Suggested Use Shake well before using. Place cotton ball on top of bottle. Invert bottle to moisten cotton. Place moistened cotton into ear and leave 2-4 hrs. Repeat process as needed. Ingredients Aloe Vera Gel, in an alcohol base (18-22 %), U.S.P. Purified water, Bio Chelated Extracts of the following highly concentrated herbs: Gentian root, Bitter orange peel, Dandelion root, Myrrh gum, Senna Leaves, Rhubarb root, Blessed Thistle seed and Angelica root.