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RESPIRATORY SYSTEM › THROAT PREPARATIONS › THROAT PREPARATIONS › Antiseptics
benzethonium
R02AA09
Forms & Strengths
- Lozenges: 1.46 mg to 5 mg
- Topical Antiseptic solutions: 0.1% to 0.2%
- Ointments/Creams: Varies by formulation
Adult Dosing
- Sore throat/pharyngitis (lozenges): Dissolve 1 lozenges slowly in the mouth every 2 to 3 hours as needed
- Topical antiseptic: Apply a small amount to the affected area 1 to 3 times daily
Pediatric Dosing
- Children < 6 years: Safety and efficacy not established, use not recommended for lozenges
- Children >= 6 years: Same as adult dosing for lozenges, use with caution
Indications
- Temporary relief of minor sore throat and minor mouth irritation
- Topical antiseptic for minor cuts, scrapes, and burns
Mechanism of Action
- Quaternary ammonium cationic surfactant that acts as an antimicrobial agent
- Disrupts cell membrane permeability and denatures proteins in susceptible bacteria and viruses
Contraindications
- Hypersensitivity to benzethonium chloride or other quaternary ammonium compounds
- Severe sore throat accompanied by high fever, headache, nausea, or vomiting
Adverse Reactions
- Local skin irritation, burning, or redness at the application site
- Allergic contact dermatitis in hypersensitive individuals
- Oral mucosal irritation with lozenge use
Drug Interactions
- Anionic surfactants (e.g., soap, sodium lauryl sulfate) may inactivate benzethonium chloride
- No major systemic drug interactions identified due to minimal systemic absorption
Curated Content: Needs Vetting Before Put to Clinical Use