Fluocinolone Acetonide

Fluocinolone acetonide oil 0.01% ear drops are indicated for the topical treatment of chronic eczematous external otitis in adults and pediatric patients 2 years of age and older.

Fluocinolone acetonide oil 0.01% ear drops are for otic administration only. Not for oral, ophthalmic, or intravaginal use.

Apply fluocinolone acetonide oil 0.01% ear drops into the affected ear using the supplied ear dropper. To apply, tilt head to one side so that the ear is facing up. Then gently pull the ear lobe backward and upward and apply 5 drops of fluocinolone acetonide oil 0.01% ear drops into the ear. Keep head tilted for about a minute to allow fluocinolone acetonide oil 0.01% ear drops to penetrate lower into the ear canal. Gently pat excess material dripping out of the ear using a clean cotton ball. Follow these instructions twice each day for 7 to 14 days.

Discontinue fluocinolone acetonide oil 0.01% ear drops when control of disease is achieved within 2 weeks, or contact the healthcare provider if no improvement is seen within 2 weeks.

Do not use on the face, axillae, or groin unless directed by the healthcare provider. Do not apply to intertriginous areas due to the increased risk of local adverse reactions

Ear drops, containing 0.01% fluocinolone acetonide supplied in bottles containing 20 mL (dropper included).

The following serious adverse reactions are discussed in more detail in other sections of the labeling:

• Endocrine System Adverse Reactions
  [see Warnings and Precautions (5.1), Use in Specific Populations (8.4)]
• Local Adverse Reactions
  [see Warnings and Precautions (5.2)]
• Ophthalmic Adverse Reactions
  [see Warnings and Precautions (5.3)]

Fluocinolone acetonide oil 0.01% ear drops contain fluocinolone acetonide [(6a, 11b, 16a)-6,9-difluoro­11,21-dihydroxy-16, 17[(1-methylethylidene)bis(oxy)]-pregna-1,4-diene3,20-dione, cyclic 16,17 acetal with acetone], a synthetic corticosteroid for topical dermatologic use. Chemically, fluocinolone acetonide is C₂₄H₃₀F₂O₆. It has the following structural formula:

Fluocinolone acetonide has a molecular weight of 452.50. It is a white crystalline powder that is odorless, stable in light, and melts at 270°C with decomposition; soluble in alcohol, acetone and methanol; slightly soluble in chloroform; insoluble in water.

Each gram of fluocinolone acetonide oil 0.01% contains approximately 0.11 mg of fluocinolone acetonide in a blend of oils, which contains isopropyl alcohol, isopropyl myristate, light mineral oil, oleth-2, and refined peanut oil NF.

Fluocinolone acetonide oil 0.01% is formulated with 48% refined peanut oil. The bulk refined peanut oil, used in fluocinolone acetonide oil 0.01% is heated at 246°C (475°F) for at least 15 minutes.