Ear pain can be due to injury/trauma to the ear or due to infection. There are 2 main types of ear infections. The first is called otitis media, which is an infection of the middle ear, or the area behind the eardrum. This can cause throbbing, sharp, or stabbing pain to the ear, which may radiate down into the throat, feeling of ear fullness, muffled hearing, fever and sometimes, if severe, a yellow discharge can drain from the ear. Another kind of infection of the ear, is called otitis externa, this is an infection of the outer ear canal, and is called “swimmer’s ear” as it is commonly caused by water that remains in the ear after swimming with allows a moist environment for bacterial growth. Symptoms of otitis externa include, itching and discomfort of the outer ear and canal, redness of the skin of the ear, pain when you tug on the earlobe, draining yellow fluid.
Ear infections can spread past the ear and into the bones behind the ear within the skull. The bony bump behind the ear, called the mastoid process, can become infected (mastoiditis). This is a serious infection requiring emergent medical attention. Ear infections can spread to the brain, causing meningitis. Ear infections can also spread to the skin of the ear and the skin surrounding the ear, in a serious infection called malignant otitis externa.
Otitis media is treated with oral antibiotics, most commonly amoxicillin or amoxicillin-clavulanate. Otitis externa is treated with ear drops, called ofloxacin.
Seek immediate medical care if you have any of the following:
If you have
You may have
amoxicillin-clavulanate 875 mg-125mg twice daily for 7 days
Note: if amoxicillin alone is available, amoxicillin alone should be used instead of amoxicillin-clavulanate combination
azithromycin 500 mg by mouth the first day, then 250 mg per day for the next 4 days
Note: if amoxicillin is unavailable or if an allergy to penicillins is present, azithromycin may be considered as an alternative. However, it is ineffective against some organisms responsible for otitis media.
doxycycline 100 mg by mouth twice daily for 5 days
If you have
You may have
ofloxacin 10 drops in the affected ear 2 times per day for 10-14 days
If you have
You may have
meningitis or cellulitis or mastoiditis
seek emergency medical care
Ofloxacin is an antibiotic. Ofloxacin drops can be used to treat eye or ear infections.
Amoxicillin-clavulanate (generic for Augmentin) is an antibiotic. It can be used to treat skin infections like bite wounds, ear infections, sinus infections, tooth infections, and other infections. This medication should be taken with food.
Amoxicillin is an antibiotic. It is used to treat infections of the ear, nose, throat, urine, skin, and lungs.
Get our free email series, Where There is No Doctor. We’ll teach you how to treat the most common medical issues, anywhere.
Only your Duration Health provider can decide, based on your medical history and other factors, whether it is medically appropriate for you to receive prescriptions. We do not sell prefabricated bags of pharmaceuticals. Each Duration Health Med Kit is custom assembled, tailored to each individual patient's needs.
You must complete the included online telehealth visit, including a complete medical history and ID verification, before any prescriptions are issued. You may not be eligible to receive items pictured or described on this site. Furthermore, renewal of your prescriptions is contingent upon continued medical appropriateness. Generics only. Brand names are listed on our site for your reference, but in most cases, only generic (non-brand) medications are included in our Med Kits. No controlled substances. Our formulary excludes controlled substances like opioids, benzodiazepines, and other potentially addictive medications. Treatment not guaranteed. No medication is guaranteed to work or guaranteed to treat a particular condition or disease. Use medications only as directed by a physician. Medication uses listed on this site are for educational purposes only and are not intended to represent indications for treatment. Duration Health is not a pharmacy and does not sell medications directly. To be able to deliver a customized kit of medications, Duration Health has partnered with a third-party mail order pharmacy. You may request that any prescriptions be sent to an alternate pharmacy. Email support only. Our providers are available via email to answer questions about your Med Kit. For non-emergency use only. In an emergency, call 911 or seek local emergency care. No routine care. Duration Health email support cannot be used for routine primary care. Medications prescribed by Duration Health cannot be used for routine purposes. This product is intended only for people who are unable to obtain regular medical care. You must anticipate living, working or traveling where care is unavailable. As a condition of purchase, you must consent to use of these medications only when regular access to medical care is unavailable. Your eligibility for Health Savings Account (HSA) or Flexible Spending Account (FSA) payment and reimbursement is not guaranteed; consult with your health plan, a qualified accountant, or a tax professional to determine your eligibility for reimbursement. Duration Health does not provide or claim to provide any medication or other item to prevent, treat or cure COVID-19.
The information provided on this site is intended for your general knowledge only and is not a substitute for professional medical advice or treatment for specific medical conditions. You should not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. If you think you may have a medical emergency, call your doctor, go to the emergency department, or call 911 immediately.