Tell your doctor if you have ever had any unusual or allergic reaction to medicines in this group or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
There is no specific information about the use of otic corticosteroids in children. Children born to mothers taking otic corticosteroid therapy during their pregnancy should be observed for decrease in growth and for hypoadrenalism (anorexia, low blood pressure, and weakness).
Although there is no specific information about the use of otic corticosteroids in the elderly, they are not expected to cause different side effects or problems in older people than they do in younger adults.
Studies with otic corticosteroids have not been done in pregnant women. However, in animal studies, corticosteroids have been shown to cause birth defects. Before taking this medicine, make sure your doctor knows if you are pregnant or if you may become pregnant.
Corticosteroids pass into breast milk. Be sure you have discussed the risks to the child and benefits of the medicine with your doctor.
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
Other Medical Problems
The presence of other medical problems may affect the use of medicines in this class. Make sure you tell your doctor if you have any other medical problems, especially:
- Type 2 diabetes mellitus or
- Epilepsy—Using otic corticosteroids may worsen this condition.
- Fungal infections or
- Tuberculosis or
- Viral infections or
- Otitis media, chronic or
- Any other ear infection or condition (or history of)—Otic corticosteroids may worsen existing infections or cause new infections.
- Glaucoma or
- High blood pressure—Otic corticosteroids may increase the pressure in the blood vessels of the eye and throughout the body.
- Heart disease—Irregular heartbeat and change in blood pressure are more likely to occur.
- Osteoporosis—Otic corticosteroids increase the risk of bone fractures.
- Punctured ear drum—Using otic corticosteroids with a punctured ear drum may damage the ear.