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Otixal (Ciprofloxacin/Fluocinolone)

Prescription medicineOnly Available By Prescription

Top brand choice

Strength Pack Size Qty
0.3%/0.025% 0.25ml Ear Drops
Pack Size

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What if I find a lower price with another pharmacy?

We guarantee the lowest price on all of our prescription products. If you find your medications cheaper at any other recognized licensed mail order pharmacy, we will not only match their price, we will beat it by 25% of the difference. It is our 125% price match guarantee!

Example: If you find a product on Canada Drugs Direct for $50.00 and find the same product for $40.00 at another mail order pharmacy, we will provide you with a $12.50 discount, bringing your total to $37.50.

To get the discount please make sure to mention the price match to the customer service team when they call to collect payment for your order. Or call toll free at 1-888-904-8467 to place the order through the phone.

Terms & Conditions of Program

  • Guaranteed lowest price is only valid at the time of sale.
  • We will only match the current advertised price.
  • Products must be identical and in stock at the time of placing an order with a licensed mail order pharmacy. They must be an online Canadian pharmacy with an address in Canada.
  • Products must be authentic in brand and size (same manufacturer, same country of manufacture, same pack size, same strength and same quantity).
  • Products must be new. We cannot match the price of any used, short expiry or expired product.
  • Price match can only be issued over the phone with our customer service team. Please note at this time we cannot offer price matching for the products Ozempic or Saxenda.
What is a Generic Drug?

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (eg. different shape or color), as trademarks laws prevent a generic from looking exactly like the brand-name drug.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.


Otixal is a prescription ear drop medication combining ciprofloxacin and fluocinolone. These ear drops are designed to treat various ear conditions, providing a dual-action approach to address infections and inflammation within the ear.

Otixal is indicated for treating acute otitis media (ear infection) in pediatric patients six months and older. It is effective at killing the specific types of bacteria that are responsible for causing ear infections.


Otixal is supplied in single-use vials. To administer, tilt the head to the side and instill the contents of one vial into the ear. Pump the small cartilage in front of the ear canal four times to help the medication penetrate the ear. Keep the head tilted to the side for one minute with medication in the ear.

Use the number of vials prescribed by the doctor each day. Do not stop taking it before finishing the full course.

Otixal ear drops should be used as directed by your healthcare provider. Follow the prescribed dosage and duration of treatment. If you have any concerns or questions, consult your doctor.

Tell your doctor if symptoms do not improve after seven days of treatment.


Ciprofloxacin: This component is an antibiotic that fights bacteria in the ear. It works by inhibiting the growth and spread of bacteria, helping to clear up infections.

Fluocinolone: This is a corticosteroid that reduces inflammation and provides relief from symptoms such as pain and swelling.


Common drug-drug interactions may include:

  • Agomelatine
  • Bepridil
  • Cisapride
  • Desmopressin
  • Dronedarone
  • Eliglustat
  • Fezolinetant
  • Flibanserin
  • Levoketoconazole
  • Mesoridazine
  • Pimozide
  • Piperaquine
  • Saquinavir
  • Sparfloxacin
  • Terfenadine
  • Thioridazine
  • Tizanidine
  • Ziprasidone


Inform your doctor about any allergies or sensitivities you may have. Stop this drug immediately if a skin rash develops.

Contact your healthcare provider promptly if you experience any unusual side effects or discomfort.

Do not use Otixal for a longer duration than prescribed.

Side Effects

Common adverse reactions may include:

  • Auricular swelling
  • Balance disorder
  • Ear infection
  • Ear pruritus
  • Excessive granulation tissue
  • Hypersensitivity reaction
  • Opportunistic infection
  • Otorrhea
  • Tympanic membrane disorder


Otixal [package insert]. Verdun, QC: Pediapharm Inc; April 2018.

IMPORTANT NOTE: The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

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