Tantum® Rosa (Powder, Solvent) Instructions for Use
ATC Code
G02CC03 (Benzydamine)
Active Substance
Benzydamine (Rec.INN registered by WHO)
Clinical-Pharmacological Group
Topical NSAID for use in gynecology
Pharmacotherapeutic Group
Other drugs used in gynecology; anti-inflammatory drugs for vaginal administration
Pharmacological Action
NSAID for vaginal administration, belongs to the indazole group. It has anti-inflammatory and local analgesic action, and possesses antibacterial, antifungal, and antiseptic action.
The mechanism of action of the drug is associated with the stabilization of cell membranes and inhibition of prostaglandin synthesis.
Benzydamine exerts an antibacterial effect due to rapid penetration through the membranes of microorganisms with subsequent damage to cell structures, disruption of metabolic processes, and cell lysis.
It has an antifungal effect against Candida albicans. It causes structural modifications of the fungal cell wall and metabolic chains of mycetes and thus prevents their reproduction.
Pharmacokinetics
When applied topically, it is well absorbed through the mucous membranes and penetrates into inflamed tissues.
Benzydamine is excreted mainly by the kidneys and through the intestine in the form of metabolites or conjugation products.
Indications
In the postpartum period as a therapeutic and prophylactic agent for the prevention of postpartum infectious complications; specific vulvovaginitis (as part of complex therapy); nonspecific vulvovaginitis and cervicovaginitis of any etiology, including those secondarily developed against the background of chemotherapy and radiotherapy; bacterial vaginosis; prevention of postoperative infectious complications in operative gynecology.
ICD codes
| ICD-10 code | Indication |
| N72 | Inflammatory disease of cervix uteri (including cervicitis, endocervicitis, exocervicitis) |
| N76 | Other inflammatory diseases of vagina and vulva |
| N77.1 | Vaginitis, vulvitis and vulvovaginitis in infectious and parasitic diseases classified elsewhere |
| N89.8 | Other noninflammatory disorders of vagina |
| O86 | Other postpartum infections |
| T88.8 | Other specified complications of surgical and medical care, not elsewhere classified |
| Z29.8 | Other specified prophylactic measures |
| ICD-11 code | Indication |
| 1F23.10 | Candidiasis of vulva and vagina |
| 1F65 | Enterobiasis |
| 1H0Z | Unspecified infection |
| GA00 | Vulvitis |
| GA02.Z | Unspecified vaginitis |
| GA0Z | Inflammatory diseases of female genital tract, unspecified |
| GC42.1 | Painful intercourse |
| JB40.Z | Infections in the puerperium, unspecified |
| MF3A | Vaginal discharge |
| NE8Z | Injury or harm caused as a result of surgical or therapeutic interventions, not elsewhere classified, unspecified |
| QC05.Z | Prophylactic measures, unspecified |
| 1A94.0 | Genital or urogenital tract infection caused by Herpes simplex virus |
| GA41 | Ulcerative or erosive diseases of vulva |
| GA0Z | Inflammatory diseases of female genital tract, unspecified |
| XA5WW1 | Cervix uteri |
| GA1Z | Unspecified noninflammatory disorders of female genital tract |
| XA1LK7 | Vagina |
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. |
Prepare the solution immediately before use. Dissolve the entire contents of one sachet in one liter of warm, previously boiled water.
Use the prepared solution for vaginal irrigation (douching) or sitz baths. Perform the procedure once or twice daily, typically in the morning and evening.
For therapeutic purposes, the standard course of treatment is 7 to 10 days. For prophylactic use in the postpartum period or postoperatively, the duration is typically 3 to 5 days.
Adjust the frequency and duration of application based on the clinical response and the specific indication being treated. Discontinue use if signs of local hypersensitivity appear.
Adverse Reactions
Rarely, allergic reactions, dryness of the oral mucosa are possible.
Contraindications
Hypersensitivity to benzydamine.
Use in Pregnancy and Lactation
There are no contraindications to the topical use of benzydamine during pregnancy and lactation (breastfeeding).
Special Precautions
Long-term use may cause hypersensitivity reactions.
Storage Conditions
Store at 2°C (36°F) to 30°C (86°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
Vaginal solution 0.1%: fl. 140 mL 5 pcs.
Marketing Authorization Holder
Angelini Pharma, S.p.A. (Italy)
Dosage Form
| Tantum® Rosa | Vaginal solution 0.1%: fl. 140 mL 5 pcs. |
Dosage Form, Packaging, and Composition
Vaginal solution in the form of a colorless, transparent liquid, with a characteristic rose scent.
| 100 ml | |
| Benzydamine hydrochloride | 0.1 g |
Excipients: benzalkonium chloride, disodium edetate, ethanol 96%, polysorbate 20, rose oil, purified water.
140 ml – polyethylene bottles with a cap with a cannula with a return valve and a guide nozzle (5) – cardboard boxes.
Powder for vaginal solution 500 mg: sachets 10 pcs.
Marketing Authorization Holder
Angelini Pharma, S.p.A. (Italy)
Dosage Form
| Tantum® Rosa | Powder for vaginal solution 500 mg: sachets 10 pcs. |
Dosage Form, Packaging, and Composition
Powder for preparation of vaginal solution in the form of homogeneous white granules, without lumps and foreign particles.
| 1 sachet | |
| Benzydamine hydrochloride | 500 mg |
Excipients: trimethylcetylammonium toluenesulfonate, povidone K25, sodium chloride.
9.44 g – sachets made of paper and polypropylene, heat-sealed (10) – cardboard boxes.
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