Composition and active substance
Hexoral contains:
Solution for topical use
100 ml of solution contains:
Active substance: hexethidine - 100 mg.
Excipients: ethanol 96% (4.33 g/100 ml solution), polysorbate 60, peppermint oil, anise oil, citric acid monohydrate, sodium saccharin, levomenthol, methyl salicylate, clove oil, eucalyptus oil, azorubine 85% (E122), water purified.
Aerosol for topical use
100 ml of product contains:
Active substance: hexethidine - 200 mg.
Excipients: polysorbate 80, citric acid monohydrate, sodium saccharinate, levomenthol, eucalyptus leaf oil, sodium calcium edetate, ethanol 96%, sodium hydroxide, purified water, nitrogen.
Pills
1 tablet contains:
Active ingredients: chlorhexidine dihydrochloride - 5 mg, benzocaine - 1.5 mg.
Excipients: isomalt, peppermint oil, menthol, thymol, aspartame, purified water.
How to treat a throat with salt gargling
Before taking independent measures to combat the infection, consult a specialist. Only a doctor can make the correct diagnosis and prescribe the right medications. Recovery depends on adherence to the regimen, the correct selection of medications and therapies.
As part of a complex treatment, you can optionally use a saline solution. To prevent this from being useless, gargle 3-4 times a day, for up to 5 days in a row (the duration of treatment in each case is determined individually). But since table salt is not a medicine, treatment with proven antiseptics is necessary (for example, Hexoral ® rinse solution or Hexoral ® spray, chlorhexidine, and others).
Many patients ask the question: “Which salt is best”?
We do not recommend non-scientific methods for treatment, as there is no evidence of their effectiveness. For gargling and irrigating the throat, there are specialized sprays with sea water, which are sold in pharmacies.
pharmachologic effect
Hexoral is an antiseptic.
The antimicrobial effect of Hexoral® is associated with the suppression of oxidative reactions of bacterial metabolism (thiamine antagonist). The drug has a wide spectrum of antibacterial and antifungal action, in particular against gram-positive bacteria and fungi of the genus Candida, however Hexoral® can also have an effect in the treatment of infections caused, for example, by Pseudomonas aeruginosa or Proteus. At a concentration of 100 mg/ml, the drug inhibits most strains of bacteria. No development of resistance was observed. Hexethidine has a weak anesthetic effect on the mucous membrane.
When is Hexoral prescribed?
According to reviews from doctors and patients, this bactericide is prescribed primarily for inflammatory diseases of the throat. But in terms of therapeutic effectiveness, rinsing the larynx and mouth with a solution is inferior to the effect of a spray.
Indications for use are the appearance of symptoms of the following oral diseases:
- A painful inflammatory process in the mouth and larynx.
- Ulcers on the mucous membrane of the mouth and larynx.
- Inflammation of the tissues of the tongue, gums, and root of the tooth.
The product is also used after various types of dental operations.
What does Hexoral help with: indications
- Inflammatory and infectious diseases of the oral cavity and pharynx
- In the complex treatment of severe febrile or purulent diseases of the oral cavity and pharynx, requiring the use of antibiotics and sulfonamides, tonsillitis.
- Angina (including tonsillitis with damage to the lateral ridges, Plaut-Vincent's tonsillitis).
- Pharyngitis.
- Gingivitis and bleeding gums.
- Periodontopathies (periodontal diseases and their symptoms.
- Stomatitis (inflammation of the oral mucosa), glossitis (inflammation of the tongue), aphthous ulcers (painful inflammation with superficial tissue defects) to prevent superinfections.
- Infection of the alveoli (sockets of teeth) after tooth extraction.
- Fungal infections of the mouth and throat, especially candidal stomatitis (thrush).
- Before and after operations in the oral cavity and pharynx.
- Additional oral hygiene for general diseases.
- Elimination of bad breath, especially in the case of decaying tumors of the oral cavity and pharynx.
- An aid in the treatment of colds.
Hexoral and colds
The rinse solution is used as an additional remedy in the treatment of all kinds of colds. The bactericide has no effect on the replication of pathogenic viruses, which takes place in the cells of the mucous membrane, so the drug is useless in the situation of a viral-type cold.
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At the same time, a viral infection is often complicated by a bacterial one, which is why rinsing the mouth and throat is considered an effective prevention, which leads to the removal of pathogenic flora from the oral cavity. As a result, the risk of developing a bacterial infection is reduced.
Hexoral: instructions for use
Solution for topical use
Adults and children over 3 years of age: apply 15 ml of undiluted solution topically as a rinse in the mouth and throat for at least 30 seconds. Unless otherwise indicated, apply 2 times a day, preferably in the morning and evening.
Hexethidine adheres to the mucous membrane and due to this gives a lasting effect. In this regard, the drug should be used after meals. Hexoral® is also safe with more frequent use.
The duration of treatment is determined by the doctor.
Do not use in children under 3 years of age.
Hexoral® solution for topical use can only be used to rinse the mouth and throat. The solution should not be swallowed.
When rinsing, you should always use an undiluted solution.
When treating diseases of the oral cavity, the drug can also be applied using a tampon.
Aerosol for topical use
Adults and children over 3 years of age: apply topically as a spray in the mouth and pharynx. A single dose is administered over 1-2 seconds. Unless otherwise indicated, apply 2 times a day, preferably in the morning and evening.
Hexethidine adheres to the mucous membrane and due to this gives a lasting effect. In this regard, the drug should be used after meals. Hexoral® is also safe with more frequent use.
The duration of treatment is determined by the doctor.
Do not use in children under 3 years of age.
General recommendations for use
The drug is sprayed into the mouth or throat. Using an aerosol you can easily and quickly treat the affected areas.
You need to do the following:
- Place the spray nozzle on the aerosol can.
- Direct the end of the spray nozzle onto the affected area of the mouth or throat.
- During administration of the drug, the bottle should be kept in a vertical position at all times, as shown in the figure.
- Inject the required amount of the drug by pressing on the head of the spray nozzle for 1-2 seconds, do not breathe when introducing the aerosol.
Pills
Apply topically. The tablet should be slowly dissolved in the mouth until completely dissolved.
The drug should be started immediately after the first symptoms of the disease appear and continued for several days after the symptoms disappear.
Adults and children over 12 years of age: as a rule, prescribe 1 tablet every 1-2 hours as needed, but not more than 8 tablets per day.
Children aged 4-12 years: prescribed up to 4 tablets per day.
Use in children is possible only as prescribed by a doctor.
Do not use the drug in children under 4 years of age.
When is Hexoral used?
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The drug is prescribed for acute inflammatory diseases of the throat. In terms of therapeutic effectiveness, rinsing the mouth and throat with a solution is not inferior to the effect of a spray. According to the instructions for use, the Hexoral solution for rinsing can be actively used when the first symptoms appear:
- Inflammatory process of the mucous membrane in the oral cavity.
- Pain in the throat.
- Soreness.
- Wounds on the mucous membrane.
- Dental operations.
special instructions
There are no special instructions.
Hexoral® solution for topical use can be used to rinse the mouth and throat only if the patient can spit out the solution after rinsing.
Hexoral® solution for topical use contains ethanol 96% (4.33 g/100 ml solution).
Use in pediatrics
In children, the drug can be used from an age when there is no danger of uncontrolled swallowing when using the solution.
"Hexoral" and sore throat
According to numerous reviews, Hexoral solution for gargling is actively used in tandem with other medications, such as antibiotics. It is also worth noting that rinsing with the solution does not have a strong effect on the microflora of the throat. The antiseptic effect is expressed after 30-60 seconds after the medication enters the mucous membrane.
For sore throat, doctors advise applying Hexoral solution or spray directly to the back wall of the larynx using tweezers with a cotton swab. It is better to use a simpler method - using a spray. Reviews from doctors say that for pharyngitis, rinsing with such a solution is indicated exclusively as an auxiliary procedure.
Overdose
Hexethidine in the indicated dosage is non-toxic.
Symptoms: Ingestion of large quantities of the drug leads to vomiting, so significant absorption is not expected. No cases of alcohol poisoning due to overdose have been described. Acute alcohol poisoning is very unlikely, but theoretically possible if a large dose of the drug is swallowed by a small child.
Treatment: gastric lavage is necessary within 2 hours after ingestion of an excess dose. Carrying out symptomatic therapy, as for alcohol intoxication. In any case of overdose, the patient should immediately consult a doctor.
Hexoral during pregnancy and lactation
The medicinal solution penetrates into the general bloodstream in small quantities and, according to doctors, does not have a negative effect on the woman and fetus during pregnancy.
However, it has not yet been determined whether the medicinal product passes into the fetus or into breast milk. Experts think that even if the drug is capable of this, the saturation of the substances will be so low that it cannot harm the fetus. Therefore, Hexoral (the price of a bottle ranges from 230-300 rubles) is considered one of the few drugs that are recommended during pregnancy and lactation.
And finally, a few words about the alternative, if for some reason it was not possible to purchase the product. Analogues of the Hexoral rinse solution are Maxicold, Stomatidin, Gelangin.
There is no data on the undesirable effects of the drug during pregnancy and lactation. Therefore, the question of whether Hexoral can be taken during pregnancy can be answered positively, but only if the doctor clearly weighs the potential benefits and risks. Regardless of whether the patient is in the 1st trimester or 2nd trimester of pregnancy, she should definitely consult with her doctor. There is no sufficient data on the effect of the drug during breastfeeding.
Composition of the solution
Before using the remedy, be sure to read the composition of the Hexoral solution. This will help prevent allergies. The main active ingredient of this solution is hexetidine (containing 0.1%). The main active component of hexetidine is an antifungal and disinfectant that destroys the protective shell of harmful fungi and bacteria, after which they quickly die.
The following substances are used as additional components of the medicinal solution:
- Alcohol (3.83%).
- Vegetable oils - eucalyptus, anise, mint, cloves.
- Anesthetic components.
- Citric food acid.
- Dye (safe for health).
- Purified water.
- Preservative.
The medicine can be recognized by its beautiful crimson color. Hexoral rinse solution is transparent. The smell is pleasant, light, minty. The solution has a specific taste due to citric acid and natural plant components. The solution is sold in 200 ml bottles. One such bottle of Hexoral is designed for use for 6 days, subject to the frequency and dosage described in the instructions for the drug.
At what age is it allowed?
The drug is approved for use from 3 years of age. Sometimes doctors prescribe antiseptics to infants under one or two years of age, which raises doubts among parents about the possibility of using the product at such an early age, because the instructions clearly indicate the limitations.
As practice shows, Hexoral is indeed prescribed to children, but exclusively for the treatment of minor injuries and wounds in the oral cavity.
It is physically impossible to perform irrigation or application procedures before the age of two; there is a high risk of the child swallowing the liquid. Any cases of using Hexoral for up to one or two years should be discussed with a pediatrician.
Gargling with salt for children
It should be borne in mind that this drug can be prescribed to children after reaching three years of age. The instructions for children inform that the use of the solution is possible at an age when the child is able to consciously rinse the mouth and throat, and there is no danger of swallowing the liquid.
Hexoral spray is also not used for children under 3 years of age. It is important that the child does not resist the spray nozzle in the mouth and can hold his breath while the drug is injected.
For children over 3 years of age, the product is used in the dosage indicated in the instructions.
We recommend only special pharmaceutical rinsing solutions and seawater sprays for use by children, as their effectiveness and safety have been confirmed by clinical trials.
First you need to make sure that the child has the necessary skill. The procedure is allowed for children aged 4-5 years. This method is not suitable for very young children, since the risk of swallowing the rinse solution cannot be excluded; the child may choke or the attempts will be ineffective.
It is important to follow the rinsing rules so as not to harm the baby.
- Rinse should be done after eating.
- Irrigation of the pharynx should be systemic, over several days (the dose of the drug, the duration of treatment should be determined by the doctor)
- If possible, swallowing the medication should be avoided.
- It is important to follow the correct technique (with the head thrown back to clear the throat more thoroughly)
- After completing the procedure, do not eat or drink for one hour.
Solutions prepared independently at home may be ineffective or harmful. Salt crystals that are not dissolved in water can damage the epithelium and increase pain.
Reviews
- Marina, 38 years old: “My daughter’s temperature rose in the evening, and when she looked into the neck, she discovered that it was red. I called an ambulance and asked the doctor to prescribe a more effective medicine so that my baby would recover faster. She is an athlete and in a week she had to go to a competition. The doctor, after listening to my explanations, prescribed us an antibiotic and Hexoral aerosol. Literally on the third day, my daughter stopped complaining about her throat, and it became much easier for her to swallow. When we went to see the doctor that same day, she canceled this spray for us. Explaining that it had already fulfilled its purpose - it relieved swelling and redness. Since the drug is quite strong, it cannot be used for a long time. And now we need the antibiotic and syrup to work and relieve the baby from coughing. I remembered the doctor’s words and the next time, as soon as someone in our family had a sore throat, I immediately resorted to Hexoral for help to get rid of the cold faster. There are, of course, other analogues, but in essence they are more expensive, and this is the best way to choose between price and quality.”
- Ilona, 45 years old: “This aerosol is an excellent mixture for oral hygiene. I recently had a tooth removed, the wound did not heal for quite a long time and the hole under it was constantly filling with blood. Naturally, I couldn’t eat on the other side and food that tasted of blood was disgusting to me. I realized that I looked like a vampire. The available remedies in the home medicine cabinet did not help, and rinsing with mouthwash had a short-lived effect. After suffering for two days, one of my friends told me about Hexoral. I bought it and on the first day I sprayed it on the place where the tooth was. The next morning my bleeding stopped and the bad taste of blood had disappeared. I recommend this drug to those who suffer from the same dental problem!”
- Mikhail, 56 years old: “I had to try it out several times this summer. In the spring I suffered from an acute cold, and throughout the warm season it reminded me of itself. In my opinion, this is a truly effective drug. It eliminates swelling of the throat, you can feel it immediately. It’s just not clear why the instructions wrote that it has an anesthetic effect. I didn't notice anything like that. Its effect after injection is quite noticeable, accompanied by a feeling “like cats scratching,” but after half an hour everything goes away. And two days later the disease disappeared.”
- Lydia, 53 years old: “I met Hexoral last year. I constantly suffer from sore throats in various forms. After the next time I went to the pharmacy and asked for a good, brand new product. The pharmacist offered it to me. Of course, this medicine is not cheap, but I was tired of being sick and I bought it.”
I’ll say right away that after the first use, the aerosol removed the bad breath that often occurs with collapsing tumors in the throat. They then turn into ulcers, and this drug dries them out.
It also works well for stomatitis. I read that it has antibacterial and antifungal effects. Therefore, I am very pleased with my purchase. He is like a lifesaver for me. Despite its bitter taste, I use it with pleasure, knowing that it can quickly remove the manifestations of a sore throat.
Contraindications and side effects
The list of restrictions on the use of antiseptics is small:
- Side effects are associated with an allergy to the components of the drug; an allergy to one of the substances included in the composition;
- atrophic pharyngitis;
- the child is less than 3 years old.
Side effects are associated with allergies to the components of the drug.
Manifest in the form of characteristic symptoms:
- rash;
- itching;
- redness on the skin.
Occasionally, a subtle change in taste perception is noted.
If procedures are carried out with Hexoral without violating the dosage recommended by the manufacturer, it does not have a negative effect on the body.
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If the dose is exceeded, the following is observed:
- nausea;
- vomiting or gag reflex;
- bitterness in the mouth;
- dizziness;
- thirst;
- drowsiness.
During clinical studies, no cases of drug poisoning were identified. But you will still need to consult a doctor for any irregularities in intake.
To prevent intoxication of the body, you need to rinse the stomach. This should be done no later than two hours after swallowing the drug or overdose.
Indications for use
For sore throat
Hexoral dissolvable tablets are indicated for pain accompanying infectious inflammation of the throat (pharyngitis, tonsillitis, laryngitis). Benzocaine (Tabs) and lidocaine (Tabs Extra) act almost instantly. It immediately begins to be diluted with saliva. The noticeable anesthetic effect lasts 5-10 minutes. Gradually decreases and disappears 15-20 minutes after the start of resorption.
The menthol and mint oil included in the tablets have a prolonged, but lighter analgesic effect. Systematic use significantly reduces sore throat throughout the day.
For sore throat
Hexoral tablets are a good adjuvant for the treatment of sore throat.
Chlorhexidine, amylmetacresol and dichlorobenzyl alcohol are characterized by high activity against bacteria that cause tonsillitis. Bacterial resistance to the drug practically does not develop.
For pharyngitis
Hexoral tablets eliminate throat irritation - a symptom that most worries patients with acute pharyngitis. Tabs tablets with chlorhexidine are effective against bacterial sore throats.
Thus, at the first signs of pharyngitis, it is advisable to take Hexoral Classic or Extra.
We should not forget that acute pharyngitis is often viral in nature.
Activity against some viruses (influenza, respiratory syncytial, coronavirus) is characterized by the amylmetacresol + dichlorobenzyl alcohol complex (Classic, Extra). The chemicals it contains destroy viruses, but do not prevent their reproduction in cells. For this reason, you should start taking the drug at the first sign of a sore throat. In addition, Hexoral with amylmetacresol has antifungal activity.
For dental diseases
The remedy in question helps with inflammation of the oral mucosa and gums (stomatitis, periodontal disease, gingivitis) of a bacterial nature. The instructions for use of Hexoral lozenges note that if there are wounds or ulcers in the mouth, the use of the drug is contraindicated.
