{
  "schema_version": 1,
  "kind": "condition",
  "id": "foreign-body-ear",
  "name": "Ear foreign body (acute management & removal)",
  "category": "chronic",
  "sources": "NICE CKS Ear Foreign Body · No labelled dose - plain oil, instilled to effect",
  "review_status": "reviewed",
  "verified_against": "No labelled dose - plain oil, instilled to effect · Ear Foreign Body Removal - disease-level clinical article (foreign-body-ear-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 749,
      "generic": "Olive oil",
      "line": 1,
      "is_adjunct": false,
      "form": "ear",
      "strength_mg": null,
      "adult_dose": "Instill 3-5 drops of mineral oil or olive oil into the affected ear canal to drown live insects prior to removal",
      "adult_duration": "single application",
      "dose_source": "No labelled dose - plain oil, instilled to effect",
      "rationale": "Immobilizes live insects immediately to stop pain and canal trauma before mechanical removal",
      "cautions": [
        "DO NOT instill oil or aqueous solutions if organic foreign body (e.g. seed, bean, button battery) is present (seeds swell; batteries cause chemical burns).",
        "CONTRAINDICATED if tympanic membrane perforation or tympanostomy tube is suspected.",
        "Button batteries require IMMEDIATE emergency ENT extraction (do not attempt syringe flushing).",
        "Plain olive oil carries no licensed dose. Warm it to body temperature first - cold oil in the ear canal sets off vertigo and nausea."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Instill 2-3 drops into ear canal; safe in children provided tympanic membrane is intact",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "AURIS EAR DROPS 15 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "HEALTHY GROUP FOR COSMETICS > LANDMARK PHARMA",
          "price_egp": 10.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "almond oil, bht, calendula oil, chlorobutanol, paraffin oil, tea tree oil, vitamin e"
        },
        {
          "trade_name": "OLIVRUM 15 ML EAR  DROPS",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "NILE COSMOTICS FACRORY > NUTRISYNTH FOR TRADE AND DISTRIBUTION",
          "price_egp": 49.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "almond oil, chamomile oil, climbazole, coconut oil, lavender oil, lidocaine, paraffin oil, tea tree oil"
        },
        {
          "trade_name": "ALEAVIA EAR DROPS 15 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EL NILE > OPTIMASA",
          "price_egp": 60.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "almond oil, coconut, garlic oil, paraffin, tea tree oil"
        }
      ],
      "condition_id": "foreign-body-ear"
    },
    {
      "id": 750,
      "generic": "Referral & safety-netting (no drug therapy)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": null,
      "adult_duration": null,
      "dose_source": "Ear Foreign Body Removal - disease-level clinical article (foreign-body-ear-clinical.txt)",
      "rationale": "Carries the referral criteria and warning signs for this condition, which apply whichever treatment is chosen.",
      "cautions": [
        "RED FLAG - Button batteries in the ear canal require emergent (not routine) removal because of caustic injury and toxic chemical release risk.",
        "RED FLAG - Superabsorbent polymer bead foreign bodies must NOT be treated with oil or otic drops (drops can worsen swelling/injury) - dry ear precautions and urgent otolaryngology referral are needed instead. Do not instil oil unless the object is a confirmed insect rather than a swelling bead."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": null,
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "foreign-body-ear"
    }
  ]
}