recommended use: Homeopathic oral drops for symptoms associated with otitis media such as ear pain, throbbing pain, inflammation, and swelling. directions: Otovowen should be taken at the first signs of an upper respiratory tract infection, as infections in the nasopharyngeal area can easily spread to the middle ear, especially in children. Continue use until all symptoms have subsided. Adults and adolescents 12 years and older: 12-15 drops, 1-3 times per day. Children 1-5 years: 4-7 drops, 1-3 times per day. Infants 0-11 months: 2-4 drops, 1-3 times per day. medicinal ingredients (per 10ml): Echinacea purpurea (echinacea - aerial parts) mother tincture - 0.75ml Matricaria recutita (chamomile - whole plant) mother tincture - 0.225ml Sambucus nigra (elderberry - leaves, inflorescences) mother tincture- 0.225ml Sanguinaria canadensis (rhizome, roots) mother tincture - 0.075ml Capsicum annuum (fruit) - 4X 0.075ml Hydrastis canadensis (goldenseal - rhizome, roots) - 4X 0.075ml iodum (iodine) - 4X 0.075ml natrium tetraboracicum (sodium tetraborate / borax) - 4X 0.075ml Aconitum napellus (wolfsbane - whole plant) - 6X 0.075ml hydrargyrum bicyanatum (mercurius cyanatus / mercury [II] cyanide) - 6X 0.075ml non-medicinal ingredients: Alcohol, water. Contains 53% (V/V) alcohol. cautions and warnings: do not use for more than 8 weeks consult healthcare practitioner before use in children under 2 years of age, or if you are pregnant or breastfeeding inform healthcare practitioner if you are taking any other medications stop use and consult healthcare practitioner if you experience fever, severe aches, head or neck pain, secretions from the ear, or if symptoms worsen or last more than 2 days contraindications: do not use if you are sensitive to plants of the daisy family, or any of the other product ingredients do not use if you have a progressive systemic disease such as tuberculosis, leukemia or leukemia-similar diseases, inflammatory disease of the connective tissue (collagenosis), autoimmune diseases, multiple sclerosis (MS), AIDS, HIV infection, or other chronic viral diseases known adverse reactions: hypersensitive reactions (including skin rash, itching, facial swelling, respiratory problems, dizziness, and fall in blood pressure) have been observed and may occur with remedies containing echinacea Do not use if seal is broken or missing. Keep out of reach of children. Store below 25°C and use within 6 months of opening.