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GARYDOL FORTE 5 mg/5 mg LOZENGES

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About the medicine

How to use GARYDOL FORTE 5 mg/5 mg 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

Leaflet: information for the user

GARYDOL FORTE 5 mg / 5 mg lozenges

Chlorhexidine dihydrochloride / Benzocaine

Read the entire leaflet carefully before starting to use this medication, as it contains important information for you.

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

  • Keep this leaflet, as 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 or pharmacist, even if they are side effects 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 leaflet:

  1. What GARYDOL FORTE is and what it is used for.
  2. What you need to know before taking GARYDOL FORTE.
  3. How to take GARYDOL FORTE.
  4. Possible side effects
  5. Storage of GARYDOL FORTE.
  6. Package contents and additional information

1. What GARYDOL FORTE is and what it is used for

The active ingredients of this medication, chlorhexidine and benzocaine, act by combining the antiseptic and disinfectant action of chlorhexidine with the local anesthetic action of benzocaine.

This medication is used for the symptomatic local and temporary relief of mild mouth and throat infections that occur with pain and without fever, such as throat irritation, hoarseness, and small mouth ulcers.

GARYDOL FORTE can be used in adults, adolescents, and children from 6 years of age.

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

Doctor consultation

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2. What you need to know before taking GARYDOL FORTE

Do not takeGARYDOL FORTEif:

If you are allergic to chlorhexidine dihydrochloride, benzocaine, or any of the other components of this medication (listed in section 6).

Warnings and precautions

  • If you do not tolerate other local anesthetics such as para-aminobenzoic acid (PABA), parabens, or paraphenylenediamine (a hair dye component).
  • If you have any severe or extensive injury in the mouth.
  • If you have periodontitis (gum disease), as chlorhexidine may cause an increase in supragingival calculus (tartar above the gums).
  • If you have fillings on your front teeth and if the surface of the filling or its edges are rough, as chlorhexidine can cause permanent discoloration.
  • Do not take this medication if you have sores and ulcers in your mouth and throat.
  • Do not use more than the recommended amount in section 3 (How to take GARYDOL FORTE).

It is recommended to maintain good oral hygiene to reduce the accumulation of tartar and possible tooth discoloration that may be caused by chlorhexidine.

Consult your doctor or pharmacist before starting to take this medication.

Stop taking this medication and consult your doctor immediately if you or a child in your care develop pale, gray, or blue skin, lips, or nail edges, headache, dizziness, difficulty breathing, fatigue, and rapid heartbeat.

Due to the local anesthetic action of benzocaine, avoid eating or drinking immediately after taking a lozenge.

Use under adult supervision in small children and individuals with aspiration and swallowing problems, as lozenges are a potential choking hazard.

If symptoms persist or worsen, or if new symptoms appear, stop using this medication and consult your doctor.

Children

This medication should not be used in children under 6 years of age without consulting a doctor first. Children may be more sensitive to benzocaine.

Special populations:

The elderly and more debilitated patients may be more sensitive to benzocaine.

Other medications and GARYDOL FORTE

Inform your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medication.

Although not described in the recommended conditions of use, do not use with other mouth or throat medications without consulting your doctor or pharmacist.

This is especially important in the case of:

  • Other mouth or throat antiseptics.
  • Cholinesterase inhibitors (medications for Alzheimer's disease).
  • Sulfonamides (used for infections).

Anionic compounds and suspending agents (common components of toothpastes) reduce the effectiveness of chlorhexidine, so the mouth should be rinsed well after using toothpaste.

Taking GARYDOL FORTE with food and drinks

Avoid eating or drinking immediately after taking this medication.

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 using this medication.

Taking medications during pregnancy can be hazardous to the embryo, fetus, or breastfeeding child and should be monitored by your doctor.

If you are pregnant or breastfeeding, consult your doctor before using this medication.

Driving and using machines

It is unknown whether the combination of benzocaine and chlorhexidine has an effect on the ability to drive or operate machinery.

Interference with analytical tests:

If you are going to undergo any diagnostic test (including blood tests, urine tests, skin tests using allergens, etc.), inform your doctor that you are using this medication, as it may alter the results. This medication may interact with pancreatic function tests using bentiromide. Do not use this medication at least 3 days before the test and inform your doctor.

GARYDOL FORTE contains sodium

This medication contains less than 1 mmol of sodium (23 mg) per lozenge; it is essentially "sodium-free".

3. How to take GARYDOL FORTE

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

This medication is for buccopharyngeal use, so the lozenges should be dissolved slowly in the mouth without chewing or swallowing, as its action is local and only occurs when the product is in direct contact with the affected area.

The recommended dose is:

Adults, adolescents, and children from 6 years of age:

1 lozenge every 2 or 3 hours, if necessary, up to a maximum of 8 lozenges per day.

Dissolve slowly in the mouth without chewing or swallowing.

Always use the lowest effective dose.

If you notice that symptoms worsen or persist for more than 2 days after starting treatment or if fever, headache, nausea, or vomiting appear, you should consult your doctor as soon as possible.

If you take more GARYDOL FORTE than you should

Signs of overdose are: slurred speech, numbness, stumbling gait, blurred or double vision, dizziness, excitement or convulsions, ringing in the ears, increased sweating, decreased oxygen in the blood (pale, gray, or blue skin, lips, and nail edges, difficulty breathing, fatigue, confusion, headache, dizziness, and rapid heartbeat), and death in severe cases. It may also cause a decrease in blood pressure.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone 91 562 04 20, indicating the medication and the amount ingested.

Medicine questions

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4. Possible side effects

Like all medications, this medication can cause side effects, although not everyone experiences them.

Side effects whose frequency has not been determined with precision are:

Tooth discoloration may occur. This pigmentation or discoloration can occur especially in people with tartar buildup. This alteration of tooth color is not permanent and can be removed by a dental cleaning.

The color of fillings may also be altered, in which case this discoloration can be permanent.

Alteration in taste perception may occur.

In some cases, GARYDOL FORTE may cause irritation in the mouth or irritation of the tip of the tongue or numbness of the tongue, which are usually transient, lack of sensitivity in the mouth, stomatitis (inflammation of the oral mucosa), desquamation of the mucosa, burning sensation in the mucosa, change in taste perception; tooth, tongue, filling, and denture discoloration; increased tartar, as well as hypersensitivity reactions such as urticaria, angioedema (swelling of certain skin areas), anaphylactic reaction, or anaphylactic shock, mainly due to chlorhexidine.

There have also been reports of parotid gland inflammation.

Some cases of methemoglobinemia caused by benzocaine have been reported, with symptoms such as difficulty breathing, cyanosis (bluish discoloration of the skin and mucous membranes), altered mental state, headache, fatigue, difficulty exercising, dizziness, and loss of consciousness.

Reporting side effects:

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish Medication Surveillance System for Human Use https://www.notificaram.es.

By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of GARYDOL FORTE

Keep this medication out of sight and reach of children.

Do not use this medication after the expiration date shown on the packaging after CAD. The expiration date is the last day of the month indicated.

Do not store above 25°C.

Medications should not be disposed of through wastewater or household waste. Deposit the packaging and medications you no longer need at the SIGRE collection point in the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition of GARYDOL FORTE

Each lozenge contains:

  • The active ingredients are: chlorhexidine dihydrochloride 5 mg and benzocaine 5 mg.
  • The other components (excipients) are: mannitol (E-421), microcrystalline cellulose (E-460), povidone, magnesium stearate, sodium cyclamate (E-952), sodium saccharin (E-954), menthol flavor, and orange flavor.

Appearance of the product and package contents

GARYDOL FORTE are orange-flavored lozenges, white-yellowish in color, round, bisected, and scored on one side.

This medication is presented in packages of 20 lozenges, packaged in aluminum blister packs coated with PVDC and layered with PVC/PE/PVDC.

Marketing authorization holder and manufacturer

Marketing authorization holder:

Laboratorios Cinfa, S.A.

Carretera Olaz-Chipi, 10. Polígono Industrial Areta

31620 Huarte (Navarra) – Spain

Manufacturer:

Laboratorios Alcalá Farma, S.L.

Avenida de Madrid, 82

28802 Alcalá de Henares (Madrid)

Spain

Date of the last revision of this leaflet: September 2021

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

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Discuss questions about GARYDOL FORTE 5 mg/5 mg LOZENGES, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

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  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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Nuno Tavares Lopes

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Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
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Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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Anastasiia Hladkykh

Psychiatry 15 years exp.

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

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Anastasiia Shalko

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Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
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Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

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Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

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Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Frequently Asked Questions

Is a prescription required for GARYDOL FORTE 5 mg/5 mg LOZENGES?
GARYDOL FORTE 5 mg/5 mg 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 GARYDOL FORTE 5 mg/5 mg LOZENGES?
GARYDOL FORTE 5 mg/5 mg LOZENGES is manufactured by Laboratorios Cinfa S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of GARYDOL FORTE 5 mg/5 mg 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 GARYDOL FORTE 5 mg/5 mg 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 GARYDOL FORTE 5 mg/5 mg 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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