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Sodium bicarbonate ear drops

Sodium bicarbonate ear drops are used to soften dry or hardened earwax.

Use three or four drops twice daily for 3-5 days. Each time you use the drops, allow the solution to remain in your ear for 5-10 minutes.

If your symptoms have not improved after five days, make an appointment to see your doctor for further advice.

At a glance

  • Sodium bicarbonate ear drops soften dry and hardened earwax.

  • You can buy these ear drops from pharmacies.

  • Before using, speak to a doctor or pharmacist if you have a burst eardrum or recent ear surgery.

  • Use the drops twice a day for 3-5 days.

  • If symptoms do not improve, see your doctor for advice.

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About sodium bicarbonate ear drops

Type of medicine

Earwax softener

Used for

Removal of earwax

Available as

Ear drops

Earwax is naturally produced by your body to protect the skin inside your ear canal. The quantity produced varies between individuals, and sometimes it can build up and become hard and dry, causing hearing problems. Sodium bicarbonate ear drops are used to soften dry and hardened earwax. This reduces the need for wax to be physically removed, but also makes ear irrigation and micro-suction easier when removal is necessary.

You can buy sodium bicarbonate ear drops from pharmacies.

To make sure this is the right treatment for you, before you start using the drops it is important that you speak with a doctor or pharmacist:

  • If you have a burst (perforated) eardrum, or if you have recently had any ear surgery.

  • If you have ever had an allergic reaction to any other ear drops.

  • If you are using any other ear products. This includes any preparations which are available to buy without a prescription, as well as herbal and complementary medicines.

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Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about using the drops.

  1. Wash your hands before you begin.

  2. Warm the drops to room temperature before using them. (Let the bottle stand in the room for about half an hour.)

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

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

  5. Release 3-4 drops into your ear to fill the ear canal. Try not to touch the inside of your ear with the dropper as you do this. If the drops are for a child, only insert as many drops as are needed to fill the ear canal.

  6. Keep your ear facing upwards for 5-10 minutes to keep the solution in your ear.

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

  • Use the drops twice a day for 3-5 days. This is usually sufficient to soften the wax, but if your symptoms do not improve, make an appointment to see your doctor for further advice.

  • Do not try to clean inside your ear with cotton buds. If you stick buds or other objects into your ear they can compact the wax and make matters worse. Just wipe the outside of your ear with a clean cloth or tissue if any wax comes out on its own. Flakes or crusts of earwax often fall out bit by bit. You may not notice the wax as it comes out of your ear.

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Sodium bicarbonate ear drops can sometimes cause dryness in your ear canal, but this is rarely troublesome. It is unlikely that you will experience any other side-effects but speak with your doctor or pharmacist if there is anything that concerns you.

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

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

  • If there is any preparation left in the container after you have finished your course of treatment, do not keep it to use later. Ear drops should not be used if the bottle has been open for longer than four weeks.

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.

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

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 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.

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Unsure about mixing medicines?

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

Frequently asked questions

How long do I need to use the ear drops for before I see an improvement?

You should use the drops twice a day for 3-5 days. This is generally enough to soften the wax. If your symptoms haven't improved after this time, you should consult your doctor for further guidance.

Is it normal for my ear to feel dry after using these ear drops?

Yes, sodium bicarbonate ear drops can sometimes lead to dryness in your ear canal. This is usually not a significant problem. If you have any other concerns, speak with your doctor or pharmacist.

When should I avoid using sodium bicarbonate ear drops?

You should speak with a doctor or pharmacist before using these drops if you have a burst eardrum, or have recently had ear surgery. Also, if you've had an allergic reaction to any other ear drops in the past, or are currently using other ear products, including non-prescription, herbal, or complementary medicines, you should consult them first.

What should I do if I accidentally get the ear drops in my other ear, or if I'm only supposed to treat one ear?

The instructions advise repeating the process in your other ear if you have been asked to use the drops in both ears. If you are only treating one ear, focus on applying the drops only to the affected ear as instructed by your doctor or pharmacist.

After the wax softens, how will it come out of my ear?

Flakes or crusts of earwax often fall out bit by bit on their own, and you might not even notice them coming out. Do not use cotton buds or other objects to try and clean inside your ear, as this can push the wax further in and make the problem worse. Simply wipe the outside of your ear with a clean cloth or tissue if any wax becomes visible.

Can I store unused ear drops for future use?

It's best not to keep any leftover preparation in the container once you've completed your course of treatment. Ear drops should not be used if the bottle has been open for longer than four weeks. Dispose of any out-of-date or unwanted medicines by taking them to your local pharmacy.

Further reading and references

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About the authorView full bio

Author image

Michael Stewart, MRPharmS

Medicine Leaflet Review Manager – Contractor, Pharmacist

BPharm (Hons), MRPharmS

Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.

About the reviewer

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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.

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