Commercial preparations are available over the counter and by prescription. The prescription drops contain antibiotics and steroid additions which are felt by many to enhance the ear drop efficacy. Oral antibiotics are not indicated, are not helpful and should neither be requested nor prescribed. There is no question that this is a painful condition. Pain medicine such as Tylenol for young children, aspirin and non-steroidals for older individuals should be provided.
Heat is also very comforting.
In the old days this was a stone warmed in the fire. Today it is a dry heating pad. The ear drops are used until the pain and itching are gone. They can be used 3-4 times a day. Once improved, the child can return to swimming, bathing and normal activities.