Mouthwashes and sprays
Mouthwashes and sprays
Benzydamine is an anti-inflammatory agent that is absorbed through the skin and mucosa and has been shown to be effective in reducing pain and inflammation in conditions of the mouth and throat. Side-effects have occasionally been reported and include numbness and stinging of the mouth and throat. Benzydamine spray can be used in children under 12, whereas the mouthwash may only be recommended for children over 12 years of age. Local anaesthetic (e.g. benzocaine and lidocaine) are available in throat sprays.
Key facts
- NICE recommends paracetamol for relief of pain or fever, or if preferred and suitable, ibuprofen
- Medicated lozenges such as those containing benzocaine, hexylresorcinol or flurbiprofen may help to reduce pain in adults
- In the minority of cases where an antibiotic is offered, it is still important to advise on the use of analgesics and self care measures
- Health literacy may be poor; one-third of adults consider that antibiotics work for viral and fungal infections as well as in bacterial infections
- Many patients are satisfied if listened to carefully, examined thoroughly and provided with a reasoned explanation as to why an antibiotic may not be required and recommended alternatives for relieving symptoms.