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Earex Advance Ear Drops 12ml

Earex Advance Ear Drops 12ml

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  • ✔️ Softens and loosens hardened ear wax effectively
  • ✔️ Contains urea hydrogen peroxide 5% w/v cerumenolytic
  • ✔️ Gentle oxygen-releasing action breaks down impacted wax
  • ✔️ Suitable for adults and children aged 12 and over
  • ✔️ Prepares ears for irrigation in just 3 to 4 days

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What Are Earex Advance Ear Drops Used For?

 

Blocked ears are frustrating. Whether it is muffled hearing, a sense of fullness, or that irritating itch deep in the ear canal, a build-up of ear wax is one of the most common causes. Earex advance ear drops offer a straightforward, clinically recognised way to soften and loosen hardened wax so your ears can clear naturally. At just £4.49 for a 12ml bottle, it is an accessible option you can use at home without a GP appointment. If you are browsing other ear, nose, and throat remedies, you can explore our full Ear Nose Throat collection for more options.

Ear wax — medically known as cerumen — is a normal, protective substance produced by glands in the outer ear canal. The NHS notes that it usually moves out of the ear on its own, but sometimes it builds up and causes symptoms including hearing loss, earache, tinnitus, and dizziness. Earex Advance is designed specifically to address this build-up gently and without the need for cotton buds, which can push wax deeper and cause damage.

 

How Do Earex Advance Ear Drops Work?

 

The active ingredient in Earex Advance is urea hydrogen peroxide 5% w/v. When the drops enter the ear canal, the urea hydrogen peroxide reacts with the moisture and warmth inside the ear to release oxygen. This creates a gentle fizzing or bubbling action that works to break apart and soften compacted wax. The softened wax can then migrate out of the ear canal naturally or be removed more easily during ear irrigation.

  • Urea hydrogen peroxide releases oxygen on contact with ear wax
  • Oxygen bubbles physically break down the wax structure
  • Softened wax migrates towards the outer ear naturally
  • Remaining wax can be removed by a healthcare professional if needed

 

Who Should Use Earex Advance Ear Drops?

 

Earex Advance is suitable for adults and children aged 12 and over who are experiencing symptoms of ear wax build-up. It is particularly useful if you have been told by a healthcare professional that you have impacted ear wax, or if you regularly experience wax-related hearing difficulties. It is not a treatment for ear infections, perforated eardrums, or any other ear condition — it is specifically for wax removal.

  • Adults with symptoms of ear wax build-up (muffled hearing, fullness, mild earache)
  • People preparing for ear irrigation or syringing at their GP surgery
  • Those who have been advised by a pharmacist or GP to use ear wax softening drops
  • Individuals aged 12 and over without a history of ear surgery or perforated eardrum

 

How Does Earex Advance Compare to Other Ear Wax Drops?

 

Feature Earex Advance Ear Drops Olive Oil Ear Drops
Active ingredient Urea hydrogen peroxide 5% w/v Olive oil
Mechanism Oxygen-releasing, actively breaks down wax Lubricates and softens wax passively
Speed of action 2–4 days typical Several days to weeks
Suitable for perforated eardrum No No

 

How Should You Store Earex Advance Ear Drops?

 

Store earex advance ear drops below 25°C in a dry place, away from direct sunlight. Keep the bottle tightly closed when not in use and always keep it out of the reach and sight of children. Do not use the drops after the expiry date printed on the bottle — using expired hydrogen peroxide-based products may reduce effectiveness and could potentially cause irritation.

Once opened, check the product packaging for any in-use expiry guidance. If you are managing multiple health products at home, it is worth keeping a well-organised medicine cabinet. You might also find our First Aid collection useful for stocking up on other everyday essentials.

This product is a medicine. Speak to your doctor or pharmacist before using if you have an underlying medical condition or are taking other medicines.

Earex Advance Ear Drops 12ml specifications
Treatment category Ear wax removal
Mechanism of action Urea hydrogen peroxide releases oxygen to soften and break down ear wax
Effective for Softening and loosening hardened ear wax
Suitable for Adults and children aged 12 and over
Active ingredient Urea hydrogen peroxide 5% w/v
Pack size 12ml
Strength 5% w/v
UK classification General Sale List (GSL)
Drug class Cerumenolytic (ear wax softener)
Preparation Ear drops, solution
Route of administration Otic (ear)

Specifications of Earex Advance Ear Drops 12ml

 

What Is Earex Advance and What Is It Used For?

 

Earex Advance Ear Drops 12ml is an over-the-counter cerumenolytic — a product that softens ear wax. It contains urea hydrogen peroxide 5% w/v as its active ingredient. It is used to treat the symptoms associated with ear wax build-up, including reduced hearing, a feeling of fullness or pressure in the ear, mild earache, and tinnitus (ringing in the ear). The NHS advises that ear wax build-up is common and that softening drops are a first-line approach before considering ear irrigation.

Earex Advance is not an antibiotic and does not treat ear infections. It works purely on the physical problem of hardened or impacted wax. If your symptoms include significant pain, discharge, fever, or sudden hearing loss, you should seek medical advice rather than self-treating with ear drops.

 

What Do You Need to Know Before Using Earex Advance?

 

Before using these drops, it is important to check whether they are appropriate for you. There are several situations in which you should not use Earex Advance.

Do not use Earex Advance if you:

  • Have or suspect a perforated (burst) eardrum
  • Have had ear surgery in the past 12 months
  • Have an ear infection (otitis externa or otitis media)
  • Are allergic to urea hydrogen peroxide or any other ingredient in the product
  • Are under 12 years of age (unless advised by a doctor)
  • Have grommets (tympanostomy tubes) in place

Drug interactions:

  • No significant drug interactions are currently known for topical urea hydrogen peroxide ear drops
  • If you are using other ear drops prescribed by your GP, do not use Earex Advance at the same time without seeking advice first

If you are unsure whether this product is right for you, speak to your pharmacist before use. You can also browse our Pain Relief collection if you are experiencing ear discomfort alongside wax build-up and need additional support.

 

How Should You Use Earex Advance?

 

Using ear drops correctly makes a real difference to how well they work. Follow these steps carefully each time you use Earex Advance.

  1. Wash your hands thoroughly before handling the bottle
  2. Warm the bottle slightly by holding it in your hands for a minute or two — cold drops can cause dizziness
  3. Tilt your head to one side so the affected ear faces upward
  4. Gently pull the outer ear upward and backward to straighten the ear canal
  5. Instil 5 drops into the ear canal
  6. Keep your head tilted for at least 1 minute to allow the drops to work
  7. A small piece of cotton wool may be placed loosely at the ear opening to prevent leakage
  8. Repeat for the other ear if both are affected
Indication Age Group Dose Frequency
Ear wax softening Adults and children 12+ 5 drops per affected ear Twice daily for up to 4 days
Pre-irrigation preparation Adults and children 12+ 5 drops per affected ear Twice daily for 3–4 days before appointment

 

What Are the Possible Side Effects of Earex Advance?

 

Like all medicines, Earex Advance can cause side effects, although not everyone experiences them. Most side effects are mild and temporary.

Common side effects:

  • A fizzing or bubbling sensation in the ear — this is normal and expected
  • Mild, temporary warmth inside the ear canal
  • Slight discomfort immediately after instillation

Less common side effects:

  • Mild irritation or itching inside the ear
  • Temporary increase in tinnitus (ringing) during treatment
  • Skin irritation around the outer ear if drops spill onto the skin

Stop using the drops and seek medical advice if you experience significant pain, discharge from the ear, sudden worsening of hearing, or any signs of an allergic reaction such as rash, swelling, or difficulty breathing.

 

How Should You Store Earex Advance?

 

  • Store below 25°C in a cool, dry place
  • Keep away from direct sunlight and heat sources
  • Keep the bottle tightly closed when not in use
  • Keep out of the reach and sight of children
  • Do not use after the expiry date printed on the bottle or carton
  • Do not store in the bathroom — humidity can affect the product

If you are looking after your overall health at home, our Vitamins and Supplements collection includes a range of products to support your general wellbeing alongside targeted treatments like Earex Advance.

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Your safety and success are our highest priorities. Our medical team rigorously evaluates every product and piece of advice we provide, ensuring you receive only the most effective, science-backed solutions available.

Frequently Asked Questions

Where can I buy Earex Advance Ear Drops online in the UK?

You can buy Earex Advance Ear Drops 12ml directly from Cured Pharmacy for just £4.49 with fast UK delivery. It is a General Sale List (GSL) medicine, meaning it is also available from supermarkets and high street pharmacies without a prescription. Buying online is convenient and means you can have it delivered straight to your door.

How do Earex Advance Ear Drops work in the ear?

Earex Advance contains urea hydrogen peroxide 5% w/v, which releases oxygen when it comes into contact with the moisture and warmth inside your ear canal. This creates a gentle fizzing action that physically breaks apart and softens hardened ear wax. Once softened, the wax can migrate out of the ear naturally or be removed more easily by a healthcare professional during ear irrigation.

How do I use Earex Advance Ear Drops step by step?

Warm the bottle in your hands, tilt your head so the affected ear faces upward, and instil 5 drops into the ear canal. Keep your head tilted for at least 1 minute, then sit upright. Repeat twice daily for up to 4 days, and you can place a small piece of cotton wool loosely at the ear opening to prevent leakage.

How long does it take for Earex Advance to clear ear wax?

Most people notice an improvement in symptoms within 2 to 4 days of using Earex Advance twice daily. In some cases, particularly with heavily impacted wax, you may need to follow up with ear irrigation at your GP surgery or pharmacy. If there is no improvement after 4 days, stop use and consult your pharmacist or GP.

What is the correct dose of Earex Advance Ear Drops?

The recommended dose for adults and children aged 12 and over is 5 drops into the affected ear, twice daily. Do not exceed this dose and do not use for more than 4 consecutive days without seeking medical advice. Always read the patient information leaflet supplied with the product before use.

Can I use Earex Advance if I have a perforated eardrum?

No — you must not use Earex Advance if you have or suspect a perforated eardrum. Introducing any liquid into an ear with a perforation can cause serious complications, including infection of the middle ear. If you are unsure whether your eardrum is intact, speak to your GP before using any ear drops.

Is Earex Advance safe for children?

Earex Advance is not recommended for children under 12 years of age unless a doctor has specifically advised its use. For children aged 12 and over, the same adult dosage applies. If your child is younger than 12 and has ear wax problems, speak to your GP or health visitor for appropriate advice. You can also browse our Baby and Toddler collection for age-appropriate health products.

What are the side effects of Earex Advance Ear Drops?

The most commonly reported experience is a fizzing or bubbling sensation in the ear, which is a normal sign that the drops are working. Less commonly, you may notice mild irritation, itching, or temporary discomfort. If you experience significant pain, discharge, or sudden hearing loss, stop using the drops immediately and seek medical advice.

How do I manage side effects of Earex Advance?

The fizzing sensation is expected and usually settles within a minute or two of instilling the drops — no action is needed. If you experience skin irritation around the outer ear, gently wipe away any excess drops with a clean tissue. For any persistent or worsening symptoms, stop use and consult your pharmacist or GP promptly.

Who is eligible to use Earex Advance Ear Drops?

Earex Advance is suitable for adults and young people aged 12 and over who have symptoms of ear wax build-up and do not have a perforated eardrum, active ear infection, or history of ear surgery. It is not suitable for people with grommets in place. If you have any doubts about your suitability, a pharmacist can advise you quickly and without an appointment.

What happens if I use too many drops of Earex Advance?

Using more drops than recommended is unlikely to cause serious harm, but it may increase the chance of irritation inside the ear canal. If you accidentally use too many drops, allow the excess to drain out naturally and avoid inserting anything into the ear. If you experience pain or discomfort, seek advice from your pharmacist.

What are alternatives to Earex Advance Ear Drops?

Common alternatives include olive oil ear drops, sodium bicarbonate ear drops, and other urea hydrogen peroxide-based products. Olive oil works more slowly but is very well tolerated. Your pharmacist can help you choose the most appropriate option based on your symptoms and medical history. You can explore our full range in the Ear Nose Throat collection.

How long can you use Earex Advance Ear Drops for?

Earex Advance should not be used for more than 4 consecutive days without medical advice. It is intended as a short-term treatment to soften and loosen ear wax. If your symptoms have not improved after 4 days, you should see your GP or pharmacist, as you may need ear irrigation or further assessment.

Can I use Earex Advance before ear syringing or irrigation?

Yes — in fact, many GP surgeries and audiology clinics recommend using ear wax softening drops for 3 to 4 days before an ear irrigation appointment. Softening the wax beforehand makes the irrigation procedure more comfortable and more effective. Always follow the specific instructions given by your healthcare provider.

What does the latest research say about urea hydrogen peroxide ear drops?

Urea hydrogen peroxide is a well-established cerumenolytic agent that has been used in clinical practice for many years. The NHS and clinical guidelines recognise ear wax softening drops — including those containing urea hydrogen peroxide — as a first-line approach for managing ear wax build-up before considering irrigation. It remains one of the most widely recommended OTC options for this purpose.

How Should You Use Earex Advance Ear Drops?

Using Earex Advance correctly is straightforward, but technique matters. Warming the bottle slightly before use — by holding it in your hands for a minute — helps prevent the dizziness that cold drops can sometimes cause. Always wash your hands before and after handling the bottle.

What Is the Correct Dose of Earex Advance Ear Drops?

The recommended dose is 5 drops per affected ear, applied twice daily. Do not use more than this — using additional drops will not speed up the process and may increase the risk of irritation. Always follow the dosage instructions on the packaging and in the patient information leaflet.

When Is the Best Time to Use Earex Advance Ear Drops?

There is no strict requirement to use Earex Advance at a specific time of day, but many people find it easiest to use the drops in the morning and again in the evening — for example, after breakfast and before bed. Using them at consistent times helps you remember both daily doses. Applying the drops before bed can be particularly convenient, as you can lie on your side for a few minutes to allow the drops to work without interruption.

Avoid using the drops immediately before activities that require you to be upright and active, as you need to keep your head tilted for at least a minute after instillation for the drops to be effective.

How Long Can You Use Earex Advance Ear Drops For?

Earex Advance should be used for a maximum of 4 consecutive days. This is sufficient time for the urea hydrogen peroxide to soften and loosen most ear wax build-ups. If your symptoms — such as muffled hearing or a feeling of fullness — have not improved after 4 days of use, do not continue self-treating. Instead, speak to your pharmacist or GP, who may recommend ear irrigation or further investigation.

Using the drops for longer than recommended without medical advice is not appropriate and will not provide additional benefit. Short-term, targeted use is the intended approach for this product.

Do not exceed the recommended dose. If in doubt, speak to your pharmacist.

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What Are the Most Common Side Effects of Earex Advance?

The most frequently reported experience when using Earex Advance is a fizzing or bubbling sensation inside the ear canal. This is entirely expected — it is the oxygen being released by the urea hydrogen peroxide as it breaks down the wax. It is not a sign that anything is wrong. Most people also notice a mild warmth inside the ear during and shortly after instillation.

  • Fizzing or bubbling sensation in the ear (normal and expected)
  • Mild, temporary warmth inside the ear canal
  • Slight discomfort immediately after instilling the drops

What Are the Less Common Side Effects of Earex Advance?

Some people may experience mild irritation or itching inside the ear canal during the course of treatment. This is usually short-lived and settles once the drops have been absorbed. Occasionally, a temporary increase in tinnitus (ringing or buzzing in the ear) may occur during the treatment period.

  • Mild irritation or itching inside the ear
  • Temporary worsening of tinnitus during treatment
  • Skin irritation around the outer ear if drops spill onto the skin
  • Temporary feeling of increased ear fullness as wax softens

What Are the Serious Side Effects of Earex Advance?

Serious side effects are rare when Earex Advance is used correctly and in appropriate patients. However, you should stop using the drops immediately and seek medical advice if you experience any of the following. These may indicate an underlying condition such as a perforated eardrum or ear infection that requires proper treatment.

  • Significant or worsening ear pain
  • Discharge from the ear (fluid, pus, or blood)
  • Sudden or significant worsening of hearing
  • Signs of an allergic reaction: rash, swelling of the face or throat, difficulty breathing
  • Dizziness or vertigo that does not settle quickly

What Should You Do If You Experience Side Effects?

For mild side effects such as the expected fizzing sensation or brief discomfort, no action is needed — simply allow the drops to work and sit upright after the recommended minute of head tilting. If you experience skin irritation around the outer ear, wipe away any excess drops gently with a clean tissue and avoid getting the drops on the surrounding skin in future applications.

If you experience any serious side effects listed above, stop using Earex Advance immediately. Do not attempt to flush the ear yourself. Contact your pharmacist or GP for advice. In the case of a severe allergic reaction, call 999 or go to your nearest A&E department.

Can Earex Advance Interact With Other Medicines?

No significant drug interactions are currently known for topically applied urea hydrogen peroxide ear drops. However, if you are already using other ear drops prescribed by your GP — such as antibiotic or steroid ear drops — you should not use Earex Advance at the same time without first seeking advice from your pharmacist or doctor. Using two different ear preparations simultaneously without guidance could reduce the effectiveness of either product or cause unexpected irritation.

If you are concerned about any side effects, contact your pharmacist or GP immediately.

Patient Information Leaflet

Important - Before taking any medication, it is always important to read the Patient Information Leaflet (PIL)

Written and reviewed by our qualified team

GPhC Number: 2233073
Tarun Kumar

Reviewed by:

Tarun Kumar

Superintendent/ Clinical Lead

📖 Find out more about our team of medical content authors and how we ensure the accuracy of our content with our content guidelines.

Content last updated: 31 Mar 2025

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