According to Jack paradise in Managing Otitis Media: a Time for Change (Pediatrics, October, 1995): Sustained, Beneficial Effectsative use of antibiotics in children with repeated ear Problem created due to harmful organisms should be avoided in favor of alternative measures whenever possible. The herbs in Willow/Garlic Ear Oil support the healthy functioning of the ears. This olive oil based topical oil is a combination of herbs with Discomfort-relieving, antibacterial and antifungal properties. Always warm the oil to slightly more than body temperature. Treat BOTH ears when dry and cover with clean cotton. many of our customers augment the external oil internally with antibacterial herbs such as Echinacea and Oregon Grape root. Do not use oils if the eardrum has been perforated. Note: If your child has had more than one ear Problem created due to harmful organism Healing Childhood Ear Problem created due to harmful organisms by Michael Schmidt is required reading!