Mastodon

Septolete® Plus (Spray, Pastilles) Instructions for Use

ATC Code

R02A (Preparations for the treatment of throat diseases)

Active Substances

Cetylpyridinium chloride (Rec.INN registered by WHO)

Benzocaine (Rec.INN registered by WHO)

Clinical-Pharmacological Group

Drug with antimicrobial and local anesthetic action for topical use in ENT practice and dentistry

Pharmacotherapeutic Group

Antiseptic + local anesthetic

Pharmacological Action

A combined medicinal product for topical use in ENT practice and dentistry.

It has a local anesthetic and antimicrobial action.

Cetylpyridinium chloride is an antiseptic that has antimicrobial, antifungal, and virucidal action.

Benzocaine is a local anesthetic agent that reduces pain when swallowing, which often accompanies infectious and inflammatory processes of the oral cavity and throat.

Pharmacokinetics

Quaternary ammonium compounds, to which Cetylpyridinium chloride belongs, are absorbed only by 10-20%. The unabsorbed part is excreted through the intestine unchanged.

Benzocaine is poorly soluble in water, which determines its minimal absorption. Absorbed Benzocaine is hydrolyzed mainly by plasma cholinesterase, a small part is metabolized in the liver. Metabolites are excreted by the kidneys.

Indications

Infectious and inflammatory diseases of the oral cavity, pharynx and larynx: pharyngitis, laryngitis, initial stage of tonsillitis; inflammation of the gums and oral mucosa (gingivitis, stomatitis).

ICD codes

ICD-10 code Indication
J02 Acute pharyngitis
J03 Acute tonsillitis
J04.0 Acute laryngitis
J31.2 Chronic pharyngitis
J35.0 Chronic tonsillitis
J37.0 Chronic laryngitis
K05 Gingivitis and periodontal diseases
K12 Stomatitis and related lesions
ICD-11 code Indication
CA02.Z Acute pharyngitis, unspecified
CA03.Z Acute tonsillitis, unspecified
CA05.0 Acute laryngitis
CA09.2 Chronic pharyngitis
CA0F.Y Other specified chronic diseases of the palatine tonsils and adenoids
CA0G Chronic laryngitis or laryngotracheitis
DA01.Z Diseases of the oral mucosa, unspecified
DA0B.Z Gingival diseases, unspecified
DA0C.Z Periodontal diseases, unspecified
DA0Z Diseases or disorders of the orofacial complex, unspecified

Dosage Regimen

The method of application and dosage regimen for a specific drug depend on its form of release and other factors. The optimal dosage regimen is determined by the doctor. It is necessary to strictly adhere to the compliance of the dosage form of a specific drug with the indications for use and dosage regimen.

For topical use only. Administer every 2-4 hours as required. The specific single dose is determined by the patient’s age and the selected dosage form.

For the spray, apply 3-4 sprays directly to the affected area of the throat or oral cavity. Direct the spray nozzle accurately before administration.

For pastilles, dissolve one lozenge slowly in the mouth until completely dispersed. Do not chew or swallow the lozenge whole.

Adhere strictly to the maximum daily frequency of administration. Do not exceed 8 doses within a 24-hour period.

In children aged 6 to 12 years, use only under adult supervision to ensure proper administration and to prevent choking.

Maintain an interval of at least 30-60 minutes between administration and eating or drinking. Avoid food and milk immediately after use to prevent reduction of therapeutic effect.

Discontinue use and consult a physician if symptoms persist for more than 3 days or worsen. Seek immediate medical advice if signs of a severe infection appear.

Adverse Reactions

From the digestive system very rarely – nausea, diarrhea, upon occurrence of which the drug should be discontinued.

Other very rarely – allergic reactions.

Contraindications

Children under 6 years of age; hypersensitivity to the components of the medicinal product.

With caution

Open wounds of the oral cavity (because Cetylpyridinium chloride slows down wound healing).

Use in Pregnancy and Lactation

Not recommended for use during pregnancy and lactation (breastfeeding).

Pediatric Use

Contraindication: children under 6 years of age.

Special Precautions

Do not exceed the recommended doses.

In more severe infectious processes accompanied by fever, headache and vomiting, it is necessary to consult a doctor, especially if the condition does not improve within 3 days from the start of therapy.

Drug Interactions

Simultaneous use with food and milk may reduce the local antiseptic and anesthetic effects of the medicinal product.

Storage Conditions

Store at 2°C (36°F) to 25°C (77°F). Keep in original packaging, protected from light. Keep out of reach of children.

Dispensing Status

Over-the-Counter

Important Safety Information

This information is for educational purposes only and does not replace professional medical advice. Always consult your doctor before use. Dosage and side effects may vary. Use only as prescribed.

Medical Disclaimer

Brand (or Active Substance), Marketing Authorisation Holder, Dosage Form

Marketing Authorization Holder

Krka, D.D. (Slovenia)

Dosage Form

Bottle OTC Icon Septolete® Plus Metered-dose topical spray 1.5 mg+0.3 mg/dose: 30 ml (160 doses) bottle

Dosage Form, Packaging, and Composition

Metered-dose topical spray in the form of a clear solution from colorless to light yellow.

1 ml
Benzocaine 10 mg
Cetylpyridinium chloride (in the form of monohydrate) 2 mg

Excipients : ethanol 96% – 330 mg, glycerol – 200 mg, sodium saccharin – 0.9 mg, peppermint oil – 1 mg, water – up to 1 ml.

30 ml (160 doses) – polyethylene bottles with a spray nozzle (1) – cardboard packs.

Marketing Authorization Holder

Krka, D.D. (Slovenia)

Dosage Form

Bottle OTC Icon Septolete® Plus Honey-lime lozenges 5 mg+1 mg: 18 pcs.

Dosage Form, Packaging, and Composition

Honey-lime lozenges, film-coated dark yellow, round, biconvex, with a smooth surface.

1 lozenge
Benzocaine 5 mg
Cetylpyridinium chloride (in the form of monohydrate) 1 mg

Excipients : levomenthol – 3 mg, peppermint leaf oil – 1 mg, lime flavor – 25 mg, honey flavor – 15 mg, liquid maltitol (dry substance) – 478 mg, mannitol – 167.5 mg, glycerol – 3.5 mg, castor oil – 1.1 mg, colloidal silicon dioxide – 1 mg, magnesium stearate – 10 mg, Capol 600 Pharma – 2.5 mg, povidone – 2.5 mg, titanium dioxide (E171) – 4 mg, quinoline yellow dye (E104) – 0.75 mg, caramel dye (E150a) – 0.06 mg, allura red AC dye (E129) – 0.01 mg, maltitol – up to 1250 mg.

9 pcs. – blisters (2) – cardboard packs.

Marketing Authorization Holder

Krka, D.D. (Slovenia)

Dosage Form

Bottle OTC Icon Septolete® Plus Pastilles 5 mg+1 mg: 18 pcs.

Dosage Form, Packaging, and Composition

Pastilles , film-coated blue, round, biconvex, with a smooth surface.

1 pastille
Benzocaine 5 mg
Cetylpyridinium chloride (in the form of monohydrate) 1 mg

Excipients : levomenthol, peppermint leaf oil, liquid maltitol (dry substance), mannitol, glycerol, castor oil, anhydrous colloidal silicon dioxide, magnesium stearate, patent blue V dye (E131), titanium dioxide (E171), emulsion wax (Capol 600 Pharma), povidone, maltitol.

9 pcs. – blisters (2) – cardboard packs.

TABLE OF CONTENTS