FOR UK HEALTHCARE PROFESSIONALS

For more information about Cetraxal®, please see the prescribing information.

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The Cetraxal Range

For uncomplicated AOE with:


Intact eardrum 


Pain


Absence of swelling


Suitable for patients aged 1yr+


For more symptomatic AOE with:


Known/suspected eardrum perforation 


Swelling


Tympanostomy tubes


Suitable for patients aged 6mo+


The Cetraxal range is considered to be non-ototoxic1 with Cetraxal Plus suitable for use where there is swelling or known or suspected tympanic membrane perforation.

Find out more about the Cetraxal range’s non-ototoxic properties here

Treatment options can be tailored to the patient. Cetraxal offers a steroid-free option and Cetraxal Plus is suitable for use in AOE where tympanic membrane perforation is present or suspected.

Single-dose ampoules enable:
✓ Accurate dosing
✓ Low risk of cross contamination2
✓ Easy, targeted administration: a study found 94.4% of patients found it easy to administer2
✓ Support of treatment adherence : simple, one ampoule per ear bi-daily dosing regimen

Free from preservatives and with no known sensitisers, the Cetraxal range is well tolerated whilst still being efficacious. Most common adverse events: ear pain, ear discomfort, ear pruritus, dysgeusia.

NICE advises consideration of the following factors when prescribing a topical antibiotic:3

Status of eardrum (perforated or intact) ✓ Cetraxal Plus can be used with a perforated tympanic membrane
Personal preference ✓ The Cetraxal range allows for a tailored treatment choice
Cost ✓ £6.01 per treatment course4
Dosing ✓ The Cetraxal range uses single dose ampoules for bi-daily dosing
Risk of adverse events:
– Fungal super-infection
– Aminoglycoside-induced:
– Ototoxicity
– Skin sensitization
✓ The Cetraxal range is non-ototoxic and preservative-free with no known sensitising agents

Ototoxicity

Definition: A pharmacological adverse reaction affecting the inner ear or auditory nerve, characterized by cochlear or vestibular dysfunction5.

Aminoglycosides are well known to cause ototoxicity6:

  • Gentamicin: vestibulotoxic7
    • Can result in dizziness, ataxia and nystagmus
  • Neomycin: cochleotoxic7
    • Can lead to permanent hearing loss

The Cetraxal range provides a non-ototoxic treatment option and may offer an alternative where antimicrobial resistance (AMR) is a complication

Fluoroquinolones eg. Cetraxal range are considered to be non-ototoxic1

Antimicrobial resistance

  • In a study of 144 swabs taken from patients with AOE the most commonly identified pathogen was Pseudomonas aeruginosa (45.1%)8:
    • All P. aeruginosa isolates were resistant to neomycin
    • All P. aeruginosa isolates were sensitive to ciprofloxacin eg. Cetraxal range