The treatment landscape for inner ear infections involves both symptomatic relief and targeted antibiotics. For pain management, topical solutions like Antipyrine and Benzocaine can provide quick relief without addressing the underlying infection. First-line antibiotics include high-dose Amoxicillin, with Amoxicillin-Clavulanic acid reserved for treatment failures. Alternatives include Cefdinir and Azithromycin, particularly for penicillin-allergic patients. In cases of recurrent infections or persistent fluid, surgical placement of tympanostomy tubes may be considered to facilitate drainage and prevent future episodes.