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Boric Acid

Published: July 26, 2026Updated: August 25, 2026

Boric Acid is an antiseptic agent used in otic preparations for treating ear conditions, particularly external ear infections. It works by creating an acidic environment that inhibits the growth of bacteria and fungi. This medication is typically prescribed for conditions affecting the outer ear canal and is available in topical otic solution form.

Quick summary

Boric Acid is an antiseptic ear medication used to treat and prevent external ear infections by creating an environment hostile to bacteria and fungi.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 25, 2026Editorial policy

Key facts at a glance

ATC
S02
RxNorm
unknown
Generic
Boric Acid
Class
atc-s02
Brands
—
Availability
otc
Pregnancy
C
Lactation
unsafe
Half-life (h)
0
Onset (min)
0
Duration (h)
0
Routes
topical, ophthalmic
Forms
powder, solution
Regions
United States, Canada, United Kingdom, Australia, Europe
Monitoring
none

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)vaginal suppository
Usual dose
600mg once daily
Maximum
consult physician
Frequency
once daily at bedtime
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)vaginal suppository
Usual dose
Not recommended
Maximum
consult physician
Frequency
N/A
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)vaginal suppository
Usual dose
600mg once daily
Maximum
consult physician
Frequency
once daily at bedtime
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Consult local poison control center for specific information
Chronic overdose: Varies by patient
Immediate actions
Call poison control center: 1-800-222-1222
Poison Control: 1-800-222-1222

Special Populations

9 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks

Monitor

regular fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

second third trimester
unsafe
FDA Category
C
Dose Adjustment

avoid

Key Recommendations

discontinue use during second and third trimester

Monitor

fetal wellbeing monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

breastfeeding
unsafe
FDA Category
N
Dose Adjustment

avoid

Key Recommendations

do not use while breastfeeding - passes into breast milk

Monitor

monitor infant for symptoms

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pediatric_age

infants under 2 years
contraindicated
FDA Category
N
Dose Adjustment

avoid completely

Key Recommendations

not for use in infants and young children due to immature skin barrier and higher absorption

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

pediatric_age

children 2 12 years
caution
FDA Category
N
Dose Adjustment

reduce dose and frequency

Key Recommendations

use only under medical supervision with reduced concentration and duration

Monitor

monitor for skin irritation and systemic absorption

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly over 65
caution
FDA Category
N
Dose Adjustment

reduce dose

Key Recommendations

use lower concentration and shorter treatment duration due to thinner skin and increased permeability

Monitor

monitor for skin reactions and systemic effects

Use with caution and monitor for adverse effects.

⚠

renal_impairment

mild moderate
caution
FDA Category
N
Dose Adjustment

monitor closely

Key Recommendations

use with caution and monitor renal function - drug is excreted by kidneys

Monitor

monitor renal function and serum levels

Use with caution and monitor for adverse effects.

✗

renal_impairment

severe
unsafe
FDA Category
N
Dose Adjustment

avoid

Key Recommendations

avoid use in severe renal impairment due to significantly reduced excretion

Monitor

renal function monitoring required if use is necessary

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

hepatic_impairment

any severity
caution
FDA Category
N
Dose Adjustment

monitor

Key Recommendations

use with caution - hepatic metabolism plays minor role but monitor for adverse effects

Monitor

monitor liver function tests

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

Commonly prescribed since

Value:Late 1800s

Historical prescribing information for antiseptic use

drug_classWHO
2023

Drug class

Value:Antiseptic/Antifungal

Drug class classification

usageMedical guidelines
2023

Common uses

Value:Vaginal infections, eye infections, skin conditions

Common therapeutic applications

formulationFDA
2023

Common formulations

Value:Suppositories, ophthalmic solution, topical solution

Available dosage forms

Treatment of otitis externa (swimmer's ear), ear canal infections, and as an antiseptic for minor ear conditions. May also be used for ear hygiene and to help prevent recurrence of fungal or bacterial ear infections.

Functions as an antiseptic and mild astringent by acidifying the ear canal environment, which inhibits the growth of bacteria, fungi, and yeast that typically cause external ear infections.

For topical otic use only. Should not be used if the eardrum is perforated or if there is discharge from the ear. Avoid contact with eyes. Patients with a history of ear surgery or chronic ear conditions should consult a healthcare provider before use. Not for ingestion.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 25, 2026. · Read our editorial policy