c biotic ear drop - Lidocaine (2% w/v) + Clotrimazole (1% w/v) medicine

c biotic ear drop - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Elixir Life Care Pvt Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 29, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Jun 29, 2026

What is c biotic ear drop used for?

Audotic Ear Drop (Lidocaine + Clotrimazole) is used to treat OTOLOGICALS. It contains Lidocaine (2% w/v) + Clotrimazole (1% w/v), which Lidocaine blocks sodium channels, inhibiting nerve impulse conduction. Clotrimaz. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Lidocaine + Clotrimazole
  • Manufacturer: Elixir Life Care Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

๐Ÿ’Š c biotic ear drop Uses & Benefits

Otitis externa, fungal ear infections.

Off-label uses: None established.

๐Ÿ“‹ Drug Information

Generic Name(s)Lidocaine + Clotrimazole
Brand NameAudotic Ear Drop
ManufacturerElixir Life Care Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassOTOLOGICALS
Action ClassLocal anesthetic + Antifungal
Route of AdministrationOtic (topical).
StorageStore below 25ยฐC, protect from light.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionMinimal systemic absorption through intact skin or mucosa; absorption increased if tympanic membrane is perforated.
DistributionLidocaine: distributed to highly perfused organs; crosses blood-brain barrier and placenta. Clotrimazole: negligible systemic absorption.
Protein BindingLidocaine: 60-80% bound to alpha-1-acid glycoprotein. Clotrimazole: not applicable due to minimal ab
MetabolismLidocaine: primarily hepatic via CYP1A2 and CYP3A4 to active metabolites (MEGX, GX). Clotrimazole: hepatic metabolism to inactive metabolites.
Half-LifeLidocaine: 1.5-2 hours (prolonged in hepatic impairment). Clotrimazole: not applicable.
ExcretionLidocaine: renal (<10% unchanged). Clotrimazole: feces and urine as metabolites.
BioavailabilityLidocaine: low systemic bioavailability via topical application. Clotrimazole: negligible.
Onset of ActionLidocaine: within minutes. Clotrimazole: not applicable.
Peak Plasma TimeLidocaine: not applicable for topical use.
Duration of ActionLidocaine: 30-60 minutes. Clotrimazole: not applicable.

How It Works

Lidocaine blocks sodium channels, inhibiting nerve impulse conduction. Clotrimazole inhibits fungal cytochrome P450 14ฮฑ-demethylase, disrupting ergosterol synthesis.

Mechanism Steps

1Lidocaine diffuses into nerve membrane and blocks sodium channels, preventing depolarization.
2Clotrimazole binds to fungal CYP51, inhibiting 14ฮฑ-demethylase and blocking ergosterol synthesis.
3Ergosterol depletion disrupts fungal cell membrane integrity, leading to cell death.

๐Ÿ’ก How to Take c biotic ear drop

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of c biotic ear drop

โœ… Common Side Effects

  • Local irritation
  • Stinging
  • Burning

๐Ÿšจ Serious Side Effects

  • Allergic reaction
  • Ototoxicity (if tympanic membrane perforated)

โš ๏ธ Rare Side Effects

  • Systemic lidocaine toxicity (very rare with topical use)

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Class I antiarrhythmics Major Additive cardiac toxicity
Cimetidine Major Increased lidocaine levels
Ketoconazole Major Increased lidocaine levels
Beta-blockers Moderate Reduced lidocaine clearance
Rifampin Moderate Decreased lidocaine levels
Phenytoin Moderate Decreased lidocaine levels

๐Ÿšจ Major Interactions

  • Class I antiarrhythmics
  • CYP1A2 inhibitors (e.g., cimetidine)
  • CYP3A4 inhibitors (e.g., ketoconazole)

โšก Moderate Interactions

  • Beta-blockers
  • CYP1A2 inducers (e.g., rifampin)
  • CYP3A4 inducers (e.g., phenytoin)

โ„น๏ธ Minor Interactions

  • Other topical otologicals

๐Ÿฝ๏ธ Food Interactions

None known.

๐Ÿท Alcohol Interaction

No significant interaction.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity to lidocaine, clotrimazole, or any component; perforated tympanic membrane.

๐Ÿ“Š Monitoring Parameters

Signs of local irritation, allergic reaction, or systemic toxicity.

๐Ÿคฑ Lactation Safety

Lidocaine excreted in breast milk; use with caution. Clotrimazole unlikely to be absorbed.

๐Ÿ’Š Overdose Management

Systemic overdose unlikely; if occurs, treat symptomatically (e.g., CNS depression, arrhythmias).

โฐ Missed Dose

Apply as soon as remembered; skip if almost time for next dose.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 29, 2026

๐Ÿ”— View Profile

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