Dose the patient being treated have any of the following conditions?

• Less than 12 years old.

• Signs of an ear infection such as fever, severe pain of the ear, or excessive redness and inflammation of the ear region.

• Allergic to over the counter medications or ingredients.

• Tympanostomy tubes in the ears.

• A ruptured tympanic membrane.

• Bleeding from the ears.

• A recent injury to the ear.

• Ear surgery within the past 6 weeks.


Yes

No



Powered by PharmacyHQ.com


Follow us on Twitter
Like us on Facebook
Follow us on Instagram

2017 © Copyright PharmacyHQ
Questions? Please contact: pharmacyhq.mail@gmail.com