24/case directions: for children ages 2 years & over: tilt head sideways & apply 3-4 drops into involved ear 4 times daily until relieved. Tilt ear upward for at least 2 minutes after application or gently place cotton in ear to keep drops in. Do not take by mouth. Tip of applicator should not enter ear canal. Do not use if you have ear tubes, damaged ear drums or after ear surgery. Consult a physician if symptoms worsen. Ingredients: hpus: belladonna 30c; calcarea carbonica 30c; chamomilla 30c; lycopodium 30c; pulsatilla 30c; sulphur 30c. Other ingredients: citric acid, purified water, sodium benzoate. 04/01/19