

CIPRODEX® OTIC SHOULD BE SHAKEN WELL IMMEDIATELY BEFORE USE

CIPRODEX® Otic contains 3 mg (3000 ug/mL) ciprofloxacin and 1 mg/mL dexamethasone.

Acute Otitis Media in pediatric patients with tympanostomy tubes: The recommended dosage regimen for the treatment of acute otitis media in pediatric patients (age 6 months and older) through tympanostomy tubes is:

Four drops (0.14 mL, 0.42 mg ciprofloxacin, 0.14 mg dexamethasone) instilled into the affected ear twice daily for seven days. The suspension should be warmed by holding the bottle in the hand for one or two minutes to avoid dizziness, which may result from the instillation of a cold suspension. The patient should lie with the affected ear upward, and then the drops should be instilled. The tragus should then be pumped 5 times by pushing inward to facilitate penetration of the drops into the middle ear. This position should be maintained for 60 seconds. Repeat, if necessary, for the opposite ear. Discard unused portion after therapy is completed.

Acute Otitis Externa: The recommended dosage regimen for the treatment of acute otitis externa is: For patients (age 6 months and older): Four drops (0.14 mL, 0.42 mg ciprofloxacin, 0.14 mg dexamethasone) instilled into the affected ear twice daily for seven days. The suspension should be warmed by holding the bottle in the hand for one or two minutes to avoid dizziness, which may result from the instillation of a cold suspension. The patient should lie with the affected ear upward, and then the drops should be instilled. This position should be maintained for 60 seconds to facilitate penetration of the drops into the ear canal. Repeat, if necessary, for the opposite ear. Discard unused portion after therapy is completed.

HOW SUPPLIED

HOW SUPPLIED SECTION

CIPRODEX® (ciprofloxacin 0.3% and dexamethasone 0.1%) Sterile Otic Suspension is supplied as follows: 7.5 mL fill in a DROP-TAINER® system. The DROP-TAINER® system consists

of a natural polyethylene bottle and natural plug, with a white polypropylene closure. Tamper evidence is provided with a shrink band around the closure and neck area of the package.

NDC 21695-969-75, 7.5 mL fill

Storage:

Store at controlled room temperature, 15°C to 30°C (59°F to 86°F). Avoid freezing. Protect from light.

Clinical Studies:

CLINICAL STUDIES SECTION

In a randomized, multicenter, controlled clinical trial, CIPRODEX® Otic dosed 2 times per day for 7 days demonstrated clinical cures in the per protocol analysis in 86% of AOMT patients compared to 79% for ofloxacin solution, 0.3%, dosed 2 times per day for 10 days. Among culture positive patients, clinical cures were 90% for CIPRODEX® Otic compared to 79% for ofloxacin solution, 0.3%. Microbiological eradication rates for these patients in the same clinical trial were 91% for CIPRODEX® Otic compared to 82% for ofloxacin solution, 0.3%. In 2 randomized multicenter, controlled clinical trials, CIPRODEX® Otic dosed 2 times per day for 7 days demonstrated clinical cures in 87% and 94% of per protocol evaluable AOE patients, respectively, compared to 84% and 89%, respectively, for otic suspension containing neomycin 0.35%, polymyxin B 10,000 IU/mL, and hydrocortisone 1.0% (neo/poly/HC). Among culture positive patients clinical cures were 86% and 92% for CIPRODEX® Otic compared to 84% and 89%, respectively, for neo/poly/HC. Microbiological eradication rates for these patients in the same clinical trials were 86% and 92% for CIPRODEX® Otic compared to 85% and 85%, respectively, for neo/poly/HC.

References:

REFERENCES SECTION

1. Campoli-Richards DM, Monk JP, Price A, Benfield P, Todd PA, Ward A. Ciprofloxacin: A review of its antibacterial activity, pharmacokinetic properties and therapeutic use. Drugs 1988;35:373-447.

2. Loew D, Schuster O, and Graul E. Dose-dependent pharmacokinetics of dexamethasone. Eur J Clin Pharmacol 1986;30:225-230.

SPL UNCLASSIFIED SECTION

U.S. Patent Nos. 6,284,804; 6,359,016

Licensed to Alcon, Inc. by Bayer Schering Pharma AG.

CIPRODEX is a registered trademark of Bayer AG, licensed to Alcon, Inc by Bayer AG.

Rx Only

©2003, 2004, 2008, 2009 Alcon, Inc.

Revision date: 17 July 2003

Relabeled by: Rebel Distributors Corp

Thousand Oaks, CA 91320

PATIENT INFORMATION

SPL MEDGUIDE SECTION

CIPRODEX® (CI-PRO-DEX)

(ciprofloxacin 0.3% and dexamethasone 0.1%)

Sterile Otic Suspension

IMPORTANT PATIENT INFORMATION AND INSTRUCTIONS. READ BEFORE USE.

What is CIPRODEX® Otic?

CIPRODEX® Otic is an antibiotic/steroid combination product in a sterile suspension used to treat:

• Middle Ear Infection with Drainage Through a Tube in Children 6 months and older: A middle ear infection is a bacterial infection behind the eardrum. People with a tube in the eardrum may notice drainage from the ear canal.\

• Outer Ear Canal Infection in Patients 6 months and older: An outer ear canal infection, also known as "Swimmer's Ear", is a bacterial infection of the outer ear canal. The ear canal and the outer part of the ear may swell, turn red, and be painful. Also, a fluid discharge may appear in the ear canal.

Who should NOT use CIPRODEX® Otic?

• Do not use this product if allergic to ciprofloxacin or to other quinolone antibiotics.

• Do not use this product if allergic to dexamethasone or to other steroids.

• Do not give this product to pediatric patients who are less than 6 months old.

How often should CIPRODEX® Otic be given?

CIPRODEX® Otic ear drops should be given 2 times each day (about 12 hours apart, for example, 8 AM and 8 PM) in each infected ear unless the doctor has instructed otherwise. The best times to use the ear drops are in the morning and at night. It is very important to use the ear drops for as long as the doctor has instructed, even if the symptoms improve. If CIPRODEX® Otic ear drops are not used for as long as the doctor has instructed, the infection may return.

What if a dose is missed?

If a dose of CIPRODEX® Otic is missed, it should be given as soon as possible. If it is almost time for the next dose, skip the missed dose and go back to the regular dosing schedule. Do not use a double dose unless the doctor has instructed you to do so. If the infection is not improved after one week, you should consult your doctor. If you have two or more episodes of drainage within six months, it is recommended you see your doctor for further evaluation.

What activities should be avoided while using CIPRODEX® Otic?

It is important that the infected ear(s) remain clean and dry. When bathing, avoid getting the infected ear(s) wet. Avoid swimming unless the doctor has instructed otherwise.

What are the possible side effects of CIPRODEX® Otic?

During the testing of CIPRODEX® Otic for middle ear infections, the most common side effect related to CIPRODEX® Otic was ear discomfort that occurred in up to 3 out of 100 patients. Other common side effects were: ear pain; ear precipitate (residue); irritability; and abnormal taste. During the testing of CIPRODEX® Otic for ear canal infections, the most common side effect related to CIPRODEX® Otic was itching of the ear that occurred in 1 to 2 out of 100 patients. Other common side effects were: ear debris; ear infection in the treated ear; ear congestion; ear pain; and rash.

If any of these side effects persist, call the doctor.

If an allergic reaction to CIPRODEX® Otic occurs, stop using the product and contact your doctor.

DO NOT TAKE BY MOUTH

If CIPRODEX® Otic is accidentally swallowed or overdose occurs, call the doctor immediately. This medicine is available only with a doctor's prescription. Use only as directed. Do not use this medicine if outdated. If you wish to learn more about CIPRODEX® Otic, call your doctor or pharmacist.

HOW SUPPLIED

CIPRODEX® Otic is supplied as follows: 7.5 mL fill in a DROP-TAINER® system. The DROP-TAINER® system consists of a natural polyethylene bottle and natural plug, with a white polypropylene closure. Tamper evidence is provided with a shrink band around the closure and neck area of the package.

NDC 21695-969-75, 7.5 mL fill

Storage:

Store at controlled room temperature, 15°C to 30°C (59°F to 86°F). Avoid freezing. Protect from light.

U.S. Patent Nos. 6,284,804; 6,359,016

Licensed to Alcon, Inc. by Bayer Schering Pharma AG.

CIPRODEX is a registered trademark of Bayer AG, licensed to Alcon, Inc by Bayer AG.

Rx Only

©2003, 2004, 2008, 2009 Alcon, Inc.

Relabeled by: Rebel Distributors Corp

Thousand Oaks, CA 91320

How should CIPRODEX® Otic be given?

1. Wash hands

wash
wash

The person giving CIPRODEX® Otic should wash his/her hands with soap and water.

2. Warm & shake bottle

warm
warm

Hold the bottle of CIPRODEX® Otic in the hand for one or two minutes to warm the suspension, then shake well.

3. Add drops

sick
sick

The person receiving CIPRODEX® Otic should lie on his/her side with the infected ear up.

eardrop
eardrop

Patients should have 4 drops of CIPRODEX® Otic put into the infected ear. The tip of the bottle should not touch the fingers, or the ear, or any other surfaces.

BE SURE TO FOLLOW INSTRUCTIONS BELOW FOR THE PATIENT'S SPECIFIC EAR INFECTION.

4. For Patients with Middle Ear Infection with Tubes:

tragus
tragus

While the person receiving CIPRODEX® Otic lies on his/her side, the person giving the drops should gently press the tragus (see diagram) 5 times in a pumping motion. This will allow the drops to pass through the tube in the eardrum and into the middle ear.

5. For Patients with Outer Ear Infection ("Swimmer's Ear"):

earpull
earpull

While the person receiving the drops lies on his/her side, the person giving the drops should gently pull the outer ear lobe upward and backward. This will allow the ear drops to flow down into the ear canal.

6. Stay on side

happy
happy

The person who received the ear drops should remain on his/her side for at least 60 seconds.

Repeat Steps 2-5 for the other ear if both ears are infected.

345579-0709

PRINCIPAL DISPLAY PANEL

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Ciprodex 0.3%/0.1%Ciprodex 0.3%/0.1%

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYSPL version
404630CIPRODEX 0.3 % / 0.1 % Otic SuspensionPSN1
403908ciprofloxacin 0.3 % / dexAMETHasone 0.1 % Otic SuspensionPSN1
404630ciprofloxacin 3 MG/ML / dexamethasone 1 MG/ML Otic Suspension [Ciprodex]SBD1
403908ciprofloxacin 3 MG/ML / dexamethasone 1 MG/ML Otic SuspensionSCD1
404630Ciprodex (ciprofloxacin (as ciprofloxacin HCl) 3 MG/ML / dexamethasone 1 MG/ML) Otic SuspensionSY1
404630Ciprodex (ciprofloxacin 0.3 % / dexamethasone 0.1 % ) Otic SuspensionSY1
403908ciprofloxacin (as ciprofloxacin hydrochloride) 3 MG/ML / dexamethasone 1 MG/ML Otic SuspensionSY1
403908ciprofloxacin 0.3 % / dexamethasone 0.1 % Otic SuspensionSY1

DailyMed Pharmacologic Classes#

Class, Version, Type table
ClassVersionTypeEffective
CIPROFLOXACIN Pharmacologic Class Indexing3Indexing - Pharmacologic Class20230421
DEXAMETHASONE Pharmacologic Class Indexing2Indexing - Pharmacologic Class20180813

DailyMed Product Concepts#

Product concept, Relation, Version table
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FDA-Initiated Inactive NDC Indexing#

NDC, Effective, Action table
NDCEffectiveActionDocumentIndexing SPLRelated label
21695-969-752019-09-24C16284748780-1934fe258-4d40-48b1-e053-8cdaa90a720aCIPRODEX® (ciprofloxacin 0.3% and dexamethasone 0.1%) Sterile Otic Suspension

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
21695-969-75CIPRODEX7.5 mL in 1 BOTTLE, PLASTICSUSPENSION7.51

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
21695-969CIPRODEX (CIPROFLOXACIN AND DEXAMETHASONE) SUSPENSION [REBEL DISTRIBUTORS CORP]1Legacy NDC, 1 package rows20111021_895c2307-aeeb-49fd-ac3d-750a463fc3ef.zip

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
21695-969-75ML - Milliliter21695-969e089ffc0-1c8c-42cf-95c1-18dc5513a13312012-07-24
0065-8533-02ML - Milliliter0065-8533d92d205f-d79a-4f83-bdf8-45353f9bbe2e12012-07-24

DailyMed Socrata Ingredients#

Ingredient, Type, UNII table
IngredientTypeUNIISPL versionUploaded
CIPROFLOXACIN HYDROCHLORIDEACTIVE INGREDIENT4BA73M5E371
DEXAMETHASONEACTIVE INGREDIENT7S5I7G3JQL1
CIPROFLOXACINACTIVE MOIETY5E8K9I0O4U1
DEXAMETHASONEACTIVE MOIETY7S5I7G3JQL1
ACETIC ACIDINACTIVE INGREDIENTQ40Q9N063P1
BENZALKONIUM CHLORIDEINACTIVE INGREDIENTF5UM2KM3W71
BORIC ACIDINACTIVE INGREDIENTR57ZHV85D41
EDETATE DISODIUMINACTIVE INGREDIENT7FLD91C86K1
HYDROCHLORIC ACIDINACTIVE INGREDIENTQTT17582CB1
SODIUM ACETATEINACTIVE INGREDIENT4550K0SC9B1
SODIUM CHLORIDEINACTIVE INGREDIENT451W47IQ8X1
SODIUM HYDROXIDEINACTIVE INGREDIENT55X04QC32I1
TYLOXAPOLINACTIVE INGREDIENTY27PUL9H561
WATERINACTIVE INGREDIENT059QF0KO0R1

Products#

Every source-derived product name is available through these pages.

DailyMed product names page 1 of 1 · 15 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
21695-96921695-969-75
0065-8533

Ingredients#

Every source-derived ingredient row is available through these pages.

DailyMed ingredient rows page 1 of 1 · 12 matching rows.

Source Document#

Source XML

Inactive ingredient matches#

Inactive Ingredient Database values describe FDA-listed use contexts. The match method and ambiguity count are shown because ingredient names, routes, and dosage forms are not always unique. Browse recovered IID releases and source provenance.

Inactive ingredient links page 1 of 11 · 659 matching rows.

DailyMed ingredient, IID ingredient, UNII table
DailyMed ingredientIID ingredientUNIIDosage form / routePotencyMaximum daily exposureMatch
SODIUM HYDROXIDESODIUM HYDROXIDE55X04QC32ISWAB / TOPICAL0.01 %w/wExact identifier — unii candidate
174 equally ranked IID candidates
SODIUM CHLORIDESODIUM CHLORIDE451W47IQ8XSUSPENSION / ORAL1126 mgExact identifier — unii candidate
134 equally ranked IID candidates
HYDROCHLORIC ACIDHYDROCHLORIC ACIDQTT17582CBINJECTION, EMULSION / INTRAVENOUSADJ PHExact identifier — unii candidate
148 equally ranked IID candidates
SODIUM CHLORIDESODIUM CHLORIDE451W47IQ8XINJECTION / INTRALESIONAL0.9 %w/vExact identifier — unii candidate
134 equally ranked IID candidates
ACETIC ACIDACETIC ACIDQ40Q9N063PSPRAY, METERED / NASAL1.2 mg/1mlExact identifier — unii candidate
45 equally ranked IID candidates
BENZALKONIUM CHLORIDEBENZALKONIUM CHLORIDEF5UM2KM3W7SOLUTION/ DROPS / AURICULAR (OTIC)0 %w/vExact identifier — unii candidate
24 equally ranked IID candidates
SODIUM CHLORIDESODIUM CHLORIDE451W47IQ8XINJECTION, SOLUTION, CONCENTRATE / SUBCUTANEOUS0.86 %w/vExact identifier — unii candidate
134 equally ranked IID candidates
EDETATE DISODIUMEDETATE DISODIUM7FLD91C86KDROPS / NASAL0.1 mg/1mlExact identifier — unii candidate
77 equally ranked IID candidates
SODIUM HYDROXIDESODIUM HYDROXIDE55X04QC32ISUSPENSION, EXTENDED RELEASE / INTRAMUSCULAR5.4 mgExact identifier — unii candidate
174 equally ranked IID candidates
SODIUM HYDROXIDESODIUM HYDROXIDE55X04QC32IPOWDER, FOR SOLUTION / ORALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
HYDROCHLORIC ACIDHYDROCHLORIC ACIDQTT17582CBCREAM / TOPICAL38 mgExact identifier — unii candidate
148 equally ranked IID candidates
HYDROCHLORIC ACIDHYDROCHLORIC ACIDQTT17582CBSOLUTION / EPIDURALADJ PHExact identifier — unii candidate
148 equally ranked IID candidates
HYDROCHLORIC ACIDHYDROCHLORIC ACIDQTT17582CBINJECTION / INTRACAUDALADJ PHExact identifier — unii candidate
148 equally ranked IID candidates
SODIUM CHLORIDESODIUM CHLORIDE451W47IQ8XENEMA / RECTAL0.7 %w/wExact identifier — unii candidate
134 equally ranked IID candidates
EDETATE DISODIUMEDETATE DISODIUM7FLD91C86KSPRAY / NASAL1 mgExact identifier — unii candidate
77 equally ranked IID candidates
SODIUM HYDROXIDESODIUM HYDROXIDE55X04QC32IINJECTION, SOLUTION / SUBMUCOSALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
HYDROCHLORIC ACIDHYDROCHLORIC ACIDQTT17582CBSPRAY / RESPIRATORY (INHALATION)ADJ PHExact identifier — unii candidate
148 equally ranked IID candidates
HYDROCHLORIC ACIDHYDROCHLORIC ACIDQTT17582CBSOLUTION/ DROPS / TOPICALADJ PHExact identifier — unii candidate
148 equally ranked IID candidates
SODIUM HYDROXIDESODIUM HYDROXIDE55X04QC32ITABLET, DELAYED RELEASE / ORAL4 mgExact identifier — unii candidate
174 equally ranked IID candidates
SODIUM CHLORIDESODIUM CHLORIDE451W47IQ8XINJECTION, SUSPENSION / INTRASYNOVIAL4 mgExact identifier — unii candidate
134 equally ranked IID candidates
SODIUM CHLORIDESODIUM CHLORIDE451W47IQ8XSUSPENSION / RESPIRATORY (INHALATION)43 mgExact identifier — unii candidate
134 equally ranked IID candidates
ACETIC ACIDACETIC ACIDQ40Q9N063PELIXIR / ORAL1.07 mg/5mlExact identifier — unii candidate
45 equally ranked IID candidates
SODIUM CHLORIDESODIUM CHLORIDE451W47IQ8XINJECTION, POWDER, FOR SUSPENSION / SUBCUTANEOUSNAExact identifier — unii candidate
134 equally ranked IID candidates
HYDROCHLORIC ACIDHYDROCHLORIC ACIDQTT17582CBINJECTION, POWDER, FOR SOLUTION / INTRAVENOUS0.18 %w/vExact identifier — unii candidate
148 equally ranked IID candidates
HYDROCHLORIC ACIDHYDROCHLORIC ACIDQTT17582CBLIQUID / INTRAMUSCULARADJ PHExact identifier — unii candidate
148 equally ranked IID candidates
SODIUM CHLORIDESODIUM CHLORIDE451W47IQ8XINJECTION / INTRATHECAL9 mgExact identifier — unii candidate
134 equally ranked IID candidates
SODIUM HYDROXIDESODIUM HYDROXIDE55X04QC32ITABLET, ORALLY DISINTEGRATING / ORAL1 mgExact identifier — unii candidate
174 equally ranked IID candidates
BORIC ACIDBORIC ACIDR57ZHV85D4GEL / OPHTHALMIC0.5 %w/wExact identifier — unii candidate
17 equally ranked IID candidates
BENZALKONIUM CHLORIDEBENZALKONIUM CHLORIDEF5UM2KM3W7LOTION / TOPICAL0.1 %w/wExact identifier — unii candidate
24 equally ranked IID candidates
SODIUM CHLORIDESODIUM CHLORIDE451W47IQ8XINJECTION, SUSPENSION, LIPOSOMAL / EPIDURAL11 mgExact identifier — unii candidate
134 equally ranked IID candidates
EDETATE DISODIUMEDETATE DISODIUM7FLD91C86KSUSPENSION / RESPIRATORY (INHALATION)0.01 %w/vExact identifier — unii candidate
77 equally ranked IID candidates
SODIUM CHLORIDESODIUM CHLORIDE451W47IQ8XPOWDER / RESPIRATORY (INHALATION)NAExact identifier — unii candidate
134 equally ranked IID candidates
HYDROCHLORIC ACIDHYDROCHLORIC ACIDQTT17582CBINJECTION, POWDER, LYOPHILIZED, FOR SOLUTION / SUBCUTANEOUSADJ PHExact identifier — unii candidate
148 equally ranked IID candidates
HYDROCHLORIC ACIDHYDROCHLORIC ACIDQTT17582CBSUSPENSION / INTRATYMPANIC1 mgExact identifier — unii candidate
148 equally ranked IID candidates
SODIUM HYDROXIDESODIUM HYDROXIDE55X04QC32IINJECTION, POWDER, FOR SOLUTION / INTRATUMORADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
SODIUM CHLORIDESODIUM CHLORIDE451W47IQ8XSYSTEM / IONTOPHORESIS3.1 mgExact identifier — unii candidate
134 equally ranked IID candidates
SODIUM HYDROXIDESODIUM HYDROXIDE55X04QC32ISOLUTION / EPIDURALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
SODIUM ACETATESODIUM ACETATE4550K0SC9BPOWDER, FOR SOLUTION / ORAL0.1 mgExact identifier — unii candidate
32 equally ranked IID candidates
SODIUM CHLORIDESODIUM CHLORIDE451W47IQ8XINJECTION, SUSPENSION / INTRAMUSCULAR26 mgExact identifier — unii candidate
134 equally ranked IID candidates
HYDROCHLORIC ACIDHYDROCHLORIC ACIDQTT17582CBINJECTION / SUBMUCOSALADJ PHExact identifier — unii candidate
148 equally ranked IID candidates
EDETATE DISODIUMEDETATE DISODIUM7FLD91C86KSOLUTION / TOPICAL1 mgExact identifier — unii candidate
77 equally ranked IID candidates
HYDROCHLORIC ACIDHYDROCHLORIC ACIDQTT17582CBINJECTION / RETROBULBARADJ PHExact identifier — unii candidate
148 equally ranked IID candidates
EDETATE DISODIUMEDETATE DISODIUM7FLD91C86KSHAMPOO, SUSPENSION / TOPICAL1 %w/wExact identifier — unii candidate
77 equally ranked IID candidates
SODIUM HYDROXIDESODIUM HYDROXIDE55X04QC32IINJECTION, SOLUTION / INTRAMUSCULAR78 mgExact identifier — unii candidate
174 equally ranked IID candidates
SODIUM HYDROXIDESODIUM HYDROXIDE55X04QC32ICAPSULE, DELAYED RELEASE / ORAL0.25 mgExact identifier — unii candidate
174 equally ranked IID candidates
EDETATE DISODIUMEDETATE DISODIUM7FLD91C86KINJECTION, POWDER, FOR SUSPENSION / INTRAVENOUS0.4 mgExact identifier — unii candidate
77 equally ranked IID candidates
SODIUM CHLORIDESODIUM CHLORIDE451W47IQ8XLIQUID / SUBCUTANEOUS0.7 %w/vExact identifier — unii candidate
134 equally ranked IID candidates
EDETATE DISODIUMEDETATE DISODIUM7FLD91C86KSUSPENSION / AURICULAR (OTIC)0.01 %w/vExact identifier — unii candidate
77 equally ranked IID candidates
SODIUM HYDROXIDESODIUM HYDROXIDE55X04QC32IAEROSOL, FOAM / TOPICALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
SODIUM HYDROXIDESODIUM HYDROXIDE55X04QC32IINJECTION / ENDOTRACHEALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
HYDROCHLORIC ACIDHYDROCHLORIC ACIDQTT17582CBINJECTION, POWDER, FOR SOLUTION / INTRATUMORADJ PHExact identifier — unii candidate
148 equally ranked IID candidates
ACETIC ACIDACETIC ACIDQ40Q9N063PSOLUTION / IRRIGATIONADJ PHExact identifier — unii candidate
45 equally ranked IID candidates
SODIUM CHLORIDESODIUM CHLORIDE451W47IQ8XSUSPENSION/ DROPS / TOPICAL0.23 %w/vExact identifier — unii candidate
134 equally ranked IID candidates
HYDROCHLORIC ACIDHYDROCHLORIC ACIDQTT17582CBINJECTION, SOLUTION / SUBMUCOSALADJ PHExact identifier — unii candidate
148 equally ranked IID candidates
HYDROCHLORIC ACIDHYDROCHLORIC ACIDQTT17582CBINJECTION / INTRAPLEURALADJ PHExact identifier — unii candidate
148 equally ranked IID candidates
SODIUM ACETATESODIUM ACETATE4550K0SC9BSYRUP / ORAL43 mgExact identifier — unii candidate
32 equally ranked IID candidates
SODIUM HYDROXIDESODIUM HYDROXIDE55X04QC32IINJECTION, SOLUTION / PARENTERALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
HYDROCHLORIC ACIDHYDROCHLORIC ACIDQTT17582CBSOLUTION / DENTALADJ PHExact identifier — unii candidate
148 equally ranked IID candidates
SODIUM HYDROXIDESODIUM HYDROXIDE55X04QC32IINJECTION, SOLUTION / INFILTRATIONADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
EDETATE DISODIUMEDETATE DISODIUM7FLD91C86KSOLUTION / RESPIRATORY (INHALATION)43 mgExact identifier — unii candidate
77 equally ranked IID candidates

Orange Book application contexts#

All distinct exact application/product contexts derived from this label’s complete NDC list are paginated below.

Orange Book application contexts page 1 of 1 · 1 matching rows.

Source provenance: Browse the complete Orange Book source catalog · source snapshot 43.

Orange Book products#

Current product rows page 1 of 1 · 1 matching rows.

Application-product, Trade name, Ingredient table
Application-productTrade nameIngredientStrengthDosage form / routeTE codesRLD / RSApproval date
N021537-001CIPRODEXCIPROFLOXACIN; DEXAMETHASONE0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-18

Therapeutic equivalence codes#

Current TE-code rows page 1 of 1 · 1 matching rows.

Application-product, TE code table
Application-productTE code
N021537-001AB

Observed Orange Book product history#

Observed FDA ZIP history: Each table is queried independently by exact application/product key from successfully parsed Orange Book snapshots. Capture times identify archived source observations; absence or a change between snapshots is not inferred. FDA publication files that were not recoverable as structured ZIP data are not represented as states.

Product history page 1 of 2 · 43 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTrade nameStrengthDosage form / routeProduct TE source textRLD / RSApproval dateSource SHA-256
2026-09-14 22:38:342026-08N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-1884e616aacf4f…
2026-08-18 06:07:402026-07N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-18caaa826d4ba7…
2026-02-19 14:30 UTC2026-02N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-18011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-1831067a03dcf5…
2025-08-23 18:47 UTC2025-08N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-186a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-18fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-18b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-1803ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-182680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-185bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-18d8e5a09893c0…
2024-10-29 15:01 UTC2024-10N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-18d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-1879d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-18301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-181e350fbaab3a…
2024-05-31 18:47 UTC2024-05N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-188072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-185c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-185d02ea3f76ae…
2022-04-04 05:41 UTC2022-04N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-184b0b4de00fa7…
2019-12-13 00:20 UTC2019-12N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICRLD, RS2003-07-1874a2ff9319b5…
2022-03-09 01:35 UTC2022-03N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-18bb7c543d1eb4…
2021-12-28 21:50 UTC2021-12N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-18782e0a99824c…
2021-05-05 16:15 UTC · 3 captures of this ZIP2021-05N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-1887673890dc5c…
2021-03-12 10:30 UTC2021-03N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-185aa47cf7b7d7…
2020-12-22 03:56 UTC2020-12N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-188869cabd3fbd…
2020-11-12 02:37 UTC2020-11N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-18c0c555d07b60…
2019-12-14 00:12 UTC2019-12N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICRLD, RS2003-07-183f01610625f2…
2019-09-15 20:21 UTC2019-09N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICRLD, RS2003-07-18b00525d2431f…
2019-07-19 19:46 UTC2019-07N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICRLD, RS2003-07-18ea99ee380514…
2024-03-16 18:09 UTC · 4 captures of this ZIP2024-03N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-186a51e52b5d6a…
2024-02-18 07:12 UTC2024-02N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-181c564ffb4f44…
2023-12-20 04:57 UTC2023-12N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-18ea1830bbd6c7…
2023-11-28 05:40 UTC · 2 captures of this ZIP2023-11N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-18a72a2bbeb626…
2023-10-25 00:34 UTC · 2 captures of this ZIP2023-10N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-189b2671bbb829…
2023-07-15 15:27 UTC · 2 captures of this ZIP2023-07N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-18a67488948f0b…
2023-06-13 01:57 UTC · 3 captures of this ZIP2023-06N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-183f0d92c62455…
2023-05-13 08:27 UTC2023-05N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-18053a50430f4f…
2023-01-26 05:58 UTC2023-01N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-183bdfa0b2c4d7…
2022-11-12 20:34 UTC · 5 captures of this ZIP2022-11N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-183a93d1ddd44b…
2022-10-28 04:53 UTC2022-10N021537-001CIPRODEX0.3%;0.1%SUSPENSION/DROPS / OTICABRLD, RS2003-07-18f41ea6bd6efb…

Observed Orange Book normalized TE history#

Captured, Edition, Application-product table
CapturedEditionApplication-productTE codeOrderSource SHA-256
2026-09-14 22:38:342026-08N021537-001AB184e616aacf4f…
2026-08-18 06:07:402026-07N021537-001AB1caaa826d4ba7…
2026-02-19 14:30 UTC2026-02N021537-001AB1011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12N021537-001AB131067a03dcf5…
2025-08-23 18:47 UTC2025-08N021537-001AB16a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03N021537-001AB1fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02N021537-001AB1b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01N021537-001AB103ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12N021537-001AB12680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09N021537-001AB15bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11N021537-001AB1d8e5a09893c0…
2024-10-29 15:01 UTC2024-10N021537-001AB1d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08N021537-001AB179d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07N021537-001AB1301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06N021537-001AB11e350fbaab3a…
2024-05-31 18:47 UTC2024-05N021537-001AB18072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06N021537-001AB15c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04N021537-001AB15d02ea3f76ae…
2022-04-04 05:41 UTC2022-04N021537-001AB14b0b4de00fa7…
2022-03-09 01:35 UTC2022-03N021537-001AB1bb7c543d1eb4…
2021-12-28 21:50 UTC2021-12N021537-001AB1782e0a99824c…
2021-05-05 16:15 UTC · 3 captures of this ZIP2021-05N021537-001AB187673890dc5c…
2021-03-12 10:30 UTC2021-03N021537-001AB15aa47cf7b7d7…
2020-12-22 03:56 UTC2020-12N021537-001AB18869cabd3fbd…
2020-11-12 02:37 UTC2020-11N021537-001AB1c0c555d07b60…
2024-03-16 18:09 UTC · 4 captures of this ZIP2024-03N021537-001AB16a51e52b5d6a…
2024-02-18 07:12 UTC2024-02N021537-001AB11c564ffb4f44…
2023-12-20 04:57 UTC2023-12N021537-001AB1ea1830bbd6c7…
2023-11-28 05:40 UTC · 2 captures of this ZIP2023-11N021537-001AB1a72a2bbeb626…
2023-10-25 00:34 UTC · 2 captures of this ZIP2023-10N021537-001AB19b2671bbb829…
2023-07-15 15:27 UTC · 2 captures of this ZIP2023-07N021537-001AB1a67488948f0b…
2023-06-13 01:57 UTC · 3 captures of this ZIP2023-06N021537-001AB13f0d92c62455…
2023-05-13 08:27 UTC2023-05N021537-001AB1053a50430f4f…
2023-01-26 05:58 UTC2023-01N021537-001AB13bdfa0b2c4d7…
2022-11-12 20:34 UTC · 5 captures of this ZIP2022-11N021537-001AB13a93d1ddd44b…
2022-10-28 04:53 UTC2022-10N021537-001AB1f41ea6bd6efb…
2022-09-29 23:25 UTC2022-09N021537-001AB1e64feba35796…
2022-07-09 03:26 UTC · 3 captures of this ZIP2022-07N021537-001AB1cb3db0bc1861…
2026-07-26 02:55 UTC · 3 captures of this ZIP2026-06N021537-001AB1a50c72e98297…

Observed Orange Book patent history#

Patent history page 1 of 4 · 123 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productPatentExpirationUse codeCoverage / statusSubmission dateSource SHA-256
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12N021537-00188466502025-06-04U-1578Drug product2014-10-0331067a03dcf5…
2025-08-23 18:47 UTC2025-08N021537-00188466502025-06-04U-1578Drug product2014-10-036a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03N021537-00188466502025-06-04U-1578Drug product2014-10-03fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02N021537-00188466502025-06-04U-1578Drug product2014-10-03b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01N021537-00188466502025-06-04U-1578Drug product2014-10-0303ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12N021537-00188466502025-06-04U-1578Drug product2014-10-032680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09N021537-00188466502025-06-04U-1578Drug product2014-10-035bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11N021537-00188466502025-06-04U-1578Drug product2014-10-03d8e5a09893c0…
2024-10-29 15:01 UTC2024-10N021537-00188466502025-06-04U-1578Drug product2014-10-03d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08N021537-00188466502025-06-04U-1578Drug product2014-10-0379d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07N021537-00188466502025-06-04U-1578Drug product2014-10-03301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06N021537-00188466502025-06-04U-1578Drug product2014-10-031e350fbaab3a…
2024-05-31 18:47 UTC2024-05N021537-00188466502025-06-04U-1578Drug product2014-10-038072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06N021537-00191494862022-09-13U-1578Drug product2015-11-025c6f7cd8ea54…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06N021537-00193457142022-09-13U-1578Drug product2016-06-065c6f7cd8ea54…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06N021537-00194028052022-09-13U-1578Drug product2016-08-025c6f7cd8ea54…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06N021537-00194028052022-09-13U-1679Drug product2016-08-025c6f7cd8ea54…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06N021537-00188466502025-06-04U-1578Drug product2014-10-035c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04N021537-00191494862022-09-13U-1578Drug product2015-11-025d02ea3f76ae…
2022-04-08 23:34 UTC2022-04N021537-00193457142022-09-13U-1578Drug product2016-06-065d02ea3f76ae…
2022-04-08 23:34 UTC2022-04N021537-00194028052022-09-13U-1578Drug product2016-08-025d02ea3f76ae…
2022-04-08 23:34 UTC2022-04N021537-00194028052022-09-13U-1679Drug product2016-08-025d02ea3f76ae…
2022-04-08 23:34 UTC2022-04N021537-00188466502025-06-04U-1578Drug product2014-10-035d02ea3f76ae…
2022-04-04 05:41 UTC2022-04N021537-00191494862022-09-13U-1578Drug product2015-11-024b0b4de00fa7…
2022-04-04 05:41 UTC2022-04N021537-00193457142022-09-13U-1578Drug product2016-06-064b0b4de00fa7…
2022-04-04 05:41 UTC2022-04N021537-00194028052022-09-13U-1578Drug product2016-08-024b0b4de00fa7…
2022-04-04 05:41 UTC2022-04N021537-00194028052022-09-13U-1679Drug product2016-08-024b0b4de00fa7…
2022-04-04 05:41 UTC2022-04N021537-00188466502025-06-04U-1578Drug product2014-10-034b0b4de00fa7…
2019-12-13 00:20 UTC2019-12N021537-00162848042020-08-1074a2ff9319b5…
2019-12-13 00:20 UTC2019-12N021537-00163590162020-08-1074a2ff9319b5…
2019-12-13 00:20 UTC2019-12N021537-00191494862022-09-13U-1578Drug product2015-11-0274a2ff9319b5…
2019-12-13 00:20 UTC2019-12N021537-00193457142022-09-13U-1578Drug product2016-06-0674a2ff9319b5…
2019-12-13 00:20 UTC2019-12N021537-00194028052022-09-13U-1578Drug product2016-08-0274a2ff9319b5…
2019-12-13 00:20 UTC2019-12N021537-00194028052022-09-13U-1679Drug product2016-08-0274a2ff9319b5…
2019-12-13 00:20 UTC2019-12N021537-00188466502025-06-04U-1578Drug product2014-10-0374a2ff9319b5…
2022-03-09 01:35 UTC2022-03N021537-00191494862022-09-13U-1578Drug product2015-11-02bb7c543d1eb4…
2022-03-09 01:35 UTC2022-03N021537-00193457142022-09-13U-1578Drug product2016-06-06bb7c543d1eb4…
2022-03-09 01:35 UTC2022-03N021537-00194028052022-09-13U-1679Drug product2016-08-02bb7c543d1eb4…
2022-03-09 01:35 UTC2022-03N021537-00194028052022-09-13U-1578Drug product2016-08-02bb7c543d1eb4…
2022-03-09 01:35 UTC2022-03N021537-00188466502025-06-04U-1578Drug product2014-10-03bb7c543d1eb4…

openFDA label cross-check#

OpenFDA label data provides additional search and identifier links. DailyMed’s Structured Product Label is the canonical label on FDA.report. Matching records are deduplicated before they are shown below.

Matched openFDA labels page 1 of 1 · 1 matching rows.

Brand, Generic, Manufacturer table
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
895c2307-aeeb-49fd-ac3d-750a463fc3ef895c2307-aeeb-49fd-ac3d-750a463fc3ef2011-08-23Warnings, Adverse reactionsExact identifier
spl id: 895c2307-aeeb-49fd-ac3d-750a463fc3ef
spl set id: 895c2307-aeeb-49fd-ac3d-750a463fc3ef

Reported adverse events (FAERS/openFDA)#

Adverse event summaries are temporarily unavailable. Other product information remains available.