Dwd Pharmaceuticals Ltd

Clenorush Gel 15ml

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Introduction About CLENORUSH GEL

CLENORUSH GEL is a combination of Cetrimide, Choline Salicylate, Clotrimazole and Tannic Acid which belongs to the group of medicines called Antiseptics, NSAIDS, Antifungals and Astringents respectively. It is used to manage oral thrush. Oral thrush causes slightly elevated, creamy white painful spots in the mouth or on the tongue and nappy rash in babies.

Do not use CLENORUSH GEL in patients with bleeding or inflamed skin, history of chronic peptic ulcers, viral infections such as varicella (chicken pox) or influenza, haemophilia (clotting problem), hemorrhagic disorder (bleeding problem), gout. CLENORUSH GEL should be used with caution in patients with asthma, liver and kidney disease, high blood pressure and stomach ulcer or gastritis.

CLENORUSH GEL is not recommended in pregnant and breastfeeding women. Salicylates excrete in breast milk, and it may affect the baby. Contact your doctor before applying. CLENORUSH GEL is not recommended in infants less than 4 months old. CLENORUSH GEL should be used with caution in elderly patients.

The most common side effects of applying CLENORUSH GEL are allergic reactions like skin rashes, red or itchy skin, skin irritation, stomach pain, nausea, vomiting, unpleasant taste in mouth. Contact your doctor if any of the symptoms get worse.

Uses Of CLENORUSH GEL

  • It is used to manage oral thrush

How CLENORUSH GEL Works

CLENORUSH GEL is a combination medicine used to manage oral thrush. Cetrimide is an antiseptic, which acts by killing the microorganism. Choline Salicylate is an anti-inflammatory as well as analgesics it relieves pain by inhibiting the prostaglandin synthesis. Clotrimazole is an antifungal that works by destroying the fungus and Tannic acid is an astringent that works by drying up tissues and reducing secretions.

How to use CLENORUSH GEL

Apply CLENORUSH GEL as advised by your physician. With a clean finger, massage a small amount of gel into the affected area, not more than every three hours. Depending on your age, body weight, disease condition, your doctor will fix the correct dose and duration for you.

Side Effects Of CLENORUSH GEL

Common

  • allergic reactions like skin rashes, red or itchy skin
  • skin irritation
  • stomach pain
  • nausea, vomiting
  • diarrhoea
  • unpleasant taste in mouth

Rare

Stop taking CLENORUSH GEL and contact your physician immediately if you experience any of the following side effects:

  • serious allergic reaction such as hives, itching, unusual wheezing, cough, asthma, shortness of breath, difficulty in breathing, chest tightness, swelling of the face, tongue, and throat

How To Manage Side Effects

Diarrhea

Drink plenty of water and fruit juice to keep yourself hydrated. Contact your doctor if the diarrhoea did not improve.

Nausea And Vomiting

Stick to simple meals. Avoid eating oily or spicy food. If the nausea and vomiting does not improve, consult your doctor.

Skin rash Or Itching

Avoid hot showers because hot water can irritate the skin. Do not scratch the affected area. Use sunscreen and protective clothing when outdoors. Use moisturizers to soothe and hydrate the affected skin area. Contact your doctor if itching worsens.

Stomach Pain

Try to rest and relax. Eat small meals but take them frequently. Keep a heat pad on your stomach. Contact your doctor if the stomach pain did not improve.

Warning & Precautions

Pregnancy

Contraindicated

CLENORUSH GEL is not recommended in pregnant women or women planning to have a baby. Contact your doctor before applying CLENORUSH GEL.

Breastfeeding

Contraindicated

CLENORUSH GEL is not recommended in breastfeeding women. Salicylates excrete in breast milk, and it may affect the baby. Contact your doctor before applying CLENORUSH GEL.

Driving and Using Machines

Use with Caution

CLENORUSH GEL does not affect the ability to drive or operate machines.

Kidney

Use with Caution

CLENORUSH GEL should be used with caution in patients with kidney disease. Contact your doctor before applying CLENORUSH GEL.

Liver

Use with Caution

CLENORUSH GEL should be used with caution in patients with liver disorder. Contact your doctor before applying CLENORUSH GEL.

Allergy

Contraindicated

Do not apply CLENORUSH GEL if you are allergic to Cetrimide or Choline Salicylate or salicylates, aspirin or other NSAIDs or Clotrimazole or Tannic Acid or to other ingredients of this medicine.

Lungs

Use with Caution

CLENORUSH GEL should be used with caution in asthma patients. Contact your doctor before applying CLENORUSH GEL.

Heart Disease

Use with Caution

CLENORUSH GEL should be used with caution in patients with uncontrolled blood pressure. Contact your doctor before applying CLENORUSH GEL.

Use In Pediatrics

Contraindicated

CLENORUSH GEL is not recommended in infants less than 4 months old. Contact your doctor before applying CLENORUSH GEL.

Use In Geriatrics

Use with Caution

CLENORUSH GEL should be used with caution in elderly patients. Contact your doctor before applying CLENORUSH GEL.

Others

CLENORUSH GEL is not recommended for use if you have:

  • bleeding or inflamed skin
  • current or a history of chronic peptic ulcers
  • are already suffering from viral infections such as varicella (chicken pox) or influenza, especially children and adolescents under the age of 16
  • haemophilia (clotting problem)
  • hemorrhagic disorder (bleeding problem)
  • gout

Before applying CLENORUSH GEL, inform your doctor if you have:

  • stomach ulcer or gastritis

Interactions

A. Drug - Drug interactions:

Before applying CLENORUSH GEL inform your doctor if you are taking any of the following medicines:

  • anticoagulants such as warfarin (medicine used to manage blood clots)
  • aspirin or other salicylates or NSAIDS such as ibuprofen (medicine used to manage pain)
  • uricosurics agents medicine used to excrete uric acid Eg. probenic acid, benzbromarone
  • antacids (medicine used to manage stomach ulcer)
  • corticosteroids (medicine used to reduce inflammation)
  • sofradex ear drops (contains gramicidin, framycetin sulfate, dexamethasone sodium metasulfobenzoate) used to manage otitis externa

Overdosage:

If you or anyone else accidentally apply too much of CLENORUSH GEL, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose may include nausea, vomiting, ringing in the ears, rapid breathing, high temperature, confusion, dehydration, confusion, dizziness, coma, and/or convulsions, gastrointestinal bleeding, acid-base imbalance.

Synopsis

Drug :   Cetrimide, Choline Salicylate, Clotrimazole, Tannic Acid
Pharmacological Category :   Antiseptics, NSAIDS, Antifungals and Astringents
Therapeutic Indication :   Oral thrush
Dosage Forms :   Gel

More Information

  • Keep CLENORUSH GEL out of reach of children.
  • Store CLENORUSH GEL below 25°C

FAQs About CLENORUSH GEL

Q: What is CLENORUSH GEL used for?

A: CLENORUSH GEL is used to manage oral thrush. Oral thrush causes slightly elevated, creamy white painful spots in the mouth or on the tongue and nappy rash in babies.

Q: Can I use CLENORUSH GEL in pregnancy?

A: CLENORUSH GEL is not recommended in pregnant women or women planning to have a baby. Contact your doctor before applying CLENORUSH GEL.

Q: How does CLENORUSH GEL work?

A: CLENORUSH GEL is a combination medicine used to manage oral thrush. Cetrimide is an antiseptic, which acts by killing the microorganism. Choline Salicylate is an anti-inflammatory as well as analgesics it relieves pain by inhibiting the prostaglandin synthesis. Clotrimazole is an antifungal that works by destroying the fungus and Tannic acid is an astringent that works by drying up tissues and reducing secretions.

Q: Can I use CLENORUSH GEL while breastfeeding?

A: CLENORUSH GEL is not recommended in breastfeeding women. Salicylates excrete in breast milk, and it may affect the baby. Contact your doctor before applying CLENORUSH GEL.

Q: What are the side effects of applying CLENORUSH GEL?

A: The most common side effects of applying CLENORUSH GEL are allergic reactions like skin rashes, red or itchy skin, skin irritation, stomach pain, nausea, vomiting, unpleasant taste in mouth. Contact your doctor if any of the symptoms get worse.

Q: How to use CLENORUSH GEL?

A: Apply CLENORUSH GEL as advised by your physician. With a clean finger, massage required amount of gel into the affected area, not more than every three hours. Depending on your age, body weight, disease condition, your doctor will fix the correct dose and duration for you.

References

1. KD Tripathi. Drugs Acting on Skin and Mucous Membranes. Essentials of Medical Pharmacology. Seventh Edition,2013. Page - 887.

2. KD Tripathi. Antifungal Drugs. Essentials of Medical Pharmacology. Seventh Edition,2013. Page - 792.

3. KD Tripathi. Nonsteroidal Anti-inflammatory Drugs and Antipyretic-Analgesics. Essentials of Medical Pharmacology. Seventh Edition,2013. Page - 192.

4. Padmaja Udayakumar. Antiseptics and Disinfectants. Pharmacology for Pharmacy Students. 2019. Page: 658.

5. P R Sawyer, R N Brogden, R M Pinder, T M Speight, Avery. Clotrimazole: a review of its antifungal activity and therapeutic efficacy. NIH, National Library of Medicine, National Center for Biotechnology information. Pubmed. gov. 1975. [Accessed on 21st September 2022] Clotrimazole: a review of its antifungal activity and therapeutic efficacy - PubMed (nih.gov)

6. Chen Chen, Hao Yang, Xiao Yang, Qinghai Ma. Tannic acid: a crosslinker leading to versatile functional polymeric networks: a review. NIH, National Library of Medicine, National Center for Biotechnology information. Pubmed. gov. March 2022. [Accessed on 21st September 2022] Tannic acid: a crosslinker leading to versatile functional polymeric networks: a review - PubMed (nih.gov)

7. Oral thrush (mouth thrush). National Health Service. [Accessed on 21st September 2022] https://www.nhs.uk/conditions/oral-thrush-mouth-thrush/

8. Clotrimazole. National Health Service. [Accessed on 21st September 2022] https://www.nhs.uk/medicines/clotrimazole/

9. BCM Ltd Nottingham NG2 3AA. Electronic Medicines Compendium (EMC). [Revised in March 2017] [Accessed on 21st September 2022] https://www.medicines.org.uk/emc/files/pil.6734.pdf

10. Thornton and Ross Ltd. Electronic Medicines Compendium (EMC). [Revised in September 2020] [Accessed on 21st September 2022] https://www.medicines.org.uk/emc/files/pil.4819.pdf

11. Reckitt Benckiser Ireland Ltd. Health Products Regulatory Authority (HPRA). [Revised in July 2021] [Accessed on 21st September 2022] https://www.hpra.ie/img/uploaded/swedocuments/Licence_PA0979-001-003_23072021091444.pdf

12. Reckitt Benckiser Healthcare (UK) Limited. Electronic Medicines Compendium (EMC). [Revised in April 2021] [Accessed on 21st September 2022] https://www.medicines.org.uk/emc/files/pil.624.pdf

13. Dwd Pharmaceuticals Ltd. Cetrimide, Choline Salicylate, Clotrimazole, Tannic Acid. [Accessed on 21st September 2022] http://www.dwdindia.com/clenorush_pediacare.html

14. Cetrimide. Mims.com [Accessed on 21st September 2022] https://www.mims.com/malaysia/drug/info/cetrimide?mtype=generic

15. Choline Salicylate. Mims.com [Accessed on 21st September 2022] https://www.mims.com/singapore/drug/info/choline%20salicylate?mtype=generic

16. Clotrimazole. Drugs.com. [Revised in June 2021] [Accessed on 21st September 2022] https://www.drugs.com/mtm/clotrimazole.html

17. Tannic Acid. RxList.com. [Revised in June 2021] [Accessed on 21st September 2022] https://www.rxlist.com/tannic_acid/supplements.htm

Useful Diagnostic Tests

  • Thyroid function test

Author Details

Written By Dr. Shruthi M R - BDS
Reviewed For Accuracy By Dr. M.Umadevi - MBBS, ENT
Last updated on 13 Feb 2023 | 05:04 PM(IST)
Lab updated