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Dexamethasone Ear Spray (Generic Otomize)

  • Effective treatment for bacterial ear infections
  • Contains active ingredients dexamethasone, neomycin, and acetic acid
  • Generic version of Otomize Ear Spray.
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This treatment is inclusive of consultation & private prescription.
Fast & Free Delivery Options

Variety of delivery options including next day & free delivery.

100% UK-based Pharmacy

Pharmacy, clinic and prescribers based in Greater Manchester.

Free Online Consultations

Start your treatment with a quick and free online consultation.

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About Dexamethasone Ear Spray

Dexamethasone/Neomycin/Acetic Acid Ear Spray is a generic alternative to Otomize Ear Spray (which was discontinued in July 2025).

Medication Name Dexamethasone Ear Spray (Generic Otomize)
Medication Form Ear Spray
Used for Inflammation and infection of the outer ear (otitis externa)
Active Ingredients Dexamethasone, Neomycin Sulfate, Acetic Acid
Patient Information Leaflet Dexamethasone Ear Spray Patient Information Leaflet

What is Dexamethasone ear spray used for?

Dexamethasone neomycin ear spray is used to treat painful swelling and mild to moderate outer ear infections. This type of infection is called otitis externa, or swimmer’s ear, and is a painful condition that happens when the skin inside your ear canal becomes irritated, inflamed or infected.

It’s often caused by water getting trapped in the ear after swimming or showering, creating a warm, moist environment where bacteria can grow. Other causes include scratching the ear, using cotton buds, or allergies. This can lead to redness, itching, discomfort, and even temporary hearing loss.

How does Dexamethasone Ear Spray work for ear infections?

Dexamethasone spray for ear infections contains three active ingredients:

  • Dexamethasone reduces swelling and inflammation in the ear.
  • Neomycin sulfate is an antibiotic that targets and kills the bacteria causing the infection.
  • Acetic acid helps to restore the natural acidity of the ear canal and has additional antibacterial properties.

Together, they relieve pain, reduce inflammation, and fight the infection.

How To Use Dexamethasone Ear Spray

To use Dexamethasone ear spray to heal your ear, follow these steps carefully:

  1. Shake the bottle well before each use.
  2. Gently insert the nozzle into the affected ear.
  3. Press the pump once, and it will deliver a fine spray into the outer ear canal.
  4. Use one spray into the affected ear three times a day, or as directed by your doctor.
  5. Continue using the spray for two days after symptoms improve.

Stop treatment and consult your doctor if symptoms worsen or do not improve after 7 days.

Who can use Dexamethasone Ear Spray to treat ear infections?

This product is suitable for adults and children over 2 years old. However, at Click2Pharmacy, we can only sell this medicine for use by adults over 18.

It should not be used by:

  • Children under 2 years of age
  • Anyone with a perforated eardrum or ear grommets
  • People allergic to dexamethasone, neomycin, acetic acid, or any ingredients in the spray
  • Those with mitochondrial disease are at risk of hearing loss from aminoglycoside antibiotics

Side Effects of Dexamethasone Ear Spray

Like all medicines, Dexamethasone Ear Spray may cause side effects. Most are mild and go away quickly.

Common Side Effects

  • Temporary stinging or burning sensation in the ear

Uncommon Side Effects

  • Skin irritation
  • Mild allergic reaction (rash or sensitivity)

Rare Side Effects

  • Blurred vision

If you experience any serious or persistent side effects, stop using the product and speak to your doctor or pharmacist. You can also report side effects through the Yellow Card Scheme. This helps improve the safety of the medicine for everyone.

For a full list of side effects, refer to the patient information leaflet.

Dexamethasone Ear Spray Ingredients

Active Ingredients: Dexamethasone, Neomycin Sulfate, Acetic Acid

Inactive Ingredients: Macrogol (2) stearyl ether, Macrogol (20) stearyl ether, Stearyl alcohol, Methyl parahydroxybenzoate (E218), Propyl parahydroxybenzoate (E216), Purified water.

Dexamethasone Ear Spray Warnings

  • For external use in the ears only
  • Do not swallow or spray into the mouth, nose, or eyes
  • Store below 25°C, do not freeze
  • Discard 1 month after opening
  • Keep out of reach of children

Dexamethasone Ear Spray (Generic Otomize) Reviews

Dexamethasone Ear Spray FAQs


Most people notice their ear pain starts to feel better within a few days. Treatment should continue for 2 days after symptoms disappear.

Alcohol does not interact with Dexamethasone Ear Spray when used in the ears.

Speak to your doctor before using this product if you are pregnant, breastfeeding, or planning to become pregnant.

Dexamethasone Ear Spray is a prescription-only medication. When you purchase this product, we will ask you to complete a short online consultation to check if it is suitable. Our pharmacists will review your details and prescribe Dexamethasone Ear Spray if it is appropriate for your condition.

It’s best to keep your ears dry while using Dexamethasone spray. Water in the ear can slow down healing and may make the bacterial infection worse. Avoid swimming and try not to get water in your ears when showering or bathing.

Keep using the ear infection treatment spray for two days after your symptoms have completely cleared. Stop using it and speak to your doctor if your symptoms get worse or haven’t improved after 7 days.

Dexamethasone Ear Spray is a generic Otomize spray, meaning it contains the same broad-spectrum antibiotics and active ingredients as Otomize Ear Spray. It works in exactly the same way to reduce inflammation, fight infection, and relieve discomfort in the outer ear.

The main difference is the brand name. Dexamethasone Ear Spray is an Otomize Ear Spray alternative that is often more affordable but just as effective.

Dexamethasone Ear Spray as an Ear Infection Treatment

A View From Our Expert

“Ear infections can be very painful. This spray helps ease that pressure and irritation, giving your ear the chance to heal comfortably and get you back to feeling normal.”

Dr Hussain Ahmad

Our Experienced UK-based Pharmacy Team

Clinical Consultant
MUDr, MRCEM, EBCEM, FRCEM
GMC no. 7176414

Pharmacist
MPharm
GPhC no. 2065469

Pharmacist
MPharm
GPhC no. 2046514

Page content authored by Mr Mohammed, last reviewed by Amjad Khan on 27th November 2025.

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