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BUCOMETASANA lozenges

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About the medicine

How to use BUCOMETASANA lozenges

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

BUCOMETASANA Lozenges

Chlorhexidine hydrochloride, benzocaine, tyrothricin

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

Follow exactly the administration instructions of the medicine contained in this leaflet or as indicated by your doctor, pharmacist, or nurse.

  • Keep this leaflet, you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor, pharmacist, or nurse, even if they are not listed in this leaflet. See section 4.
  • You should consult a doctor if it worsens or does not improve after 2 days.

Contents of the Package Leaflet:

  1. What is Bucometasana and what is it used for
  2. What you need to know before taking Bucometasana
  3. How to take Bucometasana
  4. Possible side effects
  5. Storage of Bucometasana
  6. Contents of the pack and further information

1. What is Bucometasana and what is it used for

Bucometasana is a medicine that combines in its formulation the antiseptic action of chlorhexidine and tyrothricin with the local anesthetic action of benzocaine.

While antiseptics provide disinfection of the buccopharyngeal area, the local anesthetic relieves pain.

Bucometasana is indicated in adults for the symptomatic relief of mild mouth and throat infections that cause pain but not fever, such as throat irritation, hoarseness, and small mouth ulcers.

You should consult a doctor if it worsens or does not improve after 2 days.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking Bucometasana

Do not take Bucometasana

  • If you are allergic to chlorhexidine, benzocaine, or tyrothricin or to any of the other components of this medicine (listed in section 6).
  • If you are allergic to other local anesthetics of the ester type, such as para-aminobenzoic acid (PABA), parabens, or paraphenylenediamine (a component of hair dyes)

Warnings and precautions

  • Children cannot take this medicine due to the dose of benzocaine, as it could produce methemoglobinemia (abnormally high level of hemoglobin in the blood).
  • People with congenital defects, including glucose-6-phosphate dehydrogenase deficiency, hemoglobin M disease, ADH-methemoglobin reductase deficiency, and pyruvate kinase deficiency, have an increased risk of developing methemoglobinemia.
  • You should consult your doctor immediately if you experience symptoms and signs of methemoglobinemia, which are: headache, dizziness, shallow breathing, nausea, fatigue, or tachycardia.
  • If it worsens, if symptoms persist for more than 2 days, or if other symptoms appear, such as high fever, headache, nausea, or vomiting, you should consult your doctor.
  • If you take high doses or take the medicine more frequently than appropriate, there is a possibility of seizures.
  • In exceptional cases, local hypersensitivity and generalized hypersensitivity may occur. If this happens, discontinue treatment.

The use of this medicine may cause alteration of the pigmentation of oral surfaces (teeth, tongue, dental fillings, dentures, and other oral appliances). This discoloration may be visible within a week of starting treatment. The discoloration of teeth, like that of the tongue, disappears spontaneously and is not dangerous and can be eliminated by oral hygiene. The discoloration of fillings may be permanent.

Consult your doctor or pharmacist before taking Bucometasana.

  • If you do not tolerate other local anesthetics like para-aminobenzoic acid (PABA), parabens, or paraphenylenediamine (a component of hair dye).
  • If you have asthma, bronchitis, or emphysema.
  • Stop taking the medicine and consult your doctor immediately if you notice: headache, dizziness, shallow breathing, nausea, fatigue, or tachycardia.
  • If you are an elderly patient, suffering from an acute phase of a disease, or are debilitated, as you are more sensitive to the toxicity of benzocaine, and lower concentrations of this medicine may be needed.
  • If you have a local infection in the treatment area, as the pH is altered, which reduces the local anesthetic effect.
  • If you have severe mucosal trauma, as it increases the absorption of the anesthetic.
  • If you have periodontitis, as chlorhexidine causes an increase in supragingival calculus. You will need to maintain adequate oral hygiene, with special antiscale toothpaste, to reduce plaque accumulation and tooth discoloration caused by chlorhexidine.

Interference with analytical tests:

If you are going to undergo any diagnostic test, inform your doctor that you are taking Bucometasana.

Children and Adolescents

Children cannot take this medicine due to the dose of benzocaine. They are more sensitive to the systemic toxicity of benzocaine and may develop a blood disease, methemoglobinemia.

Taking Bucometasana with other medicines

Inform your doctor or pharmacist if you are using, have recently used, or may need to use any other medicine.

  • Do not use other buccopharyngeal antiseptics without consulting your doctor.

This medicine may interfere with:

  • Sulfonamides (a type of antibiotic) because benzocaine can decrease the antibacterial activity of sulfonamides
  • Medicines containing hyaluronidase: they should not be used at the same time as benzocaine, as it can increase the adverse effects of benzocaine
  • Medicines containing cholinesterase inhibitors (medicines used in myasthenia gravis and Alzheimer's disease) as they inhibit the metabolism of benzocaine and there is a greater risk of general toxicity
  • Other local anesthetics
  • Medicines containing proteolytic enzymes such as clostridiopeptidase or associations, as they are inhibited by the antiseptic action of tyrothricin.

Taking Bucometasana with food

Do not take this medicine before eating or drinking.

Pregnancy and Breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before taking this medicine.

The use of this medicine is not recommended during pregnancy or breastfeeding, as its safety in this population has not been established.

Driving and Using Machines

The effect on driving or operating machinery is nil or insignificant.

Bucometasana containsaspartame and sorbitol.

This medicine may be harmful to people with phenylketonuria because it contains aspartame, which is a source of phenylalanine.

Bucometasana contains sorbitol. If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medicine.

3. How to take Bucometasana

Follow exactly the administration instructions of the medicine contained in this leaflet or as indicated by your doctor or pharmacist. In case of doubt, ask your doctor or pharmacist.

The recommended dose is:

Adults: 1 lozenge every 6-8 hours if necessary. Do not take more than 4 lozenges per day.

How to take

Buccopharyngeal use

The lozenge should be sucked. Do not break it with your teeth, chew, or swallow, as its action is local and will only take effect if there is direct contact with the affected area.

Do not take before eating or drinking.

If it worsens or symptoms persist for more than 2 days, or if you have a high fever, headache, nausea, or vomiting, consult your doctor as soon as possible.

Use in Children and Adolescents

This medicine is for adults. Children cannot take this medicine due to the dose of benzocaine. They are more sensitive to the systemic toxicity of benzocaine and may develop a blood disease, methemoglobinemia.

If you take more Bucometasana than you should

If you have taken more Bucometasana than you should, consult your doctor or pharmacist immediately.

The signs of overdose may be: symptoms of alcohol intoxication (slurred speech, drowsiness, and stumbling gait), bluish discoloration of the skin, slurred speech, numbness, stumbling gait, blurred or double vision, dizziness, excitement, or seizures, ringing in the ears, increased sweating. It may also decrease blood pressure.

If you take high doses or take it more frequently than appropriate, there is a possibility of seizures.

In case of overdose or accidental ingestion, go to a medical center indicating the product and the amount ingested, or call the Toxicology Information Service, phone 91 562 04 20.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible Side Effects

Like all medicines, Bucometasana can cause side effects, although not everybody gets them.

During the use of medicines with chlorhexidine, tyrothricin, and benzocaine, the following side effects have occurred, whose frequency could not be established with accuracy:

  • Alteration of the pigmentation of oral surfaces (teeth, tongue, dental fillings, dentures, and other oral appliances), this discoloration may be visible within a week of starting treatment. The discoloration of teeth, like that of the tongue, disappears spontaneously and is not dangerous and can be eliminated by oral hygiene. The discoloration of fillings may be permanent.
  • Increased dental plaque.
  • Burning sensation in the mouth.
  • Dehydration of the epithelium, hardening of the mucous membranes, alteration of taste, bad taste in the mouth, and difficulty swallowing, usually due to prolonged use.
  • Methemoglobinemia, mainly due to prolonged use and also in case of overdose. People with congenital defects, including glucose-6-phosphate dehydrogenase deficiency, hemoglobin M disease, ADH-methemoglobin reductase deficiency, and pyruvate kinase deficiency, have an increased risk of developing methemoglobinemia.
  • In some cases, urticaria, edema, anaphylactoid reaction (contact dermatitis), cross-reactions with other local anesthetics of the ester type, and photosensitivity have occurred.
  • In exceptional cases, local hypersensitivity and generalized hypersensitivity may occur. In this case, discontinue treatment immediately and consult your doctor.

Reporting of Side Effects

If you experience any type of side effect, consult your doctor, pharmacist, or nurse, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish Medicines and Healthcare Products Agency (AEMPS) website: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Bucometasana

No special storage conditions are required.

Keep this medicine out of the sight and reach of children.

Do not use Bucometasana after the expiration date stated on the packaging. The expiration date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medicine in the pharmacy's SIGRE collection point. Ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Contents of the Pack and Further Information

Composition of Bucometasana

The active ingredients are chlorhexidine hydrochloride, benzocaine, and tyrothricin.

Each lozenge contains 5 mg of chlorhexidine hydrochloride, 15 mg of benzocaine, and 1 mg of tyrothricin.

The other ingredients (excipients) are sorbitol (E420), aspartame (E951), colloidal silica, mannitol (E421), magnesium stearate, and peppermint flavor.

Appearance of the Product and Contents of the Pack

White, round lozenges with a peppermint flavor.

Carton packs of 20 or 30 lozenges in blisters of 10 lozenges.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder:

Cooper Consumer Health B.V.

Verrijn Stuartweg 60,

1112 AX Diemen,

Netherlands

Manufacturer:

Recipharm Parets, S.L.

Ramón y Cajal, 2

08150 Parets del Vallés (Barcelona)

You can request more information about this medicine from the local representative of the Marketing Authorization Holder:

Vemedia Pharma Hispania, S.A.

C/ Aragón, 182, 5ª planta

08011 - Barcelona

Spain

Date of the Last Revision of this Leaflet: May 2016

Detailed and updated information on this medicine is available on the website of the Spanish Medicines and Healthcare Products Agency (AEMPS) http://www.aemps.gob.es/

Online doctors for BUCOMETASANA lozenges

Discuss questions about BUCOMETASANA lozenges, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (140)
Doctor

Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

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Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
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Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Doctor

Giorgi Eremeishvili

Urology 22 years exp.

Giorgi Eremeishvili is a top-category urologist, a Candidate of Medical Sciences, and a licensed physician in Spain. He provides expert assistance in the diagnosis and treatment of a wide range of urological conditions in both men and women, employing a comprehensive approach and evidence-based principles.

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Dr. Eremeishvili applies an integrated approach to each case. This includes thorough preoperative preparation, postoperative observation, and regular dynamic follow-up during the treatment process to achieve the best possible outcomes. All diagnostic and therapeutic recommendations are based on current evidence-based medicine and comply with the recommendations of the European Association of Urology, guaranteeing high-quality and effective care.

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Doctor

Anna Biriukova

General medicine 6 years exp.

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

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Endocrinology – Diabetes, thyroid, metabolism:
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General internal medicine and preventive care:
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Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Doctor

Dmytro Horobets

Family medicine 7 years exp.

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

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Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

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Frequently Asked Questions

Is a prescription required for BUCOMETASANA lozenges?
BUCOMETASANA lozenges does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
Who manufactures BUCOMETASANA lozenges?
BUCOMETASANA lozenges is manufactured by Cooper Consumer Health B.V.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of BUCOMETASANA lozenges online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether BUCOMETASANA lozenges is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to BUCOMETASANA lozenges?
Other medicines with the same active substance () include BETADINE 10 mg/ml MOUTH RINSE SOLUTION, BETADINE BUCAL 100 mg/mL ORAL SOLUTION, BUCOMAX WITH LIDOCAINE LOZENGES MINT FLAVOR. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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