CLOGUM Gel

Composition:

Each gram of gel contains:

Chlorhexidine Gluconate Solution IP eq. to Chlorhexidine Gluconate 1% w/w

In a gel base q.s.

Description:

Chlorhexidine is a disinfectant and antiseptic which is used for skin disinfection before surgery and to disinfect surgical instruments. It is also used for cleaning wounds, preventing dental plaque, treating yeast infections of the mouth, and to keep urinary catheters from blocking. It is used as a liquid or a powder. It is commonly used in salt form, either the gluconate or the acetate.

Indication:

Inhibition of formation of dental plaque.

As an aid in the treatment and prevention of gingivitis.

As an aid to maintaining oral hygiene.

For use in a post-peridontal surgery or treatment regimen to promote gingival healing.

It is useful in the management of recurrent aphthous ulceration.

It is useful in the management of recurrent oral candidal infections.

As an aid in the prevention of dental caries in high-caries-risk patients (for example xerostomia sufferers), when used in a regimen as an adjunct to fluoride.

Dosage & Administration:

Brush the teeth thoroughly with one inch of gel on a moistened toothbrush, once or twice daily for about one minute. Spit out any excess. Do not rinse after applying gel.

For the treatment of gingivitis, a course of about one month is advisable.

When used for the management of aphthous ulceration and oral candidal infections an alternative method of delivery may be required which facilitates application of the gel to affected areas. This should be used once or twice daily for about one minute. The length of treatment time should be decided on the basis of clinical response.

When used as part of a regimen to prevent dental caries the gel should be applied for 5 minutes nightly for 14 days in a close-fitting tray. This treatment should be repeated every 3-4 months or as directed by the dentist. When used as part of a regimen to prevent dental caries of remaining teeth in denture wearers the gel may be applied to the fitting surface of the denture before insertion.

During the treatment of denture stomatitis, thoroughly brush all over the dentures with 2.5 cm of gel on a moistened toothbrush, once or twice daily for about one minute.

Do not exceed the stated dose.

Children and Elderly patients:

The normal adult dose is appropriate for elderly patients and children of 12 years and over unless otherwise recommended by the dentist or the physician.

Children under 12 years of age should not use the product unless recommended by a healthcare professional.

Route of administration:

For oral (external) use only.

Contraindication:

Corsodyl dental gel is contraindicated for patients who have previously shown a hypersensitivity reaction to Chlorhexidine or to any of the excipients in the formulation.

Warning & Precaution:

For oral use only. Do not swallow. Keep out of the eyes and ears.

If the gel comes into contact with the eyes, wash out promptly and thoroughly with water.

In case of soreness, swelling or irritation of the mouth, stop using the product and consult a healthcare professional.

Corsodyl is incompatible with anionic agents which are usually present in conventional dentifrices. These should therefore be used before Corsodyl (rinsing the mouth and toothbrush between applications) or at a different time of day.

In case of swelling or difficulty breathing, stop using the product and seek immediate medical help. Transient disturbances of taste sensation and a numbness, tingling or burning sensation of the tongue may occur on initial use of the gel. These effects usually diminish with continued use. If the condition persists, consult a healthcare professional.

Discoloration of the teeth and tongue may occur. The stain is not permanent and can largely be prevented by reducing the consumption of dietary chromogens such as tea, coffee or red wine. In the case of dentures this can be prevented by cleaning with a conventional denture cleaner. In certain cases, professional treatment (scaling and polishing) may be required to remove the stain completely. Stained anterior tooth-coloured restorations with poor margins or rough surfaces which are not adequately cleaned by professional prophylaxis may require replacement.

Macrogol glycerol hydroxy stearate may cause skin reactions

Drug Interaction:

Chlorhexidine is incompatible with anionic agents.

Use in Specific Population:

There is no evidence of any adverse effects on the foetus arising from the use of Corsodyl during pregnancy or on infants during lactation. Therefore, no special precautions are recommended.

Adverse effect:

Adverse events are listed below by system organ class and frequency. Frequencies are defined as: Very common (≥1/10); common (≥1/100 to <1/10); uncommon (≥1/1000 to <1/100); rare (≥1/10,000 to <1/1000); and very rare (<1/10,000). The data from clinical trials are estimates. Post-marketing data refer to reporting rate rather than true frequency.

Undesirable effects are generally minor and local in nature.

 Reporting of suspected adverse reactions

Reporting suspected adverse reactions after authorization of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse.

Overdosage:

Accidental ingestion: Chlorhexidine taken orally is poorly absorbed. Systemic effects are unlikely even if large amounts are ingested. However, gastric lavage may be advisable using milk, raw egg, gelatin or mild soap. Employ supportive measures as appropriate.

Pharmacodynamics:

Pharmacotherapeutic group: Hydrocortisone and antibiotics, ATC code: D07C 01

Chlorhexidine is effective against a wide range of Gram negative and Gram-positive vegetative bacteria, yeasts, dermatophyte fungi and lipophilic viruses. It is active against a wide range of important oral pathogens and is therefore effective in the treatment of many common dental conditions.

Pharmacokinetics:

Because of its cationic nature, chlorhexidine bonds strongly to skin, mucosa and other tissues and is thus very poorly absorbed. No detectable blood levels have been found following oral use.

Presentation:

CLOGUM gel is available in 15 g of pack filled in laminated tube & packed in carton.