Hexoral during pregnancy: is it possible and which one to choose?

Women during pregnancy may encounter infectious diseases that affect the mucous tissues of the upper respiratory tract. A pregnant woman may develop tonsillitis, tonsillitis, stomatitis, periodontal disease, gingivitis and many other diseases caused by pathogenic microorganisms. To treat the disease, doctors prescribe the expectant mother lozenges, Hexoral solution or spray, instructions for use, which we will reveal and try to figure out how safe this remedy is for women during pregnancy.

Hexoral - composition of the drug

Hexoral, the composition of which is almost the same for all forms of release, is manufactured in the form of a spray, tablets, and rinse solution. The medicine is used topically, for treating the oral cavity, gargling. The drug is effective against a wide range of pathogenic microorganisms. The effectiveness of the drug is determined by its composition. Thus, the main component of the drug is hexetidine. The following can be used as auxiliary ones:

  • anise and eucalyptus oil;
  • levomenthol;
  • saccharin;
  • clove oil;
  • peppermint oil;
  • purified water.

Hexoral Spray - composition of the drug

Hexoral Spray, the composition of which is practically no different from the solution, is often prescribed to pregnant women. This is due to the ease of use of the drug. The solution is evenly applied to the mucous membrane of the mouth and throat, as a result of which the symptoms disappear after a short time. After use, swelling decreases and pain decreases.

A distinctive feature of this form of the drug is the large dosage of hexetidine: 0.2 g, versus 0.1 in solution. This fact partly explains the rapid onset of the drug effect. The spray contains the following as auxiliary components:

  • citric acid monohydrate;
  • macrogol lauryl ether;
  • sodium hydroxide;
  • mint flavor;
  • glycerol;
  • purified water.

Hexoral tablets - composition

Hexoral Tabs tablets, the composition of which differs from the spray and solution, are rarely used during pregnancy. This is due to the fact that there is a risk of overdose - uncontrolled use can negatively affect pregnancy and the well-being of the expectant mother. Lidocaine is used as an anesthetic in tablets, which often provokes allergic reactions. Also included are:

  • amylmetacresol;
  • 2,4-dichlorobenzyl alcohol;
  • flavorings;
  • anise oil;
  • dyes.


Side effects and contraindications for the use of Hexoral

Although the drug is approved for use by pregnant women, caution should be exercised. The components that make up this drug may cause an allergic reaction. Long-term use of Hexoral in some cases leads to the following side effects:

  • change in taste sensations;
  • darkening of tooth enamel;
  • burning sensation on mucous tissues;
  • nausea;
  • vomit;
  • if the dose is exceeded, ethanol poisoning of the fetus may occur.

To avoid unpleasant consequences, you must follow the dosage. The drug should not be used in the first trimester of pregnancy. If drug intolerance is detected, the doctor will prescribe an analogue of Hexoral, which is not contraindicated for use by pregnant women. Such drugs include: Miramistin, Tantum Verde, Cameton.

How to use Tantum Verde during pregnancy and in what form is the drug safe for expectant mothers?

Is it worth using Viferon suppositories for colds during pregnancy? Information here.

When you need Jodomarin: https://mamafarma.wpengine.com/vitamins/jodomarin-pri-beremennosti.html.

Hexoral - indications for use

Before using Hexoral, the indications for which are indicated in the instructions, a pregnant woman should consult a doctor. Only after approval by the physician observing the pregnancy, can the drug be used in the prescribed dosage, observing the frequency and duration. Among the indications for use of the drug:

  • inflammatory processes of the oral cavity and larynx - gingivitis, glossitis, periodontal disease, stomatitis, tonsillitis, pharyngitis, tonsillitis;
  • fungal diseases in the oral cavity;
  • as a prophylactic agent before surgery;
  • as an auxiliary for acute respiratory viral infections.

General characteristics of the drug

Hexoral is an antibacterial agent with antimicrobial, anti-inflammatory, and refreshing properties.

Composition: 100 ml of the substance contains hexetidine -0.1 -0.2 g. Excipients: anise oil, cloves, mint flavor, etc.

Available in the form of a solution, aerosol, tablets (Hexoral tabs).

Is it possible to take Hexoral during pregnancy?

Often pregnant women, doubting the permissibility of using the drug, ask doctors whether Hexoral can be taken during pregnancy. According to the information in the package insert that comes with the drug, Hexoral Spray for pregnant women should be used with caution and as prescribed by a doctor. No studies have been conducted regarding the teratogenic effect of the drug components on the fetus. To protect the expectant mother and baby, doctors prescribe Hexoral during pregnancy for a short period of time.

Hexoral during pregnancy – 1st trimester

When talking about whether Hexoral can be used by pregnant women, doctors point out that its use is inadmissible for short periods of time. Before 12 weeks of gestation, the formation of axial organs and body systems occurs. Taking medications during this period can cause a disruption in the process of individual development. After using Hexoral during pregnancy (in the early stages), there is a possibility of developing congenital defects and anomalies in the structure of organs and systems. Because of this, doctors advise against taking the medicine in the first trimester.

Hexoral during pregnancy – 2nd trimester

It is allowed to use the medicine in the 2nd trimester, so when asked whether Hexoral Spray can be used during pregnancy at this stage, doctors answer positively. In this case, the direct form of the medicine in the form of a spray is preferable. When used, the drug evenly covers the oral mucosa and is easy to dose. Accidental ingestion of the drug and its further absorption through the walls of the stomach are excluded.

Hexoral is used during current pregnancy as prescribed by the doctor. The dosage is indicated in accordance with the severity of the pathological process and symptoms of the disease. All prescriptions are strictly individual, therefore it is prohibited to use the medicine while carrying a baby if it was used by an early pregnant friend or acquaintance. There is a risk of the components influencing the fetus and the expectant mother.

Hexoral during pregnancy in the 3rd trimester

Having figured out whether it is possible for pregnant women to take Hexoral Spray, we note that in the third trimester the medicine must be used with caution. This applies to solution and tablets. In such dosage forms, the components penetrate into the general bloodstream in higher concentrations. As a result, anesthetic components can affect the processes of delivery.

Taking into account this feature, in order not to reduce the contractile activity of the uterus during childbirth, doctors do not use the drug from the 30th week of pregnancy. Compliance with the instructions and prescriptions of the attending doctor eliminates the possibility of complications. If it is necessary to treat the mouth and throat, use aseptic solutions and baking soda.

Reviews about the drug

Customer reviews indicate that Hexoral helps greatly when the first signs of sore throat and stomatitis appear. Many people use Hexoral during pregnancy (mainly the 2nd trimester) as a pain reliever after tooth extraction or treatment. Reviews claim that the first symptoms of improvement begin after two to three applications, and final recovery occurs after three to four days.

From 27-40 weeks (3rd trimester) of pregnancy, many patients are prescribed Hexoral Tabs, because it helps a lot with sore throats. The tablet form is convenient, they dissolve easily and do not cause gagging like, for example, aerosols. Relief of the general condition is noted by the end of the first day of use of the drug.

Most buyers use Hexoral during pregnancy as an anti-inflammatory and protective agent during the ARVI season, noting that the use of an aerosol is more effective than the use of tablets (Hexoral tabs), while some completely abandoned this remedy due to side effects such as discomfort and itching in the throat, dry mouth, nausea.

On thematic forums, many buyers leave reviews that, despite the insufficient number of studies conducted, Hexoral was used during pregnancy at 15-40 weeks (2-3 trimester) mainly as a remedy for stomatitis. It was noted that there were no disturbances in the development of the fetus or the course of pregnancy.

How to use Hexoral?

Hexoral Spray during pregnancy should be used as prescribed by a doctor. The course of treatment is determined individually. In this case, indicate the number of spraying procedures and the duration of each. Spray treatment is often carried out according to the following scheme: sprayed into the oral cavity for 2 seconds, morning and evening. The procedure is carried out exclusively after eating. After irrigation, it is forbidden to drink or eat for 1 hour.

Hexoral mouthwash solution is used undiluted. Rinse pregnant women are prescribed no more than 3 times a day. For each procedure, you need to use 10-15 ml of solution. After rinsing your mouth and throat, spit out the medicinal liquid. Refrain from eating and drinking after the rinsing procedure for 1 hour. This way it is possible to achieve the maximum effect from using the medicine.

Hexoral tablets are rarely used by pregnant women. In this case, it is necessary to strictly follow the instructions of the attending physician. Often, for the treatment of the oropharynx, 1 tablet is prescribed, which is dissolved every 3 hours. Doctors do not advise getting carried away with this drug, prohibiting the use of more than 3 tablets per day (in the absence of pregnancy, up to 8 tablets).

How long can Hexoral be used?

As an alternative to Hexoral Tabs, it is recommended to use a solution or spray during pregnancy. In this case, the duration of therapy is determined by the doctor. Treatment often lasts 3-5 days. Just that much time is needed to eliminate the symptoms of inflammation in the oropharynx - hyperemia, pain when swallowing, soreness, dryness, hoarseness. If there is no effect from the therapy within 3 days of use, you must inform your doctor.

Spray, solution, tablets - instructions for use

Hexoral is available in different forms. The dosage and method of use depend on the form in which the drug is released. The medicine is used as follows:

  • Hexoral spray during pregnancy is the safest option for treatment, the product is placed in the mouth or nasal opening, sprayed for 2 seconds, 3 to 4 times, pointing the tip of the can at the affected tissue, breathing is held, after the procedure you cannot eat or drink for two hours;
  • Hexoral solution does not need to be diluted with water, it is used in ready-made form, 15 ml per session, the procedure is repeated three times a day, the solution begins to act one minute after administration, it lingers on the mucous tissues for a long time, enveloping them;
  • Hexoral in tablet form has a different composition, it contains active substances: chlorhexidine and benzocaine, the tablets are dissolved one at a time every three hours, you cannot take more than eight pills a day.

The final decision on what form Hexoral should be taken will be made by the doctor, taking into account the nature and complexity of the disease.

If an allergic reaction occurs after taking the drug, you must stop using the product and inform your doctor.

You should also not exceed the dosage prescribed by a specialist.

Hexoral - side effects

The use of Hexoral during pregnancy may be accompanied by side effects. However, they often occur due to non-compliance with the established treatment regimen, violation of the dosage or frequency of administration. Common side effects of Hexoral include:

  • hypersensitivity reactions – urticaria, angioedema;
  • disruption of the nervous system;
  • disruption of the respiratory system - cough, shortness of breath (with hypersensitivity);
  • gastrointestinal tract disorders – dry mouth, nausea, vomiting;
  • reactions at the injection site - irritation of the oral mucosa, burning sensation.

Indications and contraindications for pregnant women

Hexoral during pregnancy is indicated for inflammatory and infectious diseases of the oral cavity and pharynx. These include:

  • tonsillitis;
  • pharyngitis;
  • gingivitis;
  • stomatitis (including fungal);
  • glossitis;
  • aphthous lesions of the mucous membrane;
  • infection in the socket of an extracted tooth;
  • periodontopathy.

It is used as an auxiliary drug in the treatment of colds. Read more about colds during pregnancy→

Hexoral is contraindicated in the following cases: hypersensitivity to the components of the drug and age under 3 years. Reasons for discontinuing this drug may include ulcerations and wounds in the mouth and pharynx, as well as low concentrations of cholinesterase in the blood.

Hexoral is an effective local anesthetic used to treat infectious and inflammatory processes in the oral cavity. During pregnancy, it can be used in the second and third trimesters. There is no data on the effect of the drug on the fetus, so it must be prescribed by a doctor. Hexoral spray during pregnancy is the safest form of medication. The risk of side effects is low, but if they occur, it is worth replacing the drug.

Author: Olga Khanova, doctor, especially for Mama66.ru

Range of actions

Hexoral has a wide range of antimicrobial and antifungal effects. Due to its property to suppress the oxidative reactions of bacterial metabolism (these include gram-positive bacteria, fungi of the genus Candida, as well as infections caused by bacteria Pseudomonas aeruginosa and Proteus).


In an amount of 100 mg/ml, this drug destroys most strains of bacteria. No development of resistance was detected. Has a slight anesthetic effect on the mucous membrane.

Did you know? There are no bacteria in the body of a newborn baby. It is the child’s mother who gives him the first microorganisms along with milk, thereby laying the foundation for stable immunity.

Application and dose of medicine

always inappropriate. Therefore, in order to quickly get rid of it, you need to use only reliable and high-quality drugs. Hexoral is prescribed for:

  1. Diseases of the pharynx and oral cavity (inflammation of the tongue, stomatitis, gingivitis, pharyngitis, and so on).
  2. Purulent sore throat, which is accompanied by intoxication and fever.
  3. Infectious diseases of the throat.
  4. Gum diseases.
  5. Cardiosis of the oral cavity.
  6. ARVI.

If you experience signs of any of the above diseases, you should immediately consult a doctor so that he can make a diagnosis and prescribe appropriate treatment.

We suggest you read: Protein in urine during pregnancy - reasons. The norm of protein in urine during pregnancy. What does protein in urine mean during pregnancy?

Oksana

Operating principle

The active ingredient of the drug in the form of a spray is hexetidine, which has an antimicrobial, antifungal, and anesthetic effect. It is not absorbed into the blood, but traces of the drug on the mucous membrane remain for 65 hours. The drug is not addictive. Excipients in the form of menthol oils have a calming and analgesic effect on the mucous membrane. The remaining components ensure the safety of the drug for a long time.

Hexoral-tabs has a different active composition: chlorhexidine dihydrochloride, benzocaine, menthol oils, excipients. The drug in the form of lozenges allows you to disinfect and anesthetize the entire oral cavity. The substances are not absorbed into the blood, but penetrate the cell membrane and have an antibacterial and anesthetic effect for up to 8 hours. The main advantage of Hexoral-Tabs is the disinfection of saliva, which stops the spread of the disease.

The drug in the form of a solution has the same composition as the spray, but with a higher alcohol content. When rinsing for 30–60 seconds. Only its microdoses enter the bloodstream, which are not able to harm the body of the mother and child. The convenient shape allows you to make lotions for sore teeth or severely inflamed areas of the skin. After treating the oral cavity, the drug has an effect for up to 10 hours.

Can it be used by pregnant women in the 2nd and 3rd trimesters?

The drug cannot be used in the 1st trimester of pregnancy. There have been no large-scale clinical studies on the safety of using Hexoral spray and tablets in the second and third trimesters of pregnancy. Therefore, there is no data on the penetration of the drug through the placental barrier and the effect on fetal development.

The Hexoral spray and rinse solution contains a small amount of ethyl alcohol, which sharply limits its use during pregnancy.

Based on this, we can conclude that Hexoral should be taken during pregnancy only according to strict indications, in the case where the expected benefit of the medicine significantly outweighs the possible risk. Pregnant and lactating women should prefer Hexoral tablets, since they do not contain ethanol.

To protect yourself and your unborn baby, it is important to carefully adhere to medical recommendations for treatment, strictly follow the dosage, frequency of use of the product and duration of treatment.

Instructions

The instructions for use of Hexoral indicate that the solution is used undiluted. For the procedure, 15 ml of the drug is sufficient. It is necessary to rinse your mouth after eating for 30 seconds. In addition, the solution can be applied in the form of applications by applying a cotton swab to the affected area. The duration of the course of treatment and the number of procedures is determined by the doctor. It is strictly forbidden to swallow the solution.

The aerosol is used for topical use. When treating areas, you should hold your breath to prevent the drug from entering the lungs and causing bronchospasm. Irrigation with the drug should be carried out for 2 seconds, several times a day. The duration of treatment is determined by the doctor depending on the degree and severity of the disease.

Rules to follow before taking the drug:

  • use the spray and solution strictly after meals;
  • before starting the procedure, you must rinse your mouth with warm water;
  • Do not swallow the drug, this can lead to an overdose and the development of serious consequences;
  • the solution does not need to be diluted;
  • You can use the drug starting from the 2nd trimester.

Pregnant women are prescribed tablets and spray only if the benefit is significantly higher than the likely risk of pathology in the baby.

Spray, tablets or syrup?

So, which is safest - spray, syrup or tablets?

  • The spray is available in bottles of 100 and 200 mg. It contains alcohol, essential oils, nitrogen compounds and some other components.
  • The tablets contain benzocaine and chlorhexidine, in addition, menthol, peppermint oil, thymol.
  • The solution contains alcohol, essential oils, water and other components.

According to the FDA, an organization that conducts research on the effects of drugs on a child during pregnancy, there is no data on the effect of hexethidine, which is part of the solution and spray. Benzocaine belongs to category “C” (there is a risk to the baby’s health when using these drugs), and chlorhexidine belongs to category “B” (relatively safe drugs). This means that any dosage form of Hexoral can be used during pregnancy, but only as prescribed by a doctor, following the correct dosage and rules of administration.

Characteristics of the medicine

"Hexoral" refers to local antiseptic drugs. It has an analgesic and antibacterial effect, and has deodorizing and enveloping properties. The drug acts on microorganisms that are causative agents of fungal infections. The death of bacteria occurs due to the ability of Hexoral to destroy the cell membranes of pathogenic microbes and interrupt oxidative reactions. It is used to treat oral infections that are caused by Candida fungus. It is also effective in the treatment of gingivitis, pharyngitis, and sore throat.

Often, while carrying a child, problems arise in the oral cavity: the gums bleed heavily and ulcers appear. The drug helps to cope with these problems. But it also has a drawback, which is that it kills both harmful and beneficial microorganisms.

According to the instructions for use, Hexoral has the following medicinal properties:

  • painkillers;
  • antiseptic;
  • enveloping;
  • antimicrobial;
  • hemostatic.

It is produced in the form of an aerosol, solution and lozenges.

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