gelclair concentrated oral rinse, 21 Count x 15ml sachets

Product Information

Require long term on-going monitoring and dose adjustment to ensure efficacy and minimise toxicity by a specialist Parents and patients should be informed for the importance of keeping the mouth clean and encouraged to practice good, basic oral hygiene For oral ulceration (unlicensed indication) in adult and child over 12 years. Usual dose is 500micrograms dissolved in 20mL water and rinsed around the mouth 4 times daily.

The medicines listed in the NHS Pharmacy First Scotland Approved List should be used within their GSL or P licensed indication, and the PoM products listed should only be used under the terms of the relevant Patient Group Directions (PGDs). Oral hygiene advice should be given to children and parents prior to commencing cancer treatment and this should be provided both verbally and in writing. Folinic acid Mouth wash: May be useful in cases of mucositis following Methotrexate chemotherapy (limited evidence base)Risk Minimisation Materials: glycopyrronium bromide 400micrograms/mL (Sialanar® 320micrograms/mL oral solution)

May be prescribed underACBSforpatients suffering from dry mouth as a result of having (or having undergone) radiotherapy, or sicca syndrome, spray onto oral and pharyngeal mucosa as required. Miconazole gel is not licensed in children less than 4 months, or5-6 months of age for infants who are pre-term, or infants exhibiting slow neuromuscular development. There have been issues of choking in infants and young children using miconazole, use nystatin in very young children. Medicines initiated or recommended by a specialist service for prescribing in primary care which do not require initiation or ongoing oversight by the specialist. There are no specific paperwork requirements between provider organisations and a verbal request may be acceptable through advice and guidance as long enough information is provided so that the transfer of care is safe.Monitor LFTs fortnightly, discontinue if signs and symptoms of liver disease. Intravenous Fluconazole can be used if the patient unable to tolerate oral medication. Consider interaction with chemotherapy when Fluconazole is used. The contents of one sachet should be diluted with 40mLs of water and immediately used as a mouthwash; rinsing around the mouth for at least 1 minute, or for as long as possible to coat the tongue and inside of the mouth completely Drugs which should be initiated in secondary care by the specialist with follow-on prescription and monitoring according to a drug specific Shared Care Protocol (SCP). If you are allergic to Gelclair (mucosal coating gel (gelclair)); any part of Gelclair (mucosal coating gel (gelclair)); or any other drugs, foods, or substances. Tell your doctor about the allergy and Fluconazole should only be used to treat proven fungal infections. Fluconazole should NOT be used prophylactically except in Neuroblastoma high risk patients.