Otex Express Combi Pack 10ml Otex Express Combi Pack is an advanced, dual-action ear wax treatment to soften hardened ear wax & gently liberate oxygen to help it disperse, & provides a bulb syringe to gently cleanse the ear after treatment. Ingredients Urea Hydrogen Peroxide, 8-Hydroxyquinoline, Glycerol. Bulb syringe made from medical grade PVC. Directions For adults, the elderly & children 12 years & over: Use the Otex ear drops to disperse ear wax as follows: Tilt head, & gently squeeze up to 5 drops into the ear. Leave for a few minutes & then wipe surplus with tissue. Wash hands after use. Repeat once or twice daily, if necessary, for Approx. 3-4 days while symptoms clear. After using Otex ear drops for 3-4 days, cleanse the ear canal of any remaining ear wax by using the bulb syringe as follows: Fill bulb syringe with warm water. Gently position the nozzle of the bulb syringe into the opening of the ear canal but no further. Cleanse the ear canal by gently squeezing the bulb, allowing the rinse water to run out of the ear into the wash basin. Warnings For children under 12 years: Not advised Do not use Otex if your ear drum is (or has been) damaged Do not use Otex if you suffer from dizziness, or if there is any other ear disorder (such as pain, discharge, inflammation, infection or tinnitus). Do not use Otex after ill-advised mechanical efforts to dislodge wax using fingernails, cotton buds or similar implements, as such efforts can cause the ear's delicate inner lining to become damaged, inflamed or infected, whereupon the use of ear drops can be painful. For similar reasons, it is inadvisable to use Otex within 2-3 days of syringing. Do not use Otex if anything else has been used in the ear Do not use Otex if you have a history of ear problems, unless under close medical supervision.