Which medications should be used? Dr. Grossan initially began with Tobramycin added to 200 cc of saline. Today he often cultures the infection and adds the appropriate medications accordingly. For fungal infections, he use antifungals (such as Amphotericin B or Itraconazole). For inflammation, he adds an anti-inflammatory (such as Mometasone or Betamethasone). "Of course, patients really appreciate this simple topical method vs. taking systemic oral antibiotics," states Dr. Grossan. "One important factor here is that the medications come in a sealed vial -- the patient just pops the top and squeezes out its contents. This is vital for many medications that are unstable and removes the need for preservatives. Note that we add Amphotericin B to saline. This is fine as long as the mix is used right away before it precipitates."
More information regarding this unique treatment protocol and a complete list of medications commonly used at Tower ENT, may be found at http://www.aslrx.com/when_should_I.shtml [ASL Pharmacy]. These medications require a prescription. Information on how to acquire these medications and device may be obtained through ASL Pharmacy at 866-552-7579.
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