gelclair concentrated oral rinse, 21 Count x 15ml sachets

Product Information

Please note that these guidelines only provide starting doses for oral immediate release morphine and not MST preparations Sodium bicarbonate drops may be used 2 or 3 times daily for 1-2 weeks before syringing if the wax is impacted. The patient should be advised to lie with the affected ear uppermost for 5-10 minutes after use of the ear drops. Use of sodium bicarbonate drops for up to a month may alleviate the need for syringing altogether. Betamethasone soluble tablets dissolved in water can be used as a mouthwash to treat oral ulceration(unlicensed use).

The supporting prescribing guideline must have been agreed by the relevant secondary care trust D&TC(s) and approved by the Nottinghamshire APC.If the drug is one with which the primary care prescriber is unfamiliar the specialist is expected to provide sufficient information on the drug indication, dose, duration , monitoring and any further necessary dose adjustments

glycopyrronium bromide 400micrograms/mL(Sialanar® 320micrograms/mL oral solution) see SmPC or PIL for dosing information For patients who do experience nosebleeds use Vaseline to both sides of the nose twice a day ideally before using the spray. Mucoadhesive buccal tablets licensed for oropharyngeal candidiasis in patients who are immunocompromised. Risk Minimisation Materials: glycopyrronium bromide 400micrograms/mL (Sialanar® 320micrograms/mL oral solution)

If you use Gelclair (mucosal coating gel (gelclair)) on a regular basis, use a missed dose as soon as you think about it.

Athough there is no evidence base to support the use of the following for treatment of chemotherapy or radiotherapy induced mucositis in children they may be of benefit to some patients:There is no convincing evidence that antiseptic lozenges and sprays have a beneficial action. Sprays that contain local anaesthetics may cause sensitisation. No known disease interactions. This does not necessarily mean no interactions exist. Always consult your healthcare provider. Treatment may be initiated in either Primary or Secondary Care, including Community Pharmacies for minor illnesses included in the NHS Pharmacy First Scotland Approved List. For SMC recommended medicines/indications where local clinical experts do not wish to add to the formulary at this time Grey / Non-Formulary: Medicines, which the Nottinghamshire APC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.

years: 50mg daily (max 100mg daily) for 7-14 days in oropharyngeal candidiasis (max 14 days except in severely immunocompromised patients)

Antihistamine nasal sprays tend to be less effective than topical steroids. They offer an alternative for a small number of patients (or parents) that express concern about the long-term safety of corticosteroids. Local infection should be treated. There are no known interactions with medicinal or other products. However, it may reduce the absorption of sublingual drugs; in case of use of this kind of drugs, consult your doctor. Products shown as blue have multiple indications with varying formulary classifications. For further information see text next to the product. For oral ulceration (unlicensed indication) in adult and child over 12 years. Usual dose is 500micrograms dissolved in 20mL water and rinsed around the mouth 4 times daily. Secondary care use only as a mouthwash for a variety of oral mucosal diseases.Also available for use by ENT surgery.