Cetrimide + Choline Salicylate + Lidocaine (Lignocaine) + Tannic Acid is a combination oral topical medication containing Cetrimide, Choline Salicylate, Lidocaine (Lignocaine), and Tannic Acid. It is commonly used to manage mouth ulcers, gum inflammation, sore throat, oral infections, and painful mouth lesions. This combination provides antiseptic, analgesic, anti-inflammatory, and soothing actions that help reduce pain, irritation, swelling, and microbial growth. It offers fast symptomatic relief and promotes healing of oral mucosal tissues when used as directed by a healthcare professional.

Cetrimide + Choline Salicylate + Lidocaine (Lignocaine) + Tannic Acid is a multi-action oral topical preparation formulated with Cetrimide, Choline Salicylate, Lidocaine (Lignocaine), and Tannic Acid. This combination is widely used for the symptomatic relief of painful inflammatory conditions affecting the oral cavity, including mouth ulcers, gingivitis, stomatitis, sore gums, denture irritation, and minor throat infections.

Cetrimide is an antiseptic agent belonging to the quaternary ammonium compound class. It works by disrupting microbial cell membranes, thereby reducing bacterial growth and preventing secondary infections within the oral cavity. This helps maintain oral hygiene and supports faster healing of inflamed tissues.

Choline Salicylate is a non-steroidal anti-inflammatory agent (NSAID) that reduces inflammation, pain, redness, and swelling. It works by inhibiting prostaglandin synthesis at the site of inflammation, thereby providing effective relief from oral discomfort and soreness.

Lidocaine (Lignocaine) is a local anesthetic that temporarily blocks nerve signal transmission in the affected area. This produces a numbing effect, helping reduce pain, burning sensation, and irritation associated with oral ulcers and inflammatory lesions.

Tannic Acid acts as an astringent, forming a protective layer over irritated tissues. It helps reduce minor bleeding, soothes inflamed mucosa, and promotes tissue healing by shrinking swollen tissues.

This combination therapy provides comprehensive management of painful oral conditions by combining antiseptic, anti-inflammatory, anesthetic, and protective actions in a single formulation. It is generally recommended for short-term symptomatic relief and should be used under medical supervision. Prolonged or excessive use without supervision should be avoided, particularly in children or patients with salicylate sensitivity.

• Management of mouth ulcers and canker sores

• Relief from painful oral lesions

• Reduces inflammation of gums (gingivitis)

• Helps manage stomatitis and oral mucosal irritation

• Relief from sore throat and minor throat irritation

• Provides symptomatic relief after dental procedures

• Helps reduce pain caused by dentures or braces

• Supports the healing of inflamed oral tissues

• Reduces burning sensation and discomfort in the mouth

• Prevents minor bacterial infections in oral lesions

• Cetrimide + Choline Salicylate + Lidocaine (Lignocaine) + Tannic Acid provides rapid relief from pain and discomfort associated with oral ulcers, sore gums, and inflammatory conditions affecting the mouth and throat. The presence of Lidocaine helps numb the affected area quickly, making eating, drinking, and speaking more comfortable.

• The anti-inflammatory action of Choline Salicylate helps reduce redness, swelling, and irritation, thereby improving healing and reducing tissue inflammation. This makes the medicine particularly useful in recurrent mouth ulcers and painful gum conditions.

• Cetrimide helps maintain oral hygiene by reducing bacterial contamination and minimizing the risk of secondary infections in damaged oral tissues.

• Tannic Acid provides a protective soothing effect by forming a coating over irritated tissues and promoting tissue contraction. Together, these ingredients offer comprehensive symptomatic relief and support faster recovery of oral mucosal lesions.

Common side effects:

• Temporary numbness or tingling sensation in the mouth

• Mild burning or stinging sensation after application

• Altered taste sensation

• Dryness of mouth

• Mild throat irritation

• Redness at the application site

• Mild nausea due to accidental swallowing

Uncommon side effects:

• Mouth irritation or hypersensitivity

• Swelling of gums or oral tissues

• Excess salivation

• Mild allergic skin rash

• Difficulty swallowing temporarily

• Local peeling or irritation of the oral mucosa

Serious side effects (seek immediate medical attention):

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

• Difficulty breathing or wheezing

• Severe burning sensation or ulcer worsening

• Persistent numbness or loss of sensation

• Signs of salicylate toxicity (ringing in the ears, dizziness, vomiting)

• Severe skin reactions or blistering

• Irregular heartbeat (rare with excessive Lidocaine absorption)

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

• Use Cetrimide + Choline Salicylate + Lidocaine (Lignocaine) + Tannic Acid exactly as prescribed by your doctor or dentist

• Apply directly to the affected oral area using clean fingers or a cotton applicator

• Avoid eating or drinking for at least 20–30 minutes after application

• Wash your hands before and after use

• Do not swallow the medicine intentionally

• Avoid excessive application or prolonged use without medical advice

• Use the medicine at regular intervals for best results

• For oral gel forms, apply a thin layer gently over ulcers or inflamed gums

• In children, use only under adult supervision or medical advice

Cetrimide + Choline Salicylate + Lidocaine (Lignocaine) + Tannic Acid works through the combined action of four active ingredients that target pain, inflammation, infection, and tissue irritation in the oral cavity.

Cetrimide acts as an antiseptic by disrupting microbial cell membranes, thereby reducing bacterial growth and preventing infection in damaged oral tissues.

Choline Salicylate inhibits cyclooxygenase (COX) enzymes, which produce prostaglandins. This reduces inflammation, pain, redness, and swelling in affected oral tissues.

Lidocaine (Lignocaine) blocks sodium channels in nerve cells, temporarily preventing transmission of pain signals from the affected area to the brain. This creates a local numbing effect and provides rapid pain relief.

Tannic Acid acts as an astringent by precipitating proteins and forming a protective coating over inflamed tissues. This reduces irritation and minor bleeding and promotes the healing of oral lesions.

Together, these ingredients provide fast and effective symptomatic relief in various painful oral conditions.

• Maintain good oral hygiene during treatment

• Avoid spicy, hot, or acidic foods if mouth ulcers are present

• Do not swallow the medicine intentionally

• Use only the recommended quantity

• Avoid touching the applicator tip directly to infected areas

• Inform your doctor if symptoms persist for more than 7 days

• Avoid smoking or tobacco during treatment

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

• Protect from direct sunlight and moisture

• Keep the container tightly closed after use

• Keep out of reach of children

• Do not freeze the formulation

• Do not use after the expiry date

Cetrimide + Choline Salicylate + Lidocaine (Lignocaine) + Tannic Acid is intended for topical oral use and generally has minimal food interactions when used as directed. However, certain foods and beverages may worsen oral irritation or reduce patient comfort during treatment. Spicy, acidic, or extremely hot foods may increase burning sensation and discomfort in inflamed oral tissues. Alcohol and tobacco may also delay tissue healing and worsen irritation.

Key interactions include:

• Avoid spicy and acidic foods during treatment

• Avoid alcohol, as it may worsen oral irritation

• Reduce smoking or tobacco use to promote healing

• Avoid very hot beverages immediately after application

• Maintain adequate hydration and oral hygiene

Cetrimide + Choline Salicylate + Lidocaine (Lignocaine) + Tannic Acid may interact with certain medications if absorbed systemically or used excessively. These interactions are uncommon during short-term topical use but should still be considered in sensitive individuals.

Important drug interactions include:

• Other local anesthetics – increased risk of toxicity

• Anticoagulants (warfarin) – salicylates may increase bleeding tendency

• NSAIDs – increased risk of irritation and salicylate-related effects

• Antiarrhythmic drugs – possible additive cardiac effects with Lidocaine

• Antihypertensive medicines – salicylates may alter response in rare cases

• Corticosteroids – may delay healing of oral lesions

Patients with certain medical conditions should use Cetrimide + Choline Salicylate + Lidocaine (Lignocaine) + Tannic Acid cautiously, as some components may worsen underlying conditions or increase the risk of adverse reactions. Choline Salicylate may increase the risk of irritation in patients sensitive to salicylates, while Lidocaine should be used cautiously in patients with severe cardiac or hepatic conditions.

Use with caution in the following conditions:

• Salicylate allergy or NSAID sensitivity

• Severe liver disease

• Cardiac arrhythmias or heart conduction disorders

• Oral fungal infections

• Severe oral mucosal damage

• Kidney impairment

• Asthma associated with NSAID sensitivity

Use Cetrimide + Choline Salicylate + Lidocaine (Lignocaine) + Tannic Acid exactly as advised by your doctor or dentist. The quantity and frequency of application depend on the severity of oral symptoms and the patient's condition. Avoid excessive use or prolonged application without medical supervision.

Overdose of Cetrimide + Choline Salicylate + Lidocaine (Lignocaine) + Tannic Acid is uncommon during normal topical use but may occur if large amounts are swallowed accidentally. Symptoms may include severe numbness, dizziness, nausea, vomiting, ringing in the ears, irregular heartbeat, or breathing difficulty. Seek immediate medical attention if overdose is suspected.

If you forget to apply a dose of Cetrimide + Choline Salicylate + Lidocaine (Lignocaine) + Tannic Acid, use it as soon as you remember. However, if it is almost time for your next scheduled application, skip the missed dose and continue with your regular schedule. Do not apply excessive amounts to make up for a missed dose, as this may increase the risk of local irritation or side effects.