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Ingredients ACTIVE INGREDIENTS HPUS: Ferrum phosphoricum 5C(Ferri Phosphas USP1860) PURPOSE: swelling of parotids and fever Capsiucum annuum 5C (cayenne pepper) PURPOSE: acute drawing pain in ears. Pyrogenium 5C(Pyrogen) PURPOSE: infection and fever. Arenicum album 5C (Arsenous Oxide) PURPOSE: sharp pain and burning in the ears. Belladonna 5C (Deadly Nightshade) PURPOSE: throbbing pain and inflammation. This product is manufactured according to the Homeopathic Pharmacopoeia of the United States (HPUS). INACTIVE INGREDIENTS: Purified water, sorbitol, grape and raspberry flavor, sodium benzoate, potassium sorbate, citric acid.