Patient info Search Menu

Otigo 40 mg / 10 mg / g ear drops solution – patient leaflet, side effects, dosage

Updated:
Key facts
Status:
Prescription only (POM)
Medicine strength:
40 mg / 10 mg
Contains active substances:
Similar medicines?:

Patient leaflet - Otigo 40 mg / 10 mg / g ear drops solution

1. What Otigo is and what it is used for

This medicinal product is intended for local symptomatic treatment and relief of pain in the following diseases of the middle ear without tympanic perforation:

  • acute inflammation of the middle ear;
  • middle ear inflammation as a complication after flu;
  • barotraumatic damage of the middle ear (so-called barotraumatic otitis). If in doubt, it is essential to seek the advice of your doctor or your pharmacist.

2. What you need to know before you use Otigo

Do not use Otigo

  • if you are allergic to the active substances or any of the other ingredients of this medicine (listed in section 6).
  • if you have perforated or burst ear drum (tympanic perforation) this includes cases when your ear drum has been perforated during a surgical manipulation (myringotomy) (see Section: Warnings and precautions).

Warnings and precautions

Talk to your doctor or pharmacist before using Otigo.

If you have perforated ear drum membrane (even when the ear drum membrane was perforated during surgical manipulation) this medicine may cause side effects in the middle ear. Except ear pain, other common symptoms of perforated ear drum are: vertigo (spinning sensation); hearing change or loss, often with ringing, buzzing, or clicking; fluid or blood draining from the ear. It is recommended that the doctor checks if your tympanic membrane (ear drum) is intact, before prescribing this medicine.

Stop using this product and tell your doctor if ear discharge develops during the course of treatment.

If symptoms do not improve within 7 days or worsen rapidly or significantly at any time, consult your doctor, who may decide to change your treatment.

The attention of athletes should be drawn to the fact that this medicine contains an active ingredient which may give a positive result in anti-doping tests.

Otigo contains lidocaine (a local anaesthetic) used for pain relief as an active ingredient. Methemoglobinemia (a blood disorder characterized by elevated levels of methemoglobin in the blood, which leads to tissue hypoxia) has been reported following the topical use of local anaesthetics. Otigo should be used with caution in patients who are susceptible to methemoglobinemia, including infants under 3 months of age and patients with haemoglobinopathies or Glucose-6-phosphate dehydrogenase (G6PD) deficiency. If in doubt, do not hesitate to seek the advice of your doctor or your pharmacist.

Otigo ear drops is a medicinal product intended only for local use in the ear. It should not be used in the eyes or nose and should not be swallowed. Other medicines and Otigo

Tell your doctor or pharmacist if you are using, have recently used or might use any other medicines.

Driving and using machines

Otigo does not affect the ability to drive and use machines.

Pregnancy, breast-feeding and fertility

Ask your doctor or pharmacist for advice before using any medicine.

Otigo can be used by pregnant and breast-feeding women, if necessary.

3. How to use Otigo

Always use this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

V I C T O RD E S I G N

tel: 01275 342028 • fax: 01275 342028 • email: mail@victor-design.com MAH Renascience Pharma Ltd

PRODUCT Otigo Ear Drop Solution Leaflet

PL NUMBER 44696/0009

A/W VERSION Sixth draft

DIMENSIONS 160 x 260 mm

INKS USED See Below

DATE 11.05.25

Main Body Text 9 pt

Line Spacing as required

FONTS USED

Frutiger - Black, Roman & Italic

e PAGE 2 OF 2

To avoid the unpleasant contact of the ear with the cold solution, warm the vial before use between your hands.

Dosage:

Otigo is suitable for use both in adults and children.

The recommended dose is 4 drops, 2 or 3 times daily into the outer ear canal of the affected ear.

If symptoms do not improve within 7 days or worsen rapidly or significantly at any time, the therapy should be re-evaluated, so consult a doctor.

Instructions for use

  • Unscrew the bottle cap.
  • Screw the dropper applicator.
  • Remove the protective dropper cap.
  • Tilt your head on one side with your affected ear facing upwards.
  • Turn the bottle down and gently squeeze the dropper until a drop is dispensed into the ear.
  • Press again to dispense the required number of drops.
  • Lie flat on your side.
  • Place back the white protective dropper cap after use.

Otigo ear drops is a medicinal product intended only for local use in the ear. It should not be used in the eyes or nose and should not be swallowed. If you use more Otigo than you should

There are no reports of overdose cases, when Otigo is properly used. If you forget to use Otigo

Do not use a double dose to make up for a missed one.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everyone gets them. The following frequencies are used in evaluating side effects:

Rare side effects (may affect up to 1 in 1,000 people):

local allergic reactions (itching, maculopapular rash), auditory canal hyperaemia. Reporting side effects

If you get any side effects, tell your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via at: www.mhra.gov.uk/yellowcard or search MHRA Yellow Card in the Google Play or Apple App. By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store Otigo

Keep this medicine out of the sight and reach of children.

Store in the original package, in order to protect from light.

This medicinal product does not require any special temperature storage conditions. You can use Otigo 6 months after first opening of the bottle.

Do not use this medicine after the expiry date which is stated on the label and the carton after “EXP”. The expiry date refers to the last day of that month.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacists how to throw away medicines you no longer use. These measures will help protect the environment.

6. Contents of the pack and other information

What Otigo contains

  • The active substances are: phenazone and lidocaine hydrochloride.
  • The other ingredients are: sodium thiosulfate, ethanol, glycerol and water. What Otigo looks like and contents of the pack

Clear, colourless to yellow-brown solution.

15 ml (16.65 g) of the solution are dosed in brown glass (Type ІІІ) bottles with capacity of 15 ml. Bottles are closed with polyethylene screw caps with tamper evident rings and sealing inserts.

To dose the medicinal product use a dropper applicator (polypropylene (PP) screw capsule/ thermoplastic elastomer (TPE) reservoir/ low density polyethylene (LDPE) cap) which should be fixed on the bottle after the first opening of the container.

One bottle with a dropper applicator and a package leaflet in a cardboard carton. Marketing Authorisation Holder

Renascience Pharma Ltd

The Urban Building Second Floor, 3-9 Albert Street, Slough, Berkshire, SL1 2BE, United Kingdom

Manufacturer

Sopharma AD

Industrial zone, Sandanski, 2800, Bulgaria

This leaflet was last revised in: May 2025

About this document

Source: MHRA - Medicines and Healthcare products Regulatory Agency (products.mhra.gov.uk) · Marketing authorisation: PL 44696/0009

Last revision stated in the text: May 2025 · MHRA data as of 13 October 2026

What the sections and the side effect frequencies mean: How to read a patient leaflet

Found a mistake? Tell us on the contact page.

The information on this site does not replace the advice of a doctor or pharmacist.

Facts about Otigo 40 mg / 10 mg / g ear drops solution

What these facts mean

Prescription needed?? Yes, prescription-only medicine (POM)
Active substances? Lidocaine, Phenazone
Strength? 40 mg / 10 mg
Pharmaceutical form? Ear drops
Clear, colourless to yellow-brown solution.
How is it taken? Auricular
Excipients? Sodium thiosulfate, Ethanol, Glycerol, Purified water
Pack sizes 15 ml
Is it available?? Listed as available (NHS Dictionary of Medicines and Devices – not a record of current supplies)
Shelf life? 3 years.
Shelf life after first opening of the bottle – 6 months.
Storage Store in the original package, in order to protect from light.
This medicinal product does not require any special temperature storage conditions.
Drug group (ATC)? Otologicals; analgesics and anaesthetics; combinations АТС code: S02DА30
  1. S Sensory organ drugs
    1. S02 Otologicals
      1. S02D Other otologicals
        1. S02DA Analgesics and anesthetics
          1. S02DA30 otologic analgesic and anesthetic combinations
Marketing authorisation? PL 44696/0009 (first authorised 21 February 2025)
Marketing authorisation holder? Renascience Pharma Limited
Codes? GTIN 5060512180046 · BNF 12010100

Sources: the MHRA product information (products.mhra.gov.uk) and the NHS Dictionary of Medicines and Devices (dm+d), release 11.1.0 of 9 November 2026, NHS Business Services Authority. Contains public sector information licensed under the Open Government Licence v3.0.