as an ent doctor with 36 years of apppling cresylate to infected ears i can tell you that the product is unsurpassed in treatment of fungal external ear problems. some stinging is common if the ear is badly infected. very severe pain usually incicates a perforation of the ear drum, especially if the pain is felt down into the neck area. it only takes a couple of applications to do the job and if it is used excessively it is very caustic to the ear and , as noted in the other posts, to the skin surrounding the ear. take care with this very potent drug.