• Fights infection while reducing inflammation
  • Quickly relieves pain and discharge
  • Trusted prescription treatment for ear infections

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Overview

Betnesol-N Drops combine a powerful steroid with an effective antibiotic to tackle painful ear infections fast.
They work by reducing swelling and inflammation while killing the bacteria causing the infection — bringing quick relief from pain, itching, and discharge.


What is Betnesol-N


Otitis externa can leave you with constant earache, irritation, discharge, and muffled hearing. Betnesol-N is designed to treat these symptoms directly at the source.

Each drop contains:

  • Betamethasone: a corticosteroid that calms inflammation, reduces swelling, and soothes irritation.
  • Neomycin: a proven antibiotic that clears infection-causing bacteria.


By combining an anti-inflammatory and an antibiotic, Betnesol-N provides comprehensive relief. Most people notice improvement in just a few days, with symptoms usually clearing after a short treatment course.

Directions

  • Usually 2–3 drops into the affected ear 2–3 times daily, or as directed by your prescriber.
  • Complete the full course, even if symptoms improve early.
  • Do not use for longer than 7 days unless advised.

Side Effects

Betnesol-N is generally well tolerated, but some side effects may occur.

Common (may affect up to 1 in 10 people):

  • Mild stinging or burning after application
  • Temporary irritation in the ear


Less common (may affect up to 1 in 100 people):

  • Rash or itching around the ear
  • Thinning of the skin with prolonged use (due to the steroid)


Rare but serious (seek urgent medical advice):

  • Severe allergic reaction (swelling, rash, difficulty breathing)
  • Worsening pain or hearing problems


Disclaimer: This is not a complete list of side effects. Always read the patient information leaflet that comes with your medicine for full details. If you notice anything unusual or concerning, stop using the drops and seek medical advice promptly. In an emergency, call 999 or go to A&E.

Warnings

  • Do not use if allergic to neomycin or betamethasone.
  • Not suitable if you have a perforated eardrum, unless prescribed by a specialist.
  • Use with care if you have long-term ear conditions or skin sensitivity.
Frequently asked questions
  • What is Betnesol-N and how does it work?

    Betnesol-N contains betamethasone, a steroid that reduces inflammation, and neomycin, an antibiotic that treats bacterial infection. Together they help relieve pain, swelling, irritation and discharge in otitis externa. This dual action makes Betnesol-N suitable when both infection and inflammation are present in the ear canal.

  • How quickly does Betnesol-N start to work?

    Many people experience reduced itching and discomfort within one to two days of starting Betnesol-N. Full improvement usually occurs over several days as inflammation settles and the infection clears. If symptoms worsen or fail to improve after 72 hours, a clinician should reassess your ear.

  • How should I use Betnesol-N ear drops properly?

    Gently warm the bottle in your hands, tilt your head and Apply 2–3 drops 3–4 times a day into the ear canal. Stay in position for a few minutes to help the medication spread. Avoid inserting cotton buds or objects into the ear during treatment. Complete the full course even if symptoms improve early.

  • Can Betnesol-N help with itching or swelling in the ear?

    Yes. The steroid component reduces swelling, redness and itching commonly associated with otitis externa. As inflammation settles, the ear usually feels less tender and blocked. The antibiotic treats the underlying infection at the same time, supporting overall recovery.

  • Can I get my ear wet while using Betnesol-N?

    No. Water in the ear can worsen irritation and may slow down recovery. Avoid swimming, diving and letting shower water enter the ear. A little petroleum-coated cotton placed gently at the entrance of the ear can help keep it dry during washing.

  • Can Betnesol-N be used if the ear canal is very swollen or blocked?

    Betnesol-N may still work effectively, but severe swelling can limit how far the drops travel into the canal. In these cases a clinician may recommend ear cleaning, wick insertion or switching to a spray formulation. Seek reassessment if swelling does not improve after a few days.

  • Does Betnesol-N help with discharge or a feeling of fullness in the ear?

    Yes. As inflammation and bacterial infection settle, discharge usually reduces and the ear may feel less blocked. Hearing often improves as swelling decreases. Persistent or worsening discharge may suggest fungal overgrowth or resistant infection, so follow up if symptoms do not improve.

  • Can I use Betnesol-N in both ears?

    Yes, if prescribed by a clinician. When both ears are affected, underlying factors such as eczema, allergies or frequent water exposure should be considered. Your clinician may offer additional advice to prevent future flare-ups once the infection clears.

  • How long is Betnesol-N safe to use for?

    Betnesol-N is usually prescribed for a short course of around seven days. Long-term or repeated use should be avoided unless specifically advised because prolonged steroid exposure can thin skin in the ear canal or mask other infections. Regular review ensures safe treatment.

  • Can Betnesol-N cause temporary changes in hearing?

    Betnesol-N does not harm hearing when used correctly. A temporary muffled sensation is usually due to swelling, discharge or the drops themselves. As inflammation settles, hearing typically improves. If hearing worsens or does not return to normal, seek medical advice.

  • Can Betnesol-N be used after ear microsuction or professional cleaning?

    Yes. Betnesol-N is commonly prescribed after ear cleaning because the drops can reach the canal lining more effectively. Mild sensitivity after the procedure is normal and usually improves as treatment begins.

  • Is Betnesol-N suitable for fungal ear infections?

    No. Betnesol-N treats bacterial infections and inflammation but is not effective against fungal otitis externa. If itching becomes severe or discharge changes in appearance, a clinician may check for fungal causes and prescribe antifungal treatment if required.

  • What should I do if Betnesol-N causes burning or irritation?

    A brief stinging sensation can occur if the ear canal is inflamed, but persistent burning or increased discomfort may indicate irritation or sensitivity to the ingredients. Stop using the drops and seek advice if symptoms continue or worsen.

  • Can I use headphones or hearing aids during treatment?

    It is best to avoid hearing aids, earphones and earbuds while the ear is infected because they trap heat and moisture and may slow recovery. Resume use only when the ear feels comfortable and the infection has resolved.

  • What should I do if Betnesol-N doesn’t improve my symptoms?

    If your symptoms do not begin improving within two to three days, consult a clinician. Reasons may include resistant bacteria, fungal infection, incorrect drop technique or severe swelling obstructing the canal. A different treatment or further examination may be required.

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