Choline Salicylate + Lidocaine (Lignocaine) is a combination medicine containing Choline Salicylate and Lidocaine (Lignocaine), commonly used for the relief of pain and inflammation in the mouth and throat. It is effective in conditions such as mouth ulcers, sore throat, teething pain, and minor oral injuries. Choline Salicylate acts as an anti-inflammatory and analgesic, while Lidocaine provides local anaesthetic action by numbing the affected area. This combination offers fast and targeted relief when used as directed by a healthcare professional.

Choline Salicylate + Lidocaine (Lignocaine) is a combination medication designed to provide effective relief from pain, inflammation, and discomfort associated with oral and throat conditions. It contains Choline Salicylate and Lidocaine (Lignocaine), which work together to manage symptoms such as ulcers, sore throat, gum pain, and irritation caused by minor injuries or dental procedures.

Choline Salicylate belongs to the class of non-steroidal anti-inflammatory drugs (NSAIDs). It works by inhibiting the synthesis of prostaglandins, which are chemical mediators responsible for pain and inflammation. Reducing prostaglandin levels at the site of application helps relieve swelling, redness, and discomfort in the oral mucosa.

Lidocaine (Lignocaine) is a local anaesthetic that blocks sodium channels in nerve endings. This prevents the transmission of pain signals to the brain, resulting in temporary numbness and immediate relief from pain and irritation.

This combination is particularly useful in managing painful oral conditions such as mouth ulcers, gingivitis, sore throat, and teething discomfort in children (under medical supervision). It is typically available in gel or topical form for direct application to the affected area, ensuring localised action with minimal systemic absorption.

Patients should use this medicine only as directed and avoid excessive application. If symptoms persist or worsen, medical consultation is recommended. Special caution should be taken in children and individuals with salicylate sensitivity.

• Relief from mouth ulcers (aphthous ulcers)

• Management of sore throat pain and irritation

• Relief from gum inflammation (gingivitis)

• Teething pain in infants and children (under medical advice)

• Pain relief after dental procedures

• Minor oral injuries or irritation

• Relief from tongue or cheek ulcers

• Symptomatic relief in oral infections

• Choline Salicylate + Lidocaine (Lignocaine) provides rapid and effective relief from oral pain by combining anti-inflammatory and local anaesthetic actions in a single formulation. It helps reduce inflammation while simultaneously numbing the affected area.

• The presence of Lidocaine ensures immediate pain relief, making it especially useful in conditions such as mouth ulcers or dental pain, where discomfort can interfere with eating and speaking.

• Choline Salicylate reduces swelling and redness, promoting faster healing of inflamed tissues. This dual action improves patient comfort and recovery.

• Its topical application ensures targeted action at the site of pain, reducing systemic side effects and making it a convenient option for oral care.

Common side effects:

• Mild burning or stinging sensation at the application site

• Temporary numbness in the mouth or throat

• Mild irritation or redness

• Altered taste sensation

Uncommon side effects:

• Allergic reactions such as itching or rash

• Swelling at the application site

• Increased sensitivity in the oral mucosa

• Dryness in the mouth

Serious side effects (seek immediate medical attention):

• Severe allergic reactions (swelling of face, lips, tongue, throat)

• Difficulty breathing

• Persistent numbness or loss of sensation

• Signs of salicylate toxicity (rare, with excessive use)

If any side effects persist, worsen, or become serious, consult your doctor immediately.

• Use Choline Salicylate + Lidocaine (Lignocaine) exactly as prescribed by your doctor

• Apply a small amount directly to the affected area in the mouth

• Use clean fingers or a cotton applicator for application

• Do not swallow immediately after application; allow it to act locally

• Avoid eating or drinking for a few minutes after use

• Do not exceed the recommended frequency of application

• Wash your hands before and after use

• For children, use only under medical supervision

Choline Salicylate + Lidocaine (Lignocaine) works through a dual mechanism of action. Choline Salicylate inhibits the production of prostaglandins, which are responsible for causing inflammation, swelling, and pain in the affected area. Reducing these mediators helps decrease redness and discomfort.

Lidocaine (Lignocaine), on the other hand, blocks voltage-gated sodium channels in nerve cells. This prevents the initiation and conduction of nerve impulses, thereby producing a local anaesthetic effect. As a result, the affected area becomes temporarily numb, providing immediate relief from pain and irritation.

Together, these components offer both symptomatic relief and anti-inflammatory benefits in oral conditions.

• Apply only a small amount as directed

• Avoid swallowing the medicine

• Maintain oral hygiene for faster healing

• Do not use for prolonged periods without advice

• Avoid irritating foods during treatment

• Consult a doctor if symptoms persist

• Store below 25°C in a cool and dry place

• Keep away from direct sunlight and moisture

• Keep out of reach of children

• Do not freeze

• Do not use after the expiry date

Choline Salicylate + Lidocaine (Lignocaine) is applied topically, so systemic food interactions are minimal. However, certain foods may affect the comfort and healing of the affected oral area. Spicy, acidic, or very hot foods may irritate the mucosa and reduce the effectiveness of treatment.

Key interactions include:

• Avoid spicy and acidic foods (may increase irritation)

• Avoid very hot beverages immediately after application

• Maintain a soft diet if ulcers are present

• Stay hydrated to promote healing

• Avoid alcohol-containing mouth products

Choline Salicylate + Lidocaine (Lignocaine) has minimal systemic drug interactions due to its topical use. However, excessive or improper use may lead to interactions, especially with other medications containing salicylates or local anaesthetics.

Important drug interactions include:

• Other salicylates (aspirin) – increased risk of toxicity

• Local anaesthetics – additive effects may increase toxicity

• Anticoagulants – salicylates may increase bleeding risk

• NSAIDs – increased risk of side effects

• Antiarrhythmic drugs – potential interaction with lidocaine

Patients with certain conditions should use this medicine cautiously, as its components may aggravate underlying issues. Choline Salicylate may have systemic effects if overused, and Lidocaine sensitivity should be considered.

Use with caution in the following conditions:

• Salicylate allergy – risk of hypersensitivity reactions

• Liver disease – risk of accumulation with prolonged use

• Kidney impairment – caution in systemic absorption

• Severe oral infections – may require additional treatment

• Asthma (salicylate-sensitive) – may trigger symptoms

Use Choline Salicylate + Lidocaine (Lignocaine) as prescribed by your doctor. Apply a thin layer to the affected area 2–3 times daily or as directed. Do not overuse, and avoid prolonged application without medical advice.

Overuse of Choline Salicylate + Lidocaine (Lignocaine) may cause excessive numbness, irritation, or systemic effects such as salicylate toxicity. Symptoms may include dizziness, nausea, or ringing in the ears. Seek medical attention if overdose is suspected.

If you miss an application, apply for it as soon as you remember. If it is almost time for your next dose, skip the missed one and continue with your regular schedule. Do not apply extra medicine to make up for a missed dose.