Strepsils spray for sore throat. Spray Strepsils with Lidocaine: instructions for use. Application in childhood

Strepsils Plus is an effective combined remedy 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 application.

The tablets are characterized by a flat-cylindrical shape, a light blue-green hue, as well as a pronounced smell of menthol. Valid is the presence of a lung whitish coating, slight roughness of the edges, as well as miniature air bubbles inside.

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:

• essential oil peppermint;
• 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.

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, sometimes allergic reactions may develop, as well as loss of sensitivity of the tongue or some change in taste sensations.

Systemic side effects at the reception this drug do not occur due to its low adsorption.

In case of an overdose of the drug, anesthesia may occur. upper divisions digestive tract. 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 an individual intolerance to its components or hypersensitivity to them.

It should not be used to treat children under 12 years of age.

Particular caution should be exercised when taking this drug in patients who suffer from bronchial asthma and are prone to bronchospasm.

Due to the fact that in one Strepsils tablet Plus, it contains 2.6 grams of sugar, you must also be careful when prescribing this drug to people who have been diagnosed with diabetes.

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 medicinal product are not excreted with breast milk, and therefore do not pose any threat 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.

Name:

Strepsils Plus (Strepsils Plus)

Pharmachologic effect:

Strepsils Plus is a combined topical preparation with antimicrobial, antifungal, analgesic and local anesthetic effects. The drug contains two active antiseptic components that differ in the mechanism of action. Thus, the bactericidal action of a relatively large spectrum of microorganisms is carried out. 2,4-dichlorobenzyl alcohol, which is part of the drug, has a bactericidal and bacteriostatic effect, due to the ability to retain a large number of water around their molecules. This leads to dehydration of microorganism cells and their death. The second active component of Strepsils Plus, amylmethacreazole, belongs to the group of phenol derivatives and has a similar effect to it. So, amylmethacreazole, penetrating into the cells of microorganisms, inhibits protein synthesis, which is accompanied by a violation of all protein structures of the cell, primarily the cell membrane, and to the death of the microorganism. Strepsils Plus is effective against a wide range microorganisms, which includes such strains: Streptococcus spp., Staphylococcus aureus, Staphylococcus epidermidis, Staphylococcus pyogenes, Staphylococcus salivarius, Diplococcus pneumoniae, Klebsiella aerogenes, Proteus spp., Aerobacter spp. and other Gram-positive and Gram-negative bacteria. In addition, the drug has a fungicidal effect on fungi of the genus Candida, which makes Strepsils Plus effective in inflammatory diseases respiratory tract aggravated by a fungal infection.

In addition to the antibacterial complex, Strepsils Plus contains lidocaine, which has a local anesthetic effect. Lidocaine inhibits the formation and conduction of a nerve impulse due to the depolarization of neurons. Thus, sensitive nerve endings are blocked, and first of all, they disappear pain, then the receptors responsible for the perception of temperature are blocked, with a further increase in the dose, tactile sensations disappear.

The complex of essential oils enhances antiseptic action Strepsils Plus and, in addition, has a softening, anti-edematous and anti-inflammatory effect by increasing blood flow and improving microcirculation at the site of application. Thanks to a complex of essential oils, in particular, a combination of peppermint and anise oils, the preparation facilitates breathing through the nose.

The drug does not have a systemic effect on the body, since the adsorption of active substances into the general bloodstream is negligible.

Indications for use:

The drug is used for diseases of the oral cavity and pharynx infectious etiology. The drug is effective for inflammatory processes, which are accompanied pain syndrome. Strepsils Plus is used in the treatment of such diseases: gingivitis, stomatitis, tonsillitis, laryngitis with acute pain syndrome of high and medium intensity. In the complex treatment of angina. In patients with pain after surgical interventions in the oral cavity and pharynx, including tonsillectomy.

Application method:

The drug in the form of tablets and spray is used to treat adults and children over 12 years of age, while usually prescribed 1 tablet every 2-3 hours or 1 spray dose (one dose consists of two sprays). Maximum allowable amount tablets - 8 per day, the drug in the form of a spray is not recommended to be used more than 6 times a day. The duration of the course of treatment should not exceed 5 days.

Doses of the drug and the duration of the course of treatment can be changed if necessary by the attending physician.

Undesirable phenomena:

The drug is usually well tolerated by patients. In some cases it is possible to develop allergic reactions. When using the drug according to the instructions, the systemic adsorption of the drug is low, so systemic side effects should not be expected. However, in patients with increased individual sensitivity, the development of side effects characteristic of lidocaine may be observed.

Some patients experience a change in taste sensations and a feeling of numbness of the tongue.

Contraindications:

Increased individual sensitivity to the components of the drug.

Children's age up to 12 years.

The drug in the form of a spray should be used with caution in patients suffering from bronchial asthma and having a tendency to bronchospasm.

When prescribing the drug Strepsils Plus in the form of tablets to patients suffering from diabetes, it should be borne in mind that one tablet contains 2.6 g of sugar.

During pregnancy:

The components of the drug when applied topically do not have a teratogenic, mutagenic and embryotoxic effect. The drug can be used during pregnancy as prescribed by the attending physician, if the expected benefit to the mother is higher than the potential risks to the fetus.

The components of Strepsils Plus are not excreted in breast milk, so the drug in recommended doses can be used during breastfeeding.

Overdose:

Since the drug is poorly absorbed into the systemic circulation and does not have a resorptive effect, systemic effects in case of an overdose should not be expected. When using the drug in doses that exceed those recommended, a complete loss of sensitivity of the oral cavity, pharynx, esophagus is possible. As a result, patients feel some discomfort, however, when the drug is discontinued, the sensitivity quickly returns.

Release form of the drug:

Spray for local use, 20 ml in a bottle with a spray nozzle, 1 bottle in a carton.

Lozenges with menthol flavor, 8 pieces in a blister, 2 blisters in a carton.

Storage conditions:

The shelf life of Strepsils Plus, regardless of the form of release, is 3 years.

Compound:

1 lozenge Strepsils Plus with menthol flavor contains:

2,4-dichlorobenzyl alcohol - 1.2 mg,

Amylmethacreazole - 0.6 mg,

Lidocaine hydrochloride - 10 mg,

Excipients, including sucrose, glucose, levomenthol, essential oils peppermint and anise.

1 dose of Strepsils Plus topical spray contains:

2,4-dichlorobenzyl alcohol - 580 mcg,

Amylmethacreazole - 290 mcg,

Lidocaine hydrochloride - 780 mcg,

Auxiliary substances, including ethyl alcohol, essential oils of peppermint and anise, levomenthol.

Similar drugs:

Eucalyptus-M (Eucalyptus-M) Vagical (Vagical) Phytodent (Phytodent) Neo-angin (Neo-angin) Malavit (Malavit)

Dear doctors!

If you have experience in prescribing this drug to your patients - share the result (leave a comment)! Did this medicine help the patient, did side effects during treatment? Your experience will be of interest to both your colleagues and patients.

If you have been prescribed this medication and have completed therapy, tell us if it was effective (helped), if there were any side effects, what you liked / did not like. Thousands of people search the Internet for reviews of various medicines. But only a few leave them. If you personally do not leave a review on this topic, the rest will have nothing to read.

Dosage form

spray for local use dosed

Compound

amylmetacresol - 0.29 mg, 2,4-dichlorobenzyl alcohol - 0.58 mg, lidocaine - 0.78 mg;

Excipients: ethanol 96% 52 µl, citric acid 0.19 mg, glycerol 13 µl, sorbitol solution 70% (non-crystallized) 13 µl, saccharin 0.026 mg, levomenthol 0.104 mg, peppermint leaf oil 0.156 µl, anise seed oil 0.065 µl , azorubine (carmosine edicol) 0.008 mg, purified water up to 130 µl, sodium hydroxide q.s, concentrated hydrochloric acid q.s.

Pharmacodynamics

The drug has an antiseptic effect, is active against gram-positive and gram-negative microorganisms in vitro, has an antimycotic effect. It also has a local anesthetic and decongestant effect.

Side effects

Allergic reactions, loss of sensation of the tongue

Selling Features

Released without a prescription

Special conditions

At possible loss sensitivity of the tongue, it is recommended to be careful when taking hot food and water. Do not use the drug in the presence of increased individual sensitivity to any component that is part of the drug.

Indications

Symptomatic treatment of pain in the oral cavity, throat, larynx in infectious and inflammatory diseases: tonsillitis, pharyngitis, laryngitis (including professional ones - in teachers, announcers, workers in the chemical and coal industries), hoarseness, inflammation of the oral mucosa and gums ( aphthous stomatitis, gingivitis, thrush).

Contraindications

Hypersensitivity to the components of the drug;

Children's age (up to 12 years).

drug interaction

No clinically significant interactions with other drugs have been reported.

Prices for Strepsils Plus in other cities

When inflammation of various origins occurs in the throat in recent times experts recommend drugs combined under the brand name "Strepsils". Spray, as a form of this particular drug, has a number of advantages, which is confirmed by numerous positive reviews from doctors and consumers themselves. It is about him that will be discussed in this article.

The composition of the product "Strepsils" in the form of a spray, a description of the drug

The drug, known as "Strepsils" (spray), is among the combined preparations by specialists local action. It contains several active ingredients that can act directly on inflamed tissues and microorganisms. Each dose of the drug contains substances such as dichlorobenzyl alcohol, amylmethacreazole, as well as lidocaine and a number of excipients, including alcohols, essential oils and levomenthol.

Looks like red clear liquid, poured into bottles with a dispenser-sprayer with a volume of 20 ml. Each bottle of Strepsils spray is closed with a plastic cap. Together with instructions for use, it is placed in a cardboard box.

Pharmacological effect of the spray on the mucous membrane of the throat

"Strepsils" (spray) instruction refers to broad-spectrum drugs, its components are effective against streptococci, staphylococci (epidermidis, pyogenes, and salivarius), diplococci and many other gram-positive and gram-negative microorganisms. In addition, its impact extends to many fungal infections. What is the reason for such activity, and what is the mechanism of action of the drug?

The point is that the first active substance the drug (2,4-dichlorobenzyl alcohol) has the ability to retain in the immediate vicinity of its molecules a large amount of water, which is also in great need of microorganisms. Due to this, there is a gradual dehydration of the cellular structures of bacteria and fungi, which causes their death.

But not only this property is valued in the Strepsils preparation. Spray after application can affect bacterial and fungal cells from the inside. Amylmethacreazole, the second active ingredient of this drug, penetrates into microorganisms and disrupts the synthesis of proteins inside their cellular structures, resulting in the death of bacteria and fungi.

Enhancers of the antimicrobial effect are essential oils that are part of the drug. In addition, they significantly reduce the swelling of the throat mucosa, which also affects nasal breathing. Anise oil in combination with peppermint essential oil improves microcirculation in the mucosa, and also reduces inflammation.

But this is not the whole list of areas of action on the mucous throat of the Strepsils drug. The spray helps to relieve even severe pain in the throat due to the content of lidocaine in it. This compound depolarizes neurons, causing them to be unable to conduct nerve impulses.

Spray for the throat "Strepsils": instructions for use

The list of diseases and conditions in which experts recommend the use of Strepsils spray is quite wide. Firstly, they include diseases of the oral cavity and pharynx, which have an infectious component:

• laryngitis;
• angina;
• stomatitis;
• gingivitis;
• tonsillitis.

Where else is the use of Strepsils allowed? Instructions for use recommends using the spray also to eliminate pain and reduce the risk of developing secondary infections after removal of the palatine tonsils, and other surgical interventions.

How to use the drug correctly

Despite the fact that the drug practically does not enter the bloodstream and has no systemic effect on the patient's body, it is recommended to consult with specialists before using it. What says about the use of the drug "Strepsils" instructions for use:

• spray should be used every 3-4 hours, but not more than six times a day;
• the duration of treatment is determined by the attending physician based on the patient's condition. It should not exceed 5 days;
• the patient should remember that one therapeutic dose of the drug is considered to be its double spray;
• changing the dosage is possible only if necessary, which is determined by the attending physician.

Before using the Strepsils spray, it is necessary to refrain from eating and drinking for 20-30 minutes. The same period of time should be maintained after the drug is sprayed into the oral cavity.

Contraindications

Contraindications for the use of Strepsils (spray) is the patient's history of allergic reactions to any component of the drug. In addition, it is not recommended to use it for the treatment of throat in children under the age of 12 years. Anise and peppermint essential oils also pose some danger, which can provoke an asthma attack in people suffering from periodic (regular or spontaneous) bronchospasms, as well as bronchial asthma.

Side effects

Relatively side effect in the preparation "Strepsils" (spray), the instruction mentions such phenomena as burning or a feeling of dryness in the throat, numbness of the root of the tongue and its other parts. In rare cases, patients complained of a change in taste perception. This happened in most cases due to the individual reaction of the body to the substances that make up the drug. After a short period of time, all discomfort and the discomfort goes away. Due to the fact that the adsorption of the drug has a minimum performance, adverse reactions from other organs and systems was not observed.

Overdose when using the product

When the dosages of the drug recommended by the doctor were exceeded, patients complained of complete loss sensitivity of the oral cavity and pharynx. After discontinuation of the drug, there is a rapid return of patients to normal life even without the use of special drugs.

The use of Strepsils spray during pregnancy and lactation

Highly important issue it is considered possible to use "Strepsils" (spray) during pregnancy. According to clinical research, a local antimicrobial agent (namely, it is the drug) does not affect the developing fetus. All components of the drug are devoid of teratogenic, mutagenic and embryotoxic functions. However, to ensure complete security expectant mother and the child, it is important to consult with your doctor about the use of Strepsils spray during the period of bearing a child. The same recommendations apply for the treatment of sore throats in breastfeeding mothers.