How To Use Earcalm Spray Adults & children 12 years & over: One dose to be administered into each affected ear at least 3 times a day. Do not exceed the dose of one spray every 2-3 hours. You should continue use for two days after symptoms have cleared but should not continue treatment for longer than a week after symptoms have cleared. Earcalm is not recommended in use for children under 12 unless a doctor tells you to. If you experience pain or dulled hearing, seek medical advice & stop using the product. If symptoms do not improve, talk to your doctor or pharmacist.