cetylpyridinium chloride + lidocaine hydrochloride monohydrate at a glance
Medicine class
Topical local anaesthetic with an antiseptic.
Licensed role
Teething pain and discomfort in children from 5 months old when non-medicine measures are insufficient.
Before using
Try a chilled teething ring or gently rub the gum with a clean finger first.
Important precaution
Do not use another lidocaine-containing product at the same time.
What is cetylpyridinium chloride + lidocaine hydrochloride monohydrate used for?
The selected product is licensed for:
Relief of teething pain and discomfort in children from 5 months old after non-medicine measures have not provided sufficient relief.
Mild local antiseptic activity alongside pain relief.
How does cetylpyridinium chloride + lidocaine hydrochloride monohydrate work?
Lidocaine temporarily numbs the gum by reversibly blocking pain-signal transmission in local nerves. Cetylpyridinium chloride is a local antiseptic active against susceptible microorganisms.
How to take cetylpyridinium chloride + lidocaine hydrochloride monohydrate
Use only on the affected gum, with a clean finger, following the package leaflet or pharmacist's directions. Do not exceed labelled instructions, use another lidocaine product at the same time, or continue after symptoms have resolved. Seek medical advice if the child becomes worse.
Use a teething gel intended for young children; general oral-pain gels may not be suitable.
If the child vomits, spits out or accidentally swallows the gel, do not reapply it immediately.
Keep out of children’s sight and reach.
cetylpyridinium chloride + lidocaine hydrochloride monohydrate side effects
Common or expected effects
- No common adverse effects are identified when used as directed. Effects reported at an unknown frequency include application-site redness and dermatitis.
Get urgent medical advice
- Stop using and seek urgent assessment for swelling, breathing difficulty, a generalised rash or other signs of hypersensitivity.
- Excessive exposure can cause serious nervous-system or cardiac effects. Seek urgent advice after substantial accidental ingestion or unusual neurological or cardiovascular symptoms.
cetylpyridinium chloride + lidocaine hydrochloride monohydrate in pregnancy
The selected product is intended for infants and toddlers, so pregnancy use is not applicable to its licensed indication. A pregnant person considering an oral lidocaine product should ask a pharmacist or prescriber about the specific preparation.
cetylpyridinium chloride + lidocaine hydrochloride monohydrate while breastfeeding
The selected product is administered to the child, so maternal breastfeeding exposure is not applicable to its licensed indication. Seek advice before a breastfeeding adult uses an oral preparation.
cetylpyridinium chloride + lidocaine hydrochloride monohydrate interactions
No medicine interactions are known for the selected gel when used as directed. The main practical concern is duplicate lidocaine exposure.
Other lidocaine-containing products
Do not use concurrently because combined exposure may increase the risk of lidocaine toxicity.
Oral medicines affected by sorbitol
Sorbitol in oral products can alter the bioavailability of some medicines taken at the same time; ask a pharmacist if the child takes other oral medicines.
Common questions about cetylpyridinium chloride + lidocaine hydrochloride monohydrate
Answers are fully visible for fast scanning and source review.
What is this gel used for?
The selected gel is used for teething pain and discomfort in children from 5 months old when non-medicine measures have not provided enough relief.
Can it be used under 5 months old?
No. The selected product is licensed only from 5 months of age.
Can it be used with another lidocaine product?
No. Concurrent use can increase total lidocaine exposure and the risk of toxicity.
What if my child swallows or spits out the gel?
Do not reapply it immediately. Seek urgent advice if a substantial amount was swallowed or the child develops unusual symptoms.
Sources
These sources were used to prepare and review this medicine page.
Prepared and reviewed by the iatroX editorial team.