What is the most effective medication for secretory otitis media?

Nov 28, 2025 Source: Cainiu Health

Dr. Lu Cheng

Introduction

In the treatment of secretory otitis media, commonly used and effective medications include Eucalyptus Citrus Pine enteric-coated soft capsules, Cefaclor capsules, Mometasone furoate nasal spray, Loratadine tablets, and Dexamethasone tablets. Eucalyptus Citrus Pine enteric-coated soft capsules: belong to mucolytic agents that promote the breakdown and drainage of fluid accumulated in the middle ear cavity, improve middle ear ventilation, and help alleviate symptoms such as ear fullness and hearing loss.

Commonly used and effective medications for the treatment of secretory otitis media include Eucalyptus Citrus Pine Intestinal Solvent Soft Capsules, Cefaclor Capsules, Mometasone Furoate Nasal Spray, Loratadine Tablets, and Dexamethasone Tablets. The details are as follows:

1. Eucalyptus Citrus Pine Intestinal Solvent Soft Capsules: This is a mucolytic and mucus-expelling agent that promotes the breakdown and drainage of fluid accumulated in the middle ear cavity, improves middle ear ventilation, and helps relieve symptoms such as ear fullness and hearing loss. It is suitable as an adjunctive therapy for fluid drainage in patients with secretory otitis media.

2. Cefaclor Capsules: An oral antibiotic used for secretory otitis media caused by bacterial infection. It inhibits bacterial growth, controls middle ear inflammation, reduces fluid production, and alleviates ear discomfort due to infection. It should only be used when a bacterial infection has been confirmed.

3. Mometasone Furoate Nasal Spray: A nasal corticosteroid that reduces inflammation and swelling of the nasal mucosa, improves eustachian tube ventilation, and promotes drainage of fluid from the middle ear. It serves as an indirect supportive treatment for secretory otitis media, especially suitable for patients with concurrent rhinitis or sinusitis.

4. Loratadine Tablets: An antihistamine appropriate for cases of secretory otitis media triggered by allergic factors. It reduces nasal mucosal edema caused by allergic reactions, relieves eustachian tube blockage, decreases middle ear effusion, and alleviates ear-related symptoms. It should be used specifically when allergies are identified as the underlying cause.

5. Dexamethasone Tablets: An oral corticosteroid that may be used short-term in cases of severe inflammation or significant fluid accumulation. It rapidly reduces inflammation and edema of the middle ear mucosa, promotes absorption of effusion, and relieves symptoms. It must be taken strictly according to the prescribed course to avoid side effects associated with long-term use.

During medication, patients should follow medical advice precisely and must not adjust dosages or discontinue treatment on their own. It is also important to maintain nasal patency and avoid forceful nose-blowing. If symptoms do not improve after a period of treatment, medical attention should be sought promptly to adjust the therapeutic plan. In daily life, staying warm and preventing colds can help reduce the risk of recurrent otitis media.

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