Zileksa sept (Solution) Instructions for Use
Marketing Authorization Holder
Tsitera LLC (Russia)
Manufactured By
Grotex, LLC (Russia)
ATC Code
D08AJ (Quaternary ammonium compounds)
Active Substance
Benzyldimethyl-myristoylamino-propylammonium (Group Name)
Dosage Form
| Zileksa sept | Solution for topical application 0.01 %: bottle 50 ml or 150 ml |
Dosage Form, Packaging, and Composition
Solution for topical application in the form of a colorless, transparent liquid.
| 1 ml | |
| Benzyldimethyl[3-(myristoylamino)propyl]ammonium chloride monohydrate | 0.104 mg, |
| Calculated as the anhydrous substance | 0.1 mg |
Excipients : purified water – up to 1 ml.
50 ml – polyethylene bottles (1) with a urological applicator and a screw cap in a set with a gynecological nozzle in a bag or without it – cardboard packs.
50 ml – polyethylene bottles (1) with a pump with a push-type spray device with a folding cannula or without it – cardboard packs.
150 ml – polyethylene bottles (1) with a screw cap in a set with two nozzles: a pump with a push-type spray device and a pump with a push-type spray device with a folding polypropylene cannula in bags or without them – cardboard packs.
Clinical-Pharmacological Group
Topical antiseptic
Pharmacotherapeutic Group
Antiseptic
Pharmacological Action
An antiseptic agent that has antiviral and bactericidal action (hydrophobic interaction with the membranes of microorganisms leads to their destruction).
It is active against gram-positive and gram-negative, aerobic and anaerobic, spore-forming and asporogenic bacteria in the form of monocultures and microbial associations, including hospital strains with polyresistance to antibiotics.
The following microorganisms exhibit the highest sensitivity to the drug: gram-positive microorganisms (Staphylococcus spp., Streptococcus spp., Bacillus anthracoides, Bacillus subtilis); gram-negative microorganisms: Neisseria spp., Escherichia spp., Shigella spp. (including Sonne, Flexner), Salmonella spp. (typhoid fever, paratyphoid A and B, causative agents of food toxicoinfections), Vibrio spp. (including cholera, NAG, paracholera, parahaemolytic), Treponema pallidum, Corynebacterium diphtheriae; fungi (Candida albicans, Candida tropicalis, Trichophyton rubrum, Microsporum lanosum, Aspergillus niger); protozoa (Chlamydia trachomatis, Chlamydia pneumonia).
Indications
Purulent wounds in surgical and obstetric practice; burns (superficial and deep); inflammatory diseases of the female genital organs; sexually transmitted diseases (syphilis, gonorrhea, trichomoniasis, chlamydia, genital herpes); urethritis (acute and chronic), urethroprostatitis of specific (trichomoniasis, chlamydia, gonorrhea) and nonspecific nature; periodontitis, stomatitis, hygienic treatment of removable dentures; otitis (acute and chronic), sinusitis, tonsillitis, laryngitis; fungal lesions of the skin and mucous membranes.
ICD codes
| ICD-10 code | Indication |
| A53.9 | Syphilis, unspecified |
| A54 | Gonococcal infection |
| A56 | Other sexually transmitted chlamydial diseases |
| A59 | Trichomoniasis |
| A60 | Anogenital herpesviral infection [herpes simplex] |
| B35.3 | Tinea pedis |
| B37.0 | Candidal stomatitis |
| B37.2 | Candidiasis of skin and nails |
| B37.3 | Candidiasis of vulva and vagina |
| B37.4 | Candidiasis of other urogenital sites |
| H60.9 | Otitis externa, unspecified |
| J01 | Acute sinusitis |
| J02.9 | Acute pharyngitis, unspecified |
| J03 | Acute tonsillitis |
| J04.0 | Acute laryngitis |
| J31.2 | Chronic pharyngitis |
| J32 | Chronic sinusitis |
| J35.0 | Chronic tonsillitis |
| J37.0 | Chronic laryngitis |
| K04 | Diseases of pulp and periapical tissues (including periodontitis) |
| K05 | Gingivitis and periodontal diseases |
| K12 | Stomatitis and related lesions |
| N34.1 | Nonspecific urethritis |
| N76 | Other inflammatory diseases of vagina and vulva |
| N77.1 | Vaginitis, vulvitis and vulvovaginitis in infectious and parasitic diseases classified elsewhere |
| O70 | Perineal laceration during delivery |
| O71 | Other obstetric trauma |
| T30 | Burns and corrosions of unspecified body region |
| T79.3 | Posttraumatic wound infection, not elsewhere classified |
| Z97.2 | Presence of dental prosthesis |
| ICD-11 code | Indication |
| 1A61.Z | Early syphilis, unspecified |
| 1A62.Z | Late syphilis, unspecified |
| 1A7Z | Gonococcal infection, unspecified |
| 1A81.0 | Chlamydial infection of lower genitourinary tract |
| 1A81.1 | Chlamydial infection of internal reproductive organs |
| 1A92 | Trichomoniasis |
| 1A94.Z | Anogenital herpes simplex virus infection without further specification |
| 1F23.0 | Candidiasis of the lips or oral mucosa |
| 1F23.10 | Candidiasis of vulva and vagina |
| 1F23.11 | Candidal balanoposthitis |
| 1F23.1Z | Candidiasis of skin or mucous membranes, unspecified |
| 1F28.Z | Dermatophytosis, unspecified |
| 1F65 | Enterobiasis |
| 1H0Z | Unspecified infection |
| AA9Z | Unspecified suppurative otitis media |
| CA01 | Acute rhinosinusitis |
| CA03.Z | Acute tonsillitis, unspecified |
| CA05.0 | Acute laryngitis |
| CA0A.Z | Chronic rhinosinusitis, unspecified |
| 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 |
| DA09.Z | Diseases of pulp and periapical tissues, unspecified |
| DA0B.Z | Gingival diseases, unspecified |
| DA0C.Z | Periodontal diseases, unspecified |
| DA0Z | Diseases or disorders of the orofacial complex, unspecified |
| GA00 | Vulvitis |
| GA02.Z | Unspecified vaginitis |
| GA0Z | Inflammatory diseases of female genital tract, unspecified |
| GA91.Z | Inflammatory and other diseases of prostate, unspecified |
| GC02.1 | Nonspecific urethritis |
| GC02.Z | Urethritis and urethral syndrome, unspecified |
| JB09.Z | Perineal laceration during delivery, unspecified |
| JB0A.Z | Obstetric trauma, unspecified |
| NE11 | Burn of unspecified body region |
| NF0A.3 | Posttraumatic wound infection, not elsewhere classified |
| QB51.A | Presence of dental prosthetic device |
| 1A94.0 | Genital or urogenital tract infection caused by Herpes simplex virus |
| GA41 | Ulcerative or erosive diseases of vulva |
| 1F23.1Z | Candidiasis of skin or mucous membranes, unspecified |
| XA5FG3 | Genital region |
| GA0Z | Inflammatory diseases of female genital tract, unspecified |
| XA5WW1 | Cervix uteri |
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. |
Topically and externally. For purulent wounds and burns – application of gauze dressings soaked in a 0.01% solution.
For acute and chronic urethritis and urethroprostatitis, the solution is injected into the urethra in a volume of 2-5 ml 2-3 times/day for 5-7 days (in combination with other drugs).
For prevention of infection of postpartum injuries, tampons soaked in 50 ml of the solution are inserted intravaginally with an exposure of 2 hours for 7 days.
For prevention of sexually transmitted diseases, before use, one should urinate, wash hands and genitals. Then unscrew the bottle cap and, pressing on the walls, treat the skin of the pubis, inner surfaces of the thighs, and genitals with a stream of the solution. Insert the tip of the nozzle into the external opening of the urethra and squeeze out 1.5-3 ml (men) and 1-1.5 ml (women), into the vagina – 5-10 ml. Without releasing the fingers, remove the nozzle from the urethral opening and hold the solution for 2-3 minutes.
After the procedure, it is not recommended to urinate for 2 hours. It is prophylactically effective if the procedure is performed no later than 2 hours after sexual intercourse.
Adverse Reactions
Allergic reactions. Locally – a burning sensation at the site of application (goes away on its own within 10-15 seconds and does not require discontinuation of the drug).
Contraindications
Hypersensitivity.
Drug Interactions
With simultaneous use with antibiotics, a decrease in the resistance of microorganisms to the latter has been noted.
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
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