Four Arm Safety & Efficacy With Antipyrine and Benzocaine Otic Solution in Children With Acute Otitis Media

Reduction of pain symptoms will be measured by using the Face, Legs, Activity, Cry,
Consolability Scale (FLACC) and the Faces pain Scale Revised (FPS-R).

Inclusion Criteria:

- Clinical Diagnosis of Acute Otitis Media

- Moderate to severe pain

- Normally active and in good health as determined by the PI

- Parent or legal guardian consent

- Caregiver available to complete diaries during study

Exclusion Criteria:

- History of or current Perforated tympanic membrane

- Tympanostomy tubes

- Acute or chronic otitis externa

- seborrheic dermatitis

- Received any otic topical or systemic antibiotic within 14 days of enrollment

- Receiving medication on a chronic basis for pain

- Known hypersensitivity to investigational product.

- clinical significant mental illness as determined by the PI

- Exposed to another investigational agent within 30 days before study entry. Any
condition the PI believed will interfere with the ability to comply with all study
procedures

- History of glucose 6-phosphate dehydrogenase deficiency

- History or currently anemic

- Congenital methemoglobinemia

- Recent history of acute gastroenteritis within 14 days of enrollment