Sodium Fluoride
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
Pregnancy
Breastfeeding
Renal Impairment
Hepatic Impairment
Elderly
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 oldtabletGeneric· 2 products
from R0.83/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Zymafluor | - mg | 400 | S1 | R330.86 | R0.83 | R116.23 | 779482026 |
| Zymafluor | - mg | 150 | S1 | R141.14 | R0.94 | R60.71 | 779482018 |
TpnGeneric· 71 products
from R1.39/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| ITN 6000a 2520ml | 1 zzz | 2520 | S3 | R3507.72 | R1.39 | R406.44 | 857580019 |
| ITN 7003a 2520ml | 1 zzz | 2520 | S3 | R3632.52 | R1.44 | R413.22 | 858161001 |
| ITN 5003a 2620ml | 1 zzz | 2620 | S3 | R3775.94 | R1.44 | R421.02 | 883292009 |
| ITN 7001a 2520ml | 1 zzz | 2520 | S3 | R3666.14 | R1.45 | R415.05 | 853321019 |
| ITN 6001a 2020ml | 1 zzz | 2020 | S3 | R3285.29 | R1.63 | R394.34 | 858145006 |
| ITN 5004a 2240ml | 1 zzz | 2240 | S3 | R3777.93 | R1.69 | R421.13 | 897608005 |
| ITN 7002a 2520ml | 1 zzz | 2020 | S3 | R3480.02 | R1.72 | R404.93 | 853348006 |
| ITN 5004xa 2120ml | 1 zzz | 2120 | S3 | R3777.93 | R1.78 | R421.13 | 897612019 |
| ITN 5002a 2240ml | 1 zzz | 2240 | S3 | R4070.61 | R1.82 | R437.04 | 883284006 |
| ITN 8003a 2140ml | 1 zzz | 2140 | S3 | R4016.29 | R1.88 | R434.09 | 858196018 |
| ITN 3013xa 1520ml | 1 zzz | 1520 | S3 | R3078.34 | R2.03 | R383.09 | 861375009 |
| ITN 2102a 1730ml | 1 zzz | 1730 | S3 | R3647.20 | R2.11 | R414.02 | 894154005 |
| ITN 2102XA 1600ml | 1 zzz | 1610 | S3 | R3545.31 | R2.20 | R408.48 | 707129001 |
| ITN 55a 600ml | 1 zzz | 600 | S3 | R1400.44 | R2.33 | R291.86 | 882950002 |
| ITN 8009a 1500ml | 1 zzz | 1590 | S3 | R4096.66 | R2.58 | R438.46 | 705706001 |
| ITN 8010a 1500ml | 1 zzz | 1590 | S3 | R4100.78 | R2.58 | R438.68 | 705707001 |
| ITN 8008a 1500ml | 1 zzz | 1590 | S3 | R4101.46 | R2.58 | R438.72 | 705705001 |
| ITN 8010XA 1500ml | 1 zzz | 1520 | S3 | R4107.25 | R2.70 | R439.04 | 706708001 |
| ITN 8008XA 1500ml | 1 zzz | 1520 | S3 | R4107.25 | R2.70 | R439.04 | 706707001 |
| ITN 8009XA 1500ml | 1 zzz | 1520 | S3 | R4107.25 | R2.70 | R439.04 | 706709001 |
| ITN 1006n 150ml | 1 zzz | 1 | S3 | R643.95 | R643.95 | R179.20 | 817171002 |
| ITN 1005n 150ml | 1 zzz | 1 | S3 | R643.95 | R643.95 | R179.20 | 817589023 |
| ITN 1005a 250ml | 1 zzz | 1 | S3 | R764.38 | R764.38 | R196.91 | 892283002 |
| ITN 1601n 150ml | 1 zzz | 1 | S3 | R997.06 | R997.06 | R231.15 | 822116006 |
| ITN 1606n 150ml | 1 zzz | 1 | S3 | R1004.05 | R1004.05 | R232.17 | 700837001 |
| ITN 1003a 500ml | 1 zzz | 1 | S3 | R1005.95 | R1005.95 | R232.45 | 703323001 |
| ITN 1601a 235ml | 1 zzz | 1 | S3 | R1152.99 | R1152.99 | R254.09 | 865001006 |
| ITN 1002a 1000ml | 1 zzz | 1 | S3 | R1327.85 | R1327.85 | R279.81 | 703321001 |
| ITN 1603a 450ml | 1 zzz | 1 | S3 | R1359.84 | R1359.84 | R284.52 | 701476003 |
| ITN 1503a 500ml | 1 zzz | 1 | S3 | R1369.51 | R1369.51 | R285.94 | 701272001 |
| + 41 more Tpn products (not shown) | |||||||
dropsGeneric· 1 product
from R5.34/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Zymafluor | - mg | 20 | S1 | R106.79 | R5.34 | R48.83 | 835226018 |
capsuleGeneric· 3 products
from R6.37/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Filibon | 50 u | 30 | S1 | R191.16 | R6.37 | R78.02 | 726257001 |
| Gericomplex | 60 mg | 100 | S5 | R849.88 | R8.50 | R209.49 | 728705028 |
| Gericomplex | 60 mg | 30 | S5 | R299.79 | R9.99 | R107.68 | 728705001 |
infusionGeneric· 7 products
from R14.14/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Nutryelt | - µg/10ml | 10 | S3 | R1413.85 | R14.14 | R292.59 | 3006284001 |
| Addaven | 5.33 ug/ml | 10 | S3 | R4017.42 | R20.09 | R434.15 | 3006204002 |
| Peditrace 10ml pdp100010 | - mcg | 10 | S3 | R2487.26 | R24.87 | R350.95 | 869279009 |
| Addaven | 5.33 ug/ml | 10 | S3 | R281.93 | R28.19 | R102.77 | 3006204001 |
| Peditrace 10ml pdp100010 | - mcg | 10 | S3 | R329.47 | R32.95 | R115.85 | 869279010 |
| Itn 3004 A | - g | 1 | S3 | R3027.56 | R3027.56 | R380.33 | 821721003 |
| Itn 5007 A | 1 zzz | 1 | S3 | R3250.90 | R3250.90 | R392.47 | 883299003 |
inhalerGeneric· 1 product
from R355.65/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Spiriva respimat inhaler 60 doses | 2 mg | 4 | S3 | R1422.59 | R355.65 | R293.06 | 710897001 |
- Zymafluor
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.