Carefully remove all cerumen and debris to allow Acetic Acid Otic Solution to contact infected surfaces directly. To promote continuous contact, insert a wick of cotton saturated with Acetic Acid Otic Solution into the ear canal; the wick may also be saturated after insertion . Instruct the patient to keep the wick in for at least 24 hours and to keep it moist by adding 3 to 5 drops of Acetic Acid Otic Solution every 4 to 6 hours. The wick may be removed after 24 hours but the patient should continue to instill 5 drops of Acetic Acid Otic Solution 3 or 4 times daily thereafter, for as long as indicated. In pediatric patients, 3 to 4 drops may be sufficient due to the smaller capacity of the ear canal.
When first administering steroids, a man will have an increase in sexual function. This unfortunately is only temporary as your body becomes used to the steroid in its system. With prolonged use of a steroid, eventually, the man will feel less sexual desire, and will be less capable of maintaining an erection. Luckily, this is only temporary as well and can even be totally prevented with the use of substance such as Gonakor and HCG. Also when the steroid use is discontinued, the body’s natural level of testosterone (like the immune system) will certainly be suppressed.