The A-Cerumen: instruction manual, price, reviews, analogs of ear drops A-Cerumen
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A-Cerumen: instructions for use


A-cerumen is a multifunctional pharmacological preparation designed for topical application in order to purify the ear passage from excess sulfur or dissolve the formed sulfur plugs. This tool is an alternative to surgical treatment of this pathology and can be successfully used in children.

International name: A-Cerumen

Form of issue

the drug is issued in 2 ml dropper bottles (5 pieces per pack), as well as in the form of a spray (280 doses).


TEA-cocoyl hydrolyzed collagen (20 g) - has cleansing properties;

Kokobetaine (6 g) - moisturizes the skin of the external auditory canal;

PEG 120-methylglucosodiazoleate (1.5 g) - reduces the undesirable effects of other chemical components, provides a "soft" effect of the drug.

Mechanism of action

Included in the drug pharmacological components (surfactants) dissolve fats, due to which the ear plug is formed.

Indications for use

A-cerumen can be used for regular hygienic use or course treatment in such patients:

  • Persons who regularly use hearing aids, mobile phone headsets and other devices, the use of which implies a long stay in the external auditory canal;
  • Persons with increased earwax formation;
  • Persons suffering from frequent formation of sulfur plugs;
  • Persons professionally engaged in water sports;
  • Employees of industries that have been in dusty premises for a long time.

Mode of application

A-Cerumen is used exclusively as ear drops. Any use of the drug inside is strictly prohibited.

The drug can be used in both adults and children from 2.5 years of age.

Before using the drug (to prevent dizziness) it is necessary to heat it to body temperature, tightly clamped in the palms of your hands. The use of household appliances for this is undesirable.

When using a vial of a dropper, it is not advisable to insert the tip of the container deep into the external auditory meatus.

During the instillation of A-Cerumen to ensure that the drug penetrates as deeply as possible into the ear, it is necessary to tilt the head in a healthy direction and pull the auricle back and up. After using the drug, it is desirable to be in this position for at least 1 minute. After this, it is necessary to tilt the head on the sore side and remove the excesses of the drug and residual sulfur from the clean cloth.

It is not allowed to use one vial-dropper by different persons in order to avoid transmission of infectious diseases.

As a hygienic and preventive remedy, A-cerumen is applied twice a month, 1 ml per each ear (this dose is equivalent to ½ bottle).

For the treatment of sulfuric plugs, a pharmacological preparation is used in a dosage of 1 ml in each external ear canal 2 times a day. After using A-Cerumene, after 60-90 seconds, rinse ears with boiled water or 0.9% sodium chloride solution. The duration of the use of the drug is determined by an ENT doctor individually.

After use, the tip of the dropper vial is preferably wiped dry with a clean cloth.

When using the spray, it is also necessary to tilt the head to the side (when treating the right ear - to the left and vice versa) and to make one injection.

The drug has no effect on the central nervous system, so it is permissible to use it when driving vehicles and other work that requires high accuracy of movements and concentration of attention.

Time of the onset of the effect: under experimental conditions, the dissolution of the sulfur plug begins in 3-4 minutes. In the study of volunteers, the maximum clinical effect was achieved on day 5.


  A-cerumen should not be used in case of hypersensitivity to the chemical components included in its composition, and also:

  • Perforation (perforation) of the tympanic membrane;
  • If there is an active inflammatory process in the external auditory canal;
  • Patients with a shunt in the tympanic membrane;
  • Children under the age of 2.5 years.

Use during pregnancy

A-cerumen is allowed to be used not only during pregnancy, but also during lactation.

Interaction with other pharmacological agents

  since the drug has an exclusively local effect, the use of A-cerumen does not affect the metabolism of other tableted or injectable preparations.

If the drug is used as part of combined otological therapy, then between the use of ear drops it is necessary to observe the time interval.

Side effects

They are rarely registered. If the patient is sensitive to any component of A-cerumen, reddening, rashes, pain, or itching in the external auditory can occur.


To date, such cases have not been described.

Storage conditions

A-Cerumen should be stored for 3 years from the date of manufacture, while the ambient temperature should not exceed +30 0 С.

After opening the bottle-dropper cap, it is allowed to store it for no more than 1 day.


Laboratory Gilbert (France).


Remo-wax, Audi-spray, Audi-baby, Tseromeks.

Analogs for ATC code 4-th level:

Otypax, Ootinum

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