Universal reference book for medicines
Product name: DICLORAN В® DENTA (DICLORAN В® DENTA)

Active substance: chlorhexidine, diclofenac

Type: The drug with antimicrobial, anti-inflammatory and analgesic action for topical application in dentistry

Manufacturer: UNIQUE PHARMACEUTICAL Laboratories (India) JB Chemicals & Pharmaceuticals (India)
Composition, form of production and packaging
Dental gel
1 g

diclofenac sodium 30 mg

Chlorhexidine (in the form of a 20% solution of chlorhexidine gluconate) 500 Ојg

20 g - aluminum tubes (1) - packs of cardboard.

20 g - plastic tubes (1) - packs of cardboard.

INSTRUCTION FOR THE SPECIALIST.

Description of the drug approved by the manufacturer for the printed edition of 2014.

PHARMACHOLOGIC EFFECT

Pharmacological action of the drug is due to the composition of its constituent components.
Diclofenac sodium is a non-steroidal anti-inflammatory drug. By indiscriminately inhibiting cyclooxygenase 1 and 2, it breaks the metabolism of arachidonic acid, reduces the amount of prostaglandins in the inflammatory focus, and therefore has analgesic, anti-inflammatory and anti-edematous action.
Chlorhexidine is a broad-spectrum antiseptic with bactericidal action against vegetative forms of gram-positive and gram-negative microorganisms, as well as yeast, dermatophytes and lipophilic viruses.

INDICATIONS

- as an anti-inflammatory and antiseptic agent in the complex therapy of periodontitis.

DOSING MODE

Locally, for use in a medical institution by a specialist doctor.
Before using the drug, it is necessary to carefully isolate the treated area of ​​the gum with cotton swabs.During the procedure it is necessary to use a saliva ejector in order to avoid swallowing the drug with saliva. Dicloran Denta is used in complex therapy with local antibacterial agents (with Metrogil Denta dental gel). At the first stage, after the removal of dental deposits, local antibacterial therapy with Metrogil Dent gel (at least 5 procedures) is performed, and in the second stage Dicloran Dent gel is used, which is applied to the periodontal pockets once a day with a syringe with a blunt needle. Exposure time - 30 minutes. The duration of the course of treatment is determined by the degree of severity of periodontitis.
A single dose of Dicloran Denta gel should not exceed 1 g (2 cm of the gel column from the fully open neck of the tube).

SIDE EFFECT

When the drug is used, it is possible to develop local reactions in the form of hyperemia and minor edema of the treated gum area.
The risk of development of systemic side effects is insignificant, however can be observed: pain and abdomen, diarrhea, dyspeptic phenomena, rhinitis, arthralgia, allergic reactions (skin itch, hyperemia). It is not excluded the appearance of erosive and ulcerative lesions of the gastrointestinal tract.
CONTRAINDICATIONS

- Ulcer of the stomach and duodenum;

- complete or incomplete combination of bronchial asthma, recurrent nasal polyposis and paranasal sinuses and intolerance to acetylsalicylic acid or other nonspecific anti-inflammatory drugs (including in the anamnesis);

- children's age till 15 years;

- Pregnancy and the period of breastfeeding;

- individual intolerance to diclofenac sodium, chlorhexidine or other components that make up the drug.

With caution: used in patients with bronchial asthma, in patients with severe impairment of liver or kidney function, with chronic heart failure, with inflammatory and erosive-ulcerative lesions of the gastrointestinal tract.

PREGNANCY AND LACTATION

Contraindicated during pregnancy and during breastfeeding.

APPLICATION FOR FUNCTIONS OF THE LIVER

With caution: used in patients with severe impairment of renal function.

APPLICATION FOR VIOLATIONS OF THE FUNCTION OF KIDNEYS

With caution: used in patients with severe impairment of liver function.

APPLICATION FOR CHILDREN

Contraindicated for children under 15 years.

SPECIAL INSTRUCTIONS

With prolonged use or with the application of large doses of the drug, there may be side effects characteristic of anti-inflammatory drugs, therefore, do not exceed recommended doses.

OVERDOSE

When applying the drug in recommended doses of cases of overdose was not noted.
If you accidentally swallow a large amount of the drug may appear signs of an overdose: epigastric pain, nausea, dizziness, etc.
Treatment is symptomatic: gastric lavage, activated charcoal.

DRUG INTERACTION

Although systemic absorption of sodium diclofenac is minimal in topical application, do not use the drug with other non-steroidal anti-inflammatory drugs.Simultaneous reception with paracetamol increases the risk of developing nephrotoxic effects of diclofenac.
Increases the likelihood of side effects of other nonspecific anti-inflammatory drugs and glucocorticosteroids (bleeding from the gastrointestinal tract), toxicity of methotrexate and nephrotoxicity of cyclosporine.
TERMS OF RELEASE FROM PHARMACY

On prescription.

TERMS AND CONDITIONS OF STORAGE

At a temperature not higher than 30 В° C. Do not freeze.
Keep out of the reach of children. Shelf life - 3 years.
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