Debrox is an over-the-counter medication formulated to aid in the removal of excess earwax, scientifically known as cerumen. The product’s effectiveness relies on its active ingredient, carbamide peroxide, typically at a 6.5% concentration. When applied inside the ear canal, this compound releases oxygen, causing the dense earwax to soften and break apart through a bubbling action. This process loosens the impacted cerumen, preparing it for eventual drainage.
Step-by-Step Drop Application
Before beginning the application, wash your hands thoroughly to maintain hygiene. If the drops feel cold, gently warm the bottle by holding it in your hands for a few minutes, as cold liquids in the ear can sometimes cause temporary dizziness. Position your head correctly by tilting it sideways so the affected ear is facing upward.
For adults, the ear canal can be straightened by gently pulling the outer ear or earlobe backward. If applying the drops to a child over the age of twelve, pull the earlobe downward to open the canal. The recommended dosage involves placing five to ten drops of the solution into the ear canal, taking care not to insert the applicator tip itself into the ear.
Once the drops are in place, a mild bubbling or crackling sound may be heard, which is a normal indication that the oxygen is being released and the wax is breaking down. Keep your head tilted for several minutes, typically five to ten minutes, to allow the solution sufficient time to penetrate and act on the cerumen. After waiting, a small, loose piece of cotton can be placed in the outer ear opening to prevent the liquid from leaking out as you move. This treatment can be repeated twice daily for a maximum of four consecutive days, or until the earwax blockage is cleared.
Flushing the Ear After Treatment
After the four-day treatment period, or once the wax has visibly loosened, the ear canal must be gently flushed to remove remaining debris. This is typically done using a soft rubber bulb syringe, often included in the earwax removal kit. Fill the syringe with warm water, ensuring the temperature is close to body temperature.
To perform the flush, tilt your head over a sink or bowl with the treated ear facing the basin. Place the tip of the filled bulb syringe at the opening of the ear canal and gently squeeze to introduce the water into the ear. Avoid squirting the water with excessive force, as this could cause discomfort or injury.
Allow the water and the dislodged cerumen to drain naturally out of the ear and into the sink. Once the flushing is complete, the ear must be thoroughly dried using a towel; avoid inserting any objects or cotton swabs deep into the ear canal. If the ear still feels excessively clogged or if symptoms persist after the four-day regimen, consult a healthcare professional.
When Not to Use the Drops
Several safety warnings must be considered before using carbamide peroxide drops. Do not use this product if you have a suspected or confirmed perforated eardrum (a hole or tear in the tympanic membrane). Using the drops with a perforation allows the solution to enter the middle ear, potentially causing complications such as pain or dizziness.
The drops should also be avoided if you have signs of an existing ear infection, injury, or irritation. Symptoms include ear pain, discharge, bleeding, warmth, or swelling around the ear. Patients who have recently undergone ear surgery or have ear tubes should refrain from using the product unless advised by a physician.
If the wax blockage or other symptoms worsen after starting the treatment, or if the excessive earwax remains after the full four-day course, discontinue use. Seek consultation with a doctor to determine the next steps for earwax removal.