neobookRx
DrugsLevel 4 LocalisationS1DRP · TABEML

Sodium Fluoride

Fluoride compoundMineral supplement

Indications

Registered South African indications: 

  • Prophylaxis of dental caries

Cautions

Contraindications

  • Hypersensitivity to the active ingredient or any of its excipients
  • Kidney disease
  • Sodium fluoride should not be used until the fluoride concentration in the drinking water supply is known
  • Use must especially be avoided in regions in which fluoridation is practiced in the form of addition of fluoride to table salt or the drinking water supply

Cautions

  • Pregnancy
  • Breastfeeding
  • Hepatic impairment
  • Elderly

Adult dosage

Forms avail. in SA and covered in this monograph: drp, tab

Prophylaxis of dental caries

  • Oral (drp, tab): 2.2mg, dly

Paediatric dosage

Paed. forms avail. in SA and covered in this monograph: drp, tab

Prophylaxis of dental caries

  • Oral (drp, tab):
Age Drinking water containing less than 0.3mg/l of fluoride Drinking water containing 0.3-0.7mg/l of fluoride Drinking water containing more than 0.7mg/l of fluoride
0-2 years 0.55mg, dly Nil Nil
2-4 years 1.1mg, dly 0.55mg, dly Nil
4-14 years and over 2.2mg, dly 1.1mg, dly Nil

Administration should begin in very early childhood


Four drops or one tablet of 0.55mg (which should be crushed and dissolved in a little water) should be added to a bottle or solid meal, or administered alone

As soon as the age of the child permits, tablets should no longer be swallowed, but sucked slowly in the mouth, between the cheek and gum, sometimes on the left and sometimes on the right side


They are best taken in the evening before bedtime, after brushing the teeth as in this way high fluoride concentrations in the mouth can be maintained for a longer period

Special populations

Adverse reactions

Gastrointestinal Disorders

  • Mottled enamel of teeth

Musculoskeletal Disorders

  • Osteosclerosis
  • Joint pain
  • Stiffness
  • Limited movement
  • Crippling deformity

Interactions

  • Calcium
  • Magnesium 
  • Aluminium
  • Milk and dairy products

Monitoring

None routine

Mechanism of action

The protective action of sodium flouride is due to its accumulation in the outer layers of the dental enamel. Before the teeth erupt, sodium flouride is carried to the developing teeth by the bloodstream and thus permits effective fluoridation before the teeth appear. After their eruption the teeth take up fluoride by way of direct contact with the fluoride contained in the saliva.

Dosage forms

  • Drops, oral
  • Tablet

Formulation

Tablet 0.55mg

  • Zymafluor (Takeda) originator

Drops (per 4 drops) 0.55mg

  • Zymafluor (Takeda) originator

References

1. SAMF_12th Edition_Page 36 2. https://drive.google.com/drive/folders/108zRMnmxKQBG-wcouMyfUzujIAe-WHdn (07/06/1991_Takedas_Zymafluor_drops, tablet) **No SPC no uptodate no drugs.com

Brands & products

85 products · stale NAPPI snapshot · refreshed 5/28/2026 · 159 days old

tabletGeneric· 2 products

from R0.83/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Zymafluor- mg400S1R330.86R0.83R116.23779482026
Zymafluor- mg150S1R141.14R0.94R60.71779482018

TpnGeneric· 71 products

from R1.39/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
ITN 6000a 2520ml1 zzz2520S3R3507.72R1.39R406.44857580019
ITN 7003a 2520ml1 zzz2520S3R3632.52R1.44R413.22858161001
ITN 5003a 2620ml1 zzz2620S3R3775.94R1.44R421.02883292009
ITN 7001a 2520ml1 zzz2520S3R3666.14R1.45R415.05853321019
ITN 6001a 2020ml1 zzz2020S3R3285.29R1.63R394.34858145006
ITN 5004a 2240ml1 zzz2240S3R3777.93R1.69R421.13897608005
ITN 7002a 2520ml1 zzz2020S3R3480.02R1.72R404.93853348006
ITN 5004xa 2120ml1 zzz2120S3R3777.93R1.78R421.13897612019
ITN 5002a 2240ml1 zzz2240S3R4070.61R1.82R437.04883284006
ITN 8003a 2140ml1 zzz2140S3R4016.29R1.88R434.09858196018
ITN 3013xa 1520ml1 zzz1520S3R3078.34R2.03R383.09861375009
ITN 2102a 1730ml1 zzz1730S3R3647.20R2.11R414.02894154005
ITN 2102XA 1600ml1 zzz1610S3R3545.31R2.20R408.48707129001
ITN 55a 600ml1 zzz600S3R1400.44R2.33R291.86882950002
ITN 8009a 1500ml1 zzz1590S3R4096.66R2.58R438.46705706001
ITN 8010a 1500ml1 zzz1590S3R4100.78R2.58R438.68705707001
ITN 8008a 1500ml1 zzz1590S3R4101.46R2.58R438.72705705001
ITN 8010XA 1500ml1 zzz1520S3R4107.25R2.70R439.04706708001
ITN 8008XA 1500ml1 zzz1520S3R4107.25R2.70R439.04706707001
ITN 8009XA 1500ml1 zzz1520S3R4107.25R2.70R439.04706709001
ITN 1006n 150ml1 zzz1S3R643.95R643.95R179.20817171002
ITN 1005n 150ml1 zzz1S3R643.95R643.95R179.20817589023
ITN 1005a 250ml1 zzz1S3R764.38R764.38R196.91892283002
ITN 1601n 150ml1 zzz1S3R997.06R997.06R231.15822116006
ITN 1606n 150ml1 zzz1S3R1004.05R1004.05R232.17700837001
ITN 1003a 500ml1 zzz1S3R1005.95R1005.95R232.45703323001
ITN 1601a 235ml1 zzz1S3R1152.99R1152.99R254.09865001006
ITN 1002a 1000ml1 zzz1S3R1327.85R1327.85R279.81703321001
ITN 1603a 450ml1 zzz1S3R1359.84R1359.84R284.52701476003
ITN 1503a 500ml1 zzz1S3R1369.51R1369.51R285.94701272001
+ 41 more Tpn products (not shown)

dropsGeneric· 1 product

from R5.34/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Zymafluor- mg20S1R106.79R5.34R48.83835226018

capsuleGeneric· 3 products

from R6.37/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Filibon50 u30S1R191.16R6.37R78.02726257001
Gericomplex 60 mg100S5R849.88R8.50R209.49728705028
Gericomplex 60 mg30S5R299.79R9.99R107.68728705001

infusionGeneric· 7 products

from R14.14/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Nutryelt- µg/10ml10S3R1413.85R14.14R292.593006284001
Addaven5.33 ug/ml10S3R4017.42R20.09R434.153006204002
Peditrace 10ml pdp100010- mcg10S3R2487.26R24.87R350.95869279009
Addaven5.33 ug/ml10S3R281.93R28.19R102.773006204001
Peditrace 10ml pdp100010- mcg10S3R329.47R32.95R115.85869279010
Itn 3004 A- g1S3R3027.56R3027.56R380.33821721003
Itn 5007 A1 zzz1S3R3250.90R3250.90R392.47883299003

inhalerGeneric· 1 product

from R355.65/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Spiriva respimat inhaler 60 doses2 mg4S3R1422.59R355.65R293.06710897001
Trade names (1)
  • Zymafluor

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 16732 · updated 12/3/2024