Suggested Use Remove tamper-evident seal from neck of bottle. Twist cap of bottle. Tilt head sideways. Don't squeeze bottle, squeeze plastic tip to release 3 to 5 drops into ear (Tip of applicator should not enter ear canal). Keep drops in ear for 3 to 5 minutes by keeping head tilted or placing cotton in ear. Any excess drops can be wiped away from outer ear. Use up to 4 times daily for no more than 48 hours, or as directed by a doctor. Children under 12 years of age consult a doctor. Other Ingredients Drug Facts Active ingredients Purpose Arnica 15X buzzing Cinchona 12X ringing, humming Eriodictyon californicum 12X ear discomfort, dizziness Hepar 12X pulsations/pounding, buzzing Lachesis 15X throbbing, tinkling, roaring, cracking, buzzing, rolling, whizzing, resounding noise in ears Lycopodium 12X ringing, tinkling, buzzing, roaring, humming, whizzing in the ears Silicea 15X tinkling, clucking, roaring, singing, noises in ear Thiosinaminum 15X ringing, chirping Active ingredients are manufactured according to homeopathic principles. Inactive ingredient: Vegetable glycerin, purified water Warning Do not use in the eyes.According to homeopathic principles, symptoms may temporarily worsen before improving (Initial exacerbation of symptoms).If pregnant, trying to get pregnant or breast feeding, ask a health professional before use.Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.Stop use and ask a doctor if: Symptoms persist for more than 48 hours. There is discharge from the ear. There is a fever of 102°F or greater.Ask a doctor before use if you have: Ear drainage or discharge. Pain, irritation, or rash in the ear. Had ear surgery. Dizziness.For use in the ear only.For your protection do not use if tamper evident seal around neck of bottle is missing or broken.