If the underlying cause is a virus then antibiotics probably won't help much because they're too broad spectrum and nasopharyngeal inflammation is the primary cause of inner ear pressure. Because the eustachian tubes are prone to bacterial infection over the two to three week viral cycle, a direct antibacterial and carbohydrate-free remedy is a more direct and effective approach. A limited and well metered application of colloidal silver reduces the bacterial population in the nasal passage. Orageno oil capsules dissolve in the stomach and leave an insoluble layer of oil in the gastric juice and provides an adequate disinfectant action on the bacterial laden nasal drip which periodically is regurgitated by coughing and otherwise would apply a continuous bacterial aggravation to the virally infected mucosal surfaces.