Kalgel. Instructions for use, price, reviews, analogues

Kalgel dental preparation is for topical application with a pronounced analgesic and disinfecting action. The medicament is preferably used in pediatrics teething and stomatitis.

In adult medical practice medicine is rarely used because of the stronger medications permitted to remove toothache. must first familiarize Before applying the gel to the predefined list of possible contraindications and side effects, and nuances of a coating composition as described in the instructions.

What is it needed for

Kalgel recommended for use in the presence of the following indications:

1. Teething in infants. During this period, the child experiences severe pain, resulting crying, refusal of food and temperature rise.
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2. When changing the constant of deciduous teeth. The gel prevents wound infections after tooth loss and reduces pain.
3. When inflammation of the gums (due to the lack of vitamins in contact with the gum of a foreign body, in advanced caries).
4. Disinfection and analgesia gums after tooth extraction.
5. For anesthesia gums injection before administration (prior to removal, in the treatment of tooth).
6. To eliminate stomatitis. The disease manifests formation of painful sores in the oral cavity, has a predominantly infectious in nature.
7. Thrush. Breastfeeding disease can often occur in children, as breast milk is a favorable environment for the development of the fungus in the mouth.
8. Eruption of wisdom teeth in adults. The process also proceeds painful.
9. To remove the toothache at caries. It is important to bear in mind that the gel provides only a temporary effect, the pain will come back until the tooth will not be sealed.

The advantage is not only a means of eliminating pain but also infections which can quickly move into the mouth during this period (while teething causes low immunity).

Structure

Kalgel (instruction manual describes the list of chemicals that make up that eliminates the possibility of allergic reaction to components) It contains a part of the following elements:

List of components in the gel	Description of the action
Active ingredients	lidocaine hydrochloride	It has a strong analgesic effect.
cetylpyridinium chloride	It is a powerful antimicrobial agent.
Extras	Sorbitol solution noncrystallizing	Sweetener imparts the desired viscosity of the gel and possesses antibacterial properties.
xylitol	Sweetener, as well as strengthening the tooth enamel.
Ethanol 96%	Is a potent antiseptic, also creates a feeling of coolness on the site of application, which reduces the pain symptom.
glycerol	It used as stabilizer (to impart the desired consistency).
Gietelloza	It used as a gelling agent.
macrogol glitserilgidroksistearat	It is an emulsifier and improves the absorption of the composition.
lauromacrogol	Enhances the analgesic properties of the drug.
macrogol 300	Used as a solvent, which integrates components.
sodium saharinad	Sweetener.
levomenthol	Enhances anesthetic and antiseptic gel.
herbal flavor	It allows you to make a means of pleasant aroma, not frightening children.
Caramel	And a sweetening and flavoring agents.
sodium citrate	Gel is used to improve taste.
Citric acid monohydrate	Improves the taste and absorption of the composition.
distilled water	Used as a solvent, and to impart the desired consistency agent, is the basis of the gel.

The combination of the main and auxiliary components provides the desired gel texture and therapeutic properties.

In what form is available

The drug is manufactured as a uniform gel consistency, yellow-brown color. The composition has a pleasant smell, and have a sweet taste. Means easy to apply and quickly absorbed. Packed gel in aluminum tubes of 10 g The average cost of a tube of Russia is 300 rubles.

pharmacodynamics

Kalgel (instruction manual comprises the information on the effect on body composition means) is composed of two active ingredients (as well as adjuvants) which have the following therapeutic effects:

• lidocaine inhibits the conduction of nerve impulses, thereby reducing the painful symptom;
• cetylpyridinium chloride suppresses the growth of cell infection (bacteria and fungi) and, hence, eliminated their proliferation, but does not destroy spores of the pathogen;
• It cools the soft tissue at the site of application, providing an analgesic effect instantaneity;
• It helps to reduce swelling of the gums;
• It activates the production of saliva, which is a natural antiseptic.

When using the gel during teething composition prevents reproduction infections in the oral cavity, thereby protects from development stomatitis and thrush.

Pharmacokinetics

Included in the operating components are well absorbed by the mucous membrane of the mouth, providing a fast analgesic effect. After absorption of about 60% of lidocaine is bound to proteins in the blood plasma. Further, it is metabolized in the liver (90%) and excreted in feces (10% of lidocaine is displayed in its original form).

Since the concentration of the substance (anesthetic) in the gel is minimal, the blood enters only a small portion of it. This can be attributed Kalgel to the safety of the drug for use in children. Information on the intake and distribution of cetylpyridinium chloride has not been studied.

The analgesic effect of Kalgel marked once and maintained until 2.5 hours (the duration of the periodicity depends on food intake and body pain threshold).

application

Kalgel considered "safe" drug, but in childhood and old age, as well as during childbearing, it recommended consultation with a specialist, for the selection of individual dosage and course. Use of the drug in adults (in the absence of contraindications) are allowed by the rules, which are specified in the instructions.

Basic nuances on the application of the gel:

1. Before use, the gel is necessary to test the reaction to allergies. It is necessary to apply a small amount of the composition to the forearm and lightly rub. Kept for at least a day. If there is no negative reaction (rash, redness or pruritus), the tool can be used.
2. Rinse mouth with clean water to wash away food debris (the child can be given a drink of clean water.
3. Wet gum dry bandage to remove the moisture.
4. Wash hands (preferably children or antibacterial soap without chemical additives) and dry using.
5. Squeeze finger (forefinger convenient) the necessary amount of gel.
6. Apply the composition to the gums and distribute the light massage.
7. Possibly eliminate eating and drinking fluid for 20 minutes before and after application of the gel.
8. If necessary, re-application of the gel the minimum spacing should be at least 20 minutes.

It is important not to exceed the daily dose of the drug. This may increase the likelihood of side effects.

For children up to 18 years

Kalgel approved for use in children aged from 3 months. At an earlier teething should consult a pediatrician on the possibility of using the gel.

Features of the application of the gel over the ages:

Intended use	age-related indicators	Single and daily dosage	duration of use	notes
Teething (milk, regular and wisdom teeth)	3-12 months	Assigned gel strips 3-5 mm, 4-6 times per day.	The duration of the course of 5-7 days.	Additionally recommended to select special toothpaste (age) for strengthening dental enamel and gums.
1 year to 7 years	Use of 5 mm of the gel to 6 times a day	The duration of 1 week.
7-12 years	Applied to the gum composition of 5-7 mm to 6 times a day.	Use 7-10 days.
12-18 years	Use of 8 mm means 6 times per day.	The course of 10-14 days.
gum Disease	3-12 months	Assigned 3-5 mm gel 4 times per day.	Duration of therapy 5 days.	It may require complex treatment in order to eliminate the causes of inflammation. Discussed with the pediatric dentist.
1 year to 7 years	Use of 5 mm means 4 times a day	Duration of treatment 7 days.
7-12 years	Apply at 7 mm was 4 times during the day.
12-18 years	Use of 8mm means 4 times per day.	The course of 7-10 days.
gums analgesia for the injection	1 year to 7 years	Use of a 3 mm tool.	Used before the introduction of the injection.	The injection must be entered after 5 minutes after application of the gel on the gums, but not later than 10 min.
7-12 years	Apply 5 mm to the gum composition.
12-18 years	It is used 5-7 mm on the gum.
After removal of the tooth	1 year to 7 years	Assigned to 3 mm Gel 1-3 times a day.	Application of the gel sufficiently for 1-2 days.	Kalgel use after discharge of anesthesia.
7-12 years	Use a 5 mm will be 2-3 times during the day.
12-18 years	Apply 5-7 mm means 3-5 times a day.
To eliminate stomatitis or thrush	3-12 months	Is assigned to 5 mm means 3-5 times a day.	The course of treatment is determined individually by the dynamics of therapy and established a pediatrician.	Handle recommended upper palate, gums and cheeks.
1 year to 7 years	Use 5-7 mm the drug 5 times a day.
7-12 years	Applicable to 7 mm ended 4-6 times during the day.
12-18 years	Appointed on 8 mm gel 6 times throughout the day.
To reduce toothache	1 year to 7 years	Apply 3-5 mm of the drug 3-5 times a day.	Kalgel can be used no more than 3 days.	Need an examination by a dentist to determine the cause of pain.
7-12 years	Use the 7 mm was 5 times a day.
12-18 years	Apply to 8mm means up to 6 times per day.

In the period of teething gums not only greatly hurt, but scratched. Therefore it recommended to give the child a special rubber toy (available with cooling effect). This will reduce the number of procedures per day.

adult

Kalgel in adulthood is used in rare cases, with the following dosages:

Purpose of use	Single and daily dose	duration of the course
Eruption of wisdom teeth	Assigned 8-10 mm gel 6-8 times a day.	The duration of 7-10 days.
gum Disease	Use of 10 mm will be 3-5 times a day.	The course of 5-7 days.
When you remove the tooth	It applies to 8mm drug to 6 times a day.	Use 1-2 days.
Anesthesia prior to administration of injection into the gum	Apply 5-8 mm means the gum.	Before the introduction of the injection.
Stomatitis	Is assigned by 10mm gel 6 times per day.	Duration of therapy is appointed expert in the dynamics of treatment.
Toothache	Use of 8 mm of the drug up to 6 times a day.	Apply no more than 3 days.

In severe toothache adults may oral analgesic combination with the application of gel on the gums. But it is important to consider the interaction of drugs.

For pregnant

During pregnancy and lactation, the use of the gel is not recommended, as there is a slight chance of penetration of active substances to the fetus or the baby through breast milk. If necessary, use of medication is required prior consultation with a specialist.

Nuances applying the gel:

Intended use	dosage	Course
gum Disease	Appointed on 6 mm gel 4-6 times throughout the day.	Duration of therapy is 5-7 days.
When you remove the tooth	Applies to 6 mm means 1-2 times during the day.	Use 1-2 days.
gums analgesia for the injection	Use of 5 mm of the drug on the gum.	Used before the introduction of the injection.
Stomatitis	Apply to 6 mm gel 4 times per day.	The course is 1 week.
Toothache	Use of 5mm drug 3 times a knock.	Use no more than 3 days.
Eruption of wisdom teeth	Assigned to 6 mm means 6 times per day.	Duration 5 days of applications.

Prolonged use Kalgel with child bearing and breast feeding is strictly forbidden.

for elderly

In old age, the drug is recommended to use only on prescription, after excluding contraindications in the following dosages:

Intended use	Terms of use	course duration
When removing teeth	Use of 4-6 mm gel, 2 times a day.	Duration of use 2 days.
When inflammation of the gums	Assigned 4-6 mm formulation 4 times a day.	The course of 5-7 days.
When dental pain	Use of 4 mm means 3-4 times a day.	Apply for no longer than 2 days.
Treatment of pain discomfort from dentures	Applied composition of 6 mm 3 times daily.	Course duration not exceeding 10 days.
Anesthesia gums before the injection	Is applied to 4 mm of the gel on the gums.	Before the procedure.
Stomatitis	Use of 4-6 mm 4-6 times a day.	The course of 7-10 days.

The elderly often have chronic diseases that require daily intake of medicines, so it is important to consider the compatibility with the data Kalgel drugs.

Contraindications

Kalgel (instruction manual describes the existing contraindications to the use of funds) is prohibited in the following cases:

• intolerance or allergic reaction to the gel component;
• age until the child is 3 months;
• if you have problems with a child swallowing reflex;
• diseases of the cardiovascular system in severe forms (especially at low pressure rates and the number of cardiac contractions).

Also Kalgel is limited to use in the following cases:

• period of childbearing and breastfeeding;
• pathologies of the digestive organs and the urinary system in the acute stage;
• after 60 years.

Can not be used orally agent, it is used only for the treatment of the mouth. Otherwise, it is increasing the likelihood of side effects.

Overdose

Overdosing Kalgel possible with single or exceeded daily dose and prolonged course or if accidentally swallowed drug.

Symptoms of overdose symptoms:

• swallowing deterioration due to loss of sensitivity of the tissue in the throat;
• nausea or vomiting;
• respiratory failure process. It becomes sparse with possible stops;
• blanching of the skin;
• a sharp decline in the number of heart rate that will be expressed weakness and increased sleepiness;
• exacerbation of chronic diseases of the digestive tract or urinary tract.

When the overdose symptoms made removal of the drug, followed by examination by a doctor. With a sharp deterioration of the urgent need to call an ambulance.

Side effects

Backlash using Kalgel in appropriate dosages and in compliance with the course notes is extremely rare and is expressed as:

• allergic reactions (rash, swelling, mucosal irritation);
• slowed breathing;
• violation of the swallowing reflex;
• reduction in the number of heart contractions.

Sometimes, a decrease in appetite due to changes in taste (due to the effect of the drug).

Combination with other drugs

Kalgel (user of the application contains information about the possibility of using the agent for the combined treatment) due to the presence in the composition of lidocaine can not be combined with the following medicines:

• Kalgel reduces the effectiveness of aspirin;
• reduces the effectiveness of medications, normalizing the number of cardiac contractions;
• reduces the effects of drugs to increase the pressure;
• hypnotics and sedatives medications when used in conjunction with Kalgel can cause respiratory arrest;
• It increases the efficiency of pharmaceuticals for reducing the pressure;
• enhances the effect of drugs used to reduce muscle tone;
• if necessary, using other external medicines for the oral mucosa, it is required to withstand the time interval is not less than 30 minutes.

These limits are conditional, so as lidocaine hardly penetrates into the bloodstream. A study on the interaction Kalgel not been conducted with other drugs. Therefore, if necessary, comprehensive treatment should consult a specialist.

Conditions and terms

Kalgel should be stored in a dark place at a temperature of 4-25 degrees away from children. Subject to the conditions the shelf life of 36 months. After opening of the tube means to be used within 60 days. The appearance of lumps in the composition or change in color and smell, until the expiration date, indicates a deterioration of the drug. Further use is prohibited.

Conditions of supply of pharmacies

Kalgel buy online pharmacies can be commercially available.

analogs

If necessary, replace the funds following analogues are recommended:

The name of the drug and the form of	The active substance and its effects on the body	application rules	Contraindications and backlash
Mundizal (gel)	Sodium cyclamate has disinfecting, analgesic and anti-inflammatory action.	Means to apply a strip of 10 mm in 3-4 times a day. The duration of use is chosen individually.	In the pathology of the stomach flu and the use of funds is prohibited during pregnancy. The therapy may be associated with an allergic reaction.
Kamistad (gel)	Active substance lidocaine hydrochloride. The product provides an analgesic, antiinflammatory, and antimicrobial effect.	Apply the composition into a strip 3 mm to 3 times a day. The course is assigned individually.	In diseases of the liver, kidney and heart, as well as up to 3 months, the gel is not assigned. Treatment rarely accompanied by allergic reaction.
Dentokind (homeopathic tablets)	Pulsatilla main component has analgesic and anti-edematous action.	Take 1 tablet 3-6 times per day. For infants pills required to grind and dissolve in water. The course selected individually.	An allergic reaction is a contraindication to the use and negative reaction to the use of means.
Holisal (gel)	Active substances (salicylate and choline chloride tsetalkoniya) provide anti-inflammatory, analgesic and antimicrobial action.	Apply a strip of 10 mm 2-3 times during the day. individual course.	Up to a year, and during pregnancy / lactation gel is used. Therapy can cause allergies.
Stomatofit (solution)	It consists of herbal extracts. It has a pronounced anti-inflammatory action and reduces pain.	The dosage and course are selected individually.	Allergy is a contraindication to the use and side effects.

Kalgel considered relatively safe, but effective medicines for pain relief during teething. It is also used as a disinfecting agent for stomatitis and thrush in children. Before using the product it is important to become familiar with contraindications and possible side effects, which are described in the instructions.

Author: Svetlana Kotlyachkova

Registration of the article: Mila Friedan

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