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Q-tips are not only dangerous (don't slip when using them!), but ineffective. As often as not, they make it worse by cramming the earwax further up the ear canal than make it better by cleaning it out.
Instead, I use an ear flush. I find it both safer and more effective. Fill the flush container with isopropyl alcohol, hold the nozzle up to the entry to the ear canal (it doesn't go far up in it like a Q-tip), hold your head sideways over a sink with that ear facing downward, then squeeze the bottle which sends a stream all the way up the ear canal swirling around and coming out. It's surprising how much gunk and earwax it removes. And it also has the benefit of disinfecting and drying the ear.
Can you recommend a particular kit, or are they all basically the same?