Tonsillol - gargle solution

The active ingredient in Tonsillol gargle solution, dequalinium chloride, is a quaternary ammonium compound with surface-active properties.

Application

WHAT IS Tonsillol gargle solution AND WHAT IS IT USED FOR?

The active ingredient in Tonsillol gargle solution, dequalinium chloride, is a quaternary ammonium compound with surface-active properties. Dequalinium chloride acts on numerous pathogens, but mainly on gram-positive bacteria, by destroying their cell wall and inactivating the enzymes by adhering to the bacterial cell wall. The
effect is seen in a change in the permeability of the cell membranes of the germs. In higher concentrations, dequalinium chloride has a germicidal effect.

Tonsillol gargle solution is used
- for infectious diseases of the oral and pharyngeal cavity caused by pathogens sensitive to dequalinium chloride, such as gingivitis, inflammation of the oral mucosa, tonsillitis, laryngitis, pharyngitis
- as an additional medication for purulent angina
- for oral thrush (fungal infection)

Tonsillol gargle solution can be used after tonsillectomy and tooth extraction to promote uncomplicated healing.

How is it used?

WHAT IS Tonsillol gargle solution AND WHAT IS IT USED FOR?

The active ingredient in Tonsillol gargle solution, dequalinium chloride, is a quaternary ammonium compound with surface-active properties. Dequalinium chloride acts on numerous pathogens, but mainly on gram-positive bacteria, by destroying their cell wall and inactivating the enzymes by adhering to the bacterial cell wall. The
effect is seen in a change in the permeability of the cell membranes of the germs. In higher concentrations, dequalinium chloride has a germicidal effect.

Tonsillol gargle solution is used
- for infectious diseases of the oral and pharyngeal cavity caused by pathogens sensitive to dequalinium chloride, such as gingivitis, inflammation of the oral mucosa, tonsillitis, laryngitis, pharyngitis
- as an additional medication for purulent angina
- for oral thrush (fungal infection)

Tonsillol gargle solution can be used after tonsillectomy and tooth extraction to promote uncomplicated healing.

What should you consider before taking it?

WHAT SHOULD YOU CONSIDER BEFORE USING Tonsillol gargle solution?

Tonsillol gargle solution must not be used,

- if you are hypersensitive (allergic) to dequalinium chloride, propylene glycol, cinnamon (cinnamaldehyde) or any of the other ingredients of Tonsillol gargle solution. This also applies if you are hypersensitive to Peru balsam (cross-allergy).

- in infants and children up to 2 years of age (risk of laryngospasm).

- in patients with bronchial asthma or other respiratory diseases that are associated with pronounced hypersensitivity of the respiratory tract. Inhalation of Tonsillol gargle solution can lead to shortness of breath or trigger an asthma attack.

Special care is required when using Tonsillol gargle solution

If you have a known allergy to quaternary ammonium compounds (e.g. benzalkonium chloride), the gargle solution should not be used.

Eye contact should be avoided.

Patients with contact allergies should not use Tonsillol gargle solution, as sensitization is possible.

In the event of improper use in the area of body folds or in the anal, perineal and pubic areas as well as under occlusive dressings, the occurrence of skin changes such as tissue decay and ulceration has been described after application of solutions containing dequalinium chloride.

Sodium cyclamate is an artificial sweetener, which is why Tonsillol gargle solution is also suitable for diabetics.
Caries formation is not promoted.

If the symptoms persist or if the expected success is not achieved by using the product, medical advice is required as soon as possible.

When using Tonsillol gargle solution with other medicines
Please inform your doctor or pharmacist if you are taking / using or have recently taken / used other medicines, even if they are non-prescription medicines.

Dequalinium chloride is inactivated by protein, serum and pus, in the presence of common soaps as well as by anionic, surface-active substances, materials such as porous substances (rubber,
cotton, cork) and plastic materials (polyvinyl chloride, polyethylene), phospholipids and other fatty substances.

Pregnancy and breastfeeding
Ask your doctor or pharmacist for advice before taking / using any medicines.
Data on a limited number of pregnant women do not suggest any effects of Tonsillol gargle solution on pregnancy or the health of the fetus/newborn. No other relevant experience is available to date.
Tonsillol gargle solution should therefore only be used during pregnancy and breastfeeding after consultation with a doctor.
Therefore, please inform your doctor if you are pregnant, if you think you are pregnant, if you are planning to become pregnant or if you are breastfeeding.

Driving and operating machinery

There is no experience with the effects on driving and operating machinery.

Important information about certain other ingredients of Tonsillol gargle solution

Propylene glycol and macrogolglycerol hydroxystearate can cause skin irritation.

How should the medicine be taken?

HOW SHOULD Tonsillol gargle solution BE USED?

Always use Tonsillol gargle solution exactly as described in the package leaflet. Please ask your doctor or pharmacist if you are not sure.

Tonsillol gargle solution is ready to use and is used undiluted for gargling or rinsing.
Rinse or gargle with undiluted Tonsillol gargle solution (15 ml) 2 to 3 times a day for about 15 to 30 seconds.
A graduated measuring cup is included.
The application should take place in the morning (noon) and in the evening after meals.

Tonsillol gargle solution should be discontinued a few days after the symptoms have subsided.

Note:
If the symptoms are accompanied by fever, or if the symptoms do not subside significantly after 3 days at the latest, a doctor should be consulted, as there may be a tonsillitis that requires treatment, which can trigger serious secondary diseases of the heart and kidneys.

Please talk to your doctor or pharmacist if you have the impression that the effect of Tonsillol gargle solution is too strong or too weak. You must not change the dosage recommended in the package leaflet on your own.

If you have used more Tonsillol gargle solution than you should

Poisoning with Tonsillol gargle solution is not known.
Tonsillol gargle solution is harmless, even if the solution is accidentally swallowed while gargling.
Dequalinium chloride is not absorbed into the bloodstream through the skin or the mucous membranes of the gastrointestinal tract, or the absorption into the bloodstream is negligible. In animal experiments, no harmful effects were observed even at high doses when administered orally. Improper ingestion of high doses of cationic surfactants (dequalinium, benzalkonium) can lead to nausea, vomiting, cramps, circulatory collapse and coma (loss of consciousness).

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Measures decide. Keep a pack of the medicine ready so that the doctor can inform himself about
the active ingredient taken.

For the doctor:
FOR THERAPY IN CASE OF INTOXICATION, PLEASE REFER TO THE INSTRUCTIONS AT THE END OF THIS INFORMATION FOR USE!

If you forget to use Tonsillol gargle solution

Do not use a double dose if you have forgotten the previous application.
Instead, simply apply the usual following dose at the usual time.

If you have any further questions about the use of the medicine, ask your doctor and pharmacist.

What side effects are possible?

HOW SHOULD Tonsillol gargle solution BE STORED?

Store the container in the outer carton to protect the contents from light.

The shelf life after opening is 12 months.

Keep medicines out of the reach of children.

Do not use the medicine after the expiry date which is stated on the carton after "Usable until:". The expiry date refers to the last day of the month.

The medicine must not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of the medicine when you no longer need it. This measure helps to protect the environment.

Special storage instructions

HOW SHOULD Tonsillol gargle solution BE STORED?

Store the container in the outer carton to protect the contents from light.

The shelf life after opening is 12 months.

Keep medicines out of the reach of children.

Do not use the medicine after the expiry date which is stated on the carton after ,,Usable until:" The expiry date refers to the last day of the month.

The medicine must not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of the medicine when you no longer need it. This measure helps to protect the environment.

Special information on the content

FURTHER INFORMATION

What Tonsillol gargle solution contains

- The active ingredient is: Dequalinium chloride
100 ml solution contains 10 mg dequalinium chloride.

- The other ingredients are:
Propylene glycol, Dentomint oil, Macrogolglycerol hydroxystearate (Cremophor RH 455), Poloxamer 188 , Fatty acid-sarcoid-sodium salt (Medialan LD), Sodium cyclamate, Patent blue E 131, C.I. 42051, Sodium dihydrogen phosphate dihydrate, Sodium hydroxide, Purified water



How Tonsillol gargle solution looks like and contents of the pack

Tonsillol gargle solution is a clear, blue solution.

Tonsillol gargle solution is available in brown glass bottles with plastic (polypropylene) screw caps with 60 and 200 ml solution.