Sterile otic formulations
The present disclosure describes a sterile formulation and method for treating an ear infection, especially otomycosis and otitis externa, by administering a one-time only treatment comprising an antibiotic, and antifungal, and an optional anti-inflammatory in a thick, otic carrier. In one embodiment, the sterilization comprises e-beam irradiating ingredients the formulation while heat-sterilizing other ingredients before combining under sterile condition.
1. A single-dose formulation for treating ear infection, comprising:
a) active ingredients for treating fungal and bacterial infections, comprising:
i) ciprofloxacin;
ii) an azole antifungal; and,
iii) dexamethasone;
b) an otically acceptable carrier that includes at least one thickener so that the single-dose formulation is capable of a one-time delivery to the ear canal of a mammal in a flowable fluid form but upon introduction into the ear canal the formulation remains in the ear canal for at least 3 days releasing said active ingredients.
2. The formulation of claim 1 , wherein said azole antifungal is sterilized with heat treatment, and said fluoroquinolone antibacterial is sterilized with heat treatment or ionizing radiation.
3. The formulation of claim 2 , wherein said azole antifungal and said fluoroquinolone are both sterilized with heat treatment, and said heat treatment comprises heating the azole antifungal and/or the fluoroquinolone to at least 120° C. for 1-3 hours.
4. The formulation of claim 3 , wherein the optional corticosteroid is added to the heat-treated azole antifungal and fluoroquinolone after the temperature is cooled to about 50-70° C.
5. The formulation of claim 4 , wherein said optional corticosteroid is sterilized with e-beam irradiation at <15 kGy before adding to the heat treated azole antifungal and fluoroquinolone.
6. The formulation of claim 1 , wherein said carrier comprises about 10-90% of said thickener.
7. The formulation of claim 1 , wherein said carrier comprises 75-90% mineral oil and 10% to 25% of wax.
8. The formulation of claim 1 , wherein said carrier comprises 82% of said mineral oil and 18% of paraffin.
9. The formulation of claim 1 , wherein said formulation comprises 0.1% to 2% by weight of said azole antifungal that is selected from the group consisting of: clotrimazole, ketoconazole, itraconazole, fluconazole, miconazole, econazole, butoconazole, oxiconazole, sulconazole, terconazole, and the combination thereof.
10. The formulation of claim 1 , wherein said formulation further comprises 50,000 to 200,000 unit/ml of a polyene antifungal, wherein said polyene antifungal is nystatin.
11. The formulation of claim 1 , wherein said carrier comprises about 40% mineral oil and about 60% PCCA Plasticizer base, wherein said PCCA Plasticizer comprises butylated hydroxytoluene, polyethylene and mineral oil.
12. A sterile single-dose formulation for treating ear infection, comprising:
a) active ingredients for treating fungal and bacterial infection comprising:
i) about 0.3% by weight of ciprofloxacin;
ii) about 1% by weight of a clotrimazole;
iii) about 0.1% by weight of a dexamethasone; and
b) about 10-25% of wax; and
c) about 75-90% of mineral oil;
d) wherein said ciprofloxacin and clotrimazole are sterilized with heat treatment at a temperature of at least 120° C. for 1-3 hours.
13. A method of treating otitis externa, comprising administering a single dose of the formulation of claim 1 to a patient's ear.
14. A method of treating otitis externa, comprising administering a single dose of the formulation of claim 12 to a patient's ear.