BNF for Children 2011-2012

BNFC 2011–2012 12.3.4 Mouthwashes and gargles 547CHLORHEXIDINE GLUCONATESide-effects mucosal irritation (if desquamationoccurs, discontinue treatment or dilute mouthwashwith an equal volume of water); taste disturbance;reversible brown staining of teeth, and of silicate orcomposite restorations; tongue discoloration; parotidgland swelling reportedNote Chlorhexidine gluconate may be incompatible withsome ingredients in toothpaste; leave an interval of at least30 minutes between using mouthwash and toothpasteLicensed use licensed for use in children (age rangenot specified by manufacturer); Corsodyl c notlicensed for use in children under 12 years (unlesson the advice of a healthcare professional)Indication and doseSee under preparations belowChlorhexidine (Non-proprietary)Mouthwash, chlorhexidine gluconate 0.2%, net price300 mL = £2.51DoseOral hygiene and plaque inhibition, oral candidiasis,gingivitis, and management of aphthous ulcersRinse mouth with 10 mL for about 1 minute twice dailyDental prescribing on NHS Chlorhexidine Mouthwash maybe prescribedCorsodyl c (GSK Consumer Healthcare)Dental gel, chlorhexidine gluconate 1%. Net price50 g = £1.21DoseOral hygiene and plaque inhibition and gingivitisBrush on the teeth once or twice dailyWith chlorobutanolEludril c (Fabre)Mouthwash or gargle, chlorhexidine gluconate 0.1%,chlorobutanol 0.5% (mint-flavoured), net price 90 mL= £1.36, 250 mL = £2.83, 500 mL = £5.06DoseOral hygiene and plaque inhibitionUse 10–15 mL (diluted with warm water in measuringcup provided) 2–3 times dailyHEXETIDINESide-effects local irritation; very rarely taste disturbanceand transient anaesthesiaIndication and doseOral hygiene for dose, see preparation belowOraldene c (McNeil)Mouthwash or gargle, red or blue-green (mint-flavoured),hexetidine 0.1%. Net price 100 mL = £1.31;200 mL = £2.02DoseChild 6–18 years use 15 mL (undiluted) 2–3 times dailyOral candidiasis and management of aphthous ulcersApply to affected areas once or twice dailyDental prescribing on NHS May be prescribed as ChlorhexidineGluconate GelMouthwash, chlorhexidine gluconate 0.2%. Net price300 mL (original or mint) = £2.18, 600 mL (mint) =£3.85DoseOral hygiene and plaque inhibition, oral candidiasis,gingivitis, and management of aphthous ulcersRinse mouth with 10 mL for about 1 minute twice dailyOral spray, chlorhexidine gluconate 0.2% (mint-flavoured).Net price 60 mL = £4.10DoseOral hygiene and plaque inhibition, oral candidiasis,gingivitis, and management of aphthous ulcersApply as required to tooth, gingival, or ulcer surfacesusing up to 12 actuations (approx. 0.14 mL/actuation)twice dailyDental prescribing on NHS May be prescribed as ChlorhexidineOral SprayPeriogard c (Colgate-Palmolive)Oromucosal solution, alcohol-free, chlorhexidinegluconate 0.2%, net price 300 mL = £1.96DoseShort-term treatment of inflammation of gingival andoral mucosaChild 6–18 years rinse mouth with 10 mL for about 1minute twice dailyDental prescribing on NHS May be prescribed as ChlorhexidineOromucosal Solution, Alcohol-free, 0.2%HYDROGEN PEROXIDESide-effects hypertrophy of papillae of tongue onprolonged useIndication and doseOral hygiene (see notes above); for dose, see underpreparationsHydrogen Peroxide Mouthwash, BPMouthwash, consists of Hydrogen Peroxide Solution6% (= approx. 20 volume) BPDoseRinse the mouth for 2–3 minutes with 15 mL diluted inhalf a tumblerful of warm water 2–3 times daily (see notesabove)Dental prescribing on NHS Hydrogen Peroxide Mouthwashmay be prescribedPeroxyl c (Colgate-Palmolive)Mouthwash, hydrogen peroxide 1.5%, net price300 mL = £2.54DoseChild 6–18 years, rinse the mouth with 10 mL for about1 minute 3 times daily (after meals and at bedtime) formax. 7 days12 Ear, nose, and oropharynx