Care when prescribingglycopyrronium bromide oral solution as it available as two preparations of different strength and different dosing regimens: MHRA (Dec18): Hydrocortisone muco-adhesive buccal tablets: should not be used off-label for adrenal insufficiency in children due to serious risks At NUH: mouthwash supplied is 10% (500mg/5ml). This should be diluted with an equal quantity of tap water prior to administration.

ACBS: patients suffering from dry mouth as a result of having (or having undergone) radiotherapy, or sicca syndrome, apply to oral mucosa as required. You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov/medwatch. Regular use is essential to ensure maximum benefit and non-compliance is a common cause of treatment failure. Other chlorhexidine brands include: Acclean, Bactoshield, Betasept, Biopatch, Calgon Vesta, ChloraPrep One-Step, Chlorostat, Chlorostat 4, Denti-Rinse, Dyna-Hex, Exidine, Hibiclens, Hibistat, Hibistat Towelette, Paroex, PerioChip, Periogard, Scrub Care, Scrub Care Exidine, Sky Oral Rinse, Spectrum-4, Tegaderm CHG Dressing View more Medicines initiated or recommended by a specialist service for prescribing in primary care which do not require initiation or ongoing oversight by the specialist. There are no specific paperwork requirements between provider organisations and a verbal request may be acceptable through advice and guidance as long enough information is provided so that the transfer of care is safe.

Where to get Gelclair

Betamethasone soluble tablets dissolved in water can be used as a mouthwash to treat oral ulceration(unlicensed use). Acclean, Bactoshield, Betasept, Biopatch, Calgon Vesta, ChloraPrep One-Step, Chlorostat, Chlorostat 4, Denti-Rinse, Dyna-Hex, Exidine, Hibiclens, Hibistat, Hibistat Towelette, Paroex, Peridex, PerioChip, Periogard, Scrub Care, Scrub Care Exidine, Sky Oral Rinse, Spectrum-4, Tegaderm CHG Dressing View more

Topical preparation is useful if applied to early onset of cold sores, which often reactivate during chemotherapy but should only be used with systemic treatment.

3 times daily

The patient’s mouth should be regularly examined by a nurse/doctor/dentist using the otoscope/torch as part of routine assessment to observe any changes ie inflammation, ulcerated areas and candida plaques using the scoring chart below ( see Appendix 1). External changes ie sore or vesicles on the lips should also be noted and bacterial/viral swabs taken where necessary.

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical Benzydamine: Difflam Spray - Each metered dose pump spray delivers Benzydamine hydrochoride 0.15% w/v, approximately 175 microlitres per spray. Contains methyl parahydroxybenzoate and Ethanol The use of Gelclair is contra-indicated in any patient with a known history of hypersensitivity to any of the ingredients.Chlorhexidine gluconate 0.2% mouthwash ('Corsodyl') is recommended for oral hygiene in patients that are particularly at risk of infection (e.g. neutropenia). 10mL should be used to rinse the mouth twice daily (for about 1 minute). Patients should be advised that it might cause reversible brown staining of teeth. For patients who have not responded to other therapies and who would otherwise be considered for Sub Lingual Immunotherapy (SLIT) or a referral to secondary care If you use Gelclair (mucosal coating gel (gelclair)) on a regular basis, use a missed dose as soon as you think about it.

If using part of a MST sachet mix well with water and use immediately. MST sachets should not be used for doses <5mg as sachets do not disperse equally therefore dosing may be inaccurate 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. The medicines listed in the NHS Pharmacy First Scotland Approved List should be used within their GSL or P licensed indication, and the PoM products listed should only be used under the terms of the relevant Patient Group Directions (PGDs).Designated by NHS England to require initiation by or in prior agreement with a Specialist Centre. Continuation where appropriate by hospital (or other secondary care provider) While treatment-related nausea, vomiting and cytopenia are the most common adverse events in oncology, mucositis has emerged as the most significant according to an NCCN task force 10. OM can negatively affect diet, nutrition, oral hygiene, and quality of life 11. Its adverse physical, social and psychological impacts on patients are manifest and include the need for total parenteral nutrition, higher risk of systemic infections, increased use of antifungals and opioid analgesics, increased hospitalisations with longer hospital stays, social isolation and depression due to the inability to talk and eat, subsequent dose reductions, treatment interruptions and discontinuations, and as a corollary to dose reductions and treatment interruptions/discontinuations, diminished anti-tumor responses and shorter survival 10.