Medica Keeltabletten Lemon (Chlorhexidine Dihydrochloride, Lidocaine Hydrochloride Monohydrate)

Medica Keeltabletten Lemon combines an antiseptic and a local anaesthetic to address infections and pain of the oral cavity.

• Oral mucosal infections: reduces bacterial load and promotes healing of infected tissue.
• Sore throat: alleviates pain while controlling microbial growth in the pharyngeal area.
• Mouth ulcers: provides antiseptic protection and numbing relief to facilitate recovery.

• Chlorhexidine Dihydrochloride binds to bacterial cell membranes, causing loss of integrity and cell death, thereby providing broad‑spectrum antiseptic activity. Lidocaine Hydrochloride Monohydrate blocks voltage‑gated sodium channels in peripheral nerves of the oral mucosa, inhibiting nerve impulse transmission and producing local anaesthesia.

Adverse reactions may occur with oromucosal use of the lozenge.

Common Side Effects

• Altered taste sensation: temporary metallic or bitter taste.
• Oral irritation: mild burning or tingling at the site of contact.
• Nausea: occasional feeling of queasiness after dissolution.
• Mild headache: transient headache in some users.
• Dry mouth: reduced salivation during use.

Serious or Rare Side Effects

• Anaphylactic reaction: severe allergic response requiring immediate medical attention.
• Stevens‑Johnson syndrome: rare severe skin and mucous membrane disorder.
• Persistent oral ulceration: prolonged ulcer formation beyond expected healing time.
• Severe dizziness or fainting: indicative of systemic lidocaine absorption.
• Swelling of the lips or tongue: signs of hypersensitivity.

Before using Medica Keeltabletten Lemon, consider the following safety measures.

• Allergy assessment: avoid if known hypersensitivity to chlorhexidine, lidocaine, or any excipients.
• Pregnancy and lactation: consult a healthcare professional before use.
• Duration of use: limit to the period recommended by a prescriber to prevent mucosal irritation.
• Pediatric use: exercise caution in children under six years of age unless directed by a clinician.
• Concomitant medications: inform the prescriber of other oral antiseptics or anesthetics being used.
• Store at ambient temperature below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Potential drug interactions should be reviewed prior to initiating therapy.

Major Interactions (Avoid)

• Concurrent topical anesthetics: may increase systemic lidocaine exposure.
• Alcohol‑based mouthwashes: can enhance mucosal irritation and reduce antiseptic efficacy.

Moderate Interactions (Monitor Closely)

• Systemic sodium channel blockers (e.g., antiarrhythmics): may potentiate lidocaine effects.
• Other chlorhexidine‑containing products: risk of cumulative antiseptic exposure leading to mucosal dryness.
• Anticoagulants: monitor for any unusual bleeding if extensive oral lesions are present.