Cetylpyridinium Chloride
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- Cepacol
Medical aid coverage
data 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.
- BonClassic—
- BonComprehensive—
- BonEssential—
- BonFit Select—
- BonSave—
- BonStart—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Beryl—
- Emerald—
- Onyx—
- Ruby—
- Sapphire—
- Tanzanite One—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Aquarium Option—
- Efficiency Option—
- Marine Option—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.