Cerumenolytics Are Commonly Used to Dislodge Excessive Cerumen

Cerumenolytics are commonly used to dislodge excessive cerumen.Typically,an agent such as triethanolamine polypeptide oleate drops (Cerumenex) is placed in a patient's ear canal and held in place with a cotton plug to soften the earwax.The ear is then flushed with warm water.Under what circumstances can Cerumenex cause ear canal inflammation?

A) When combined with a corticosteroid
B) When left in the ear canal for 60 minutes
C) When flushed with cold water
D) When continued use occurs