Benzalkonium Chloride + Choline Salicylate is primarily used for oral care to mitigate discomfort and pain related to conditions like mouth ulcers, cold sores, denture irritation, infant teething and irritation from orthodontic devices. This medication falls under the category of analgesic and antiseptic medicines.
Burning, stinging or numbness after application
Hypersensitivity reactions (rare)
Nausea or upset stomach (from swallowing mouthwash)
Benzalkonium Chloride + Choline Salicylate is a combination medicine utilised for oral care.
Benzalkonium Chloride is a quaternary ammonium antiseptic. It works by disrupting the cell membranes of bacteria and other harmful microorganisms. This results in increased cell permeability, leading to the leakage of cell contents and eventually causing cell death.
Choline Salicylate is a salicylate ester with analgesic and anti-inflammatory properties. It functions by inhibiting enzymes called cyclooxygenases (COX), which are responsible for producing prostaglandins. These prostaglandins play a key role in creating sensations of pain and inflammation. By reducing their synthesis, Choline Salicylate effectively reduces pain and inflammation.
BDS, MDS
BMS, FMC, MD Resident
Benzalkonium Chloride + Choline Salicylate is available for use via the topical route in the form of gels and ointments.
It is also available as medicated mouthwashes and rinses, sprays for hard-to-reach areas, and lozenges or troches for oral application.
This medicine is meant for adults and children above 12 years of age.
This medicine is contraindicated in patients with known allergies to benzalkonium chloride or choline salicylate.
It is contraindicated in patients with active peptic ulcers or haemophilia.
This combination may interact with blood thinners (such as warfarin), other NSAIDs (like ibuprofen and naproxen), and certain antacids (such as calcium carbonate).
An overdose of this medicine can lead to symptoms of salicylate toxicity, including ringing in the ears, rapid breathing, or vomiting. If these symptoms appear, seeking medical attention promptly is crucial.
If you miss a dose of this medicine, apply it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not apply a double dose to make up for a missed one.
Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.
If you experience mild stinging or burning after application, these sensations are usually temporary. Waiting a few minutes can help reduce the discomfort.
To alleviate temporary numbness in the mouth area after using mouthwash or rinse forms of this medicine, avoid consuming hot foods or drinks until the sensation returns to normal.
This medicine does not affect your ability to drive or operate machinery. However, if you experience any discomfort or unusual sensations in your mouth that distract you significantly, it is wise to avoid such activities until these sensations subside.
The safety of Benzalkonium Chloride + Choline Salicylate in pregnancy and breastfeeding has not been fully established. It is advisable to consult your doctor before using this medicine during pregnancy or while breastfeeding.
Patients with kidney or liver disease may need to use Benzalkonium Chloride + Choline Salicylate cautiously due to the slower elimination of the medicine from the body.
Elderly patients may be more prone to experiencing side effects from choline salicylate and should use this medicine cautiously.
While using Benzalkonium Chloride + Choline Salicylate for oral health issues, maintaining good oral hygiene is crucial. Regular brushing and flossing can help prevent further irritation or infection.
Avoiding spicy, acidic, or very hot foods and drinks can reduce discomfort from mouth ulcers or sores while using this medication.
To promote healing of mouth ulcers, ensure adequate hydration by drinking plenty of water throughout the day.
For those wearing dentures, ensure they fit properly to avoid further irritation that might necessitate more frequent application of the medication. Regular visits to a dental professional can help manage issues related to denture fit.
If using this medicine during an episode of infant teething, comforting measures such as teething rings or massaging the gums gently can be beneficial alongside medication use.
Frequently asked questions
No, if you are allergic to aspirin or other salicylate medicines, you should avoid using Benzalkonium Chloride + Choline Salicylate. This is because choline salicylate, an ingredient in this medicine, is chemically similar to aspirin.
The pain-relieving effects of Benzalkonium Chloride + Choline Salicylate usually start within 15-30 minutes of application. The antiseptic effects of benzalkonium chloride in the medicine start working immediately upon application.
If you accidentally swallow a small amount of mouthwash containing Benzalkonium Chloride + Choline Salicylate, it is usually not harmful. However, swallowing large amounts can lead to salicylate toxicity which may cause symptoms like ringing in the ears, rapid breathing, or vomiting. If such symptoms occur, seek immediate medical attention.
Yes, you may eat or drink after using this medicine. However, it would be best if you waited for at least 30 minutes before eating or drinking. Some foods and beverages may decrease the effectiveness of the medicine if consumed within or after its use.
Benzalkonium Chloride + Choline Salicylate should be used as per your doctor's recommendation. If directed by your doctor, it may be used daily.
There are no specific dietary restrictions associated with Benzalkonium Chloride + Choline Salicylate unless specified by your doctor. However, some foods and beverages may decrease the effectiveness of the medicine if consumed too soon before or after its use.
This combination is not known to significantly affect appetite, though it may improve your ability to eat comfortably by relieving oral pain.
Benzalkonium Chloride + Choline Salicylate in other salts
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