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Otex Express Combi Pack Drops and Ear Syringe - 10ml

Otex Express Combi Pack Drops and Ear Syringe - 10ml

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  • ✔️ Softens and loosens hardened earwax with urea hydrogen peroxide
  • ✔️ Includes reusable ear syringe for complete at-home irrigation
  • ✔️ Relieves blocked ear symptoms in as little as 3 to 4 days
  • ✔️ Suitable for adults and young people aged 12 and over
  • ✔️ Two-step combi system mirrors clinical earwax removal methods

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What Are Ear Wax Removal Drops — and Does This Combi Pack Work?

 

Blocked ears are surprisingly common. In fact, earwax build-up — known medically as cerumen impaction — affects millions of people in the UK every year. It can cause muffled hearing, a sensation of fullness in the ear, and even mild tinnitus. The ear wax removal drops in the Otex Express Combi Pack are designed to tackle exactly this problem, offering a two-step solution you can use safely at home. The 10ml bottle of drops works alongside a reusable ear syringe, giving you everything you need in one convenient pack. If you're browsing our ear, nose and throat range, this is one of the most practical options available for managing wax build-up without a GP appointment.

The active ingredient is urea hydrogen peroxide 5% w/w. When applied to the ear canal, it releases oxygen on contact with the wax, creating a gentle fizzing action that breaks down and softens even stubborn, hardened deposits. The included ear syringe then allows you to flush the loosened wax away using warm water — a process sometimes called ear irrigation. It's a straightforward, two-step approach that mirrors what many GP surgeries and pharmacies offer as a first-line treatment for earwax.

 

How Does the Otex Express Combi Pack Actually Work?

 

Understanding the mechanism helps you use the product correctly. Here's what happens when you apply the drops:

  • Urea hydrogen peroxide penetrates the wax and releases nascent oxygen.
  • The oxygen bubbles physically break apart the wax structure, softening it from within.
  • After a few minutes, the softened wax becomes easier to dislodge.
  • The ear syringe delivers a controlled stream of warm water to flush the loosened wax out of the canal.

This combination approach — chemical softening followed by mechanical irrigation — is more effective than drops alone for many people. The NHS recommends softening drops as a first step before any ear irrigation procedure, which is exactly what this combi pack facilitates.

 

Who Is the Otex Express Combi Pack Suitable For?

 

This product is intended for adults and children aged 12 and over who are experiencing symptoms of earwax build-up. It's particularly useful if you've noticed gradual hearing loss, a blocked or full feeling in one or both ears, or mild earache that isn't related to infection. It is not suitable for everyone, though — see the contraindications in Section 2 for full details.

Good candidates for this product include:

  • Adults with recurrent earwax build-up who want a home management option.
  • People who use hearing aids, as these can accelerate wax accumulation.
  • Those who have been advised by a healthcare professional to use softening drops before irrigation.
  • Individuals aged 12 and over with no history of ear surgery or perforated eardrum.

 

How Does the Otex Express Combi Pack Compare to Other Ear Wax Treatments?

 

Feature Otex Express Combi Pack Olive Oil Ear Drops
Active ingredient Urea hydrogen peroxide 5% Olive oil (no active pharmaceutical ingredient)
Mechanism Oxygen release breaks down wax Lubricates and softens wax gradually
Includes irrigation tool Yes — reusable ear syringe included No
Speed of action 3–4 days typical Up to 2 weeks typical

 

Is the Otex Express Combi Pack Safe to Store at Home?

 

Yes, provided you follow the storage instructions. Keep the drops below 25°C, away from direct sunlight, and out of reach of children. Once opened, the drops should be used within the period stated on the packaging — typically within 28 days. The ear syringe should be rinsed with clean water after each use and allowed to dry before storage. If you're also managing other health conditions and keeping a range of products at home, our first aid collection has a wide selection of useful items to keep alongside your ear care products.

These ear wax removal drops are classified as a pharmacy medicine (P) in the UK, meaning they can be purchased without a prescription but are subject to pharmacist oversight. Always read the label carefully before use.

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.

Otex Express Combi Pack Drops and Ear Syringe - 10ml specifications
Treatment category Ear care / Cerumen (earwax) removal
Active ingredient Urea hydrogen peroxide 5% w/w
Mechanism of action Releases oxygen to soften and break down earwax
Suitable for Adults and children aged 12 and over
Pack size 10ml drops + 1 reusable ear syringe
UK classification Pharmacy medicine (P)
Drug class Cerumenolytic agent
Preparation Ear drops (solution)
Route of administration Otic (into the ear canal)

Specifications of Otex Express Combi Pack Drops and Ear Syringe - 10ml

 

What Is Otex Express Combi Pack and What Is It Used For?

 

Otex Express Combi Pack is an over-the-counter ear care product used to treat the build-up of earwax (cerumen) in the ear canal. It contains a 10ml bottle of ear drops with urea hydrogen peroxide 5% w/w as the active ingredient, plus a reusable ear syringe for irrigation. The drops work by releasing oxygen to soften and loosen hardened wax, while the syringe allows you to flush it away gently using warm water. It is intended for use in adults and young people aged 12 and over who are experiencing symptoms of earwax blockage, such as reduced hearing, a feeling of fullness in the ear, or mild discomfort. It is not a treatment for ear infections or other ear conditions.

 

What Do You Need to Know Before Using Otex Express Combi Pack?

 

Before using these drops, it's important to check whether this product is right for you. Do not use Otex Express if any of the following apply:

  • You have or suspect a perforated (burst) eardrum.
  • You have an ear infection (otitis externa or otitis media).
  • You have had ear surgery in the past 12 months.
  • You have grommets (tympanostomy tubes) in your ears.
  • You are under 12 years of age.
  • You have a known hypersensitivity to urea hydrogen peroxide or any other ingredient in the product.

There are no known significant drug interactions with topical urea hydrogen peroxide ear drops. However, if you are using any other ear preparations, do not use them at the same time as Otex Express without first speaking to your pharmacist. If you are unsure whether this product is suitable for you, our ear, nose and throat section includes further information and alternative products that may be more appropriate.

 

How Should You Use Otex Express Combi Pack?

 

Always follow the instructions in the patient information leaflet supplied with the product. The general method of use is as follows:

  1. Warm the drops slightly by holding the bottle in your hand for a few minutes — cold drops can cause dizziness.
  2. Tilt your head to one side so the affected ear faces upward.
  3. Gently pull the outer ear upward and backward to straighten the ear canal.
  4. Apply 5 drops into the ear canal.
  5. Keep your head tilted for 2–3 minutes to allow the drops to work.
  6. Place a clean piece of cotton wool loosely at the ear opening to absorb any excess.
  7. After the drops have had time to act (usually after a few minutes), fill the ear syringe with warm (body temperature) water.
  8. Gently squeeze the syringe to irrigate the ear canal, directing the water along the upper wall of the canal.
  9. Allow the water and loosened wax to drain out naturally.
  10. Repeat once or twice daily for up to 4 days.
Indication Age Group Dose Frequency
Earwax removal Adults and children 12+ 5 drops per affected ear Once or twice daily, up to 4 days
Earwax removal Under 12 years Not recommended without medical advice

 

What Are the Possible Side Effects of Otex Express Combi Pack?

 

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

Common side effects:

  • A temporary fizzing or bubbling sensation in the ear — this is normal and indicates the drops are working.
  • Mild warmth or tingling in the ear canal.

Less common side effects:

  • Mild irritation or itching inside the ear.
  • Temporary dizziness if the drops are applied too cold.
  • Slight discomfort during irrigation.

Stop using the product immediately and seek medical advice if you experience pain, discharge from the ear, sudden hearing loss, or any signs of an allergic reaction such as swelling or rash. If you're managing other minor health concerns alongside ear care, you might also find our pain relief collection helpful for mild associated discomfort.

 

How Should You Store Otex Express Combi Pack?

 

  • Store below 25°C in a cool, dry place.
  • Keep away from direct sunlight and heat sources.
  • Keep out of the sight and reach of children.
  • Do not use after the expiry date printed on the packaging.
  • Once opened, use within 28 days.
  • Rinse the ear syringe with clean water after each use and allow it to dry before storing.
  • Do not freeze the drops.

Written and reviewed by our qualified team

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Frequently Asked Questions

Where can I buy Otex Express Combi Pack online in the UK?

You can buy the Otex Express Combi Pack directly from Cured Pharmacy, a GPhC-registered UK online pharmacy. It is available without a prescription as an over-the-counter product. Simply add it to your basket and it will be dispatched to your door.

How do ear wax removal drops work in the ear?

The active ingredient, urea hydrogen peroxide 5%, releases oxygen when it comes into contact with earwax inside the canal. This creates a gentle fizzing action that breaks apart and softens the wax structure. Once softened, the wax can be flushed away more easily using the included ear syringe and warm water.

How do I use the Otex Express Combi Pack step by step?

Warm the bottle in your hand, tilt your head to one side, and apply 5 drops into the affected ear. Keep your head tilted for 2–3 minutes, then use the ear syringe filled with warm water to gently flush the ear canal. Repeat once or twice daily for up to 4 days, or until the blockage clears.

How long does it take for Otex Express drops to clear a blocked ear?

Most people notice a significant improvement within 3 to 4 days of consistent use. Some people with particularly hard or impacted wax may need the full 4-day course before the blockage clears. If your symptoms have not improved after 4 days, consult your GP or pharmacist rather than continuing to use the drops.

Can children use Otex Express ear drops?

Otex Express is not recommended for children under 12 years of age without specific medical advice from a GP or pharmacist. For children aged 12 and over, it can be used following the same instructions as adults. Always check with a healthcare professional before using any ear drops in younger children.

What are the side effects of Otex Express ear drops?

The most commonly reported experience is a temporary fizzing or bubbling sensation in the ear, which is a normal sign that the drops are working. Mild warmth, tingling, or slight irritation can also occur. If you experience pain, discharge, sudden hearing loss, or any allergic reaction, stop using the product and seek medical advice promptly.

Can I use Otex Express if I have a perforated eardrum?

No — you must not use Otex Express ear drops if you have or suspect a perforated eardrum. Introducing any liquid into the middle ear through a perforation can cause serious complications, including infection. If you are unsure whether your eardrum is intact, see your GP before using any ear drops.

What is the difference between Otex Express and standard Otex ear drops?

Otex Express uses urea hydrogen peroxide as its active ingredient, which works by releasing oxygen to physically break down wax. Standard Otex drops contain docusate sodium, which softens wax through a surfactant mechanism rather than an oxygen-releasing one. The Combi Pack version of Otex Express also includes a reusable ear syringe, making it a more complete home treatment kit.

Is it safe to use an ear syringe at home?

Yes, when used correctly and with the right precautions, home ear irrigation with the included syringe is considered safe for most adults. Always use water at body temperature — water that is too cold or too hot can cause dizziness. Never insert the syringe tip deeply into the ear canal; direct the water gently along the upper wall of the canal rather than straight at the eardrum.

Who should not use Otex Express Combi Pack?

You should not use this product if you have a perforated eardrum, an active ear infection, grommets, or if you have had ear surgery within the past 12 months. It is also not suitable for children under 12 without medical advice. If you have any doubt about your suitability, browse our ear, nose and throat range or speak to a pharmacist before purchasing.

How many times a day should I use Otex Express drops?

The recommended frequency is once or twice daily for up to 4 days. Do not use the drops more frequently than directed, as overuse is unlikely to speed up wax removal and may cause unnecessary irritation. If the blockage persists after 4 days of use, seek advice from your GP or pharmacist.

What happens if I accidentally get Otex Express drops in my eye?

If the drops come into contact with your eyes, rinse immediately and thoroughly with clean water. Urea hydrogen peroxide is an oxidising agent and can cause irritation to the eyes and skin. If irritation persists after rinsing, seek medical attention. For general eye health products, you can browse our eye care collection.

Can I use Otex Express drops if I wear hearing aids?

Yes — people who wear hearing aids are actually more prone to earwax build-up, as the device can interfere with the ear's natural self-cleaning process. Otex Express can be a useful tool for managing this. However, remove your hearing aid before applying the drops and do not reinsert it until the ear is fully dry after irrigation.

Are there any alternatives to Otex Express for ear wax removal?

Yes — alternatives include olive oil ear drops, which soften wax more gradually over 1–2 weeks, and sodium bicarbonate ear drops, which are sometimes recommended by GPs. For more stubborn impaction, a GP or nurse may perform professional ear irrigation or microsuction. The Otex Express Combi Pack is a convenient middle ground that combines softening drops with home irrigation in one kit.

How long can I keep using Otex Express drops once the bottle is opened?

Once opened, the drops should be used within 28 days. After this period, the urea hydrogen peroxide may begin to degrade and the product may be less effective. Always check the expiry date on the packaging before use, and store the bottle below 25°C away from direct sunlight to maintain its stability.

How Should You Use Otex Express Combi Pack?

Using the Otex Express Combi Pack correctly makes a real difference to how well it works. Before you start, make sure the drops are at room temperature — holding the bottle in your hand for a minute or two is enough. Cold drops applied directly to the ear canal can cause temporary dizziness, so this small step is worth taking.

What Is the Correct Dose of Otex Express Combi Pack?

The recommended dose is 5 drops per affected ear, applied once or twice daily. Do not apply more drops than directed — using a higher dose will not speed up wax removal and may cause unnecessary irritation to the delicate skin of the ear canal.

When Is the Best Time to Use Otex Express Combi Pack?

There is no single "best" time of day, but many people find it easiest to apply the drops in the morning and again in the evening before bed. Applying them at night means you can lie still for a few minutes after application, which helps the drops stay in contact with the wax for longer. Whichever routine you choose, try to keep it consistent across the treatment period for the best results.

How Long Can You Use Otex Express Combi Pack For?

The recommended treatment duration is up to 4 days. If your symptoms — such as muffled hearing or a blocked sensation — have not improved after 4 days of regular use, do not continue using the drops. Instead, speak to your GP or pharmacist, as you may need professional ear irrigation or microsuction to remove the wax safely. Prolonged use beyond the recommended period is not advised without medical guidance.

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 Otex Express Combi Pack?

Most people who use Otex Express tolerate it well, and serious side effects are uncommon. The most frequently reported experience is a fizzing or bubbling sensation inside the ear shortly after applying the drops. This is caused by the release of oxygen from urea hydrogen peroxide as it contacts the wax, and it is a completely normal sign that the product is working.

  • Temporary fizzing or bubbling sensation in the ear canal.
  • Mild warmth or tingling inside the ear.
  • Slight feeling of fullness immediately after application.

What Are the Less Common Side Effects of Otex Express Combi Pack?

A smaller number of people may experience mild irritation or discomfort during or after use. These effects are usually short-lived and resolve on their own once you stop using the drops.

  • Mild itching or irritation inside the ear canal.
  • Temporary dizziness if the drops are applied when too cold.
  • Slight discomfort during the irrigation step.
  • Skin irritation around the outer ear if drops make contact with the skin repeatedly.

What Are the Serious Side Effects of Otex Express Combi Pack?

Serious side effects are rare when the product is used as directed. However, you should stop using Otex Express immediately and seek medical advice if you notice any of the following, as they may indicate an underlying problem such as a perforated eardrum or ear infection:

  • Sudden or worsening pain in the ear.
  • Discharge or fluid leaking from the ear.
  • Sudden significant loss of hearing.
  • Signs of an allergic reaction, such as swelling, rash, or difficulty breathing.

What Should You Do If You Experience Side Effects of Otex Express Combi Pack?

For mild side effects such as temporary fizzing or slight warmth, no action is needed — these are expected and will pass quickly. If you experience persistent irritation, stop using the drops and allow the ear to settle before seeking advice from your pharmacist. For any serious symptoms — particularly pain, discharge, or sudden hearing loss — stop use immediately and contact your GP or call NHS 111. Do not attempt to continue treatment if you are concerned about your symptoms.

Can Otex Express Combi Pack Interact With Other Medicines?

There are no known clinically significant interactions between urea hydrogen peroxide ear drops and other medicines when used topically in the ear. However, you should not use Otex Express at the same time as other ear preparations unless specifically advised to do so by a healthcare professional. If you are using any prescription ear drops or have been given specific instructions by your GP regarding your ear care, always follow that guidance first. Inform your pharmacist of any other medicines you are taking before starting this product.

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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