INDEXTOL ointment 5 g.

WHAT INDEXTOL AND WHAT IT IS USED
INDEXTOL combined product with antibacterial and anti-inflammatory action. Macrolide antibiotic oleandomycin is active against a large number of bacteria that cause frequent infections in people. Dexamethasone is a glucocorticoid with anti-inflammatory and antiallergic action. Indomethacin is a non-steroidal anti-inflammatory action expressed in acute or chronic inflammatory processes in the oral cavity.
INDEXTOL be applied for the treatment of:
• acute or chronic periodontitis flowing and alveolitis (infectious - inflammatory diseases of the tissues around the root of the tooth);
• inflamed, painful and difficult healing "pockets" of the gums;
• inflammation of the gums (gingivitis);
• infectious inflammatory diseases of the oral mucosa progressing with erythema, formation of sores and ulcers;
• difficult breakthrough sages.
2. BEFORE YOU TAKE INDEXTOL
Do not use INDEXTOL
• If you are allergic (hypersensitive) to any of the active or the excipients;
• If you have fungal, viral or other infections of the oral cavity;
The product should not be given to infants and children.
Take special care with Indekstol
Topical administration of this product may cause an allergic reaction in some patients, usually occurring with local irritation, burning, increased salivation. In the event of such a reaction, the use of the medicinal product should be discontinued immediately.
With continued use is possible to monitor the side effects associated with systemic exposure to corticosteroids is therefore necessary to bear in mind the amount of dexamethasone contained in a bar of wax with a length of 1 cm.
Prolonged use can suppress the protective response of the body and thus increase the risk of developing additional infections of the oral mucosa, incl. fungi.
Treatment with the product should not exceed seven days because prolonged use can mask the continuing development and / or distribution of the infectious process.
Topical corticosteroids may slow healing of sores on the lining.
Prolonged use of indomethacin-containing products, especially on large areas,
should be avoided in patients with active ulcer, severe liver and kidney disease.
The product should not be placed in the eye and surrounding area.
This product contains, as ingredients, so-called. Parabens. They can cause delayed allergic reaction (hives), and in rare cases, allergic immediate reactions (bronchospasm).
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
The following interaction of the active ingredients of the product can not be excluded but with topical administration is unlikely to have significant clinical importance:
- The effect of dexamethasone can be reduced by concomitant use of some products for the treatment of epilepsy (phenytoin, phenobarbitone), ephedrine (often used as an active ingredient in cough syrups, nasal drops) and the antibiotic rifampicin.
- With the simultaneous application of the antibiotics lincomycin oleandomycin or erythromycin can reduce the antibacterial effect of the combination.
- Prolonged concomitant administration of indomethacin with corticosteroids may enhance their ability to cause ulceration.
Taking Indekstol with food and drink: There are no restrictions.
Pregnancy and lactation:
Ask your doctor or pharmacist before taking any medicine.
Pregnancy: The product should not be used during pregnancy. Its use is possible only if the doctor has assessed the benefits of treatment for the mother and the potential risk to the fetus and newborn. It has been found that the topical administration of corticosteroids in pregnant
animals can cause disorder in the fetus, including the incomplete closure of the hard palate and stunted growth.
Lactation corticosteroids administered orally (tablets, capsules) into human milk and may inhibit the growth of the newborn or have other adverse impacts. Because there is the potential passage of drug substances in breast milk, it is recommended discontinue breast-feeding during the treatment with the product or using other treatments.
Driving and using machines:
No evidence of adverse effects on the ability to drive or operate machinery.
3. HOW TO USE INDEXTOL
Always Indekstol exactly as you have been told by your doctor. If you're not sure, ask your doctor or pharmacist.
The product is intended for topical application in the oral cavity. The dose and duration of treatment prescribed by the doctor.
The amount of active substances in paste pedicle oromucosal a length of 1 cm is as follows:
Oleandomycin` ≈ 0.b7 mg
dexamethasone
≈ 0.13 mg
≈ 0.65 mg indomethacin
After administration is recommended to avoid for a while consumption of food and drinks in order to ensure enough time during which the product can be its effect.
Adults
Acute or chronic periodontitis flowing and alveolitis
Initially perform an appropriate treatment of the root canal, after which the product is introduced therein through kanalopalnitel. The manipulation was repeated over the next 24-48 h., Then the channel of the tooth is cleaned mechanically by the remaining paste and is filled with a suitable agent.
Inflamed, painful and difficult healing "pockets" of the gums
The pockets are filled with a small amount of pasta after necessary preparation.
Repeat the the formation of healthy connective tissue and squeeze the pocket at the discretion of the physician.
Inflammation of the gums (gingivitis)
Affected area is massaged with a small amount of product. The frequency of application is determined by your doctor.
Infectious inflammatory diseases of the oral mucosa progressing with erythema and the formation of sores and ulcers
The product is applied in small quantities on ulcers / sores after their pre-cleaning. The frequency of application is determined by your doctor.
Difficult breakthrough sages
Affected area is massaged with a small amount of product. Its use results in a rapid reduction of swelling and pain.
children
The safety and efficacy have not been established.
Use in patients with hepatic or renal impairment
No evidence of use of the product in patients with hepatic or renal impairment. Due to the low systemic absorption of the active substances following topical administration of the product, it does not need dose adjustment.
If you use more than the amount Indekstol
If you've applied more than the prescribed dose, contact your doctor or go to the nearest hospital.
If you forget to take the necessary dose INDEXTOL
If you forget to take a dose, do so as soon as possible after you remember. Do not take a double dose to make up for the forgotten. Apply the next dose at the usual time.
If you stop taking Indekstol
Do not stop administering the product, if you feel better until your doctor tells you that.
If you have any other questions on the use of this product, ask your doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, INDEXTOL can cause side effects, although not everybody gets them.
Adverse reactions associated with the operation of the combination product may be due both to the action of the individual components and the effect of the combination itself.
Can be observed the following side effects caused by individual components of the product:
oleandomycin`
Immune System Disorders
Local or generalized allergic reactions - mostly irritation, burning at the application site rash,
hives (urticaria) and itching, rarely severe allergic reactions (swelling of the eyes, lips, face, throat, difficulty breathing).
dexamethasone
Infections and infestations
In continuous use development of secondary infections, including yeast.
General disorders
With continued use can not be excluded general effects similar to cases in which corticosteroids taken orally.
indomethacin
General disorders and administration site conditions
Irritation, a feeling of warmth and burning at the application site.
systemic effects
In extreme cases, prolonged use of extensive areas is possible occurrence of adverse events similar to the cases in which this group of products taken orally.
Gastrointestinal disorders
Nausea, belching and heartburn, abdominal pain, elevation of liver enzymes.
Skin and subcutaneous tissue disorders
Itching, redness, skin rashes
Immune System Disorders
allergic reactions
Asthma attack swelling around the eyes, lips, face, throat, difficulty in breathing.
Adverse reactions associated with the operation of the combined product
General disorders and administration site conditions:
Irritation, a feeling of warmth, burning, soreness at the injection site, increased salivation.
If any of the side effects gets serious, or get any side effects not listed in this leaflet, please contact your doctor or pharmacist.
5. HOW TO STORE INDEXTOL
At temperatures below 25 ° C
Keep out of reach of children.
Do not use Indekstol paste oral mucosa after the expiry date stated on the carton.
The expiry date refers to the last day of that month. Shelf life after opening - 28 days.