Strepsils spray for sore throat - instructions for use. Strepsils with Lidocaine: how to take an analgesic spray according to the instructions Dosage and administration
Aerosol Strepsils has an anesthetic and antibacterial effect, thanks to the combined composition. The medicine is intended for the treatment of ENT diseases of a different nature. Strepsils spray (instructions for use are described below) is a medication approved for use on officially approved instructions.
The composition of the combined preparation
The spray solution contains three active antiseptic ingredients. With one press, the metered spray releases 0.29 mg of amylmethacresol, 0.58 mg of 2,4-dichlorobenzyl alcohol and 0.78 mg of lidocaine. A transparent red solution has a characteristic odor, it is poured into bottles with a 20 ml spray dispenser, placed together with an annotation (instructions for use for children and adults) in a carton. One bottle of the drug contains 70 doses.
The composition of the drug includes citric acid, carmazine edicol, glycerol, 96% ethanol, levomenthol, purified water, sodium hydroxide, hydrochloric acid, saccharin, 70% sorbitol and levomenthol.
I enhance the antiseptic effect of the essential oils contained in the Strepsils spray. They soften the mucous membrane, making it easier to breathe. Anise oil and peppermint instantly eliminate swelling and pain.
Pharmacological effect of the spray on the mucous membrane of the throat
Strepsil plus spray is a broad-spectrum medication. Strong decongestant, antimycotic, antiseptic and antibacterial action quickly eliminates the symptoms of the presence of staphylococci, streptococci or diplococci. The components of the drug are effective against many gram-positive and gram-negative microorganisms.
Due to the presence of lidocaine in the composition, the anesthetic drug has local anesthetic properties. Lidocaine suppresses nerve impulses by depolarizing neurons.
Dichlorobenzyl alcohol has bactericidal and bacteriostatic properties. It leads to dehydration of harmful microorganisms, which causes their death. Microorganisms produce a protein that disrupts the microflora of the throat mucosa. The active substance amylmethacreazole, getting on the mucous membrane, inhibits the production of this protein, it destroys harmful microorganisms from the inside, which leads to their death.
Important! The adsorption of active ingredients is negligible, therefore Strepsils spray with lidocaine does not have a systemic effect on the body.
Strepsils spray: indications for use
A potent agent is indicated for patients over 12 years of age. What is Strepsils Spray used for? The medicine is intended for the treatment of chronic and acute diseases of the oral cavity and nasopharynx. These include:
- inflammation of the components of the lymphatic pharyngeal ring (tonsils);
- yeast fungus in the mouth ();
- acute and chronic;
- periodontal disease.
The medicine removes, regardless of the cause that caused it. Strepsils is intended not only for the throat, it has found its application in dentistry. It is effective for gum disease characterized by inflammation, redness, swelling and bleeding. The medicine is also used after minor operations in otorhinolaryngology and dentistry. For example, after tooth extraction, opening of an abscess, tonsillectomy, or removal of a cyst. Quite often, the drug is prescribed as a preventive measure for chronic diseases of the gums, mouth and nasopharynx.
Since the adsorption of active substances is very small, the medicine can be used during pregnancy. The penetration of components into breast milk has a very low percentage, however, during the period of gestation, it is impossible to independently select medications, even for the treatment of ENT diseases.
It is especially dangerous to take Strepsils spray in the first trimester of pregnancy. The medicine contains lidocaine, which can adversely affect the health of the unborn baby. If there is a strong need to take this remedy, it is better to visit a doctor or, in extreme cases, call an ambulance.
Dosing schedule for adults and children
Dosing regimen is assigned individually. But since the drug is available without a prescription, it is important to know how to use it. Strepsils spray with lidocaine - instructions:
- The drug is applied topically.
- Place the dispenser in the mouth and irrigate the inflamed area (2 pumps equals one dose).
Attention! Before using the medicine, consult your doctor, this is especially true for pregnant women.
The drug is used every 3 hours. You can repeat the procedure up to six times a day, no more, otherwise an overdose cannot be avoided, which happens very rarely. The duration of use of Strepsils spray is 5 days. If during this time the patient has not passed the symptoms of the disease and inflammation, the use of the drug must be stopped, replacing it with an analogue.
A single dose of spray - 2 clicks. After irrigation of the mucous membrane, you can not eat food for 30 minutes. The action of the spray occurs in 10-30 minutes.
Contraindications to the use of the drug
The spray solution has some contraindications. The medicine should not be used in the first trimester of pregnancy and in the following situations:
- hypersensitivity to the components of the drug;
- if the child is under the age of 12.
With extreme caution, Strepsils spray is prescribed to patients prone to bronchospastic syndrome (a pathological condition accompanied by impaired bronchial patency), as well as to persons diagnosed with laryngospasm (sudden contraction of the muscles of the larynx, causing narrowing or complete closure of the glottis).
Side effects and overdose
Side effects are quite rare. Sometimes patients complain of a rash, hives, itching. Due to the presence of lidocaine, there is a loss of sensitivity of the tongue.
Cases of overdose are as rare as side effects. However, exceeding the prescribed average daily dose, you may experience:
- lethargy;
- headache;
- nausea.
Even more rarely, the patient becomes too excitable, complains of pain in the epigastric region. In addition, the drug can cause a coma.
Analogues and their prices in Russian pharmacies
The price of the drug ranges from 113 to 460 rubles. The cost depends on the manufacturer and the selling pharmacy. If it is not possible to buy Strepsils spray, it did not suit the patient or is too expensive, it can be replaced with cheap analogues. For diseases of the pharynx and oral cavity, you can purchase the following remedies similar to Strepsils spray (the cost of medicines in rubles is indicated in brackets):
- Agisept (from 101 to 140);
- Coldact-Broncho (80);
- Terasil (from 80 to 90);
- Suprima-ENT (from 50 to 74);
- Gorpils (from 38 to 60).
Strepsils tablets, Oracept, Proposol, Hexoral and Tantum Verde are effective. Before using analogs, you should carefully study the indications, contraindications and possible side effects. Medicines have different composition, restrictions and dosage, so the patient needs to visit a doctor to make sure that the remedy is used correctly.
Infectious and inflammatory diseases of the throat are accompanied by severe pain, difficulty swallowing. To eliminate these symptoms and alleviate the condition of patients, a special formula has been developed for irrigation of the oral mucosa containing an anesthetic. The article discusses detailed instructions for the use of Strepsils spray.
The chemical composition of the drug
Strepsils is a combination drug for topical use. It contains three main components.
Dichlorobenzyl alcohol is a mild antiseptic that, when interacting with microbes, causes their dehydration (dehydration). It has a direct effect on some types of viruses.
Synergism is characteristic of these two substances - an increase in the strength of each other's influence. This enhances the bactericidal effect of the drug (therapeutic property) and stops the reproduction and spread of infection (preventive property).
Lidocaine is a local anesthetic. It blocks the mechanisms of transmission of nerve impulses and their transmission along nerve fibers. At the local level, it dilates blood vessels, does not cause irritation of the mucous membrane.
Auxiliary components in the Strepsils spray:
- ethanol is a solvent;
- glycerin - regulates the viscosity of the solution;
- saccharin - an additive for antimicrobials;
- sodium hydroxide - emulsifier, acidity regulator;
- citric acid - pH stabilizer;
- carmoisine - dye;
- levomenthol - flavoring;
- anise and mint fragrance;
- purified water.
Pharmacological properties and indications for use
Strepsils with lidocaine relieves pain of varying intensity. After applying the solution to the mucous membrane, numbness of the soft tissues occurs after 1-2 minutes, and the patient ceases to feel pain and discomfort in the throat. The drug eliminates itching, irritation, perspiration, which often provokes profuse lacrimation. Local anesthesia and softening of the mucosa makes it possible to eat and talk normally.
When applied topically, the drug is practically not absorbed into the systemic circulation, so it is impossible to determine the route of its excretion.
Spray Strepsils is prescribed for the treatment and prevention of infectious diseases of the throat, which are accompanied by inflammation, cough, general intoxication of the body:
- SARS, influenza;
- tonsillitis, tonsillitis;
- pharyngitis;
- laryngitis;
- measles in children;
- candidiasis of the oral mucosa (fungal infection);
- stomatitis.
The main pharmacological direction of the solution is symptomatic therapy, elimination of signs of the disease.
Release form and treatment regimens
Spray Strepsils Plus is a topical preparation. Produced in the form of a solution for irrigation of the epithelium of the throat in a bottle of tinted glass with a volume of 20 ml, which is designed for 70 doses. In one cardboard box 1 bottle and instructions for use.
One dose involves two presses on the nebulizer. For adults and children after 12 years, the solution is applied to the inflamed organ in the acute phase of the disease every 2 hours. The daily rate should not exceed 8 doses.
Before irrigation, it is necessary to remove the protective cover, unscrew the sprayer, direct it to the inflamed area. Press the cap sharply 2 times.
Do not exceed the indicated dosage. If the signs of the disease persist for 3 days from the start of treatment, or the patient's general condition worsens, a doctor's consultation is necessary.
Spray Strepsils should not be inhaled, allowed to get into the eyes. If the tongue is numb, it is necessary to take hot food and drinks with caution. Anesthesia can make swallowing difficult. For safety reasons and to prevent food particles from entering the respiratory tract, treatment with the drug is best done between meals.
Contraindications and side effects
Absolute contraindications are hypersensitivity or individual intolerance to individual components of the drug, bronchial asthma, bronchospasm of various origins.
With caution, Strepsils in the form of a spray is prescribed to people with mechanical injuries and damage to the mucous membranes, erosions in the oral cavity, and fresh wounds.
Clinical studies during pregnancy have not been conducted, the effect of the drug on the woman and the fetus has not been established. Therefore, it is not recommended to prescribe the drug during the period of bearing a child. During lactation, you should stop using the spray. If there are no alternative means, at the time of treatment it is necessary to transfer the baby to artificial feeding.
The drug is not used in pediatric practice for children under 12 years of age..
The side effects indicated in the instructions for use were observed only with short-term use of the solution for the treatment of an acute process. The list of negative effects of Strepsils with prolonged use as part of the complex treatment of chronic pathologies may be more extensive.
Possible side effects:
- allergic reactions - hypersensitivity, burning, perspiration, irritation in the mouth, skin rashes, urticaria, swelling of the throat, angioedema;
- dyspeptic disorders - heartburn, nausea, urge to vomit, stomatitis, pain in the epigastric region;
- taste disorder, loss of perception of taste stimuli.
Overdose
With mild or moderate overdose, symptoms of digestive system disorders are observed. The manifestation of nausea intensifies, one-time vomiting, aching pains in the stomach or intestines may appear. The drug can cause excessive numbness of the upper respiratory organs. If such symptoms occur, you should temporarily suspend the use of the spray and undergo symptomatic treatment.
An excessive overdose of a drug containing lidocaine can adversely affect the central nervous and cardiovascular systems. The risk of developing methemoglobinemia increases - an increase in the substance of methemoglobin in the blood. This compound cannot bind to oxygen molecules and deliver them to organs and tissues. Thus, the function of transporting blood is drastically impaired.
If such a condition occurs, the victim is immediately hospitalized and an intravenous solution of methylene blue is administered at the rate of 1-4 mg / kg.
Treatment with the drug does not affect the management of vehicles and production mechanisms.
Spray Strepsils has a quick analgesic effect on the mucous membrane of the throat. The drug, when used correctly, is safe for health, does not affect the functioning of vital organs. Dose adjustment for elderly or debilitated patients is not required. Due to the content of lidocaine and menthol, the drug is not prescribed for children of preschool and primary school age.
Clear, colorless to yellowish solution.
pharmachologic effect
Non-steroidal anti-inflammatory drug.
Indications
As a symptomatic remedy for the relief of sore throat in infectious and inflammatory diseases of the upper respiratory tract.
Contraindications
- Hypersensitivity to flurbiprofen or to any of the other components of the drug.
a history of hypersensitivity reactions (bronchial asthma, bronchospasm, rhinitis, Quincke's edema, urticaria, recurrent polyposis of the nose or paranasal sinuses) in response to the use of acetylsalicylic acid or other NSAIDs;
erosive and ulcerative diseases of the gastrointestinal tract (including peptic ulcer of the stomach and duodenum), ulcer bleeding in the phase or in history (2 or more confirmed episodes of peptic ulcer or ulcer bleeding):
bleeding or perforation of the gastrointestinal ulcer, ulcerative colitis, history of hemorrhagic and hematopoietic disorders, provoked by the use of NSAIDs;
pregnancy (III trimester);
breastfeeding period;
children's age up to 12 years;
severe liver failure or active liver disease;
severe renal failure (CK
decompensated heart failure;
the period after coronary artery bypass grafting;
confirmed hyperkalemia;
deficiency of glucose-6-phosphate dehydrogenase;
hemophilia and other blood clotting disorders (including hypocoagulation), hemorrhagic diathesis.
With caution and only after consulting a doctor, you should take the drug if you have a history of a single episode of gastric ulcer or ulcerative bleeding of the gastrointestinal tract;
diseases of the gastrointestinal tract in history (ulcerative colitis, Crohn's disease), gastritis, enteritis, colitis, the presence of Helicobacter pylori infection;
bronchial asthma or allergic diseases in the acute stage or in history (possible development of bronchospasm);
systemic lupus erythematosus or mixed connective tissue disease (Sharpe's syndrome); increased risk of aseptic meningitis (with short-term use of flurbiprofen, the risk is negligible);
renal failure, incl. with dehydration (CC less than 30-60 ml / min), nephrotic syndrome;
liver failure;
cirrhosis of the liver with portal hypertension;
hyperbilirubinemia;
arterial hypertension and / or heart failure, edema;
simultaneous use of other NSAIDs;
simultaneous use of drugs that may increase the risk of ulcers or bleeding, in particular oral corticosteroids (including prednisolone), anticoagulants (including warfarin), antiplatelet agents (including acetylsalicylic acid, clopidogrel ), selective serotonin reuptake inhibitors (including citalopram, fluoxetine, paroxetine, sertraline);
in the I and II trimesters of pregnancy, during breastfeeding;
elderly patients;
when drinking alcohol.
Use during pregnancy and lactation
The use of the drug in the third trimester of pregnancy is contraindicated. The use of flurbiprofen in the first and second trimesters of pregnancy should be avoided; if necessary, the use of the drug should be consulted with a doctor.
There is evidence that flurbiprofen in small amounts can pass into breast milk without any negative consequences for the health of the infant, however, due to the possible side effects of NSAIDs, the use of the drug during breastfeeding is not recommended.
special instructions
Patients with diabetes should take into account that each tablet contains about 2.5 g of sugar (0.21 XE).
When symptoms of gastropathy appear, careful monitoring is indicated, including esophagogastroduodenoscopy, complete blood count (hemoglobin determination), fecal occult blood analysis.
If it is necessary to determine 17-ketosteroids, the drug should be discontinued 48 hours before the study.
Patients with renal or hepatic insufficiency, as well as elderly patients and patients taking diuretics, should consult a doctor before using the drug, since there is a risk of deterioration in the functional state of the kidneys. With short-term use of the drug, the risk is negligible.
Patients with arterial hypertension, incl. in history, and / or chronic heart failure, it is necessary to consult a doctor before using the drug, since the drug can cause fluid retention, increased blood pressure and edema.
If irritation occurs in the oral cavity, skin rash, mucosal lesions and other manifestations of an allergic reaction, the patient should stop using the drug and consult a doctor.
In case of worsening of existing symptoms or the appearance of new ones, incl. if signs of a bacterial infection appear, the patient should immediately consult a doctor to review therapy.
Influence on the ability to drive vehicles and control mechanisms
Patients who experience dizziness, drowsiness, lethargy, or visual disturbances while taking flurbiprofen should avoid driving or operating machinery.
Compound
1 dose (3 sprays) contains flurbiprofen 8.75 mg
Excipients: betadex 22.83 mg;
sodium hydrogen phosphate dodecahydrate 17.19 mg;
citric acid monohydrate 0.63 mg, methyl parahydroxybenzoate 1.18 mg;
propyl parahydroxybenzoate 0.24 mg;
sodium hydroxide 1.30 mg;
mint flavor (PHL 175628) 1.08 mg;
cherry flavor (PHL 175629) 1.35 mg;
N-2,3-trimethyl-2-isopropylbutanamide 0.54mg;
sodium saccharin 0.27 mg;
hydroxypropyl betadex 12.09 mg;
water 492.55 mg.
Dosage and administration
Read the instructions carefully before using the drug.
For topical use. For short term use only.
Adults and children over 12 years of age: 1 dose of the drug (3 clicks on the dispenser) spray on the back wall of the oropharynx every 3-6 hours, no more than 5 doses within 24 hours.
Duration of therapy: no more than 3 days.
Do not inhale when spraying.
Before the first use of the drug, it is necessary to make at least four clicks on the dispenser in the opposite direction from itself until a uniform spray appears.
Before each subsequent use, it is necessary to make at least one press on the dispenser in the opposite direction from itself until a uniform spray appears.
Side effects
The risk of side effects can be minimized if the drug is taken in a short course at the minimum effective dose necessary to eliminate symptoms.
The following adverse reactions were noted with short-term use of the drug. In the treatment of chronic conditions and with prolonged use, other adverse reactions may occur.
The incidence of adverse reactions was assessed based on the following criteria: very often (≥1/10), often (from ≥1/100 to
On the part of the blood and lymphatic system: the frequency is unknown - hematopoietic disorders (anemia, thrombocytopenia).
From the nervous system: often - dizziness, headache, paresthesia;
infrequently - drowsiness.
Mental disorders: infrequently - insomnia.
From the immune system: rarely - anaphylactic reactions.
Since the cardiovascular system: the frequency is unknown - heart failure, edema, increased blood pressure.
From the respiratory system: often - a feeling of irritation in the throat;
infrequently - exacerbation of asthma and bronchospasm, shortness of breath, wheezing, blisters in the mouth and pharynx, hypesthesia in the mouth and pharynx.
From the digestive system: often - diarrhea, ulceration of the oral cavity, nausea, paresthesia of the oral cavity, pain in the oral cavity and pharynx, discomfort in the oral cavity (sensation of warmth, burning sensation or tingling in the mouth);
infrequently - bloating, abdominal pain, constipation, dry mouth, dyspepsia, flatulence, glossalgia, dysgeusia, oral dysesthesia, vomiting;
frequency unknown - hepatitis.
On the part of the skin and subcutaneous tissues: infrequently - skin rash, itching;
frequency unknown - severe skin reactions, such as bullous reactions, including Stevens-Johnson syndrome and toxic epidermal necrolysis (Lyell's syndrome).
Other: infrequently - fever, pain.
drug interaction
Combinations to avoid
Acetylsalicylic acid: with the exception of low doses of acetylsalicylic acid (no more than 75 mg / day) prescribed by a doctor, since combined use may increase the risk of side effects.
Other NSAIDs, incl. ibuprofen and selective COX-2 inhibitors: the simultaneous use of two or more drugs from the NSAID group should be avoided due to a possible increase in the risk of side effects.
Combinations to be used with caution
Anticoagulants: NSAIDs may increase the effect of anticoagulants, in particular warfarin.
Antiplatelet agents and selective serotonin reuptake inhibitors: increased risk of gastrointestinal bleeding.
Antihypertensive drugs (ACE inhibitors and angiotensin II receptor antagonists) and diuretics: NSAIDs may reduce the effectiveness of these groups of drugs and may increase nephrotoxicity due to COX inhibition, especially in patients with impaired renal function (it is necessary to ensure adequate fluid replacement in such patients).
Ethanol: may increase the risk of adverse reactions, especially bleeding from the gastrointestinal tract.
Cardiac glycosides: the simultaneous use of NSAIDs and cardiac glycosides can lead to worsening of heart failure, a decrease in glomerular filtration rate and an increase in the concentration of cardiac glycosides in blood plasma.
Cyclosporine: increased risk of nephrotoxicity with the simultaneous use of NSAIDs and cyclosporine.
GCS: increased risk of gastrointestinal ulceration and gastrointestinal bleeding.
Lithium preparations: there is evidence of the likelihood of an increase in the concentration of lithium in the blood plasma against the background of the use of NSAIDs.
Methotrexate: there is evidence of the likelihood of an increase in the concentration of methotrexate in plasma against the background of the use of NSAIDs. It is necessary to take NSAIDs 24 hours before or after taking methotrexate.
Mifepristone: The use of NSAIDs should be started no earlier than 8-12 days after the end of the use of mifepristone, since NSAIDs can reduce the effectiveness of mifepristone.
Quinolone antibiotics: Patients receiving concomitant treatment with NSAIDs and quinolone antibiotics may have an increased risk of seizures.
Tacrolimus: Concomitant use of NSAIDs and tacrolimus may increase the risk of nephrotoxicity.
Zidovudine: The simultaneous use of NSAIDs and zidovudine may lead to increased hematotoxicity.
Hypoglycemic drugs for oral administration: changes in blood glucose concentration are possible (it is recommended to increase the frequency of monitoring blood glucose levels).
Phenytoin: it is possible to increase the concentration of phenytoin in the blood serum (it is recommended to control the serum concentration of phenytoin and, if necessary, dose adjustment).
Potassium-sparing diuretics: The concomitant use of potassium-sparing diuretics and flurbiprofen may lead to hyperkalemia.
Probenecid and sulfinpyrazone: Medicinal products containing probenecid or sulfinpyrazone may delay the elimination of flurbiprofen.
Tolbutamide and antacids: To date, studies have not identified an interaction between flurbiprofen and tolbutamide or antacids.
Overdose
Symptoms: nausea, vomiting, epigastric pain or, less commonly, diarrhea, tinnitus, headache, and gastrointestinal bleeding. In more severe cases, manifestations from the central nervous system are observed: drowsiness, rarely - agitation, convulsions, disorientation, coma. In cases of severe poisoning, metabolic acidosis and an increase in prothrombin time, acute renal failure, liver tissue damage, decreased blood pressure, respiratory depression and cyanosis may develop. In patients with bronchial asthma, an exacerbation of this disease is possible.
Treatment: symptomatic, with the obligatory provision of airway patency, ECG monitoring and basic vital signs until the patient's condition returns to normal. Oral activated charcoal or gastric lavage is recommended within 1 hour of a potentially toxic dose of flurbiprofen. Frequent or prolonged convulsions should be stopped by intravenous administration of diazepam or lorazepam. With the aggravation of bronchial asthma, the use of bronchodilators is recommended. There is no specific antidote for flurbiprofen.
Storage conditions
The drug should be stored out of the reach of children at a temperature not exceeding 30°C.
Strepsils Plus is an effective combined agent with local anesthetic and antibacterial action, intended for the treatment of common ENT diseases.
It has also found wide application in dental practice.
Composition and form of release of the drug
The drug Strepsils Plus is available in two forms:
- lozenges;
- spray for local use.
The tablets are characterized by a flat-cylindrical shape, a light blue-green hue, as well as a pronounced smell of menthol. The presence of a slight whitish coating, a slight unevenness of the edges, as well as miniature air bubbles inside is acceptable.
Spray intended for topical use is available in 20 ml bottles, additionally packaged in cardboard boxes.
The main active ingredients of the drug in the form of both tablets and spray are:
- dichlorobenzyl alcohol;
- lidocaine hydrochloride;
- amylmethacresol.
As additional components of tablets are used:
- peppermint essential oil;
- anise essential oil;
- levomenthol;
- sodium saccharin;
- tartaric acid;
- quinoline yellow dye;
- liquid sucrose;
- liquid dextrose;
- indigo carmine.
As part of the Strepsils Plus spray, additional components are:
- ethanol;
- lemon acid;
- sodium hydroxide;
- edicol karmazin;
- saccharin;
- glycerol;
- levomenthol;
- mint oil;
- anise oil;
- hydrochloric acid;
- sorbitol;
- distilled water.
Indications for use
Spray and tablets Strepsils Plus have a pronounced antiseptic, decongestant, antimycotic, as well as a local anesthetic effect.
They are prescribed for the treatment of the most common infectious and inflammatory lesions of the oropharynx, as well as the mucous membranes of the gums and oral cavity - namely, with:
- angina;
- gingivitis;
- aphthous stomatitis.
Strepsils Plus tablets are intended for resorption in the oral cavity, so they should not be bitten or swallowed.
Children over 12 years of age, as well as adult patients, are prescribed to take lozenges one at a time with an interval of two hours.
The maximum daily dose is 8 tablets, and it is unacceptable to exceed it.
Suck the tablets until they are completely dissolved in the mouth.
How to use the spray Strepsils Plus. Like tablets, the spray of the same name can be used by patients from the age of 12.
Once every three hours, it must be sprayed in the area of the site where the inflammatory process develops. It is permissible to use no more than six such doses within one day.
The maximum duration of the treatment course is five days.
Interaction with other drugs
Currently, there is no information regarding the clinically significant interaction of Strepsils Plus spray and tablets with other drugs.
Side effects
In most cases, Strepsils Plus spray and lozenges are easily tolerated by patients without causing negative consequences. However, allergic reactions can sometimes develop, as well as the sensitivity of the tongue or some change in taste sensations.
Systemic side effects when taking this drug do not occur due to its low adsorption.
In case of an overdose of the drug, anesthesia of the upper digestive tract may occur. For treatment, a course of symptomatic therapy is prescribed.
Contraindications
The drug Strepsils Plus in both forms of release is contraindicated in those patients who have individual intolerance to its components or hypersensitivity to them.
It should not be used to treat children under 12 years of age.
Particular care should be taken when taking this drug in those patients who suffer from bronchial asthma and are prone to bronchospasm.
Due to the fact that one tablet of Strepsils Plus contains 2.6 grams of sugar, care must also be taken when prescribing this drug to people who have been diagnosed with diabetes mellitus.
Strepsils Plus tablets and spray can be used by women during pregnancy and lactation if the doctor determines that the expected benefit to the expectant mother far outweighs the possible risks.
It is known that the components of this drug are not excreted in breast milk and therefore do not pose any risk to the baby.
In addition, during topical application, Strepsils Plus spray does not have an embryotoxic, teratogenic and mutogenic effect.
Terms and conditions of storage
Regardless of the form of release, the shelf life of Strepsils Plus is three years. It is recommended to store it at temperatures up to +25°C in a dark and dry place, out of the reach of children and well protected from direct sunlight.
Strepsils spray with lidocaine is a local anesthetic with an antimicrobial effect. It is used in dental and ENT pathologies. In addition to antiseptic and anesthetic, it also has a slight decongestant effect.
Description
Strepsils spray with lidocaine is a combined topical preparation that can have an antifungal, antimicrobial, analgesic and anesthetic effect on the tissues of the oropharynx. It contains two antiseptic components, which have different mechanisms of action. Thus, there is a bactericidal effect on a wide range of microorganisms.
Most often used to quickly get the effect
Strepsils shows its effectiveness against a whole range of pathogens, including staphylococci, streptococci, Aerobacter spp., Proteus spp., Klebsiella aerogenes, Diplococcus pneumoniae and others. It also turns out to be fungicidal, that is, an antifungal effect against fungi of the genus Candida. Therefore, Strepsils is used for inflammatory pathologies of the respiratory tract, which are aggravated by fungal 
The drug is not intended for use in pediatrics under 12 years of age. This is explained by a rather potent composition, which in the still undeveloped ways of the child's body can cause many side effects of a local type - from an allergic reaction and -, laryngospasm. Also, the agent is not used in case of hypersensitivity of the patient to the composition.
Given that this is a spray, it is used topically, and always after eating or drinking. Ideally, the oral cavity is also necessary so that the effectiveness of the drug is maximized. In general, the bottle is designed for 70 doses. 1 dose is equal to two injections.
Side effects can be manifested in the form of a local allergic reaction, as well as loss of sensitivity of the tongue. A local allergic reaction refers to itching, irritation, perspiration, hoarseness, swelling of the tissues of the mucous throat, redness. Overdose is unlikely with Strepsils Spray, but with the manifestation of symptoms of anesthesia of the upper digestive tract, symptomatic therapy should be started. When the drug is discontinued, the sensation of an anesthetic effect quickly disappears. 
Drug interactions of the drug with other medicines have not been identified. But it is recommended to take a break of 10-15 minutes between various local preparations. If there is a loss of sensation of the tongue, then hot food and drink should be taken with extreme care so as not to get mucous surfaces.
In general, the drug is well tolerated by patients, but in some cases there may be side effects in the form of varying intensity. If the drug is used according to the instructions, then the systemic adsorption of the drug is too low to have a systemic effect. In the process of application during the tests, some patients reported a change in taste sensations and a feeling of numbness of the tongue.
The drug is not prescribed for bronchial asthma, as well as with a tendency to bronchospasm.
The drug does not have a mutagenic, teratogenic and embryotoxic effect when applied topically. Therefore, it can be used during pregnancy, but only under the supervision of a doctor. Also, the components are not excreted with breast milk, and therefore use during lactation in the doses recommended by the manufacturer is allowed, but also under the supervision of a doctor.
Instruction
You can use the drug after eating and drinking or half an hour before those. Surface treatment is performed by pressing twice on the surface of the valve with the spray tip directed to the area of inflammation. As mentioned earlier, two presses are one dose.
You can apply the spray up to 6 times a day maximum. The duration of the course is no more than 5 days.
During pregnancy and lactation, the drug can be used in the standard mode. But a preliminary consultation with a doctor is required. In the case of childhood, the number of injections is left as in adults, but it is better to reduce the frequency of applications to 4 times. It can be used in pediatrics only from the age of 12.
