 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.The precautions of Hydrocortisone-Acetic Acid Otic (Ear): Before using this medication, tell your doctor or pharmacist if you are allergic to acetic acid or hydrocortisone; or to other corticosteroids (such as betamethasone); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: hole in the eardrum (perforated tympanic membrane), certain viral infections (such as herpes simplex, vaccinia, chickenpox), ear injuries/surgeries. During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. </s>