gelclair concentrated oral rinse, 21 Count x 15ml sachets

Product Information

Mometasone nasal spray may be used in children aged 3-6 years of age as it is the only licensed product for this age group. Benzydamine: Difflam Spray - Each metered dose pump spray delivers Benzydamine hydrochoride 0.15% w/v, approximately 175 microlitres per spray. Contains methyl parahydroxybenzoate and Ethanol Higher risk medicines requiring significant regular monitoring which would be initiated by or at the recommendation of a specialist service which may include mental health services, secondary care, tertiary care, community providers, private providers and GPs with a specialist interest. Sodium bicarbonate drops may be used 2 or 3 times daily for 1-2 weeks before syringing if the wax is impacted. The patient should be advised to lie with the affected ear uppermost for 5-10 minutes after use of the ear drops. Use of sodium bicarbonate drops for up to a month may alleviate the need for syringing altogether.

Half Life The half-life of a drug is the time taken for the plasma concentration of a drug to reduce to half its original value. For patients who do experience nosebleeds use Vaseline to both sides of the nose twice a day ideally before using the spray. Increased discomfort and delayed healing of mouth ulcers can be caused by secondary bacterial infection. Use of chlorhexidine mouthwash may be beneficial. Due to the anaesthetizing effect on the pharynx, difflam should not be used for pre-school children or immediately before meals as it could lead to choking. Care should be taken with very hot or cold drinks.For periodontitis (as an adjunct to gingival scaling and root planing). May be difficult to obtain. Rinse around mouth for at least 1 minute or as long as possible to coat tongue and inside of mouth completely

Products shown as blue have multiple indications with varying formulary classifications. For further information see text next to the product. Prescribing should only be undertaken by primary care after dose and efficacy have been established. Treatment usually continues up to 2-3 weeks post radiotherapy or chemotherapy (or combined therapy) or until mucositis has healed Syringing should be avoided where there is a perforated eardrum, previous ear surgery or deafness in the other ear. SFH guide to all mouthcare products-permitted for severe oral stomatitis by specialist palliative care requestIf using part of a MST sachet mix well with water and use immediately. MST sachets should not be used for doses <5mg as sachets do not disperse equally therefore dosing may be inaccurate If not available, then by usual dental provider with clear communication and guidance from the cancer centre Toothbrush should be for the sole use of the child and changed on a weekly basis. It should be changed following an oral infective episode.

Medicines which are suitable for initiation and ongoing prescribing within primary care. Primary care prescribers take full responsibility for prescribing and monitoring. Basic oral care plus (Clinical decision required. If antifungal agent to be used choose one absorbed from GI tract eg fluconazole or itraconozole You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov/medwatch. Grey / Non-Formulary (no formal assessment): APC has not formally reviewed this medicine or indication because it had never been requested for formulary inclusion. Often used for drugs new to market. The medicines listed in the NHS Pharmacy First Scotland Approved List should be used within their GSL or P licensed indication, and the PoM products listed should only be used under the terms of the relevant Patient Group Directions (PGDs).If no improvement is seen after 7 days of treatment, consult your doctor. Treatment should be discontinued after 4 weeks. SFH information: Replacement for BioXtra. Not from Pharmacy - available from Supply Chain from March 11th 2019 onwards. Miconazole gel is not licensed in children less than 4 months, or5-6 months of age for infants who are pre-term, or infants exhibiting slow neuromuscular development. There have been issues of choking in infants and young children using miconazole, use nystatin in very young children. No undesirable effects have been reported to date. Use of the product is not, however, advisable for individuals known to be hypersensitive to any of its ingredients. First-line treatment for oral candidiasis for immunocompetent adult and children older than 2 years of age,in line with SCAN guidelines.