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Docusate sodium with irrigation was better than triethanolamine polypeptide with irrigation for dissolving earwax

https://doi.org/10.1136/ebn.4.2.48

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    Singer AJ, Sauris E, Viccellio AW.Ceruminolytic effects of docusate sodium: a randomized, controlled trial.Ann Emerg Med2000 Sep;36:228–32OpenUrlCrossRefPubMedWeb of Science

    QUESTION: Is a single brief application of docusate sodium (Colace), with or without irrigation, more effective than triethanolamine polypeptide (Cerumenex), with or without irrigation, for clearing cerumen (earwax) in patients presenting to the emergency department?

    Design

    Randomised (allocation not concealed), blinded (unclear) controlled trial.

    Setting

    The emergency department of a tertiary care centre in Stony Brook, New York, USA.

    Patients

    50 patients who were ≥1 year of age (mean age 40 y, 65% men), had a medical condition that required visualisation of the ear canal (eg, earache, hearing loss, or fever), and had cerumen partially or totally occluding the ear canal. Patients were excluded if they had known or suspected tympanic membrane perforation, overt ear infection, were uncooperative, or were allergic to either of the solvent agents. Follow up was complete.

    Intervention

    27 …

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    Footnotes

    • Source of funding: not stated.

    • For correspondence: Dr A J Singer, Department of Emergency Medicine, University Medical Center, L4-515, Stony Brook, NY 11794-7400, USA. Fax +1 631 444 6233.