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12/case directions: wet the sponge. Put a few drops of specialty soap onto sponge & lather gently. With a twisting motion, use the sponge to clean wax & oils in the ear. Use water to rinse soap from ears. Do not use if you have tubes in ears, perforated eardrums or artificial eardrums. Not intended for children 3 years of age or younger. Ingredients: water, aloe barbadensis leaf juice, decylglucoside, cocamidopropyl betaine, glycerin, sodium lauroyl lactylate, sodium chloride, potassium sorbate, natural scent blend. 12/11/17