EarCalm spray and drops: uses, prices and side effects

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During the summer months, ear infections like swimmer’s ear become more common, especially due to increased time spent in pools, lakes, and the sea. EarCalm is a trusted over-the-counter treatment that can help manage mild outer ear infections caused by bacteria or fungi. Available as EarCalm drops and EarCalm spray, this product contains acetic acid, which creates an acidic environment in the ear canal that helps stop the growth of harmful microbes. It's ideal for treating symptoms such as itching, mild pain, and irritation—common issues during hot, humid weather or after frequent swimming. The EarCalm spray UK version is especially convenient during travel or holidays. Its pump-action design allows for easy, mess-free application, making it a practical choice for on-the-go ear care. It delivers a metered dose directly into the ear canal, helping soothe discomfort quickly and effectively. It's suitable for adults and children over 12 years of age. EarCalm drops offer an alternative for those who prefer traditional dropper-style application. Both forms are typically used three times a day and continued for up to seven days or until two days after symptoms have cleared. Whether you're heading to the beach or spending time in the pool this summer, having EarCalm spray or ear drops on hand can be a smart way to prevent or treat minor ear infections. If symptoms persist or worsen, it's best to consult a pharmacist or doctor. Learn more about it in our detailed review.

What is EarCalm spray​​ and what does it do?

EarCalm spray is an over-the-counter treatment designed to relieve minor infections of the outer ear, commonly referred to as otitis externa or "swimmer’s ear". It contains 2% acetic acid – an antibacterial and antifungal agent that creates an environment in the ear canal that is hostile to bacteria such as Pseudomonas and Haemophilus, as well as fungi and yeasts like Candida.

  • How it works The spray formulation ensures accurate and even application of the active ingredient directly into the ear canal. It helps to quickly relieve common symptoms such as itching, pain, redness, and swelling.
  • Directions for use Suitable for adults and children aged 12 and over, the usual dose is one spray into the affected ear at least three times daily. It’s particularly useful after swimming or showering. You should leave at least 2 to 3 hours between each dose and continue using it for two days after symptoms have cleared. Do not use the spray for more than seven consecutive days.
  • Safety and precautions EarCalm is generally well tolerated, although some users may experience mild stinging when treatment begins. It should not be used if the eardrum is perforated or if symptoms persist, worsen, or include hearing loss – in these cases, consult a healthcare professional.

Was EarCalm discontinued?

EarCalm spray has not been discontinued and is still available over the counter in the UK and EU. It is stocked by a range of well-known pharmacies, including Boots, Pharmacy Prime, Chemist4U, and other trusted retailers. While some websites may occasionally list the product as “sold out” or “temporarily unavailable”, this is typically due to short-term supply issues rather than a permanent withdrawal from the market. In most cases, these stock shortages are quickly resolved, and the product becomes available again within a few days. If you are unable to find EarCalm at your usual pharmacy, it is worth checking with alternative retailers or looking online, where many offer next-day delivery options.

In summary, EarCalm remains an active and accessible treatment for outer ear infections, and there is no indication that it has been permanently discontinued.

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EarCalm side effects and precautions

EarCalm is generally well tolerated, but like all medicines, it can cause side effects in some people.

Common Side Effects

  • Mild stinging or burning in the ear when the spray is first applied. This is usually temporary and disappears as the ear adjusts to the treatment.
  • Irritation or discomfort in the ear canal, particularly if used frequently.
  • Dryness or flaking skin around the ear opening.
  • These effects are typically mild and do not require stopping treatment unless they persist or worsen.

Rare Side Effects

  • Allergic reactions, including rash, itching, swelling, or redness around the ear.
  • Increased pain, discharge, or hearing loss – these may indicate the infection is worsening or that the eardrum is affected.
  • If you experience any severe or unusual symptoms, stop using EarCalm and seek medical advice.v

Using EarCalm Too Much or Too Long

EarCalm should not be used more than once every 2 to 3 hours and no more than three times daily. Overuse may lead to:

  • Increased irritation of the ear canal.
  • Dryness or breakdown of the skin in the ear.
  • Reduced effectiveness of the treatment over time.

Using EarCalm for longer than 7 consecutive days without medical advice can:

  • Mask more serious underlying ear conditions.
  • Lead to resistance or imbalance in the natural flora of the ear.
  • Increase the risk of prolonged irritation or secondary infection.
  • If you feel the need to use it for more than a week or if symptoms persist or worsen, consult a doctor.

Precautions

  • Do not use if you have a perforated eardrum (hole in the eardrum), as this can allow the spray to enter the middle ear and cause complications.
  • Not suitable for children under 12 years old unless advised by a doctor.
  • Do not use for more than 7 consecutive days without consulting a healthcare professional.
  • Avoid contact with eyes, mouth, or broken skin.
  • If symptoms worsen or do not improve within 48 hours, stop use and consult a doctor.
  • Always read the patient information leaflet before use or speak to a pharmacist for personalised advice.

Where can I buy EarCalm spray in the UK?

EarCalm spray is widely available across the UK, both online and in high street stores. If you're looking to purchase it, there are several reliable options to consider.

  • Boots is one of the main stockists of EarCalm. You can find it in-store or order it online via their website. The online purchase process includes a short questionnaire to ensure the product is suitable for you. Stock levels can vary, so it’s a good idea to check availability using their "Find in store" tool.
  • Tesco, ASDA, and Sainsbury’s may also stock EarCalm in their larger branches, particularly those with in-store pharmacies. While it may not always be available on their general online store, you can enquire directly at the pharmacy counter or use their online pharmacy services if available.
  • Amazon UK is another convenient option. EarCalm is sold by various third-party sellers, so it’s important to choose reputable vendors and compare prices. Make sure to check delivery times and reviews before purchasing, as prices may vary and stock can fluctuate.
  • In addition, a number of online pharmacies stock EarCalm spray and often offer next-day delivery. Trusted sites include Chemist4U, Pharmacy Prime, HighTown Pharmacy, and Online Chemist. These are reliable sources, particularly if you’re unable to find the product in local shops.
  • In summary, EarCalm spray is still readily available across the UK. If one retailer is out of stock, you’ll likely find it through another pharmacy, supermarket, or online store.

EarCalm spray reviews and opionions

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EarCalm spray receives generally positive reviews from users, particularly for its effectiveness in treating minor outer ear infections such as otitis externa. Many people appreciate the speed with which it relieves symptoms like itching, pain, and swelling. One eBay user rated it 4.6 out of 5 and commented that the relief was “almost immediate,” recommending it as a handy item to include in a holiday first aid kit. Several reviews also highlight the convenience of the spray format. A user on Medicines2U noted that the pump makes it much easier to apply than traditional ear drops, describing it as “really effective and easy to use.” Similarly, a Boots customer wrote that the spray cleared an aggressive infection within a couple of days and said they would “definitely recommend” it. On Amazon UK, some users pointed out that while the price can vary between sellers, the active ingredient—acetic acid—remains the same. They still considered it good value for money and effective for its purpose. However, not all feedback is universally glowing. Some users on Reddit noted that EarCalm is intended only for infections of the outer ear canal and would not help with issues like tinnitus or deeper ear infections. One GP commented that while it’s safe and well-tolerated, it’s important to use it only for the correct indications. Others reminded users that acetic acid is essentially vinegar, and its use should be limited to what it’s clinically meant for. Overall, the consensus is that EarCalm is a practical, affordable, and fast-acting solution for minor ear infections. While it is not a cure-all, especially for more complex ear conditions, it remains a trusted option for short-term relief of outer ear discomfort.

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EarCalm spray ingredients

EarCalm spray contains a combination of active and inactive ingredients specifically designed to treat minor infections of the outer ear (otitis externa). Here’s a breakdown of what’s inside:

Active Ingredient

Acetic acid 2% w/v - This is the key medicinal component in EarCalm. Acetic acid is a mild antibacterial and antifungal agent that works by creating an acidic environment in the ear canal. This helps to prevent the growth of bacteria and fungi that commonly cause infections such as swimmer’s ear.

Inactive (Excipients) Ingredients

  • Macrogol 400 - A type of polyethylene glycol used as a solvent and to help distribute the acetic acid evenly.
  • Propylene glycol - Acts as a humectant and solvent, helping the spray stay effective and comfortable in the ear canal.
  • Purified water - Used as a base to dissolve and dilute the other ingredients for safe application.

Formulation Type

EarCalm comes in a metered-dose spray that delivers the solution directly into the external auditory canal, ensuring even distribution and ease of use compared to traditional ear drops.

Important Notes

  • No steroids or antibiotics are included in the formulation, making it suitable for over-the-counter use.
  • It is free from preservatives and fragrances, reducing the risk of allergic reactions or irritation.
  • Always check the patient information leaflet for full details, especially if you have known sensitivities.
  • In summary, EarCalm’s simple yet effective formulation is designed to relieve symptoms of mild outer ear infections safely and efficiently.

Is EarCalm spray an antibiotic for ear infections?

  • EarCalm spray is not an antibiotic ear spray in the traditional sense. It is classified as an antibacterial ear spray, as it contains acetic acid (2% w/v) – a mild acid with antibacterial and antifungal properties. While it helps treat minor infections of the outer ear, such as otitis externa (commonly known as “swimmer’s ear”), it does not contain prescription antibiotics like neomycin or ciprofloxacin, which are typically used for more serious or persistent ear infections.
  • The acetic acid in EarCalm works by creating an acidic environment inside the ear canal, which makes it difficult for bacteria and fungi to grow. This helps reduce symptoms such as itching, discomfort, and inflammation. Because it’s an over-the-counter treatment, EarCalm is ideal for managing early signs of outer ear infections without the need for a prescription.
  • As an antibacterial ear spray, EarCalm is effective for minor, superficial infections of the external ear. However, it is not suitable for deeper or more severe infections, such as middle ear infections (otitis media), or for individuals with a perforated eardrum. In such cases, a proper antibiotic ear spray or oral antibiotics prescribed by a healthcare professional may be necessary.
  • In summary, EarCalm is a safe and effective antibacterial ear spray designed to treat mild external ear infections. While it is not a true antibiotic ear spray, its active ingredient – acetic acid – provides targeted relief for bacterial and fungal infections of the outer ear. If symptoms persist or worsen after a few days of use, or if there is hearing loss or severe pain, it’s important to stop using EarCalm and seek medical advice for a more appropriate antibiotic treatment.

Can EarCalm be used with a perforated eardrum?

No, EarCalm should not be used if you have a perforated eardrum. This applies not only to EarCalm spray but also to many types of ear drops. A perforated eardrum, or ruptured tympanic membrane, is a hole or tear in the thin tissue that separates the outer ear from the middle ear. When the eardrum is damaged, using sprays or drops can allow the solution to pass into the middle ear, where it may cause irritation, pain, or even further injury.

  • EarCalm contains 2% acetic acid, an antibacterial and antifungal agent effective for treating outer ear infections (otitis externa). However, when applied in the presence of a perforated eardrum, the solution could come into contact with the delicate structures of the middle ear, potentially worsening symptoms or affecting hearing and balance.
  • Most ear drops, including those for infections or wax removal, carry similar warnings. Always read the patient information leaflet and consult a doctor or pharmacist if you are unsure.

Signs of a perforated eardrum include:

  • Sudden ear pain followed by relief
  • Discharge from the ear (clear, bloody, or pus-filled)
  • Hearing loss or a ringing sound (tinnitus)
  • A feeling of fullness in the ear

What to do instead:

  • If you suspect a perforation, avoid using any over-the-counter ear sprays or drops. A GP or ENT specialist may prescribe ear drops specifically designed to be safe for use with a perforated eardrum or may recommend other treatments based on the cause and severity of the problem.

Where can I buy EarCalm spray in the world?

EarCalm spray is widely available in the UK and parts of Europe, but access in other parts of the world can be limited. Here’s a guide to where and how you can purchase EarCalm internationally, including information on local availability and online options.

United Kingdom (UK) – Easy Access  

EarCalm is an over-the-counter medicine in the UK and can be found in most high street pharmacies and online retailers. You can purchase it from:

  • Boots – Available in-store and online, usually priced around £8.99. Boots also offers a "check store stock" tool.
  • Amazon UK – EarCalm spray is sold by multiple vendors. Search for “ear calm spray amazon UK” to find listings. Be sure to buy from reputable sellers and check reviews.
  • Online pharmacies – Trusted options include Chemist4U, Pharmacy Prime, Simple Online Pharmacy, and Hightown Pharmacy. Many offer next-day delivery within the UK.

Australia – Limited Local Availability

  • EarCalm spray is not typically stocked in Australian pharmacies. However, some users in Australia report ordering it from the UK. Similar products such as EarClear or acid-based ear drops are available locally but may not offer the same formulation.
  • If you specifically want EarCalm, your best option is to purchase it from Amazon UK or eBay UK sellers that ship internationally.

Thailand – Not Commonly Available 

  • There are no major listings of EarCalm spray in Thai pharmacies or supermarkets. If you're in Thailand, it's unlikely you’ll find it in local shops like 7-Eleven or Boots Thailand. To obtain it, you’ll need to order from abroad, such as through Amazon UK, eBay, or UK-based online pharmacies that offer international shipping.

Other Regions

  • United States & Canada: EarCalm is not licensed for sale, and you won’t typically find it in local pharmacies. However, acetic acid-based ear drops may be prescribed. For EarCalm specifically, ordering from a UK seller on Amazon or eBay is the most practical option.
  • EU countries: Some EU nations stock EarCalm or similar sprays. Availability may vary by country, but many EU residents can order it from UK pharmacies with cross-border shipping.
  • Middle East & Asia: EarCalm is not commonly stocked in retail pharmacies. Importing through online pharmacies or platforms like Amazon UK is the best approach.

Conclusion

  • EarCalm spray is readily available in the UK through major pharmacies and online platforms. For other countries such as Australia or Thailand, local availability is limited or non-existent, but the product can still be obtained via international shipping from Amazon UK, eBay, or UK online pharmacies. If you are outside the UK and need an antibacterial ear spray, you may also consider local alternatives containing acetic acid, after consulting a pharmacist.
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EarCalm spray: how to use it effectively

EarCalm spray is a widely used over-the-counter treatment for outer ear infections (otitis externa), including swimmer’s ear. It contains 2% acetic acid, which helps reduce bacterial and fungal growth in the ear canal. To ensure the best results, it’s important to understand how to use EarCalm spray correctly.

  1. Start by shaking the bottle well. Before the first use, prime the spray by pressing the pump until a fine mist appears. Hold the bottle upright and place the nozzle just inside the ear canal opening—do not insert it deep into the ear. Press the pump firmly to release one measured dose.
  2. You should apply one spray into the affected ear at least three times a day. Allow 2 to 3 hours between doses, and do not exceed more than three applications in a 24-hour period. Continue using EarCalm for two days after your symptoms have cleared, but do not use it for more than seven consecutive days without consulting a doctor. This helps prevent overuse, which can cause irritation or delay proper treatment if symptoms persist.
  3. Many people ask, "Do you use EarCalm spray in both ears?" The answer depends on your symptoms. If both ears are infected or irritated, you can use it in each ear, following the same directions separately for each side. If only one ear is affected, treat only that ear
  4. Be cautious with continued use. EarCalm spray is not meant for long-term use, and if symptoms worsen or do not improve within 48 hours, seek medical advice.
  5. When to use EarCalm spray: it's best used at the first sign of ear irritation, after swimming, or when experiencing mild itching or discomfort linked to bacterial or fungal infection. Always follow the patient leaflet for safe use.

How long does EarCalm take to work?

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EarCalm spray typically begins to relieve symptoms of outer ear infections within 24 to 48 hours of starting treatment. Many users report a noticeable reduction in itching, discomfort, and inflammation within the first day of use. The active ingredient, 2% acetic acid, works by creating an acidic environment in the ear canal that inhibits the growth of bacteria and fungi responsible for infections like otitis externa (swimmer’s ear). For best results, EarCalm should be applied at least three times daily, with each dose spaced 2 to 3 hours apart. It's important to continue using the spray for two full days after symptoms have cleared to ensure the infection is fully resolved. If you do not experience any improvement within 48 hours, or if symptoms worsen (such as increasing pain, discharge, or hearing loss), stop using EarCalm and seek medical advice. This could indicate a more serious infection that requires prescription treatment or a different type of medication. In summary:

  • Initial relief: Often within 24–48 hours.
  • Full course: Continue for two days after symptoms clear.
  • Seek medical advice: If no improvement within 48 hours or if symptoms worsen.
  • Always follow the instructions in the patient leaflet or consult a pharmacist or GP for personalised advice.

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Is EarCalm ideal for tinnitus and ears ringing?

EarCalm is not ideal for tinnitus or ringing in the ears. It is specifically formulated to treat outer ear infections (otitis externa), not inner ear or neurological conditions like tinnitus. EarCalm contains 2% acetic acid, which works as an antibacterial and antifungal agent to combat infections in the external ear canal. While it can relieve symptoms such as itching, discomfort, and inflammation caused by bacterial or fungal infections, it has no effect on tinnitus, which typically originates from the inner ear, auditory nerve, or brain.

Why EarCalm Doesn’t Help Tinnitus

  • Tinnitus is not caused by outer ear infections in most cases.
  • EarCalm does not reach the inner ear where tinnitus is believed to arise.
  • Using it without a proper diagnosis may delay appropriate treatment or worsen irritation if used unnecessarily.
  • Some people experiencing ringing in the ears might mistakenly think it's due to an ear infection. However, unless there are clear signs of an external infection (e.g. pain, swelling, discharge), EarCalm is unlikely to help. In fact, using it when it’s not needed — especially if there is a perforated eardrum — may cause discomfort or complications.

What to Do for Tinnitus

  • If you're experiencing persistent ringing, buzzing, or hissing sounds in your ears, it's important to:
  • Consult a GP or audiologist.
  • Rule out underlying conditions like hearing loss, earwax build-up, or circulatory issues.
  • Avoid self-treating with products like EarCalm unless advised by a medical professional.

Is EarCalm good for ear infections?

EarCalm is a popular over-the-counter ear spray for ear infections, particularly those affecting the outer ear (otitis externa), commonly known as swimmer’s ear. It is designed to treat minor bacterial and fungal infections and offers fast-acting relief for symptoms such as itching, discomfort, and inflammation.

  • EarCalm contains 2% acetic acid, a mild antibacterial and antifungal agent. When sprayed into the ear canal, it lowers the pH, creating an environment that is hostile to the growth of bacteria and fungi. This makes EarCalm for ear infection an effective solution when the infection is limited to the outer ear and caught early.
  • Although it is not a traditional antibiotic, EarCalm is suitable for treating both bacterial and fungal infections. In fact, many people successfully use EarCalm spray for fungal infection of the ear, especially when symptoms include itching and irritation caused by organisms like Candida or Aspergillus. However, it’s important to confirm the cause of the infection, as middle ear infections (otitis media) or more severe infections may require prescription medication.
  • To use the spray, apply it at least three times a day, spacing doses by 2–3 hours. You should continue using it for two days after symptoms disappear, but do not exceed seven days of continuous use without medical advice.
  • In summary, EarCalm is a reliable ear infection spray for treating mild cases of otitis externa. It is particularly useful for those who need a fast, easy-to-use ear spray for ear infection without a prescription. However, it’s not suitable for inner or middle ear infections or for use if the eardrum is perforated. If symptoms persist or worsen after 48 hours, consult a healthcare professional for further guidance.

Does EarCalm soften or remove wax?

No, EarCalm does not soften or remove earwax. It is not a wax removal treatment and should not be used for that purpose.

EarCalm is specifically formulated to treat outer ear infections such as otitis externa (swimmer’s ear). Its active ingredient, 2% acetic acid, works by lowering the pH of the ear canal to create an environment that inhibits the growth of bacteria and fungi. It does not contain any ingredients designed to dissolve or loosen earwax.

If you are looking to soften or remove earwax, you should use a product specifically made for that purpose. Common wax-softening treatments include:

These products are available over the counter and are intended to break down hardened earwax, making it easier to remove naturally or by professional irrigation.

Important note:

  • Using EarCalm in the presence of impacted earwax or a blocked ear canal is not recommended, as the medication may not reach the area where it needs to act. Additionally, if you're unsure whether your symptoms are due to wax build-up or an infection, it's best to consult a pharmacist or GP before using any ear treatment.

In summary:

  • EarCalm does not soften or remove wax. It is an antibacterial ear spray used to treat infections of the outer ear canal. For earwax-related issues, choose a product specifically designed for wax removal.

Does EarCalm spray work for itchy ears?

Yes, EarCalm spray can be effective for itchy ears, but only when the itching is caused by a mild outer ear infection (otitis externa) or irritation due to bacterial or fungal overgrowth.

EarCalm contains 2% acetic acid, which helps restore the natural acidic balance of the outer ear canal. This acidic environment can reduce inflammation and stop the growth of bacteria and fungi—both common causes of itching, discomfort, and irritation in the outer ear.

When EarCalm May Help with Itchy Ears:

  • You’ve recently been swimming or had water trapped in the ears.
  • You experience mild redness, irritation, or a damp feeling in the ear canal.
  • There are early signs of an outer ear infection (e.g. mild swelling, itchiness, or discomfort without severe pain or discharge).
  • In these cases, using EarCalm three times daily as directed may relieve itching and help stop the infection from worsening. Relief often starts within 24 to 48 hours.

When EarCalm May Not Be Appropriate:

  • If the itching is caused by dry skin, eczema, allergies, or wax build-up—EarCalm will likely not help.
  • If you have a perforated eardrum, avoid using EarCalm altogether.
  • Persistent or severe itching, especially with pain or discharge, should be assessed by a GP.

EarCalm for swimmer's ears and otitis externa

EarCalm is a widely recommended over-the-counter treatment for swimmer’s ear and otitis externa—two terms often used interchangeably to describe inflammation or infection of the outer ear canal. These conditions are typically caused by moisture, bacterial overgrowth, or fungal infection, often following swimming, bathing, or humid weather.

  • The active ingredient in EarCalm is 2% acetic acid, which works by creating an acidic environment in the ear canal. This helps stop the growth of bacteria and fungi, reducing inflammation, discomfort, and itchiness. Because of this action, EarCalm is especially useful for treating mild cases of swimmer’s ear, where water exposure has led to irritation or infection.

How to Use EarCalm for Swimmer’s Ear:

  1. Shake the bottle and spray once into the affected ear at least three times a day.
  2. Leave 2 to 3 hours between doses.
  3. Continue treatment for two days after symptoms improve, but not for more than seven consecutive days without medical advice.

When EarCalm Is Most Effective:

  • Early signs of outer ear infection: itching, discomfort, slight swelling.
  • After swimming or showering when water remains trapped in the ear canal.
  • As a first-line treatment for uncomplicated bacterial or fungal otitis externa.

When to See a Doctor:

  • If you experience severe pain, ear discharge, hearing loss, or no improvement within 48 hours.
  • If you have a perforated eardrum (EarCalm should not be used in this case).
  • For recurring or chronic otitis externa, which may require stronger prescription medication.

Is EarCalm OK for blocked ears?

EarCalm is not recommended for blocked ears unless the blockage is due to a mild outer ear infection (otitis externa). It is specifically designed to treat infections of the outer ear canal, not to clear obstructions such as earwax build-up, fluid behind the eardrum, or inner ear congestion.

✅ When EarCalm may help:

  • If your ears feel mildly blocked due to swelling, inflammation, or discharge from an outer ear infection.
  • If the blockage is caused by swimmer’s ear, where trapped water and infection cause irritation and partial obstruction of the ear canal.
  • In these cases, EarCalm may relieve symptoms by reducing inflammation and fighting the infection, helping restore normal airflow and sensation in the ear.

❌ When EarCalm is not suitable:

  • Wax build-up: EarCalm does not contain any wax-softening agents and will not dissolve hardened earwax.
  • Eustachian tube dysfunction or fluid in the middle ear: These issues affect the middle ear or deeper and require different treatments (e.g. decongestants, steam inhalation, or specialist care).
  • Perforated eardrum: Never use EarCalm if you suspect a hole in the eardrum, as the spray can irritate the middle ear.

What to do instead:

  • If your ears feel blocked and you don’t have signs of infection (such as pain, itching, or discharge), it’s best to consult a pharmacist or GP. They may recommend olive oil drops, earwax softeners, or a professional ear cleaning service.
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Is EarCalm the same as Otomize?

EarCalm and Otomize are both sprays used to treat otitis externa (outer ear infections), but they are not the same product. While they share some similarities in purpose, their ingredients, strength, and how you obtain them differ significantly.

  • EarCalm is an over-the-counter antibacterial ear spray that contains 2% acetic acid. It works by creating an acidic environment in the ear canal that discourages the growth of bacteria and fungi. EarCalm is best suited for mild cases of outer ear infections, such as early-stage swimmer’s ear or minor fungal infections. It is widely available without a prescription and is often used at the first sign of irritation or discomfort.
  • Otomize, on the other hand, is a prescription-only medication in the UK. It combines acetic acid, neomycin sulfate (a broad-spectrum antibiotic), and dexamethasone (a corticosteroid). This combination makes it far more powerful: it not only reduces bacterial and fungal growth but also relieves inflammation and swelling. Otomize is generally prescribed for more moderate to severe ear infections, or when symptoms persist despite using basic treatments like EarCalm.
  • Clinical studies have shown that sprays containing steroids and antibiotics, like Otomize, are significantly more effective than acetic acid alone. However, they should only be used under the supervision of a healthcare professional.

Choosing Between EarCalm and Otomize

Feature

EarCalm

Otomize

Purchase

Over-the-counter (no prescription)

Prescription-only in the UK

Ingredients

2% acetic acid

Acetic acid + Neomycin (antibiotic) + Dexamethasone (steroid)

Best for

Mild outer ear infections

Moderate to severe infections

Clinical evidence

Effective pH-lowering action

Stronger, triple-action treatment

In summary, EarCalm is a convenient first-line option for mild infections, while Otomize offers a stronger, medically supervised solution for more stubborn or inflamed cases. Both are used to treat the same condition, but they differ in strength and application.

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EarCalm dosage and uses

EarCalm is an over-the-counter antibacterial ear spray used to treat minor infections of the outer ear canal, such as otitis externa or swimmer’s ear. It is suitable for adults and children aged 12 years and over.

✅ Uses of EarCalm

EarCalm is used to relieve symptoms of:

  • Outer ear infections (otitis externa)
  • Swimmer’s ear
  • Mild fungal or bacterial infections of the external ear canal
  • Ear irritation due to moisture or trapped water

The active ingredient, 2% acetic acid, works by lowering the pH in the ear canal, creating an environment that discourages the growth of bacteria and fungi.

💧 EarCalm Dosage

  • Recommended dose: 1 spray into the affected ear at least three times a day
  • Maximum frequency: Do not apply more than once every 2 to 3 hours
  • Duration: Continue treatment for 2 full days after symptoms have cleared
  • Maximum course: Do not use for more than 7 consecutive days without medical advice

Before the first use, prime the spray by pressing the pump until a fine mist is produced. Always shake the bottle before each application and ensure the nozzle is placed just at the entrance of the ear canal—do not insert it inside.

⚠️ Important Warnings

  • Do not use if you have a perforated eardrum
  • Not suitable for children under 12 unless advised by a doctor
  • Stop use and seek medical advice if symptoms worsen or persist beyond 48 hours

EarCalm age limit: can it be used on infants?

  • Is EarCalm spray suitable for children? No, it is not suitable for infants or young children under the age of 12. It is specifically licensed for use in adults and children aged 12 years and over, including older adults, for the treatment of minor outer ear infections such as otitis externa (commonly known as swimmer’s ear).
  • The active ingredient in EarCalm is 2% acetic acid, which helps create an acidic environment in the outer ear canal to prevent the growth of bacteria and fungi. While effective in older children and adults, its use in infants is not recommended unless directed by a healthcare professional. This is because infants are more likely to suffer from middle ear infections (otitis media) rather than outer ear infections, and these conditions require different treatments, such as oral antibiotics or specific ear drops suitable for young children.
  • Additionally, the metered-dose spray design of EarCalm may be difficult to apply correctly in an infant’s small and delicate ear canal. Incorrect use could lead to dosing errors, irritation, or further complications, especially if the child has a perforated eardrum—a condition that must be ruled out before using any ear spray.
  • If an infant shows signs of ear discomfort—such as pulling at the ears, irritability, fever, or ear discharge—parents should consult a GP or paediatrician. A healthcare professional can determine the cause of the symptoms and recommend the most appropriate, age-safe treatment.
  • In summary, EarCalm is not safe for use in infants. It should only be used in children aged 12 and over, as directed. For younger children and babies, always seek medical advice to ensure proper diagnosis and safe, effective treatment.

Does EarCalm spray work?

  • EarCalm Spray is a widely used over-the-counter treatment designed to relieve symptoms of mild outer ear infections, such as swimmer’s ear (otitis externa). It contains 2% acetic acid, which works by creating an acidic environment in the ear canal that helps stop the growth of bacteria and fungi.
  • Many people report noticeable relief within 48 hours of starting treatment. It is typically used for up to seven days, including two days after symptoms have cleared, to ensure the infection is fully treated. The spray format also makes it easy to apply, especially for those who find ear drops inconvenient.
  • EarCalm is often recommended as a first-line treatment for minor ear infections because it is affordable, easy to use, and has a low risk of side effects. Users frequently describe it as effective for relieving itching, irritation, and mild pain. Some people even report near-instant relief after application, especially when used at the first signs of discomfort.
  • However, it's important to note that EarCalm is only suitable for adults and children over 12 years old and should not be used if there is a suspected perforation of the eardrum. A mild stinging or burning sensation may occur after application, but this usually passes quickly.
  • If symptoms do not improve within two days, or if they worsen during or after a week of use, it’s essential to seek medical advice. Overall, EarCalm is considered a safe and effective option for managing minor external ear infections.

Can you use EarCalm in pregnancy?

Yes, EarCalm Spray is generally considered safe to use during pregnancy. It contains 2% acetic acid, a mild antiseptic that works locally in the ear canal to treat minor outer ear infections, such as swimmer’s ear. Because it is applied topically and only a small amount is absorbed into the body, the risk to a developing baby is considered very low.

  • There are no specific warnings against using EarCalm while pregnant or breastfeeding, and it is often recommended when a mild ear infection needs treatment without resorting to stronger antibiotics. However, like with any medication during pregnancy, it is always best to speak with your doctor, pharmacist, or midwife before starting treatment. They can confirm whether it’s suitable for your particular situation and advise on proper use.
  • When using EarCalm during pregnancy, make sure you follow the recommended dosage instructions and do not use it if you suspect a perforated eardrum or if symptoms worsen. While side effects are uncommon, some users may experience mild stinging or discomfort in the ear after application.
  • In summary, EarCalm is a low-risk option for treating mild ear infections during pregnancy. It can provide effective relief from symptoms like itching, irritation, and mild pain. However, consulting a healthcare professional before using any medicine during pregnancy is always the safest approach.
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EarCalm drops and spray formats, prices and posology

EarCalm is available in two formats—spray and drops—each designed to treat mild outer ear infections like otitis externa in adults and children aged 12 and up.

  • EarCalm Spray (5 ml) contains 2% acetic acid, functioning as a gentle antiseptic. It comes in a metered-dose pump that makes application easy and precise. Average price in Europe and the UK ranges between €10 (approx. £8).
  • EarCalm Drops (5 ml) include additives like benzocaine and phenazone for localized pain relief, with an average price around €11 (£9–£12).

Here’s an updated summary table including average prices:

Format

Age

Dose per ear

Frequency

Duration

Avg Price

Spray

≥12

1 spray (~60 mg)

At least 3× daily (max every 2–3 hrs)

Until 48 hours after symptoms clear, max 7 days

~€10 (£8)

Drops

≥12

4 drops

4× daily

Same as spray

~€11 (£9–12)

📋 Usage Notes

  • Priming the Spray: Shake well and prime with 6–10 sprays before first use. If unused for over a week, re-prime.
  • Maximum Duration: Do not use either format for longer than 7 days in total, and discontinue 48 hours after symptom resolution, unless directed otherwise.

⚠️ Precautions

  • Not suitable if there's a suspected perforated eardrum—consult a healthcare provider if you experience severe pain, ear discharge, or sudden hearing loss.
  • Mild stinging or burning may occur after application; this usually subsides quickly.
  • If there’s no improvement within 48 hours or symptoms worsen after a week, discontinue use and seek medical advice.
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EarCalm alternatives: antibacterial drops for ears

While EarCalm is a popular treatment for minor outer ear infections (otitis externa), several effective alternatives are available—especially if you're looking for stronger antibacterial action or need treatment tailored to specific symptoms.

  • One common alternative is chloramphenicol ear drops, a prescription-only antibiotic used to treat bacterial infections in the outer ear. It works by inhibiting bacterial protein synthesis and is often prescribed for more severe or persistent infections. Unlike EarCalm, which uses acetic acid as a mild antiseptic, chloramphenicol is a full-spectrum antibiotic and should only be used under medical supervision.
  • Another widely used option is ciprofloxacin or ofloxacin ear drops, typically prescribed for infections caused by gram-negative bacteria like Pseudomonas aeruginosa. These are especially useful in cases of swimmer’s ear or infections that don’t respond to milder treatments. Some formulations also include steroids (like dexamethasone) to reduce inflammation and swelling, offering faster relief from pain and pressure.
  • For milder, non-prescription options, Otex ear drops or Olive Oil drops may help loosen wax and reduce irritation, although they do not contain antibacterial agents. Acetic acid drops in a different brand from EarCalm can also be used, offering the same pH-lowering effect to inhibit bacterial and fungal growth.
  • Ultimately, the choice of treatment depends on the type and severity of the infection. For persistent symptoms, excessive pain, discharge, or hearing changes, it’s important to seek advice from a pharmacist or GP to choose the most appropriate antibacterial ear drop.

Antibiotic ear spray with steroids for ear infections

For more severe or persistent outer ear infections, an antibiotic ear spray combined with steroids is often prescribed. These treatments offer dual action: the antibiotic targets the underlying bacterial infection, while the steroid reduces inflammation, swelling, and discomfort in the ear canal.

  • One commonly prescribed antibiotic ear spray is a combination of ciprofloxacin (a broad-spectrum antibiotic) and dexamethasone (a corticosteroid). This formulation is particularly effective for treating otitis externa, especially when caused by bacteria such as Pseudomonas aeruginosa or Staphylococcus aureus. The steroid component helps soothe the ear canal, easing pain and reducing redness and itching.
  • Using a steroid spray for ears is beneficial when swelling causes narrowing of the ear canal, making it difficult for topical medications to reach the infected area. By reducing inflammation, steroid-based sprays improve drug penetration and speed up recovery. These sprays are typically easy to apply, offering a clean, direct application without the need to tilt the head or use cotton wool.
  • While antibacterial sprays for ear infection are effective, they should only be used under medical supervision, especially when steroids are involved. Incorrect or prolonged use can lead to complications such as fungal overgrowth or resistance.
  • In summary, a combined antibiotic ear spray with steroids provides targeted relief for bacterial ear infections by addressing both the infection and inflammation. If symptoms like ear pain, discharge, or hearing changes persist, it’s important to consult a healthcare provider to determine whether a prescription-strength steroid spray for ears is appropriate.

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