The original drug hexoral (active ingredient - hexetidine) is a local antiseptic from the world famous transnational pharmaceutical company Pfizer. This drug is widely used in otolaryngology and dentistry, most often used to treat inflammatory diseases of the pharynx - pharyngitis, which are acute and chronic, and sometimes spread to the nasal (nasopharyngitis) and oral (mesopharyngitis) part of the mucous membrane of the upper respiratory tract. In acute pharyngitis, patients are prescribed a sparing diet that provides for minimal exposure to the affected mucous membrane, alkaline rinses, as well as local antiseptics and antibacterial drugs. Treatment is directed, for the most part, to reduce inflammation and relieve sore throat (so-called symptomatic therapy). Given the fact that most pharyngitis is based on a viral infection, the appointment of antibacterial drugs may be inappropriate. Destroying "both their own and others" (read: pathogenic and non-pathogenic microorganisms), they worsen the patient's immune status, increase the risk of recurrence of the disease and condone the emergence of allergies. At the same time, the severity of negative adverse reactions of inadequate antibiotic therapy often further exacerbates the course of the disease of the pharynx. For this reason, local antiseptics are increasingly prescribed for the treatment of pharyngitis, one of which is hexoral. This drug is available in two dosage forms: an aerosol and a rinse solution. The antimicrobial effect of hexoral is due to the inhibition of oxidative reactions in the metabolism of bacterial cells (the active substance of the drug hexetidine is an antagonist of thiamine, better known as vitamin B1). The spectrum of antibacterial and antimycotic action of hexoral is quite wide: it covers, in particular, gram-positive bacteria and fungi of the genus Candida. The drug is also effective in the treatment of infections caused by Proteus and Pseudomonas aeruginosa.

At a concentration of 100 mg / ml, hexoral suppresses most of the bacterial strains sensitive to it. Cases of development of resistance to hexatidine in medical practice were not observed. The drug has a weak local anesthetic effect. Hexetidine is endowed with an outstanding ability to adhere to the mucous membrane, while being practically absorbed. After applying a single dose of hexoral, traces of the active substance are found on the mucous membranes for 65 hours.

Solution dosing regimen: adults and children from 3 years of age use Hexoral solution for rinsing the oropharynx in an amount of 15 ml for at least 30 seconds. The solution is used undiluted. Multiplicity of application - 2 times a day, as a rule - after waking up and before bedtime. Hexoral is well tolerated by patients even with more frequent use. The duration of the drug course is determined by the doctor. Geksoral is allowed to be used only for rinsing the mouth and throat: the solution cannot be swallowed. Another way to use a solution of hexoral is to apply it to the affected areas of the oral cavity with a swab. A solution of hexoral for topical use is allowed to be used only if the patient has the opportunity to spit it out after rinsing. Dosing regimen of hexoral aerosol: adults and children from 3 years old - one injection 2 times a day (unless otherwise indicated), preferably after meals, in the morning and evening. A single dose is sprayed into the mouth or throat for 1-2 seconds. Before injection, it is necessary to put a spray nozzle on an aerosol can, and then direct it to the affected area of ​​the mucous membrane. During spraying, the bottle should be kept in an upright position, as shown in the figure in the instructions for use. During the introduction of the aerosol, it is recommended not to breathe.

Pharmacology

Antiseptic.

The antimicrobial effect of Hexoral ® is associated with the suppression of oxidative reactions of bacterial metabolism (thiamine antagonist). The drug has a wide spectrum of antibacterial and antifungal activity, in particular against gram-positive bacteria and fungi of the genus Candida, but Hexoral ® can also have an effect in the treatment of infections caused, for example, by Pseudomonas aeruginosa or Proteus. At a concentration of 100 mg / ml, the drug suppresses most strains of bacteria. The development of resistance was not observed. Hexetidine has a weak anesthetic effect on the mucous membrane.

Pharmacokinetics

Hexetidine adheres very well to the mucous membrane and is practically not absorbed. After a single application of the drug, traces of the active substance are found on the gum mucosa for 65 hours. In plaques on the teeth, active concentrations remain for 10-14 hours after application.

Release form

Solution for topical use 0.1% in the form of a clear red liquid with a mint odor.

Excipients: ethanol 96% - 4.3333 g, polysorbate 60 - 0.7 g, peppermint oil - 0.064 g, anise oil - 0.0392 g, citric acid monohydrate - 0.0418 g, sodium saccharinate - 0.022 g, levomenthol - 0.0186 g, methyl salicylate - 0.0186 g, clove oil - 0.0084 g, eucalyptus oil - 0.0011 g, azorubine 85% (E122) - 0.0023 g, purified water - up to 100 ml.

200 ml - colorless glass bottles (type III) (1) complete with a measuring cup - packs of cardboard.

Dosage

Adults and children over 3 years of age: apply topically in the form of mouth and throat rinses for at least 30 seconds with 15 ml of an undiluted solution. Unless otherwise indicated, apply 2 times / day, preferably in the morning and evening.

Hexetidine adheres to the mucous membrane and thus gives a lasting effect. In this regard, the drug should be used after meals. Geksoral ® is also safe with more frequent use.

Geksoral ® topical solution can only be used for rinsing the mouth and throat. The solution must not be swallowed.

For rinsing, always use an undiluted solution.

In the treatment of diseases of the oral cavity, the drug can also be applied with a swab.

The duration of treatment is determined by the doctor.

Do not use in children under 3 years of age.

Overdose

Hexetidine at the indicated dosage is non-toxic.

Symptoms: Swallowing large amounts of the drug leads to vomiting, so significant absorption is not expected. Cases of alcohol poisoning in case of overdose have not been described. Acute alcohol poisoning is very unlikely, but theoretically possible if a large dose of the drug is swallowed by a young child.

Treatment: gastric lavage is necessary within 2 hours after swallowing an excess dose. Carrying out symptomatic therapy, as with alcohol intoxication. In any case of overdose, the patient should immediately consult a doctor.

Interaction

Drug interaction of the drug Geksoral ® is not described.

Side effects

In some cases: hypersensitivity reactions to the drug.

With prolonged use: taste disturbance is possible.

Indications

• inflammatory and infectious diseases of the oral cavity and pharynx;
• in the complex treatment of severe febrile or purulent diseases of the oral cavity and pharynx, requiring the appointment of antibiotics and sulfonamides, tonsillitis;
• tonsillitis (including tonsillitis with lesions of the lateral ridges, Plaut-Vincent's tonsillitis);
• pharyngitis;
• gingivitis and bleeding gums;
• periodontopathy (periodontal diseases and their symptoms);
• stomatitis (inflammation of the oral mucosa), glossitis (inflammation of the tongue), aphthous ulcers (painful inflammation with superficial tissue defects) to prevent superinfections;
• infection of the alveoli (holes of the teeth) after the extraction of teeth;
• fungal infections of the oral cavity and pharynx, especially candidal stomatitis (thrush);
• before and after operations in the oral cavity and pharynx;
• additional oral hygiene for general diseases;
• elimination of bad breath, especially in the case of collapsing tumors of the oral cavity and pharynx;
• adjuvant in the treatment of colds.

Contraindications

• children's age up to 3 years;
• hypersensitivity to the components of the drug.

Application features

Use during pregnancy and lactation

There is no information about any undesirable effects when using the drug Geksoral ® during pregnancy and during breastfeeding. However, before prescribing Hexoral® to pregnant or lactating women, the physician should carefully weigh the expected benefits and risks of treatment, given the lack of sufficient data on the penetration of the drug through the placental barrier and excretion in breast milk.

Use in children

Contraindicated in children under the age of 3 years.

special instructions

There are no special instructions.

Geksoral ® topical solution can be used for rinsing the mouth and throat only if the patient can spit out the solution after rinsing.

Hexoral ® topical solution contains ethanol 96% (4.33 g/100 ml solution).

Pediatric use

In children, the drug can be used from an age when there is no danger of uncontrolled swallowing when using the solution.

Hexoral is a local antiseptic for external use, characterized by antimicrobial and antifungal properties. It is highly active against many types of bacteria, negatively affecting the cell membrane and inhibiting oxidative reactions of metabolism.

The drug is effective in the treatment of fungal infections, destroying membrane compounds, leading to their death. These are fungi of the genus Candida and Proteus. Additional actions of the drug are analgesic (pain reliever), hemostatic (hemostatic), enveloping and deodorizing.

In this article, we will consider when doctors prescribe Hexoral, including instructions for use, analogues and prices for this drug in pharmacies. If you have already used Hexoral, leave your feedback in the comments.

Composition and form of release

Clinical and pharmacological group: antiseptic for local use in ENT practice and dentistry. It is a clear, colorless liquid with a menthol smell. Produced in 40 ml aluminum bottles packed in a cardboard box, along with it comes a spray nozzle.

• The main active ingredient of the drug is hexetidine.

Auxiliary ingredients include: saccharin, sodium hydroxide, lauryl ether, levomenthol, sodium calcium edetate, citric acid monohydrate, eucalyptus leaves oil, sodium saccharinate, purified water, nitrogen and mint fragrance.

What is Geksoral used for?

The indication for prescribing a medicinal product is symptomatic therapy of infectious and inflammatory diseases of the oral cavity and pharynx:

• tonsillitis (including tonsillitis with lesions of the lateral ridges, Plaut-Vincent's tonsillitis);
• pharyngitis;
• gingivitis and bleeding gums;
• infection of the alveoli after tooth extraction;
• fungal infections of the oral cavity and pharynx, especially candidal stomatitis;
• before and after operations in the oral cavity and pharynx;
• periodontopathy;
• stomatitis, glossitis, aphthous ulcers to prevent superinfections;
• additional oral hygiene for general diseases;
• elimination of bad breath, especially in the case of collapsing tumors of the oral cavity and pharynx;
• in the complex treatment of severe febrile or purulent diseases of the oral cavity and pharynx, requiring the appointment of antibiotics and sulfonamides, tonsillitis;
• adjuvant in the treatment of colds.

pharmachologic effect

The drug has an antibacterial effect (including against gram-positive bacteria) and an antifungal effect (including against fungi of the genus Candida).

Antiseptic drug for local use in ENT practice and dentistry. The antimicrobial effect of the drug is associated with the suppression of oxidative reactions of bacterial metabolism (thiamine antagonist). Hexoral may also be effective in the treatment of infections caused by Pseudomonas aeruginosa or Proteus spp. At a concentration of 100 mg / ml, the drug suppresses most strains of bacteria. The development of resistance was not observed.

Hexetidine has a weak anesthetic effect on the mucous membrane.

Instructions for use

The drug is sprayed into the mouth or throat. Hexetidine adheres to the mucous membrane and thus gives a lasting effect. In this regard, the drug should be used after meals. Hexoral is also safe with more frequent use.

• Adults and children over 3 years of age: Apply topically as a spray in the mouth and throat. A single dose is administered over 1-2 seconds. Unless otherwise indicated, apply 2 times / day, preferably in the morning and evening.
• The duration of treatment is determined by the doctor. Do not use in children under 3 years of age.

With the help of an aerosol, you can easily and quickly treat the affected areas. You need to do the following:

• put a spray nozzle on the aerosol can;
• direct the end of the spray nozzle to the affected area of ​​​​the oral cavity or pharynx;
• during the administration of the drug, the vial should be kept constantly in an upright position;
• inject the required amount of the drug by pressing on the head of the spray nozzle for 1-2 seconds, do not breathe when introducing the aerosol.

Contraindications

Contraindications to taking Hexoral are:

1. Children's age up to 3 years.
2. Erosive-squamous lesions of the oral mucosa.
3. Hypersensitivity to the auxiliary components of the drug.

Hexoral (in the form of a solution) is prescribed with extreme caution in case of increased individual sensitivity to acetylsalicylic acid.

During pregnancy

There was no evidence that the drug leads to fetal pathologies. However, hexaral during pregnancy, like any medicine, can only be prescribed by the attending physician after the examination and risk assessment for the unborn baby. Nursing mothers should also consult a doctor before using the aerosol.

Side effects

If we talk about side effects, then they include the appearance of an allergic reaction, which usually manifests itself in the form of an even greater swelling of the throat mucosa. As well as the appearance of perspiration. In addition, some patients note that after the start of the use of Hexoral Spray, their taste has changed a little, obvious sensitivity has disappeared. But this quickly passes after the treatment ends.

Overdose

If a large amount of Hexoral is swallowed, nausea and vomiting may develop, and therefore significant absorption of the drug is not expected. Theoretically, swallowing the drug in large doses by a child can lead to ethanol poisoning.
Overdose treatment: gastric lavage (within two hours after poisoning), symptomatic therapy.

special instructions

Hexoral solution for topical use should not be swallowed.

Children can use the drug from an age when there is no danger of uncontrolled swallowing when using the solution, or when they do not resist a foreign object (applicator) in the mouth when using an aerosol and are able to hold their breath when injecting the drug.

It should be borne in mind that the aerosol and topical solution contain ethanol.

Analogues

Structural analogues for the active substance:

1. Maxisprey;
2. Stomatidin;
3. Stopangin.

Attention: the use of analogues must be agreed with the attending physician.

Prices

The average price in pharmacies (Moscow): Hexoral rinse solution - 140 rubles -170 rubles Spray - 160 - 200 rubles Hexoral Tabs - about 100 rubles.

Terms and conditions of storage

The drug should be stored out of the reach of children at a temperature not exceeding 30 ° C. Shelf life - 2 years. The contents of the aerosol can should be used up within 6 months after the first use.

Terms of dispensing from pharmacies

The drug is approved for use as a means of OTC.

Hexoral is an antifungal, deodorant, enveloping, antiseptic, analgesic and hemostatic drug. The active substance is Hexetidine.

An antiseptic agent, the antimicrobial effect of which is associated with the suppression of oxidative reactions of bacterial metabolism.

It has a wide range of antibacterial and antifungal effects, in particular against gram-positive bacteria and fungi of the genus Candida. May be effective in the treatment of Pseudomonas aeruginosa or Proteus infections. At a concentration of 100 mg / ml, the drug suppresses most strains of bacteria. The development of resistance has not previously been observed.

Geksoral has an antiviral effect against influenza A viruses, respiratory syncytial virus (RS-virus), herpes simplex virus type 1, which affects the respiratory tract. It has a weak anesthetic effect on the mucous membrane.

Available in the form of a 0.1% solution and 2% aerosol for topical use.

Indications for use

What helps Geksoral? According to the instructions, the drug is prescribed in the following cases:

• inflammatory and infectious diseases of the oral cavity and pharynx;
• in the complex treatment of severe febrile or purulent diseases of the oral cavity and pharynx, requiring the appointment of antibiotics and sulfonamides, tonsillitis;
• tonsillitis (including tonsillitis with damage to the lateral ridges, Plaut-Vincent's tonsillitis);
• pharyngitis;
• gingivitis and bleeding gums;
• periodontopathy, periodontal diseases and their symptoms;
• stomatitis, glossitis, aphthous ulcers to prevent superinfections;
• infection of the alveoli after tooth extraction;
• fungal infections of the oral cavity and pharynx, especially candidal stomatitis;
• before and after operations in the oral cavity and pharynx;
• additional oral hygiene for general diseases;
• elimination of bad breath, especially in the case of collapsing tumors of the oral cavity and pharynx;
• adjuvant in the treatment of colds.

Instructions for use Geksoral, dosage

The drug is applied topically.

When using Hexoral aerosol - for adults and children over 3 years old, a single dose is administered for 1-2 seconds while holding the breath.

When using a topical solution, rinse the mouth and throat with 15 ml of undiluted solution for 30 seconds.

The drug is prescribed 2 times a day (preferably in the morning and evening), after meals. According to the instructions for use, Hexoral is safe even with more frequent use. Hexetidine adheres to the mucous membrane and thus gives a lasting effect. In this regard, the drug should be used after meals.

The duration of treatment is determined by the doctor.

Correct Application

1. Put the spray nozzle on the bottle.
2. Direct the sprayer to the area of ​​the inflammatory pathological process in the pharynx or oral cavity.
3. When spraying the drug, the bottle must be kept in an upright position.
4. To spray the aerosol, you must press the spray nozzle and hold it for a few seconds, after spraying it is recommended to hold your breath for a short period of time.

Long-term use of Hexoral spray is not recommended, as this can lead to disruption of the functioning of taste buds and the development of dysbacteriosis (death of bacteria of representatives of the normal microflora, followed by the development of opportunistic microorganisms).

It is necessary to try not to swallow the aerosol during spraying.

Side effects

The instruction warns of the possibility of developing the following side effects when prescribing Hexoral:

• allergic reactions of hypersensitivity to the drug;
• with prolonged use, a violation of taste is possible.

Contraindications

It is contraindicated to prescribe Geksoral in the following cases:

• children's age up to 3 years;
• hypersensitivity to any of the components of the drug

There are no data on any damaging effects of the drug during pregnancy and lactation. Before prescribing Geksoral to pregnant or lactating women, the doctor should carefully weigh the benefits and risks of treatment, given the lack of sufficient data on the penetration of the drug through the placental barrier and into breast milk.

Overdose

Store at a temperature not exceeding +25 °C. Keep away from children. The shelf life of the solution is 2 years, aerosol - 3 years.

The contents of the aerosol can must be used up within 6 months after opening.

Terms of dispensing from pharmacies - without a prescription.

Content

To prevent diseases of the throat and gums, the antibacterial Hexoral is used - the instructions for using the medication contain important information about the appointment and dosage. The medicine belongs to antiseptic (antibiotic), is available in several forms for convenient use. Read the instructions to be aware of the rules for using the medication.

The drug Hexoral

In ENT practice and dentistry, Hexoral is used, which, according to the pharmacological classification, belongs to antiseptics. It is intended for topical use, plus Hexoral Tabs tablets are available for oral administration. The active ingredient of the drug is hexetidine. The medicine is suitable for children and adults.

Composition and form of release

There are three forms of Hexoral release: spray or aerosol, solution and tablets. The latter do not contain hexetidine. The active substance of the tableted antiseptic preparation is a mixture of chlorhexidine dihydrochloride and benzocaine, additional - isomalt, menthol, water, aspartame, thymol and peppermint oil. Tablets are available in packs of 20. Detailed composition of the spray and solution:

	Spray Geksoral
Hexetidine concentration, g/100 ml
Additional substances of the composition	Citric acid monohydrate, sodium saccharinate, polysorbate, levomenthol, calcium sodium edetate, eucalyptus rod leaf oil, water, nitrogen, ethanol, sodium hydroxide	Polysorbate, ethanol, anise oil, sodium saccharin water, azorubine, peppermint oil, citric acid monohydrate, methyl salicylate, levomenthol, eucalyptus and clove oil
Description	Clear colorless liquid with a menthol odor	Clear red liquid with mint flavor
Release format, volume	40 ml cans with 1 or 4 spray nozzles	200 ml bottles with measuring cup

Pharmacological properties

The drug has an antimicrobial effect due to the suppression of the oxidative process in the metabolism of bacteria. Hexetidine is the opposite active substance of thiamine, has a broad effect on bacteria and fungi. Suppresses most strains of pathogens, including the genus Candida and Proteus, does not develop resistance to exposure, reduces the sensitivity of bacteria.

It is effective against influenza A viruses, herpes simplex type 1, during the action it slightly anesthetizes the mucous membranes of the gums. When it comes into contact with the mucous membranes of the oral cavity and pharynx, it adheres well, is practically not absorbed. After a single application, the active substance remains in the mucous membranes of the gums for 65 hours, in plaque and plaques for 10-14 hours.

Indications for use

Instructions for use indicate the following indications for the use of the drug Geksoral:

• symptomatic therapy of infectious and inflammatory diseases of the oral cavity and pharynx;
• tonsillitis, pharyngitis;
• treatment of angina, SARS;
• gingivitis, stomatitis, glossitis;
• periodontal disease, fungal infections of the mouth;
• prevention of infectious complications before and after operations;
• prevention of infection of the alveoli after tooth extraction, trauma;
• hygiene and diseases of the oral cavity (odor elimination).

Method of application and dosage

According to the instructions, Hexoral is used for gargling in the form of a solution, for irrigating the oral cavity in the form of a spray. Geksoral with angina is prescribed in the form of oral tablets. They dissolve in the mouth until completely dissolved. Adults are shown one piece every 1-2 hours, but not more than 8 per day. Children 4-12 years of age may take up to 4 tablets per day. The drug is used immediately after the appearance of the first symptoms, within a few days after their disappearance.

Geksoral Aerosol

The spray is applied topically, adheres to the oral mucosa, which manifests itself in the persistence of the effect. The medicine should be taken after meals. Adults, children over six years of age process the mouth while holding the breath, once irrigating the mucous membranes for a couple of seconds twice a day. Children 3-6 years old can use a local antiseptic preparation only after consulting a pediatrician. The doctor prescribes the duration of the course depending on the type of disease.

Instructions for use of Hexoral aerosol include the following steps for spraying in the larynx or mouth:

• put a spray nozzle on the balloon;
• direct its end to the affected area of ​​the mucosa;
• hold the bottle strictly vertically during the introduction;
• spray the desired amount of spray by pressing on the head of the spray nozzle;
• do not breathe during insertion.

Hexoral solution

The second form of Hexoral release in the form of a solution is also used topically, after meals. Adults and older children fill the measuring cup to the 15 ml mark, rinse their mouth with an undiluted solution for half a minute 2-3 times / day. Children 3-6 years of age should use the drug only after consulting a doctor. The solution should not be swallowed, diluted with water or other liquids. It is allowed to treat the affected areas of the throat with swabs dipped in medicine. They are applied for 2-3 minutes. The duration of therapy is determined by the doctor.

special instructions

The instructions for use indicate special instructions during the use of the antiseptic drug. Pay attention to them:

• one dose of the solution contains 20.3 mg, which is 5.15% in terms of pure substance;
• the contents of the spray can are under pressure, do not open, puncture or burn the package even after it is completely empty;
• if the medicinal product has expired, it must not be poured into wastewater or thrown out into the street, tie it in a bag, throw it in a garbage container;
• antiseptic drug does not affect the speed of psychomotor reactions, can be used while driving cars or dangerous mechanisms;
• the drug is prescribed with caution in case of sensitivity to acetylsalicylic acid;
• the solution can be used only when the patient can spit it out after the end of the cavity rinsing procedure.

During pregnancy

According to the instructions, there is no information about undesirable effects after using the Hexoral antiseptic during pregnancy and breastfeeding, but you should consult a doctor before prescribing. If he evaluates the benefit to the mother above the risk to the baby, the drug can be used as directed. There are no data on the penetration of hexetidine through the placental barrier or into breast milk.

Geksoral for children

According to the instructions, the medication is contraindicated for use in children under three years of age. Hexoral can be prescribed to children when there is no danger of uncontrolled swallowing or resistance to a foreign object in the mouth (spray nozzle). If the child is not yet able to hold his breath on his own while injecting, it is better not to use the medicine.

drug interaction

According to the instructions for use of Hexoral, drug interactions of the aerosol and solution with other medications are not described. From this we can conclude that you can combine drugs in any order, but before any treatment of infections, a medical consultation is necessary. This will help to avoid negative effects on the health of the body.

Side effects

Instructions for the use of Hexoral indicate the following possible side effects that occur when it is taken:

• allergic reactions, hypersensitivity, urticaria, angioedema;
• ageusia, dysgeusia, poisoning;
• cough, shortness of breath;
• numbness and discoloration of the tongue, short-term loss of taste;
• dry mouth, nausea, vomiting, increased salivation;
• mucosal irritation, burning, paresthesia;
• inflammation of the mucous membranes, the formation of vesicles and ulcers;
• discoloration of the enamel.

Overdose

According to the instructions, it is unlikely that hexetidine has a toxic effect when taken at the recommended doses. If the drug is accidentally swallowed, symptoms of alcohol intoxication may appear. The treatment is gastric lavage within two hours after the child swallows the dose, symptomatic therapy. In any case of overdose, the patient should see a doctor.

An overdose of tablets is unlikely, its symptoms are suffocation, tremor of the limbs, vomiting, convulsions. Due to respiratory depression, coma and death are possible. Treatment consists of artificial induction of vomiting and gastric lavage with activated charcoal. With convulsions, barbiturates or diazepam are prescribed, with hypoxia - artificial respiration and suxamethonium chloride, circulatory support by introducing electrolyte solutions.

Contraindications

Instructions for the use of Hexoral states the following contraindications that prohibit the use of the medication:

• erosive-squamous lesions of the oral mucosa;
• age up to three years for spray and solution, up to four years for tablets;
• hypersensitivity to the components of the composition or acetylsalicylic acid;
• with caution during pregnancy and breastfeeding.

Terms of sale and storage

The drug is dispensed from pharmacies without a prescription, stored away from children and light at temperatures up to 25 degrees. The shelf life is three years, but the contents of the spray bottle must be used within six months after opening. The solution is stored for two years.

Analogues

According to the active substance and the therapeutic effect, the following Hexoral analogues are distinguished in the form of a spray and solution, produced by domestic and foreign companies:

• Stomatidin;
• Stopangin;
• Hexosept;
• Stomolik;
• Dentagel;
• Metroviol;
• Metrohex;
• Metrogil Denta;
• Metrodent;
• Dentogel;
• Candide;
• Metrozol Denta;
• Metronidazole Denta.

Geksoral's analogue is cheaper

Not all drug analogues are affordable, but the following drugs in the form of a spray or antiseptic solution can be bought at any pharmacy cheaper than Hexoral:

• spray Proposol;
• spray and ointment Tantum Verde;
• spray Ingalipt;
• antiseptic solution Miramistin;
• lozenges Lizobakt;
• medicinal aerosol Stopangin.

Hexoral price

The cost of Hexoral depends on the form of release, the manufacturer and the price category of the pharmacy. On the Internet, prices are cheaper than in the usual pharmacies, but you have to pay for delivery. Approximate drug prices.

Also, sometimes you can use an analogue, which we will discuss below, which has a similar or identical composition, without differing in any way in the principle of action.

The drug is available in the form of a spray, at a concentration of 0.2%. The liquid itself is colorless, has a slight menthol smell. The aerosol contains 40 ml of the drug. The package contains a nozzle for spraying, Hexoral-spray itself and instructions for using the medication.

The main active ingredient is hexetidine(200 mg).

In addition, the spray contains many excipients, among them there is concentrated ethanol. This should be taken into account by people who drive a vehicle.

Essential oils in the composition:

• mint
• anise
• clove
• eucalyptus

Some patients find the smell and taste of the aerosol very pleasant, while others find it rather harsh. It should be remembered that essential oils are not suitable for everyone, as they can cause an allergic reaction.

From the date of manufacture of the medicinal product, it is suitable for use for 2 years. The expiration date changes after opening and is 6 months. Geksoral does not tolerate cold, it should be stored at room temperature, in a dark place out of the reach of children. The maximum allowable temperature is 25 degrees.

Operating principle

Hexoral refers to aerosols with antiseptic action. It destroys microbes in the throat, prevents their reproduction. The active substance adversely affects the life processes in microorganisms, which leads to their death. It is also effective against fungi.

Regular use for a few days eliminates the inflammatory process. Works well in combination with antibiotics.

Hexoral refers to aerosols that have a mild analgesic effect. This is due to the essential oils present in the composition. Menthol cools and freshens breath.

Indications for use

Geksoral is recommended for use in infectious diseases of the mouth and throat, only according to the doctor's indications. In most cases, one spray is not enough to treat the disease, sometimes combined with antibiotics and other sympathetic agents is required.

When to use an aerosol:

• - acute inflammatory process in the throat, tonsils;
• - infectious edema of the pharyngeal mucosa;
• aphthous ulcers - small wounds in the oral cavity;
• fungal infections of the throat and oral cavity;
• stomatitis - inflammation of the mucous membrane in the mouth;
• prevention of gum inflammation after tooth extraction;
• complex remedy for the treatment of bad breath;
• prevention of recurrence of inflammation in the oral cavity or throat in chronic diseases.
• Sometimes an otorhinolaryngologist prescribes aerosols of this type for severe forms of influenza or an acute respiratory infection, when there is a risk of complications.

Absolute contraindications

The drug is quite safe if used correctly. There are several contraindications in the presence of which Hexoral Spray is not recommended.

When aerosol is prohibited:

• not suitable for use by young children if the age of the child is less than 3 years;
• if there is intolerance to one of the components of the composition;
• there is a history of allergic reactions to essential oils (in this case, it is better to use analogues that are produced on the basis of the same active substance).

Important! Aerosol is not prohibited for pregnant, lactating women, but it is not allowed either. This is due to the insufficient number of studies on the effect of hexetidine on the fetus. However, it can be said with absolute certainty that the active substance penetrates into milk, as well as through the placenta.

special instructions

When used, patients must strictly follow the instructions, on which the success of disease therapy directly depends. During treatment, the following should be considered:

1. The use of Geksoral for a long time can cause changes in taste sensations, as well as mucosal dysbacteriosis.
2. Treatment will be effective if the drug is applied to the mucous membrane of the throat after eating.
3. Use during pregnancy and lactation is justified if the infection of a woman endangers her health.
4. The aerosol contains 96% ethanol, which should be taken into account by persons who drive a vehicle. However, the effect of the drug on the psychomotor reactions of the patient was not revealed.
5. During an appointment with an otorhinolaryngologist, it is necessary to tell the doctor about all the existing diseases and conditions of the body. This may affect the choice of a doctor in favor of another remedy instead of Hexoral Spray.

How to use

The use of an aerosol is acceptable for children and adults. Before use, it is recommended to read the instructions. Spray should irrigate the throat for a couple of seconds, a specific dosage is not provided.

How to use Hexoral in adults

• Wash hands before use.
• Attach the spray nozzle to the aerosol can.
• Open your mouth, hold your breath, then apply the drug to the throat mucosa.
• It is not recommended to swallow for several minutes.
• Do not eat or drink for half an hour.
• Spray the aerosol should be in the morning, after breakfast, and also just before bedtime. The active substance is in the body for 12 hours.
• The dosage should not be increased or decreased without first consulting a doctor.

Features of throat therapy in children

The drug should be prescribed to the child only by a pediatrician. Before use, be sure to read the instructions, make sure that the baby has no contraindications to hexetidine and other components of the drug.

Aerosols are not allowed to be taken at the age of three for two reasons. As a rule, the baby still does not know how to control the holding of the breath, and can also swallow the medicine. Therefore, even if the baby is over 3 years old, but the parents are not sure of his skills, it is better to choose a different form of the drug.

How to use Hexoral for children:

• Adults should wash their hands thoroughly.
• Explain to the baby the course of the procedure, reassure and do not insist if he is afraid. Restless behavior can interfere with the insertion of the nozzle into the throat, which will damage the mucous membrane. The effect of such treatment will still not be.
• Ask the baby to open his mouth.
• The balloon must be held strictly vertically, the nozzle should be inserted into the oral cavity. It is not necessary to do this deeply, since this can provoke a gag reflex.
• Ask the baby to hold his breath, then spray the product with a single press.

After using Hexoral, there is a slight menthol taste in the throat, which not every child may like. If the baby does not tolerate the taste of mint, parents should pay attention to the mass of analogues in the form of aerosols with a similar active substance.

Side effects

Sometimes the applied aerosol can cause side effects from some organs and systems. If they are observed, it is recommended to urgently consult a doctor to select another drug.

What reactions are observed:

• local allergies in the form of redness, swelling, irritation of the throat mucosa;
• cough or shortness of breath - indicate intolerance to one of the components that make up the composition;
• nausea, less often vomiting - with an overdose or ingestion of the drug.

Since Geksoral is a topical agent, very little active substance enters the bloodstream, so all side effects are associated with an allergic reaction to the composition of the medication. If they are observed, further use of the aerosol is strictly prohibited.

Overdose

In case of an overdose of an aerosol, nausea or vomiting may occur, in rare cases, symptoms of ethanol intoxication are observed. The patient is worried about headache, drowsiness, weakness.

These signs are especially often observed in a child, as babies sometimes swallow the drug. It is dangerous to leave the aerosol in places where children can easily take it.

If the condition worsens after using Hexoral, it is recommended to seek the advice of a therapist or pediatrician.

Geksoral's analogs

Sometimes patients want to save money or there is no way to use Hexoral, since it is not available in any of the nearest pharmacies. In this case, you can choose any analogue. It is better to do this together with the doctor who prescribed the aerosol.

Analogues of the drug based on hexetidine:

• Maxicold Lohr;
• Stomatidin;
• Stopangin.

It should be remembered that drugs may have other contraindications, since their composition is slightly different from Hexoral. However, the fact that the effect of their use does not differ from this spray can be said for sure. Any medicine treats due to the active substance, which is identical in all these medicines.

Important! Hexoral is great for use in sore throats. The aerosol is effective in combating a variety of infectious pathogens. However, the use of the drug should always be approached wisely, in which case, therapy will bring exceptional benefits.