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Re: Any CSF powder users?

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CSF Powder?

Any link?

How does it work?

How effective is it?

Arun

On Fri, Mar 19, 2010 at 5:28 AM, mamapicklejuice <emilyweb@...> wrote:

 

Just curious if anyone else is using CSF powder to deal with ear wetness...Apparently everyone else and their brother can use a single capsule for a full week, I seem to run out after a day or two. It's applied to the ear canal using an insufflator (sp?). I wonder if I'm pressing the bulb too hard the first time and using too much powder...but it seems like I'm always tossing out 1/4 to 1/2 of the powder when the next week rolls around, because I can't get any more powder to " puff " out of the syringe applicator.

Thanks, guys.

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Hi Dr. Gupta,

From Otolaryngology: the essentials

By M. Seiden, A. Tami, Robin T. Cotton

New York : Thieme, 2002.

ISBN: 086577854X

On page 46 in a short section on " Otomycosis " : (2nd paragraph)

.... " As with otitis externa, the key to treatment is cleaning. Once

cleaned, the canal can be painted with gentian violet, a drying agent.

Other effective preparations include cresylate (but not in the presence

of a perforation), boric acid powder, and chloromycetin, sulfanilamide

and fungizone (CSF) powder. "

Also see this PDF of :

Office treatment of the draining ear: Methods old and new

Otolaryngology - Head and Neck Surgery, Volume 112, Issue 5, Pages P126-P126

C. Shelton, J. Kwartler

http://download.journals.elsevierhealth.com/pdfs/journals/0194-5998/PIIS01945998\

05803225.pdf

It's also mentioned here:

http://journals.lww.com/thehearingjournal/Fulltext/2005/09000/To_cope_with_chron\

ically_draining_ears,_get_some.13.aspx

That's three reputable and different sources calling it the same thing,

so I feel pretty comfortable about the name. Would this be an old

drying method perhaps?

Matt

Arun Gupta wrote:

>

> CSF Powder?

> Any link?

> How does it work?

> How effective is it?

> Arun

>

> On Fri, Mar 19, 2010 at 5:28 AM, mamapicklejuice

> <emilyweb@... <mailto:emilyweb@...>> wrote:

>

>

>

> Just curious if anyone else is using CSF powder to deal with ear

> wetness...

>

> Apparently everyone else and their brother can use a single

> capsule for a full week, I seem to run out after a day or two.

> It's applied to the ear canal using an insufflator (sp?). I wonder

> if I'm pressing the bulb too hard the first time and using too

> much powder...but it seems like I'm always tossing out 1/4 to 1/2

> of the powder when the next week rolls around, because I can't get

> any more powder to " puff " out of the syringe applicator.

>

> Thanks, guys.

>

>

>

--

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Guest guest

You might also be able to get a copy of

TY - GEN

BT - Encyclopedia of Pharmaceutical Technology: Third Edition

PB - Informa Healthcare

AU - Slattery, H.

TI - Otic Preparations

SN - 978-0-8493-9399-0

PY - 2006

SP - 2475

EP - 2485

AB - Otic preparations are commonly used to treat diseases of the

external ear and occasionally of the middle ear. Diseases of the ear

include cerumen impaction, dermatitis of the external ear canal, and

infectious processes. External otitis (swimmers' ear) and chronic otitis

media constitute the majority of infectious diseases of the ear. This

article gives an overview of otic preparations, their uses, current

availability, and the area of future development.

UR - http://www.informaworld.com/10.1081/E-EPT-100200022

ER -

If that's a bit too cryptic, here's the same info in a more

human-friendly format

Otic Preparations

Author: H. Slattery

Affiliation: House Ear Clinic, Los Angeles, California, U.S.A.

DOI: 10.1081/E-EPT-100200022

Published in: Encyclopedia of Pharmaceutical Technology

Published on: 02 October 2006

Subject: Pharmaceutical Technology;

Formats available: HTML (English) : PDF (English)

Single Section Purchase: US$52.00

Abstract

Otic preparations are commonly used to treat diseases of the external

ear and occasionally of the middle ear. Diseases of the ear include

cerumen impaction, dermatitis of the external ear canal, and infectious

processes. External otitis (swimmers' ear) and chronic otitis media

constitute the majority of infectious diseases of the ear. This article

gives an overview of otic preparations, their uses, current

availability, and the area of future development.

(on pages 2475 - 2485 of volume 4 of the printed copy of the encyclopedia).

Matt

Arun Gupta wrote:

>

> CSF Powder?

> Any link?

> How does it work?

> How effective is it?

> Arun

>

> On Fri, Mar 19, 2010 at 5:28 AM, mamapicklejuice

> <emilyweb@... <mailto:emilyweb@...>> wrote:

>

>

>

> Just curious if anyone else is using CSF powder to deal with ear

> wetness...

>

> Apparently everyone else and their brother can use a single

> capsule for a full week, I seem to run out after a day or two.

> It's applied to the ear canal using an insufflator (sp?). I wonder

> if I'm pressing the bulb too hard the first time and using too

> much powder...but it seems like I'm always tossing out 1/4 to 1/2

> of the powder when the next week rolls around, because I can't get

> any more powder to " puff " out of the syringe applicator.

>

> Thanks, guys.

>

>

>

--

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Mr.Matthe,

THANKS for adding to my knowledge, In India we don't have such preperation available(CSF).

As there is lot of pain in Otitis Externa,Local Clortimazole lotion and dry hear fomentation is used by me and it is very effectiveI will go through the link too.

Again thanks

Dr. Arun Gupta

On Fri, Mar 19, 2010 at 8:28 AM,

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I'll bet if this powder is kept in a medicine chest in a bathroom where

the air gets very moist, then it's likely to be clumping together more

than usual (and not able to be blown out of the container into the ear

canal). Maybe that's why it's not lasting very long? That's just a

guess. I would ask for instructions from the pharmacist - instructions

that cover storage and use. From what I've read, this is a tough powdery

mixture to make and use. It may have only been used by the doctor in the

office back in the day. If the pharmacist has any questions about the

doctor's intent, then the two of them better talk. In Pennsylvania, the

pharmacist is required by law to ask you if you want or need

instructions. If you say no, then they have you sign a waiver stating

that you don't need the pharmacist's instructions.

When I had to do the distilled white vinegar rinses, the pharmacist was

very patient with me. I couldn't hear very well at the time, so he had

to repeat a few things. He understood the situation and helped me

through it.

Matt

Arun Gupta wrote:

> Mr.Matthe,

> THANKS for adding to my knowledge, In India we don't have such

> preperation available(CSF).

> As there is lot of pain in Otitis Externa,Local Clortimazole lotion

> and dry hear fomentation is used by me and it is very effective

> I will go through the link too.

> Again thanks

> Dr. Arun Gupta

> On Fri, Mar 19, 2010 at 8:28 AM,

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Matt -

I keep the insufflator point down in a drinking glass in a cabinet in the

kitchen (the drinking glass thing is recommended in the literature that

accompanied the insufflator.

Apparently, the only pharmacy that can prepare this powder is in CA, and I'm in

MA, so I can't have them demonstrate anything in person. It has been the only

thing that has kept my ear dry (until this very latest wetness issue). I have

one more appointment with my current neurotologist on Tuesday so I'll bring in

the insufflator and ask him for tips.

To be honest, it never came up before because prior to getting the insufflator

and prescription for CSF, I had been going in bi-weekly to have my doctor apply

the powder (to cure the wetness/infection and to monitor effectiveness). Then

once I had the prescription, we decided that weekly application at home would be

fine. It never really bothered me that I couldn't apply it daily, as weekly

seemed to work. Now I'm thinking that a mid-week application of powder might be

better than applying it all at once, so I'm more eager to learn proper

procedure.

Yikes, sorry so long! Thanks for the suggestions - I'll think about a different

place to store the capsule-in-use (the others are refrigerated) and I will check

on application technique with my doctor.

:)

--- In cholesteatoma , "

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Guest Danny Treadway

I have been using the powder since april of 2018 and it works wonderful for me after fighting fungal infections from using hearing aids.  I initially  recieved 10 capsules and have not use but seven. I will say that I keep the bulb  double bagged in two zip top bags and have not had a problem with it clumping. it stays in powder form and I just shake the bulb well before use.  My doctor also gave me a couple of the black scope tuble they use to look down in your ear with to stick in the ear so the bulb insulfinator never touch the ear canal.  I use about six puffs in each ear with forceful pumps.

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