Acute Otitis Media (AOM)

Optimise analgesia

Avoid antibiotics as 60% are better in 24hrs without: they only reduce pain at 2 days and do not prevent deafness.  


Non-Prescription Pad and Patient Information Leaflet and NICE Information for Public

Consider immediate or back-up antibiotics for pain relief only if: 

<2 years AND bilateral acute otitis media 


ALL ages with otorrhoea.  

Systemically unwell or high risk of complications: immediate antibiotic


500mg 3 x daily

child dose

5 days

Penicillin Allergy:


500mg 2 x daily

child dose 


5 Days