Take a test of the latest hearing aids for free with Earpros

Sofradex drops for ears: infections and otitis externa

Young girl covering her ear with her hand because of the pain

Sofradex is a prescription medicine commonly used to treat bacterial infections and inflammation affecting the ears and eyes. Known for its combination of antibiotics and a corticosteroid, it helps both fight infection and reduce uncomfortable symptoms such as swelling, redness, itching, and pain. This dual action makes it a trusted option for short-term treatment of localised infections. Sofradex ear drops are frequently prescribed for outer ear infections like otitis externa, often called swimmer’s ear.

These Sofradex drops for ears contain framycetin and gramicidin to target bacteria, along with dexamethasone to calm inflammation and ease discomfort. Many patients notice relief within a few days when used as directed by a healthcare professional. In the Sofradex ear drops UK market, the product is classified as a prescription-only medicine, meaning it must be supplied by a pharmacy with a valid prescription. Pharmacists can also provide advice on correct usage and treatment duration.

Sofradex is not limited to ear care. Sofradex eye drops are also available and may be used to treat certain bacterial eye infections or inflammation, using the same active ingredients. Because Sofradex contains antibiotics and a steroid, it should only be used under medical guidance to ensure safe and effective treatment.

Sofradex drops for ears: what is it

Sofradex ear drops are a prescription-only topical medication used primarily to treat bacterial infection and inflammation of the outer ear canal (otitis externa). The formulation combines two antibiotics — framycetin sulfate and gramicidin — with a corticosteroid, dexamethasone, to kill bacteria and reduce swelling, redness, itching and discomfort associated with infection. When using Sofradex in the ear, the typical administration is two to three drops into the affected ear three to four times daily, usually for a short course not exceeding 7 days unless advised otherwise by a healthcare professional.

Important considerations before use: it should not be used if there is a perforated eardrum due to the risk of ototoxicity and should be avoided in individuals allergic to any of its ingredients (framycetin, gramicidin or dexamethasone). Viral or fungal infections of the ear are also contraindications. Precautions and warnings include stopping treatment if sensitivity develops and avoiding prolonged use without medical review, as steroids may mask worsening infection or contribute to the development of resistant organisms. Use during pregnancy or breastfeeding should be discussed with a doctor before starting treatment.

Sofradex eye drops: uses and instructions

Sofradex eye drops are a prescription topical medication that combine two antibiotics (framycetin and gramicidin) with a corticosteroid (dexamethasone). This combination is used for the short-term treatment of superficial bacterial eye infections and associated inflammation when antibiotic cover is required alongside steroid action to reduce swelling, redness, and discomfort. These conditions can include bacterial conjunctivitis and other superficial inflammatory eye conditions where bacterial infection and inflammation coexist. The antibiotics work by killing susceptible bacteria, while dexamethasone helps control inflammatory symptoms. For ocular use, the usual dosage is one or two drops into each affected eye up to six times a day, or as directed by a healthcare professional, generally for no longer than seven days unless otherwise advised. Proper administration involves washing hands before use, avoiding contact between the dropper tip and the eye, and gently closing the eye for a short time after instillation. Contact lenses should be removed before applying the drops.

Important precautions include avoiding use if the eye condition is caused by a viral or fungal infection, if herpetic eye disease is suspected, or if there is untreated purulent discharge. Inappropriate use of steroid-containing eye drops may worsen certain infections or increase intraocular pressure. Use during pregnancy or breastfeeding should always be discussed with a doctor.

Schedule a free consultation
Sign up for a free consultation with a licensed hearing care professional today! It's time to finally check your hearing health!

Sofradex ear drops: ingredients and components

Sofradex ear drops are a prescription topical solution composed of three active components: framycetin sulphate, gramicidin, and dexamethasone. Framycetin sulphate is an antibiotic from the aminoglycoside class, present at approximately 0.5% w/v (5 mg/mL). It works by inhibiting bacterial protein synthesis and killing susceptible bacteria in the ear canal. Gramicidin, at about 0.005% w/v (0.05 mg/mL), is a polypeptide antibiotic that disrupts bacterial cell membranes, complementing the antibacterial action of framycetin.

Dexamethasone is included as dexamethasone sodium metasulphobenzoate at approximately 0.05% w/v (0.5 mg/mL). It is a corticosteroid that helps reduce inflammation, swelling, redness, and itching associated with ear infections. Together, these ingredients provide combined antibacterial and anti-inflammatory effects, making Sofradex suitable for the treatment of infection and inflammation of the outer ear canal (otitis externa) when caused by susceptible bacteria. The formulation is a sterile, clear, aqueous solution designed for topical use in the ear. It should only be used under medical direction, as certain conditions require special caution. For example, it must not be used if the eardrum is perforated, and it should be avoided in individuals who are allergic to any of its components. In addition to the active substances, Sofradex also contains excipients (inactive ingredients) that help stabilise the solution, although these may vary slightly by manufacturer. The overall composition is consistent across licensed products containing these active ingredients.

Have a consultation with an audiologist expert for your hearing health

Sofradex ear drops: price in the UK on average

Sofradex ear drops (a prescription-only topical treatment combining framycetin sulphate, gramicidin, and dexamethasone) are used for infections of the ear canal and must be supplied with a valid prescription in the UK. Prices vary between UK pharmacies and online suppliers, often reflecting factors such as private prescription service fees, consultation charges, and delivery costs. At some UK online pharmacies, an 8 ml pack of Sofradex ear/eye drops is listed at around £37.00, typically including private prescription processing as part of the ordering service.

Other UK suppliers show significantly lower indicative prices for the same 8 ml product. One online pharmacy lists a regular price of £12.71, inclusive of VAT, for an 8 ml pack of Sofradex ear/eye drops. Another supplier shows a price point of £13.50 for an 8 ml bottle when ordered with a valid prescription. A 10 ml pack is also available at approximately £12.00. These variations reflect current UK online retail offerings for licensed Sofradex products, but the actual cost to the patient at the point of supply may differ depending on pharmacy policies and prescription arrangements.

Price comparison (UK, indicative)

Supplier

Product size

Approx. price (GBP)

Online pharmacy (private supply)

8 ml

From £37.00

Medisave UK

8 ml

From £12.71

Dock Pharmacy

8 ml

From £13.50

Baymed UK

10 ml

From £12.00

Old man with a hat in a blue background
Old man with a hat in a blue background
Free consultation with a hearing care professional
Sign up for a free consultation with a licensed hearing care professional today! It's time to finally check your hearing health!

Sofradex ear drops: dosage for adults and kids

Sofradex ear drops (containing framycetin sulphate, gramicidin, and dexamethasone) have a consistent dosage recommendation for both adults and children when used to treat ear infections such as otitis externa. According to licensed prescribing information, the standard dose for adults, children, and the elderly is to instil two to three drops into the affected ear three or four times a day. This dosing schedule reflects the typical instructions provided in official medicines information and clinical summaries.

It is emphasised that no separate dose adjustment is generally required for children; the number of drops and frequency remain the same across age groups unless a healthcare professional advises otherwise. Treatment is intended to be short-term and should not continue for longer than seven days without medical review. Prolonged use of combination antibiotic and corticosteroid ear drops may mask persistent infection or contribute to the development of resistant organisms.

Correct administration is important for effectiveness. Patients are usually advised to tilt the head so the drops can flow into the ear canal and remain there for a short time. Sofradex should not be used if the eardrum is perforated, due to the risk of adverse effects. While the standard dosage applies to most patients, a doctor or pharmacist may tailor the treatment depending on individual clinical circumstances.

Book a free consultation for your hearing health!
Sign up for a free consultation with a licensed hearing care professional today! It's time to finally check your hearing health!

What are Sofradex ear drops used for?

Sofradex ear drops are a commonly prescribed treatment for bacterial infections of the outer ear canal. They are especially effective in managing conditions such as otitis externa, often known as “swimmer’s ear,” where the ear becomes inflamed, itchy, painful, or produces discharge. Thanks to their combined antibiotic and anti-inflammatory properties, these drops help relieve both the infection itself and the uncomfortable symptoms that come with it. Understanding the main Sofradex ear drops use can help patients follow treatment correctly. The medication contains two antibiotics, framycetin and gramicidin, which work together to kill bacteria causing the infection. It also includes dexamethasone, a corticosteroid that reduces swelling, redness, and irritation inside the ear canal. This combination makes Sofradex particularly useful when inflammation and infection occur at the same time. Doctors typically recommend Sofradex for short-term use only, usually for a few days up to a week, depending on the severity of the infection. It’s important to apply the drops exactly as directed to avoid complications or antibiotic resistance. Sofradex should not be used if the eardrum is perforated or if the infection is caused by fungi or viruses, as it will not be effective in those cases. If symptoms persist or worsen, medical advice should be sought. Used properly, Sofradex ear drops can provide quick relief, reduce discomfort, and support faster healing of minor ear infections.

How to use Sofradex ear drops safely

Sofradex ear drops are often prescribed to treat bacterial infections of the outer ear, helping to reduce pain, swelling, and discharge. To get the best results and avoid complications, it’s important to use them correctly and safely.

Before applying the drops

1. Before applying the drops, always wash your hands thoroughly

While applying the drops

2. Gently clean and dry the outer ear to remove any visible debris or discharge, but avoid inserting cotton buds or objects deep into the ear canal, as this can cause irritation or push bacteria further inside. Shake the bottle if instructed, then remove the cap without touching the dropper tip to keep it sterile.

How to apply the drops

3. Tilt your head to one side or lie down with the affected ear facing upward. Carefully place the recommended number of drops into the ear canal, following your doctor’s dosage instructions.

After applying the drops

4. Keep your head tilted for a few minutes to allow the medicine to reach deep into the ear. You can gently press the small flap of skin at the front of the ear (the tragus) to help the drops spread evenly.

Use Sofradex only for the prescribed duration, typically a few days to a week. Do not overuse the drops, as prolonged use may increase the risk of side effects or antibiotic resistance. Avoid using the medication if you suspect a perforated eardrum unless advised by a healthcare professional. If symptoms persist, worsen, or you notice irritation, seek medical advice. Used properly, Sofradex can safely relieve infection and support faster healing.

Young woman expressing pain
Young woman expressing pain
Book here a hearing health consultation!
Sign up for a free consultation with a licensed hearing care professional today! It's time to finally check your hearing health!

Sofradex ear drops: side effects and contraindications

Sofradex ear drops are commonly used to treat bacterial infections of the outer ear canal, helping to reduce inflammation, pain, and swelling. While they are generally effective and well tolerated when used correctly, it’s important to be aware of possible side effects and situations where the medication may not be suitable. Most people experience no significant problems, but mild side effects can occasionally occur. These may include temporary stinging, burning, itching, or irritation in the ear after application. In some cases, redness or increased discomfort may develop, especially if the ear canal is already sensitive or inflamed. Allergic reactions are rare but possible, and may cause rash, swelling, or worsening symptoms. If this happens, treatment should be stopped and medical advice sought promptly. Because Sofradex contains antibiotics and a corticosteroid (dexamethasone), prolonged or excessive use can lead to complications. Overuse may increase the risk of fungal infections, antibiotic resistance, or thinning of the skin inside the ear canal. There are also important contraindications to consider. Sofradex should not be used if you have a perforated (burst) eardrum, as the drops could damage the middle or inner ear and potentially affect hearing. It is not suitable for viral or fungal ear infections, since it only treats bacterial causes. People with known allergies to any of the ingredients, including framycetin or other aminoglycoside antibiotics, should avoid this medication. Always follow your doctor’s instructions carefully. Using Sofradex responsibly helps ensure safe, effective treatment while minimising risks.

Look at the best hearing aids with an audiologist expert!

What does Sofradex ear drops do?

Sofradex ear drops are a prescription medication used to treat bacterial infections of the outer ear canal. They work by combining antibiotics and an anti-inflammatory ingredient to tackle both the cause of the infection and the uncomfortable symptoms that come with it. This dual action helps patients feel relief more quickly while supporting the healing process.

  • So, what exactly does Sofradex ear drops do? The formula contains two antibiotics, framycetin and gramicidin, which help kill or stop the growth of bacteria responsible for common ear infections such as otitis externa, often called swimmer’s ear. By reducing the number of harmful bacteria, the drops help clear the infection and prevent it from spreading.
  • In addition to fighting bacteria, Sofradex also contains dexamethasone, a corticosteroid. This ingredient reduces inflammation, swelling, redness, and itching inside the ear canal. As a result, it can quickly ease pain and irritation, making everyday activities more comfortable while the infection improves.
  • Doctors usually prescribe Sofradex for short-term use, typically a few days to a week. It is important to follow the recommended dosage and treatment duration carefully, as overuse may increase the risk of side effects or antibiotic resistance.
  • While effective for bacterial infections, Sofradex does not work against viral or fungal conditions and should only be used under medical advice. When used correctly, Sofradex ear drops help control infection, reduce discomfort, and promote faster recovery.

Is Sofradex OK for ear infection and otitis externa?

Sofradex ear drops are commonly prescribed for treating certain types of ear infections, particularly those affecting the outer ear canal. For many patients, Sofradex is considered an effective option for managing otitis externa, often referred to as “swimmer’s ear,” a condition that causes pain, swelling, redness, and sometimes discharge. So, is Sofradex OK for ear infection and otitis externa? In most cases, yes — provided the infection is bacterial. Sofradex contains two antibiotics, framycetin and gramicidin, which work together to kill bacteria responsible for the infection. It also includes dexamethasone, a corticosteroid that helps reduce inflammation, itching, and discomfort. This combination not only treats the underlying cause but also relieves symptoms quickly, which can improve comfort within a few days. Doctors often recommend Sofradex for short-term treatment, typically up to a week. When used as directed, it can help clear the infection and prevent it from worsening. However, it is important to use the drops exactly as prescribed and not for longer than advised. Sofradex is not suitable for all ear problems. It should not be used if you have a perforated eardrum, or if the infection is viral or fungal, as the medication will not be effective in these cases. If symptoms do not improve or become worse, medical advice should be sought. Overall, Sofradex can be a safe and effective treatment for bacterial otitis externa when used correctly under professional guidance.

Sofradex ear drops and perforated eardrum

Sofradex ear drops are widely used to treat bacterial infections of the outer ear, helping to reduce pain, swelling, and inflammation. However, they are not suitable for everyone. If you have a perforated eardrum (also called a burst or ruptured eardrum), Sofradex should generally be avoided unless specifically advised by a healthcare professional. A perforated eardrum means there is a hole or tear in the thin membrane that separates the outer ear from the middle ear. This opening allows ear drops to pass beyond the ear canal into the middle ear, where certain ingredients may cause harm. Sofradex contains antibiotics such as framycetin, which belong to the aminoglycoside group. These medicines can potentially be ototoxic, meaning they may damage hearing or balance if they reach the inner ear. Using Sofradex with a perforated eardrum could increase the risk of complications, including hearing loss, dizziness, or irritation. For this reason, doctors usually recommend alternative treatments that are safer for the middle ear. If you experience symptoms such as sudden ear pain, discharge, hearing changes, or a whistling sound when blowing your nose, seek medical advice before using any ear drops. Proper diagnosis ensures safe and effective treatment.

How long does it take for Sofradex to work?

Sofradex ear drops are commonly prescribed to treat bacterial infections of the outer ear, such as otitis externa. Many people notice an improvement in symptoms fairly quickly, but the exact time it takes for Sofradex to work can vary depending on the severity of the infection and how consistently the drops are used. In most cases, relief from pain, itching, and swelling begins within 24 to 48 hours. This is because Sofradex contains dexamethasone, a corticosteroid that helps reduce inflammation and discomfort rapidly. At the same time, the antibiotics framycetin and gramicidin start fighting the bacteria that are causing the infection. As the bacterial growth is controlled, symptoms gradually continue to improve over several days. Although you may feel better after a short time, it’s important to complete the full course prescribed by your doctor, usually five to seven days. Stopping treatment too early may allow the infection to return or worsen. If there is no improvement after two to three days, or if symptoms become more severe, medical advice should be sought. You may need a different treatment or further assessment. Used correctly, Sofradex typically provides fast symptom relief and supports full recovery within a week.

How long to use Sofradex ear drops

Phonak's charger
Phonak's charger
Sofradex ear drops are typically prescribed for short-term use to treat bacterial infections of the outer ear, such as otitis externa. Knowing how long to use Sofradex ear drops is important to ensure the infection clears properly while reducing the risk of side effects or complications. In most cases, doctors recommend using the drops for around five to seven days. Some mild infections may improve within a few days, but it’s important to continue treatment for the full course as advised. Stopping too early can allow bacteria to survive, which may cause the infection to return or become harder to treat. Sofradex contains antibiotics to fight bacteria and a corticosteroid to reduce inflammation. While this combination is effective, prolonged or unnecessary use is not recommended. Using the drops for longer than prescribed may increase the risk of irritation, fungal infections, or antibiotic resistance. For this reason, Sofradex should generally not be used for more than a week unless specifically directed by a healthcare professional. If your symptoms have not improved after a few days, or if they worsen, seek medical advice rather than extending the treatment yourself. A doctor may reassess your condition and suggest an alternative option. Used correctly and for the recommended duration, Sofradex can safely and effectively clear most outer ear infections.

Does Sofradex clear ear wax?

If you’re dealing with blocked ears or reduced hearing, you might wonder whether Sofradex ear drops can help remove ear wax. The short answer is no — Sofradex is not designed to clear ear wax and should not be used for this purpose. Sofradex is a prescription medication used to treat bacterial infections of the outer ear canal, such as otitis externa. It contains antibiotics (framycetin and gramicidin) to fight bacteria and a corticosteroid (dexamethasone) to reduce inflammation, swelling, and discomfort. While these ingredients help control infection and relieve symptoms like pain or itching, they do not soften, dissolve, or break down wax build-up. If your ears feel blocked because of excess wax, Sofradex is unlikely to improve the problem. In fact, using medicated drops unnecessarily may irritate the ear canal or delay proper treatment. For wax removal, safer and more appropriate options include wax-softening drops, saline solutions, or professional ear irrigation or microsuction carried out by a healthcare provider. If you’re unsure whether your symptoms are caused by wax or an infection, it’s best to speak with a pharmacist or doctor for advice. Using the right treatment for the cause ensures faster relief and helps protect your ear health.

Is Sofradex still available in the UK?

Sofradex ear drops are a prescription-only medicine (POM) that combines antibiotics and a corticosteroid to treat bacterial ear infections such as otitis externa. In the UK, Sofradex ear and eye drops are still authorised and listed by the Medicines and Healthcare products Regulatory Agency (MHRA), with a current product licence held by Neon Healthcare Ltd. The official clinical information has been updated in recent years, confirming its active ingredients and approved use for ear infections. However, availability can vary depending on supply and pharmacy stock. According to NHS product listings, some versions of Sofradex may occasionally be marked as not routinely available through certain NHS supply channels. This means it might not always be stocked in every high-street pharmacy or available for immediate dispensing. Despite this, Sofradex can still be prescribed by a UK-registered healthcare professional and dispensed by pharmacies when needed. Both local and online pharmacies may supply the medication, provided you have a valid prescription from a doctor or qualified clinician. In summary, Sofradex is still legally available for use in the UK, but it is not sold over the counter and may require ordering in advance. If you think you need Sofradex, speak with your GP or pharmacist to confirm current availability and ensure it is the right treatment for your condition.

Was Sofradex discontinued in the UK?

There has been some confusion about the status of Sofradex in the UK, but it is important to distinguish between being discontinued and being temporarily out of stock or less commonly stocked. Sofradex ear and eye drops — a prescription medicine combining antibiotics and a corticosteroid to treat bacterial infections of the outer ear — have not been formally discontinued in the UK. The product remains authorised by the Medicines and Healthcare products Regulatory Agency (MHRA) and continues to hold a valid UK marketing licence. That said, certain formulations or specific pack sizes of Sofradex may at times be marked as not routinely available through NHS supply listings. This can lead to the impression that the product is discontinued when, in reality, it may simply be less commonly stocked by community pharmacies or subject to supply fluctuations. These changes in stock status are often due to distribution decisions or temporary shortages rather than a regulatory withdrawal. Because Sofradex still retains its official licence, doctors and UK-registered prescribers can continue to prescribe it where clinically appropriate. If a pharmacy does not have it in stock, they may be able to order it in or source it from another supplier. In short, Sofradex has not been discontinued in the UK, but availability may vary over time. Consult your GP or pharmacist for the latest supply status.

Sofradex ear drops: reviews and opinions

Sofradex ear drops are frequently prescribed for bacterial outer ear infections, and many patients report positive experiences when treating conditions like otitis externa. A number of users say they notice relief from pain, itching, and swelling within a couple of days of starting treatment, with symptoms continuing to improve over the course of the prescribed week. This quick reduction in discomfort is one of the most commonly mentioned benefits in patient feedback. That said, not everyone’s experience is the same. Some people report mild irritation, burning, or stinging when first applying the drops, particularly if the ear canal is already very sensitive. A few comments from health forums suggest that in some cases symptoms don’t improve as quickly as expected, and a small minority even feel worse before getting better.

Opinion also varies on how well Sofradex works for associated symptoms such as tinnitus; while some users note no change in ringing, others find the overall infection improvement helps their perceived ear fullness or discomfort. Healthcare professionals generally emphasise that, since Sofradex contains antibiotics and a corticosteroid, it should be used only for bacterial infections and only with appropriate medical guidance. Overall, reviews tend to lean positive for correctly diagnosed bacterial ear infections, but individual responses can differ.

Is Sofradex ear drops an antibiotic?

Sofradex ear drops are often described as an antibiotic treatment, but they are actually a combination medication rather than a single antibiotic. While antibiotics form an important part of the formula, Sofradex also contains an anti-inflammatory ingredient to help relieve swelling and discomfort. The drops include two antibiotics: framycetin and gramicidin. These medicines work together to kill or stop the growth of bacteria that cause outer ear infections, such as otitis externa. By targeting the bacteria directly, they help clear the infection and prevent it from spreading further inside the ear canal. In addition to antibiotics, Sofradex contains dexamethasone, a corticosteroid. This ingredient reduces inflammation, redness, itching, and pain. The steroid does not fight bacteria itself, but it helps ease symptoms more quickly, making the ear feel more comfortable while the antibiotics do their job. This combined action is why many people experience faster relief compared with using an antibiotic alone. Because Sofradex contains antibiotics, it should only be used when a bacterial infection is present and when prescribed by a healthcare professional. It will not work for viral or fungal infections, and unnecessary use may contribute to antibiotic resistance.

In short, Sofradex includes antibiotics, but it is a combination treatment designed to both fight infection and reduce inflammation.

Can you buy Sofradex ear drops over the counter?

No, you cannot buy Sofradex ear drops over the counter without a prescription. Sofradex is classified as a prescription-only medicine (POM) in the UK and in many other countries, meaning a doctor or other qualified healthcare professional must first assess your ear condition and prescribe it if appropriate. Because Sofradex contains two antibiotics (framycetin and gramicidin) plus a corticosteroid (dexamethasone), it is intended only for specific infections of the ear canal, such as bacterial otitis externa. These ingredients can be harmful if used incorrectly, particularly if the eardrum is perforated or if the infection is due to fungi or viruses. That’s one reason it isn’t sold like standard earwax drops or simple over-the-counter remedies.

Some online services may offer Sofradex ear drops after an online consultation, but this still counts as a prescription supply rather than an over-the-counter purchase. In certain situations, a pharmacist may also provide an emergency supply if you have previously been prescribed the medicine. For non-prescription ear care, such as wax softening or itch relief, pharmacists can recommend suitable over-the-counter products that are safe to use without a prescription. Always speak to a healthcare professional before using any medicated ear drops.

Protect your hearing health with a free consultation!
It's time to finally check your hearing health. Sign up for a free consultation with a licensed hearing care professional today!

What to do if Sofradex ear drops is not working?

  • Sofradex ear drops are often effective for treating bacterial infections of the outer ear, with many people noticing improvement within a few days. However, if your symptoms are not getting better, or seem to be worsening, it’s important not to ignore the problem or continue treatment longer than advised without medical guidance.
  • First, check that you are using the drops correctly. Make sure you are applying the recommended number of drops, keeping your head tilted for a few minutes after use, and completing the full course as prescribed. Missing doses or stopping too early can delay recovery.
  • If there is no improvement after two to three days, the infection may not be bacterial. Sofradex will not work for viral or fungal infections, and different treatment may be needed. Persistent symptoms could also suggest a blocked ear canal, a perforated eardrum, or a more serious middle ear problem.
  • Do not increase the dose or use the drops for longer than directed, as this may cause irritation or side effects. Instead, contact your GP or pharmacist for advice. They may examine your ear, confirm the diagnosis, or prescribe an alternative medication. Seeking timely medical advice helps ensure you receive the right treatment and prevents complications or prolonged discomfort.

Sofradex age limit: things to know

If you’ve been prescribed Sofradex ear drops for an ear infection, you may wonder whether there are any age restrictions to keep in mind. Sofradex can be used in both adults and children, but it should always be given under medical advice, particularly for younger patients.

In general, there isn’t a strict age limit that completely prevents use. However, doctors tend to be more cautious when prescribing Sofradex for infants and very young children. This is because their ear canals are more delicate, and the ingredients — including antibiotics and a corticosteroid — may carry a higher risk of irritation or side effects if not used correctly. A healthcare professional will carefully assess the child’s symptoms and ensure the drops are appropriate. Sofradex contains framycetin and gramicidin to treat bacterial infections, along with dexamethasone to reduce inflammation. While effective, these medicines should only be used for short periods and exactly as prescribed, especially in children. Parents should never use leftover drops or share medication between family members. If a child has ear pain, discharge, or fever, it’s best to seek medical advice before starting any treatment. Overall, Sofradex can be safe at different ages when properly prescribed, but supervision from a doctor or pharmacist is essential to ensure safe and effective use.

Schedule a free consultation for a better hearing health!
It's time to finally check your hearing health. Sign up for a free consultation with a licensed hearing care professional today!

Sofradex ear drops: alternatives

Sofradex ear drops combine antibiotics and a corticosteroid to treat bacterial outer ear infections (otitis externa). However, there are several clinically recognised alternatives that doctors may prescribe if Sofradex is unsuitable or unavailable.

  • Topical antibiotic and steroid combinations are commonly used, but the specific choice depends on local prescribing guidelines, patient age, and clinical factors such as eardrum integrity.
  • One alternative is Betnesol-N ear drops, which combine the corticosteroid betamethasone with the antibiotic neomycin. These drops work in a similar way to Sofradex by reducing inflammation while treating bacterial infection.
  • Another option used in UK practice includes hydrocortisone acetate with gentamicin, offering both anti-inflammatory and antibacterial effects.
  • For patients with a suspected perforated eardrum, or where aminoglycoside-based drops like Sofradex are not recommended, ciprofloxacin-based ear drops may be considered. These are often preferred because they carry a lower risk of ototoxicity while remaining effective against common bacteria.
  • In mild cases of otitis externa, non-antibiotic treatments such as acetic acid solutions or sprays may also be advised. These help restore the ear canal’s natural acidity and limit bacterial growth.

A healthcare professional should always assess your symptoms to determine the safest and most appropriate alternative treatment.

Framycetin sulfate: things to know

Framycetin sulfate is an antibiotic commonly used in topical medicines to treat bacterial infections of the skin, eyes, and ears. It belongs to the aminoglycoside group of antibiotics and works by killing bacteria or stopping their growth. Because it is applied directly to the affected area rather than taken by mouth, it helps target infections locally with fewer whole-body effects.

You may find framycetin sulfate in products such as ear drops, eye drops, or creams, including combination treatments like Sofradex. It is often paired with other antibiotics or a corticosteroid to reduce inflammation and improve comfort while the infection clears. Framycetin is particularly effective against many common bacteria that cause outer ear infections and minor skin infections. However, there are some precautions to keep in mind. Framycetin should only be used for bacterial infections, as it will not work against viral or fungal conditions. Prolonged or unnecessary use can increase the risk of irritation, allergic reactions, or antibiotic resistance. In ear treatments, it should generally be avoided if the eardrum is perforated, as aminoglycosides may pose a small risk of hearing damage if they reach the inner ear. Always follow your doctor’s or pharmacist’s instructions carefully. Used correctly, framycetin sulfate is a safe and effective option for treating localised bacterial infections.

Can Sofradex be used in pregnancy?

If you are pregnant and develop an ear infection, you may wonder whether Sofradex ear drops are safe to use. In general, Sofradex can sometimes be used during pregnancy, but only under medical supervision and when clearly needed. Sofradex contains two antibiotics, framycetin and gramicidin, along with dexamethasone, a corticosteroid that reduces inflammation. Because the drops are applied directly into the ear canal, only a very small amount of the medication is absorbed into the bloodstream. This limited absorption means the overall risk to the developing baby is considered low when the drops are used for a short period and as prescribed.

However, aminoglycoside antibiotics such as framycetin can potentially carry risks if significant amounts enter the body. For this reason, doctors usually recommend Sofradex during pregnancy only when the benefits outweigh any possible risks. It should not be used unnecessarily or for longer than advised. If you are pregnant or think you might be, always inform your GP or pharmacist before starting treatment. They may confirm that Sofradex is appropriate or suggest a safer alternative if needed. Used correctly and for a short course, Sofradex may be considered safe, but professional guidance is essential to protect both mother and baby.

Sofradex vs Otomize: things to know

Sofradex and Otomize are both prescription ear drops commonly used in the UK to treat infections of the outer ear canal, such as otitis externa. While they have similar purposes, they contain different ingredients and may be chosen based on your specific symptoms and medical history. Sofradex combines two antibiotics, framycetin and gramicidin, with the corticosteroid dexamethasone. This combination helps kill bacteria and reduce inflammation, swelling, and pain. It is often prescribed for straightforward bacterial infections where rapid symptom relief is needed. Otomize, on the other hand, contains dexamethasone along with neomycin (an antibiotic) and acetic acid. The acetic acid helps restore the ear canal’s natural acidic environment, which discourages bacterial and fungal growth. Because of this, Otomize may be particularly useful when there is moisture, irritation, or mixed infection risk. Both treatments are effective, but neither is suitable if you have a perforated eardrum, unless specifically advised by a doctor. They should also only be used for the recommended duration to avoid side effects or antibiotic resistance. Your healthcare professional will choose between Sofradex and Otomize based on the cause and severity of your infection. Always follow medical advice to ensure safe and effective treatment.

Dexamethasone ear drops: all you need to know

Dexamethasone ear drops are commonly used to reduce inflammation and discomfort in the ear canal. Dexamethasone is a corticosteroid, which means it helps calm the body’s inflammatory response. It does not treat infection directly, but it can quickly relieve symptoms such as swelling, redness, itching, and pain. These drops are often prescribed as part of combination treatments for conditions like otitis externa (outer ear infection), where inflammation causes soreness and a blocked or irritated feeling. You may find dexamethasone combined with antibiotics in products such as Sofradex or Otomize. In these cases, the antibiotics fight the bacteria while dexamethasone reduces inflammation, helping you feel better faster. Dexamethasone ear drops should always be used exactly as directed by a healthcare professional. Overuse or prolonged treatment can thin the skin inside the ear canal or increase the risk of fungal infections. They are not suitable for untreated viral or fungal infections, and caution is needed if there is a suspected perforated eardrum. Most people tolerate dexamethasone well, although mild irritation or stinging may occur at first. If symptoms persist or worsen, seek medical advice. When used correctly and for short periods, dexamethasone ear drops are a safe and effective way to relieve ear inflammation and improve comfort.

Ciprodex vs Sofradex ear drops: differences

Ciprodex and Sofradex are both prescription ear drops used to treat infections of the outer ear canal, such as otitis externa, but they contain different ingredients and have some important differences in safety and use. Sofradex combines two antibiotics, framycetin and gramicidin, with the corticosteroid dexamethasone. The antibiotics help kill bacteria, while the steroid reduces inflammation, swelling, and pain. It has been widely used for many years and is effective for straightforward bacterial ear infections. However, framycetin belongs to the aminoglycoside group, which may carry a small risk of ototoxicity if the eardrum is perforated, so caution is needed. Ciprodex, on the other hand, contains ciprofloxacin, a fluoroquinolone antibiotic, along with dexamethasone. Ciprofloxacin is effective against many common ear bacteria and is generally considered safer for use when there is a suspected or confirmed perforated eardrum. Because of this, some clinicians prefer Ciprodex in more complicated cases or after ear surgery. Both treatments reduce inflammation and treat bacterial infection, but the choice often depends on safety considerations, availability, and individual patient factors.

Your doctor or pharmacist will recommend the most suitable option based on your symptoms and ear health history to ensure effective and safe treatment.

Sofradex vs Earil ear drops: differences

Sofradex and Earol ear drops are designed for very different ear problems, so they are not interchangeable. Understanding the differences can help you choose the right treatment and avoid unnecessary medication.

Sofradex is a prescription-only medicine used to treat bacterial infections of the outer ear canal, such as otitis externa. It contains two antibiotics, framycetin and gramicidin, to fight bacteria, along with dexamethasone, a corticosteroid that reduces inflammation, swelling, and pain. It is intended for short-term use and should only be used under medical supervision. Sofradex will not treat earwax build-up or simple dryness.

Earol, on the other hand, is an over-the-counter product made from refined olive oil. It is not a medicated treatment and does not contain antibiotics or steroids. Instead, it is used to soften and loosen earwax, making it easier for the wax to come out naturally or be removed professionally. Earol can also help moisturise the ear canal and prevent wax from hardening.

Because they serve different purposes, Sofradex is for infections, while Earol is for wax management and routine ear care. If you’re unsure whether your symptoms are caused by infection or wax, speak to a pharmacist or doctor before starting treatment.

Using the correct product ensures safer, more effective relief.

Sofradex vs Genticin ear drops: uses and actions

Sofradex and Genticin ear drops are both prescription treatments used for infections of the outer ear canal, but they differ in their ingredients and how they work. Understanding their uses and actions can help explain why a doctor may choose one over the other.

Sofradex contains two antibiotics, framycetin and gramicidin, combined with dexamethasone, a corticosteroid. The antibiotics kill or stop the growth of bacteria that cause infection, while dexamethasone reduces inflammation, swelling, redness, and pain. This combination makes Sofradex helpful for conditions such as otitis externa, where both infection and irritation are present. It often provides quick symptom relief as well as antibacterial treatment.

Genticin ear drops contain gentamicin, another aminoglycoside antibiotic. Gentamicin works by targeting and destroying bacteria but does not usually include a steroid unless it is part of a specific combination product. As a result, Genticin primarily treats the infection itself, and any reduction in swelling may occur more gradually unless an additional anti-inflammatory treatment is prescribed.

Both medicines should be used only for bacterial infections and with medical advice. They are generally avoided if the eardrum is perforated due to potential risks to hearing. Your healthcare professional will select the most appropriate option based on your symptoms and clinical needs.

Schedule a free consultation: check your hearing health!
 If you’d like to know whether Oticon Intent is suitable for your level of hearing loss, sign up here for a free medical consultation. Take a free hearing test with our certified experts.

Sofradex cream: uses and ingredients

Sofradex cream is a topical prescription medicine used to treat bacterial skin infections and inflammatory skin conditions. It combines an antibiotic with a corticosteroid to help control both infection and irritation at the same time. Because of this dual action, it is often recommended for red, swollen, or infected areas of skin where bacteria are contributing to symptoms.

The main Sofradex cream uses include treating infected eczema, dermatitis, minor cuts, rashes, and other superficial skin infections. The antibiotic component, usually framycetin sulfate, works by killing bacteria, while the steroid reduces inflammation, itching, and redness. This helps the skin heal more comfortably and quickly. A related product, Sofradex F cream, contains framycetin along with a corticosteroid such as fluocinolone or dexamethasone, depending on the formulation. It is also designed for short-term use on inflamed or infected skin and should only be applied as directed by a healthcare professional.

In addition to skin treatments, Sofradex is available in other forms. For example, Sofradex eye ointment or drops may be prescribed for bacterial eye or ear infections, using similar antibiotic and anti-inflammatory ingredients. Because these medicines contain steroids and antibiotics, they should not be used for long periods or on large areas without medical advice. Used correctly, Sofradex products can effectively treat local infections and reduce discomfort.

Sofradex ear drops by Boots

Sofradex ear drops are a prescription-only medicine used to treat bacterial infections and inflammation of the outer ear canal, such as otitis externa. They combine two antibiotics — framycetin sulfate and gramicidin — with the corticosteroid dexamethasone, so the medicine not only targets the bacteria but also reduces swelling, redness, itching, and discomfort.

At Boots in the UK, you will not find Sofradex available as an over-the-counter product on the standard ear care shelves, which mainly stock ear hygiene and wax removal treatments. Because Sofradex contains antibiotics and a steroid, it is classified as prescription-only and must be prescribed by a qualified healthcare professional.

If you have a valid prescription, Boots pharmacies can dispense Sofradex ear drops and provide advice on how to use them safely. A pharmacist can explain the correct dosage, how to apply the drops, and how long the treatment should last. It is important to follow medical instructions carefully and avoid using the drops for longer than prescribed. Sofradex is also not suitable for viral or fungal infections.

For routine ear problems such as wax build-up or mild irritation, Boots offers a range of over-the-counter products that may be more appropriate and safe to use without a prescription.

Where to buy Sofradex ear drops?

Sofradex ear drops are a prescription-only medicine, so you cannot simply pick them up over the counter at a pharmacy. Because they contain antibiotics and a corticosteroid, a doctor or qualified prescriber needs to assess your symptoms and issue a valid prescription before you can buy them. In the UK, you can obtain Sofradex ear drops from high-street pharmacies such as Boots, LloydsPharmacy, or independent local chemists once you have a prescription from your GP, practice nurse, or another authorised clinician. When you present your prescription, the pharmacist will dispense the correct product and can also advise you on how to use the drops safely. If your usual pharmacy does not have Sofradex in stock, they may be able to order it in for you, so it pays to call ahead. Some pharmacies offer a prescription delivery service, bringing the medicine to your home.

You can also access Sofradex through online pharmacy services. Many UK online pharmacies allow you to complete a brief clinical consultation with a pharmacist or clinician, who can issue a prescription if appropriate. The drops are then posted to you securely. Always ensure any online service is registered with the General Pharmaceutical Council (GPhC) to guarantee safety and authenticity. Do not buy prescription ear drops from unverified sources, as this can be unsafe or illegal.

What is Sofradex generic name?

Sofradex is a brand name for a combination medicine used to treat bacterial infections and inflammation of the ear or eye. Rather than having a single generic name, Sofradex contains several active ingredients that work together to fight infection and relieve symptoms. The main antibiotics in Sofradex are framycetin sulfate and gramicidin. These medicines kill or stop the growth of bacteria commonly responsible for outer ear infections such as otitis externa. In addition, Sofradex contains dexamethasone, a corticosteroid that reduces inflammation, swelling, redness, and itching. This helps ease discomfort while the infection clears. Because Sofradex is a combination product, it is often referred to by its individual generic components rather than one single generic term. In prescriptions or medical information, you may see it described as “framycetin sulfate, gramicidin, and dexamethasone ear/eye drops.”

Generic or alternative versions may also be available under different brand names but with similar ingredients and actions. Your pharmacist or doctor can advise if a suitable equivalent is available. Understanding the generic components can be helpful, especially if you have allergies or need an alternative treatment. Always check the ingredient list and follow professional advice to ensure safe and effective use.

Best steroid ear drops to know

Steroid ear drops are used to reduce inflammation, itching, and swelling in the ear canal. Often they are combined with antibiotics to both treat infection and relieve symptoms. Below are some of the commonly recognised options that clinicians may prescribe:

Ciprodex

  • Ingredients: Ciprofloxacin (antibiotic) + dexamethasone (steroid)
  • Well-known for treating bacterial outer ear infections. Ciprofloxacin is a fluoroquinolone antibiotic that works against a broad range of bacteria, and dexamethasone helps calm inflammation. It’s often chosen when there’s concern about a perforated eardrum because it has a lower risk of inner-ear toxicity compared with some aminoglycoside combinations.

Otomize

  • Ingredients: Neomycin (antibiotic) + dexamethasone (steroid) + acetic acid
  • Combines antibiotic action with steroid-mediated inflammation relief and an acidic component that helps maintain the ear canal’s natural defence. Commonly used for uncomplicated bacterial otitis externa.

Sofradex

  • Ingredients: Framycetin + gramicidin (antibiotics) + dexamethasone (steroid)
  • A long-established combination prescribed for bacterial outer ear infections. Effective when inflammation and infection occur together but used with caution if there’s a risk of eardrum perforation.

Important Notes

  • These drops are prescription-only in many countries and should be used under medical guidance.
  • They are intended for bacterial infections; they won’t work for fungal or viral ear problems.
  • Use for the recommended duration only to reduce risk of resistance or side effects.
  • Always consult a healthcare professional to choose the most appropriate steroid ear drop based on your symptoms and medical history.

With you on your journey to better hearing.

It's time to finally treat your hearing loss. Sign up for a free consultation with a licensed hearing care professional today to determine if you have hearing loss. It’s the start of your journey towards better hearing.

EarPros benefits:

  • Free no obligation hearing test
  • best partner with more than 1,000 clinics globally

Please use a valid US zipcode.

Please use a valid zipcode.

Thank you for submitting your request

We will get in touch with you as soon as possible.

Related Articles:

Ear drops

Hearing protection

Best ear drops for earwax removal

Read more
A glimpse of a girl's face as she leans her ear

Hearing protection

Otomize ear spray: how to use it

Read more
Ear spray

Hearing protection

EarCalm spray and drops review

Read more
Young girl covering her ear with her hand because of the pain

Hearing protection

Canesten ear drops

Read more
Do you still need a trustworthy audiologist expert for hearing aids?