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Chlorhexidine+lidocaine+metronidazole

About

Chlorhexidine+lidocaine+metronidazole is used in treating gum and mouth ulcers. Mouth ulcers are painful and small lesions in the mouth or base of gums. It can make eating, drinking, and talking difficult and uncomfortable.

Chlorhexidine+lidocaine+metronidazole is a combination medication containing Metronidazole (an antibiotic), Lidocaine (local anaesthetic), and Chlorhexidine (an antiseptic). Chlorhexidine+lidocaine+metronidazole is primarily used in treating mouth ulcers. Lidocaine helps treat mouth ulcers by forming a protective layer on the ulcer and blocking the transmission of pain signals to the brain and decreasing the sensation of pain. Chlorhexidine is an antiseptic and disinfectant which effectively cleans out the ulcer surface to prevent infection and metronidazole; being bactericidal in nature kills the bacteria by damaging its DNA and preventing these bacteria's growth spread hence relieving the symptoms. As a result, good oral hygiene is maintained.

Your doctor will decide the dose depending on the type of infection that is being treated. The most common side effect of Chlorhexidine+lidocaine+metronidazole is a metallic taste, bitter taste, burning, transient redness, irritation, dryness, and staining of teeth. If these side effects are persistent and bothersome, please see your doctor. 

Please inform your doctor before using Chlorhexidine+lidocaine+metronidazole if you are pregnant or breastfeeding. Avoid intake of alcohol while having treatment with Chlorhexidine+lidocaine+metronidazole as it may affect the working of Chlorhexidine+lidocaine+metronidazole. Maintain good oral hygiene and brush at least 2 times a day to avoid any oral infection and its spread. Do not rinse the mouth or drink or eat anything for 30 minutes after applying Chlorhexidine+lidocaine+metronidazole. 

Uses of Chlorhexidine+lidocaine+metronidazole

Mouth ulcers.

Medicinal Benefits

Chlorhexidine+lidocaine+metronidazole is a combination medication containing Metronidazole (an antibiotic), Lidocaine (local anaesthetic), and Chlorhexidine (an antiseptic). Chlorhexidine+lidocaine+metronidazole is primarily used in treating mouth ulcers. Lidocaine helps treat mouth ulcers by forming a protective layer on the ulcer, blocking the transmission of pain signals to the brain, and decreasing the pain sensation. Chlorhexidine is an antiseptic and disinfectant which effectively cleans out the ulcer surface to prevent infection. Metronidazole is bactericidal in nature kills the bacteria by damaging its DNA and preventing these bacteria's growth spread hence relieving the symptoms. As a result, good oral hygiene is maintained, and it is easier to go out and perform daily activities.

Directions for Use

Oral topical gel/cream: Apply a small quantity of gel/cream with a clean finger or cotton swab on the affected area 2-3 times a day or as directed by the physician. Do not rinse the mouth or drink or eat anything for 30 minutes after applying the gel/cream. Do not swallow the product, it is for oral topical use only.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Chlorhexidine+lidocaine+metronidazole

  • Metallic taste
  • Bitter taste
  • Burning
  • Transient redness
  • Irritation, dryness
  • Staining of teeth

In-Depth Precautions and Warning

Drug Warnings

Please inform your doctor before using Chlorhexidine+lidocaine+metronidazole if you are pregnant or breastfeeding. Avoid intake of alcohol while having treatment with Chlorhexidine+lidocaine+metronidazole as it may affect the working of Chlorhexidine+lidocaine+metronidazole. Maintain good oral hygiene and brush at least 2 times a day to avoid any oral infection and its spread. Do not rinse the mouth or drink or eat anything for 30 minutes after applying Chlorhexidine+lidocaine+metronidazole. Chlorhexidine+lidocaine+metronidazole may cause staining; it can be reduced by reducing the consumption of tea, coffee, and red wine and brushing with toothpaste daily before using the gel.

Drug Interactions

Drug-Drug Interactions: Chlorhexidine+lidocaine+metronidazole may interact with medicines to stop your blood clotting (coumarins, warfarin), drugs to treat alcohol addiction (disulfiram), stomach ulcer treating drugs (cimetidine), medicines treating heart problems (propranolol, mexiletine), and anti-epileptic drugs (phenytoin).

Drug-Food Interactions: No interactions were found.

Drug-Disease Interactions: No interactions were found.

Drug-Drug Interactions Checker List:

  • COUMARINS
  • WARFARIN
  • DISULFIRAM
  • CIMETIDINE
  • PROPRANOLOL
  • MEXILETINE
  • PHENYTOIN
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      Please consult your doctor for more information on consuming alcohol while being treated with Chlorhexidine+lidocaine+metronidazole.

    • Safety Warning

      Pregnancy

      caution

      Chlorhexidine+lidocaine+metronidazole should be used during pregnancy only when prescribed by the doctor. Please consult your doctor before taking Chlorhexidine+lidocaine+metronidazole if you are pregnant or planning to conceive.

    • Safety Warning

      Breast Feeding

      caution

      Please consult your doctor before taking Chlorhexidine+lidocaine+metronidazole if you are breastfeeding.

    • Safety Warning

      Driving

      safe if prescribed

      Chlorhexidine+lidocaine+metronidazole usually does not interfere with your driving ability.

    • Safety Warning

      Liver

      safe if prescribed

      Chlorhexidine+lidocaine+metronidazole can be given in case of any liver impairment or problem.

    • Safety Warning

      Kidney

      safe if prescribed

      Chlorhexidine+lidocaine+metronidazole can be given in case of any kidney impairment or problem.

    • Safety Warning

      Children

      caution

      Children below the age of 12 years should not use Chlorhexidine+lidocaine+metronidazole. In children above the age of 12, Chlorhexidine+lidocaine+metronidazole should be taken only if prescribed by a child specialist.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Staining can be reduced by reducing tea, coffee, and red wine and brushing with toothpaste daily before using the gel. 
    • Intake of probiotics, prebiotics, and plenty of fluids is recommended to maintain a good bacteria level.
    • Maintain good oral hygiene to avoid infection from spreading.
    • Regular dental checkups can help in preventing the progression of the infection.
    • Use an antibacterial mouthwash.
    • Avoid tobacco products and alcohol consumption.
    • Limit sugary and starch foods.

    Patients Concern

    Disease/Condition Glossary

    Mouth ulcer: It is a small painful lesion that usually develops in the soft tissue lining of the gums, tongue, inner cheeks, lips or palate. They may be caused due to various reasons like irritation, injury, vitamin deficiencies, accidental biting, badly fitting dentures, and braces. Symptoms include red or yellow sores on the cheeks, the roof of the mouth or the tongue. 

    FAQs

    Chlorhexidine+lidocaine+metronidazole contains  Metronidazole (an antibiotic), Lidocaine (local anaesthetic), and Chlorhexidine (an antiseptic). These constituents prevent bacterial growth and block the transmission of pain signals to the brain, and decrease the pain sensation. Thus, it treats mouth ulcers.

    Chlorhexidine+lidocaine+metronidazole may cause staining of teeth if taken for a prolonged time. So, it is advised to take it for a short duration as it is short-term medication.

    A bitter taste may be one of the side effects of Chlorhexidine+lidocaine+metronidazole. It is temporary and usually gets resolved after you stop using the medicine.

    If you miss a dose, take it as soon as you remember. However, if it is time for the next scheduled dose, skip the missed dose and follow your usual dosage.

    Melt ice chips over the ulcers and rinsing your mouth with water mixed with salt or baking soda may help to lessen pain. Avoid spicy, acidic, and abrasive foods. Your doctor may prescribe anti-ulcer gels that may treat and relieve pain.

    Available Medicines for

    Chlorhexidine+lidocaine+metronidazole

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