phenol oropharyngeal (OTC)

Brand and Other Names:Cepastat, Ulcerease, more...Chloraseptic
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Dosing & Uses

AdultPediatric

Dosing Form & Strengths

Oral Solution (mouthwash/gargle)

  • Ulcerease: 0.6% (30 mL, 180 mL); dye free, sugar free, ethanol free; contains glycerin
  • Cloraseptic Sore Throat Gargle 1.4%; sugar free, ethanol free, gluten free; cool mint flavor
  • Pain-A-Lay: 1.4%; contains lartrazine

Oral Solution (spray)

  • Chloraseptic: 1.4% (20 mL, 177 mL); ethanol free, gluten free, sugar free, cherry flavor
  • Cheracol Spray: 1.4% (ethanol free, sugar free, contains tertrazine)
  • Pain-A-Lay: 1.4%; contains lartrazine

Lozenge (oral)

  • Cepastat: 14.5 mg; sugar free; contains menthol; cherry flavor

Solution, Topical

  • Castellani Paint Modified: 1.5% (30 mL); contains acetone, basic fuchsin, ethanol 13%, resorcinol

Sore Throat

Ulcerease, Pain-A-Lay, Cloraseptic Sore Throat Gargle: Gargle or swish for 15 seconds, then expectorate; may repeat q2h

Chloraseptic: 5 sprays onto throat or affected area; may repeat q2h

Cheracol, Pain-A-Lay Spray: Spray directly in throat, rinse for 15 seconds, and expectorate; may repeat every 2 hr

Cepastat: Use up to 2 lozenges q2h PRN

Antiseptic Topical

Apply sparse amount gently to affected area once or q8-12hr

Dosing Form & Strengths

Oral Solution (mouthwash/gargle)

  • Ulcerease: 0.6% (30 mL, 180 mL); dye free, sugar free, ethanol free; contains glycerin
  • Cloraseptic Sore Throat Gargle 1.4%; sugar free, ethanol free, gluten free; cool mint flavor
  • Pain-A-Lay: 1.4%; contains lartrazine

Oral Solution (spray)

  • Chloraseptic: 1.4% (20 mL, 177 mL); ethanol free, gluten free, sugar free, cherry flavor
  • Chloraseptic Kids Sore Throat: 0.5% (177 mL) ethanol free, gluten free, sugar free, grape free
  • Cheracol Spray: 1.4% (ethanol free, sugar free, contains tertrazine)
  • Pain-A-Lay: 1.4%; contains lartrazine

Lozenge (oral)

  • Cepastat: 14.5 mg; sugar free; contains menthol; cherry flavor
  • Cepastat Extra Strength: 29 mg; sugar free; contains eucalyptus oil, menthol; menthol- eucalyptus flavor

Solution, Topical

  • Castellani Paint Modified: 1.5% (30 mL); contains acetone, basic fuchsin, ethanol 13%, resorcinol

Sore Throat

Ulcerease

  • <3 years: Not established
  • >3 years: Gargle or swish for 15 seconds, then expectorate; may repeat q2h

Chloraseptic

  • <2 years: Not established
  • 2-12 years: 3 sprays onto throat or affected areas; may repeat q2h
  • >12 years: 5 sprays onto throat or affected area; may repeat q2h

Chloraseptic Kids Sore Throat

  • <2 years: Not established
  • 2-12 years: 5 sprays onto throat or affected area, may repeat q2hr
  • >12 years: Use chloraseptic formulation

Cepastat

  • <6 years: Not established
  • 6-12 years: 1 lozenge q2h PRN; not to exceed 18 lozenges/24 hours
  • >12 years: Use up to 2 lozenges q2h PRN

Cepastat Extra Strength

  • <6 years: Not established
  • 6-12 years: 1 lozenge q2h PRN; not to exceed 10 lozenges/24 hours
  • >12 years: Use up to 2 lozenges q2h PRN

Antiseptic Topical

Castellani Paint Modified

  • <12 years: Not established
  • >12 years: 1.5% (30 mL); contains acetone, basic fuchsin, ethanol 13%, resorcinol
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Adverse Effects

Frequency Not Specified

Acute epiglotitis

Edema of the epiglotitis/larynx

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Warnings

Contraindications

Documented hypersensitivity

Cautions

Overdose may cause agitation, confusion, slurred speech, and CNS depression

Do not use for sore >7 days if pain, redness, or irritation continues

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Pregnancy & Lactation

Pregnancy Category: C

Pregnancy Categories

A:Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B:May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C:Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D:Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X:Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA:Information not available.

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Pharmacology

Mechanism of Action

Disinfectant, antiseptic, and local anesthetic

Pharmacokinetics

Metabolism: Metabolized to phenylglucuronide and phnyl sulfate, small amounts oxidized to catechol and quinol

Excretion: Via urine

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