Skip to main content

Betamethasone ear drops

Betnesol, Vistamethasone

Betamethasone ear drops are prescribed to treat inflammation in the ear canal.

Use 2-3 drops every three hours to begin with, then reduce the frequency as your ear improves.

If your symptoms have not improved after seven days, make another appointment to see your doctor.

At a glance

  • Betamethasone ear drops are anti-inflammatory drops used for inflammation in the outer ear (otitis externa).

  • They help to relieve the inflammation, itching, and pain caused by this condition.

  • A combination product called Betnesol-N® is used if the ear canal also has an infection.

  • Use the drops exactly as your doctor tells you, usually for 7-10 days.

  • Do not use for longer than a week unless advised by your doctor if the drops contain an antibacterial.

  • You should not use these drops if you have a perforated eardrum.

  • See your doctor if your symptoms do not improve after one week of using the drops.

Video picks for ENT and mouth care

Continue reading below

About betamethasone ear drops

Type of medicine

Anti-inflammatory ear drops

Used for

Inflammation in the outer parts of the ear (otitis externa)

Also called

Betamethasone sodium phosphate

Brands include: Betnesol®; Vistamethasone®

There is also a combination brand called Betnesol-N® which contains betamethasone with an anti-infective called neomycin

Available as

Ear drops

Otitis externa is a term used for inflammation in the ear when it is confined to the ear canal and does not go further than the eardrum. If you get things like water, shampoo or soap in your ear then it can cause itching. If you then scratch or poke your ear, this can damage the skin in the ear canal and cause inflammation. Betamethasone ear drops are used to relieve this type of inflammation, along with any associated itching and pain.

Sometimes the inflamed skin becomes infected. A brand of betamethasone called Betnesol-N® is used if the skin in the ear canal is infected as well as inflamed. This brand contains an antibacterial ingredient called neomycin.

To make sure this is the right treatment for you, before you start using betamethasone ear drops, it is important that your doctor knows:

  • If you are pregnant or breastfeeding.

  • If you have a hole in your eardrum (a perforated eardrum).

  • If you have ever had an allergic reaction to a medicine.

Continue reading below

  • Before you use the drops, read the manufacturer's printed information leaflet from the pack. It will give you more information about betamethasone and will provide you with a full list of the side-effects which you could experience.

  • Use the ear drops exactly as your doctor tells you to. Unless you have been told otherwise, put 2-3 drops into the affected ear every three hours to begin with, and then reduce the number of times you use the drops as your ear improves. You may need to use the drops for about 7-10 days. If you are using drops containing an antibacterial (Betnesol-N®), it is important that you do not use the drops for longer than a week unless your doctor has specifically told you to do so.

  1. Wash your hands first. Clean your ear gently with warm water and then pat it dry.

  2. Remove the cap from the bottle.

  3. Lie down, or tilt your head to the side, so that the affected ear is facing upwards.

  4. Gently pull your earlobe downwards to straighten the ear canal.

  5. Hold the bottle upside down near to your ear and apply enough pressure to release two or three drops into your ear.

  6. Keep your ear facing upwards for a few minutes to allow the solution to come into contact with the affected area.

  7. Repeat the process in your other ear if you have been asked to use the drops in both ears.

  8. Replace the cap on the bottle.

  • If you feel there is no improvement in your symptoms after you have used the drops for a week, stop using them and make another appointment to see your doctor.

  • Otitis externa can be painful. You can take simple painkillers such as paracetamol or ibuprofen to help relieve the pain.

  • To help stop further bouts of inflammation, try not to let soap or shampoo get into your ear canal when you wash. You can do this when you have a shower by gently placing a piece of cotton wool coated in soft white paraffin (eg, Vaseline®) into your ear. Do not poke it in.

  • Otitis externa is more common in people who swim regularly compared to non-swimmers. If it is not possible for you to avoid swimming, try to protect your ears as much as possible.

Continue reading below

You may get a slight feeling of irritation or burning. This is usually mild and soon passes. If you get a skin rash or if you notice any other symptoms which you think may be due to the drops, ask your doctor or pharmacist for advice.

  • Keep all medicines out of the reach and sight of children.

  • Store in a cool, dry place, away from direct heat and light.

  • In order to prevent the risk of infection, throw away any solution left in the bottle after you have finished your course of treatment. Do not keep it to use another time.

Important information about all medicines

If you suspect that someone has swallowed some of this medicine, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.

This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.

If you are having an operation or dental treatment, tell the person carrying out the treatment which medicines you are using.

Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.

If you buy any medicines, check with a pharmacist that they are safe to use with your other medicines.

If you have any questions about this medicine ask your pharmacist.

Report side effects to a medicine or vaccine

If you experience side effects, you can report them online through the Yellow Card website.

symptom checker

Unsure about mixing medicines?

Check for possible interactions between medicines, supplements and foods before taking them together.

Frequently asked questions

What is otitis externa?

Otitis externa is the medical term for inflammation that occurs in the ear canal, affecting only the outer part of the ear and not extending beyond the eardrum. It can be caused by irritants like water, shampoo, or soap entering the ear, leading to itching. If the ear is then scratched or poked, it can damage the skin in the ear canal, resulting in inflammation.

How do betamethasone ear drops help with ear inflammation?

Betamethasone ear drops are an anti-inflammatory medicine specifically designed to relieve inflammation in the outer parts of the ear (otitis externa). They help to reduce the inflammation as well as any associated itching and pain that you might experience.

My ear inflammation is also infected. Can these drops help?

Yes, there is a specific brand of betamethasone called Betnesol-N® that is used if the skin in your ear canal is both inflamed and infected. This particular brand contains an antibacterial ingredient called neomycin, in addition to betamethasone, to treat the infection.

How long should I use betamethasone ear drops?

You should use the ear drops exactly as your doctor instructs. Typically, you might start with 2-3 drops every three hours and then reduce the frequency as your ear gets better. The entire course of treatment may last for about 7-10 days. If you are using drops that contain an antibacterial, like Betnesol-N®, it's important not to use them for more than a week unless your doctor has specifically told you to do so.

What should I do if my ear doesn't improve after using the drops for a week?

If you do not notice any improvement in your symptoms after using the ear drops for a week, you should stop using them and schedule another appointment to see your doctor for further advice.

How can I prevent otitis externa from coming back?

To help prevent future episodes of inflammation, try to avoid getting soap or shampoo inside your ear canal when you wash your hair. You can do this by gently placing a piece of cotton wool coated in soft white paraffin (like Vaseline®) into your ear when showering, but be careful not to push it in. Otitis externa is also more common in swimmers, so if you swim regularly, try to protect your ears as much as possible.

Further reading and references

Continue reading below

About the authorView full bio

Author image

Helen Allen, MPharm

Pharmacist, Medical Author

MPharm

Helen Allen qualified as a Pharmacist in 1979 and spent 3 years as the drug information leaflets' author for EMIS.

About the reviewer

Author image

Sid Dajani

Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.

Article history

The information on this page is written and peer reviewed by qualified clinicians.

flu eligibility checker

Ask, share, connect.

Browse discussions, ask questions, and share experiences across hundreds of health topics.

Sign up to the Patient newsletter

Your weekly dose of clear, trustworthy health advice - written to help you feel informed, confident and in control.

Please enter a valid email address

By subscribing you accept our Privacy Policy. You can unsubscribe at any time. We never sell your data.