phenol oropharyngeal (OTC)

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

AdultPediatric

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

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

Within 14 days of taking monoamine oxidase inhibitor (MAOI) inhibitor

Cautions

Do not exceed recommended dosage; overdose may cause agitation, confusion, slurred speech, and CNS depression

Do not use if blister package has been disturbed or opened

Severe or persistent sore throat or sore throat accompanied by high fever, headache, nausea, and vomiting may be serious; consult doctor promptly

Do not use more than 2 days or administer to children under 6 years of age unless directed by a doctor

If you are uncertain whether your prescription drug contains an MAOI, consult a health care professional before taking this product

Stop use and ask a dentist or doctor if sore mouth symptoms do not improve in 7 days, irritation, pain or redness persists or worsens, swelling, rash or fever develops, cough persists for more than 1 week, tends to recur, or is accompanied by a high fever, rash, or persistent headache; these could be symptoms of a serious condition

Keep out of reach of children

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Pregnancy & Lactation

Pregnancy

Ask healthcare professional before use

Lactation

Ask healthcare professional before use

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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Images

No images available for this drug.
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Patient Handout

A Patient Handout is not currently available for this monograph.
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Medscape prescription drug monographs are based on FDA-approved labeling information, unless otherwise noted, combined with additional data derived from primary medical literature.