Sodium Bicarbonate Ear Drops contain ingredients which act physically to gently soften the ear wax prior to syringing.How to tell if your ear is blocked with earwax:Earache.Difficulty hearing.Itchiness.Dizziness.An ear infection (Pain)Directions for use:Adults, the elderly and children over 1 year: Tilt the head sideways with the affected ear uppermost. Place 3 to 4 drops into the ear using the dropper provided. Avoid touching the ear with the dropper, Allow a few minutes for the drops to reach the eardrum by keeping the head titled then use a tissue to wipe away any surplus product that runs from the ear. Use the drops twice a day for up to seven days.Children under 5 years: Younger children should have their ear wax problem diagnosed by the doctor before treatment with Sodium Bicarbonate ear drops begins.Contains:Sodium Bicarbonate BP 5% w/v (Sodium Hydrogen Carbonate 5% w/v), Glycerol (E422), Purified water and Dichlorobenzyl alcohol.Caution:Keep out of the sight and reach of children.