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Cetylpyridinium Chloride

Pyridimium derivativeAntiseptic

Indications

Registered South African indications:

  • Sore throat
  • Mouth infections
  • Throat irritation
  • Tickling cough
  • Discomfort following periodontal procedures and minor mouth surgery

Cautions

Contraindications

  • Hypersensitivity to the active ingredient or any of its excipients

Cautions

  • Pregnancy
  • Breastfeeding
  • Renal impairment
  • Hepatic imapairment
  • Prolonged use

Adult dosage

Forms avail. in SA and covered in this monograph: sol

Sore throat  
- Secondary to colds
Mouth infections
Throat irritation and tickling cough
- Due to dust, allergy, smoke, excessive use of voice
Discomfort following periodontal procedures and minor mouth surgery 

  • Oral (sol): Rinse mouth with small quantity, as often as needed

Do not swallow

May use diluted or undiluted

Paediatric dosage

Not approved for use in South Africa for children.

Special populations

Pregnancy

  • Caution
  • The use of cetylpyridinium chloride in pregnancy has not been studied but is unlikely to constitute a hazard

Breastfeeding

  • Caution;
  • The use of cetylpyridinium chloride in breastfeeding has not been studied but is unlikely to constitute a hazard

Renal Impairment

Hepatic Impairment

Elderly

Porphyria Information

Drugs in Sport

  • Permitted - No warning

Adverse reactions

Gastrointestinal Disorders

  • Nausea and vomiting

Sensory Disorders

  • Dental discoloration
  • Mouth irritation
  • Tongue discoloration

Interactions

No information available

Monitoring

None routine

Mechanism of action

Cetylpyridinium chloride is bactericidal against a wide variety of Gram-positive and Gram-negative bacteria which include haemolytic Streptococcus, Staphylococcus aureus, Escherichia coli and Lactobacillus acidophilus. Fungicidal action has been demonstrated against Monilia albicans, the cause of oral thrush.

Dosage forms

  • Solution

Formulation

Cetylpyridinium chloride is available in several formulations. Please note the list below gives examples of products which are available and is not necessarily comprehensive. The listing of a product does not constitute endorsement of the product by EMGuidance; likewise, failure to list a product does not imply that EMGuidance disapproves of the product. This information is put together on the basis of the National Government's Medicines Price Registry at the time of publication.

Oral Rinse (per 100ml) 50mg

  • Cepacol (Adcock)

References

1. SAMF_12th Edition_Page 32 2. https://www.medicines.org.uk/emc/medicine/20592 (24/03/2015_Boots_Oral Antiseptic_mouthwash) 3. https://www.uptodate.com/contents/cetylpyridinium-drug-information?source=search_result&search=Cetylpyridinium%20Chloride&selectedTitle=1~150 4. https://drive.google.com/drive/folders/1A1mLaLlW4ht_llRRMvabiiT7T_8XNy2O (03/08/2005_Adcock_Cepacol_gargle) 5. NAPOS The Drug Database for Acute Porphyria: R02AA06 cetylpyridinium; Accessed online 09 Jan 2019 [http://www.drugs-porphyria.org/languages/UnitedKingdom/s3.php?atc_code=R02AA06&l=gbr] 6. South African Institute for Drug-Free Sport; Cepacol; Accessed online 09 Jan 2019 [http://www.drugfreesport.org.za/online-medication-check/] No drugs.com

Brands & products

0 products · cached snapshot
Trade names (1)
  • Cepacol

Medical aid coverage

data not yet integrated
Discovery Health
not yet integrated
  • Comprehensive Series—
  • Executive Plan—
  • KeyCare Series—
  • Priority Series—
  • Saver Series—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

Bonitas Medical Fund
not yet integrated
  • BonClassic—
  • BonComprehensive—
  • BonEssential—
  • BonFit Select—
  • BonSave—
  • BonStart—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

GEMS — Government Employees Medical Scheme
not yet integrated
  • Beryl—
  • Emerald—
  • Onyx—
  • Ruby—
  • Sapphire—
  • Tanzanite One—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

POLMED — Police Medical Aid Scheme
not yet integrated
  • Aquarium Option—
  • Efficiency Option—
  • Marine Option—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

NeoHealth® ID 14896 · updated 11/10/2022