Otal drops are analgesic and wax remover, as Otal Ear Drops work to kill bacteria and as a local anesthetic, consisting of 4 active substances: Framycin, which is a broad-spectrum antibiotic and bactericidal, Grammysdin, which is also bactericidal, Lexametharon, which is anti-inflammatory, anti-swelling and itching, and finally Cincocaine, which is a local anesthetic .