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 DisclaimerBrand (or Active Substance), Marketing Authorisation Holder, Dosage Form
Metered-dose topical spray 1.5 mg+0.3 mg/dose: 30 ml (160 doses) bottle
Marketing Authorization Holder
Krka, D.D. (Slovenia)
Dosage Form
| 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.
Honey-lime lozenges 5 mg+1 mg: 18 pcs.
Marketing Authorization Holder
Krka, D.D. (Slovenia)
Dosage Form
| 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.
Pastilles 5 mg+1 mg: 18 pcs.
Marketing Authorization Holder
Krka, D.D. (Slovenia)
Dosage Form
| 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.
Mildronate capsules 500mg, 90pcs
No-spa pills 40mg, 64pcs 