How to use Calgel
Contents of the leaflet
- Package Leaflet: Information for the Patient
- Calgel
- What Calgel is and what it is used for
- Important information before using Calgel
- When not to use Calgel
- Warnings and precautions
- Calgel and other medicines
- Pregnancy and breastfeeding
- Driving and using machines
- Calgel contains macrogolglycerol hydroxystearate (hydrogenated polyoxyethylene castor oil)
- Calgel contains benzoe acid (derived from herbal flavoring)
- Calgel contains Peruvian balsam (derived from herbal flavoring)
- Calgel contains benzyl alcohol (derived from herbal flavoring)
- Calgel contains a flavoring substance with benzyl benzoate, benzyl cinnamate, cinnamaldehyde, d-limonene, and linalool
- Calgel contains sorbitol
- Calgel contains ethanol
- Calgel contains macrogolglycerol hydroxystearate (hydrogenated polyoxyethylene castor oil)
- Calgel contains benzyl alcohol (derived from herbal flavoring)
- How to use Calgel
- Possible side effects
- How to store Calgel
- Package contents and other information
Package Leaflet: Information for the Patient
Calgel
(3.3 mg + 1 mg)/g, gel for gum application
Lidocaine hydrochloride + Cetylpyridinium chloride
Read the package leaflet carefully before using the medicine, as it contains
important information for the patient.
This medicine should always be used exactly as described in this package leaflet for the patient, or as directed by a doctor or pharmacist.
- This package leaflet should be kept in case it needs to be read again.
- If advice or additional information is needed, a pharmacist should be consulted.
- If the patient experiences any side effects, including any not listed in this package leaflet, they should inform their doctor or pharmacist. See section 4.
- If there is no improvement or the patient feels worse, they should contact their doctor.
Package Leaflet Contents:
- 1. What Calgel is and what it is used for
- 2. Important information before using Calgel
- 3. How to use Calgel
- 4. Possible side effects
- 5. How to store Calgel
- 6. Package contents and other information
1. What Calgel is and what it is used for
Calgel is a combination medicine for local use. Lidocaine is a local anesthetic. Cetylpyridinium chloride has slight antiseptic properties.
Calgel is indicated for inflammatory conditions during teething. Calgel acts quickly, reducing the pain caused by teething and soothing the irritation of the baby's gums.
2. Important information before using Calgel
When not to use Calgel
If the patient is allergic to lidocaine hydrochloride, cetylpyridinium chloride, or any of the other ingredients of this medicine (listed in section 6), including chamomile.
Warnings and precautions
Before starting to use Calgel, the patient should discuss it with their doctor or pharmacist.
A higher dose than recommended should not be used (see section 3).
If any side effects occur (see section 4) or in case of overdose, the patient should stop using the medicine and seek medical advice.
If the patient has been diagnosed with intolerance to some sugars, they should contact their doctor before taking the medicine (see below).
Calgel and other medicines
The patient should tell their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.
Interactions have been reported between intravenously administered lidocaine and oral procainamide (an anti-arrhythmic medicine), oral phenytoin (an antiepileptic medicine) given separately or in combination with phenobarbital (a sedative and hypnotic), primidone (an antiepileptic), carbamazepine (used to treat epilepsy or certain mental disorders), oral propranolol (a medicine that lowers blood pressure, used in arrhythmias, a sedative) and diuretics (urinary medicines) (bumetanide, furosemide, thiazides).
No interactions are known between Calgel and other medicines.
Pregnancy and breastfeeding
If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, they should consult their doctor or pharmacist before using this medicine.
The medicine is intended for use in children and infants.
Driving and using machines
Calgel does not affect the ability to drive or operate machines.
Calgel contains macrogolglycerol hydroxystearate (hydrogenated polyoxyethylene castor oil)
The medicine may cause skin reactions.
Calgel contains benzoe acid (derived from herbal flavoring)
The medicine contains 0.00384 mg of benzoe acid per gram of gel.
Benzoe acid may cause local irritation.
Calgel contains Peruvian balsam (derived from herbal flavoring)
The medicine may cause skin allergic reactions.
Calgel contains benzyl alcohol (derived from herbal flavoring)
The medicine contains 0.00096 mg of benzyl alcohol per gram of gel.
Benzyl alcohol may cause allergic reactions. The medicine may cause mild local irritation.
Calgel contains a flavoring substance with benzyl benzoate, benzyl cinnamate, cinnamaldehyde, d-limonene, and linalool
Benzyl benzoate, benzyl cinnamate, cinnamaldehyde, d-limonene, and linalool may cause allergic reactions.
Important information in case of ingestion
Calgel contains sorbitol
The medicine contains 210 mg of sorbitol 70% per gram. Sorbitol is a source of fructose. If the patient (or their child) has been diagnosed with intolerance to some sugars or has been diagnosed with hereditary fructose intolerance, a rare genetic disorder in which the patient's body does not break down fructose, they should contact their doctor before taking the medicine or giving it to their child.
Calgel contains ethanol
The medicine contains 93.35 mg of alcohol (ethanol) per gram. The amount of alcohol in 1 gram of this medicine is equivalent to less than 3 ml of beer or 1 ml of wine.
The small amount of alcohol in this medicine will not have noticeable effects.
Calgel contains macrogolglycerol hydroxystearate (hydrogenated polyoxyethylene castor oil)
The medicine may cause gastrointestinal upset and diarrhea.
Calgel contains less than 1 mmol (23 mg) of sodium per dose, which means the medicine is considered "sodium-free".
Calgel contains benzyl alcohol (derived from herbal flavoring)
The medicine contains 0.00096 mg of benzyl alcohol per gram of gel.
Do not give to small children (under 3 years) for more than a week without the advice of a doctor or pharmacist. Patients with liver or kidney disease should consult their doctor before using the medicine, as a large amount of benzyl alcohol may accumulate in their body and cause side effects (metabolic acidosis).
3. How to use Calgel
This medicine should always be used exactly as described in this package leaflet for the patient, or as directed by a doctor or pharmacist.
In case of doubt, the patient should consult their doctor or pharmacist.
The medicine is intended for local use on irritated gums.
Calgel should not be used in infants under 3 months of age.
A higher dose than recommended should not be used.
Using a higher dose of Calgel than recommended
In case of using a higher dose than recommended or ingesting a large amount of Calgel, the patient should stop using the medicine and consult their doctor.
Missing a dose of Calgel
A double dose should not be used to make up for a missed dose.
4. Possible side effects
Like all medicines, Calgel can cause side effects, although not everybody gets them.
Very rare (occurs in less than 1 in 10,000 patients): hypersensitivity (including skin inflammation) and reactions at the site of application (including redness).
Chamomile, present in negligible amounts as a component of the herbal flavoring substance, may cause hypersensitivity reactions. Hypersensitivity to chamomile is usually manifested by difficulty breathing or anaphylactic reactions after drinking a herbal infusion containing chamomile (herbal tea for asthma) or skin allergic reactions to chamomile-containing preparations.
Reporting side effects
If the patient experiences any side effects, including any not listed in this package leaflet, they should inform their doctor or pharmacist. Side effects can be reported directly to the Department of Drug Safety Monitoring of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products: Al. Jerozolimskie 181C, 02-222 Warsaw,
Phone: +48 22 49 21 301
Fax: +48 22 49 21 309
website: https://smz.ezdrowie.gov.pl.
Side effects can also be reported to the marketing authorization holder.
| Age | Dose |
| Infants from 3 months of age | A small amount of gel (7.5 mm) should be squeezed onto the tip of a clean finger and gently rubbed into the gums at the site of tooth eruption. |
| If necessary, the procedure can be repeated. The patient should wait at least 2 hours before reapplying the medicine. The medicine should not be used more than 6 times in 24 hours. | |
Reporting side effects will help to gather more information on the safety of the medicine.
5. How to store Calgel
Store in a temperature below 25°C.
The medicine should be stored out of sight and reach of children.
Shelf life after first opening the tube: 1 month.
Do not use Calgel after the expiry date stated on the packaging. The expiry date refers to the last day of the month.
Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.
6. Package contents and other information
What Calgel contains
- The active substances of Calgel are lidocaine hydrochloride and cetylpyridinium chloride.
- The other ingredients are: sorbitol solution 70%, xylitol, ethanol 96%, glycerol, hydroxyethylcellulose 5000, macrogolglycerol hydroxystearate, laureth-9, macrogol 300, sodium saccharin, levomenthol, herbal flavoring (AR Herbes 17425490; contains benzyl alcohol, benzoe acid (E 210), Peruvian balsam, propylene glycol (E 1520), ethanol, and benzyl benzoate, benzyl cinnamate, cinnamaldehyde, d-limonene, and linalool), caramel (E 150), citric acid monohydrate, sodium citrate dihydrate, purified water.
What Calgel looks like and contents of the package
Calgel is a yellowish-brown gel with a characteristic odor.
The package is an aluminum tube containing 10 g of gel, placed in a cardboard box.
Marketing authorization holder
McNeil Healthcare (Ireland) Limited
Office 5, 6 & 7, Block 5
High Street, Tallaght
Dublin 24, D24 YK8N
Ireland
Manufacturer
Delpharm Orleans
5, avenue de Concyr
45071 Orléans Cedex 2
France
To obtain more detailed information, please contact:
email: [email protected]
Date of last revision of the package leaflet:

- Country of registration
- Dosage formGel, (3.3 mg + 1 mg)/g
- ATC codeN01BB52
- Active substance
- Prescription requiredNo
- Manufacturer
- ImporterDelpharm Orleans
- This information is for reference only and does not constitute medical advice. Always consult a doctor before taking any medication. Oladoctor is not responsible for medical decisions based on this content.
- Alternatives to CalgelDosage form: Cream, (25 mg + 25 mg)/gActive substance: lidocaine, combinationsManufacturer: Pierre Fabre Medicament ProductionPrescription requiredDosage form: Plaster, 25 mg + 25 mgActive substance: lidocaine, combinationsPrescription not requiredDosage form: Cream, 25 mg/g + 25 mg/gActive substance: lidocaine, combinationsPrescription required
Online doctors for Calgel
Discuss questions about Calgel, including use, safety considerations and prescription review, subject to medical assessment and local regulations.
Get Calgel Prescription Online
Fill in a 2-min form
Tell us your symptoms, history, and what medicine you're requesting.
Pick a doctor or let us assign
Choose a specialist or we'll match you with the next available doctor.
Doctor reviews your case
Usually within 30 minutes. They may ask follow-up questions via chat.
Collect from any pharmacy
Electronic prescription sent to your email — valid across Spain.
Frequently Asked Questions
Calgel does not require a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.
The active ingredient in Calgel is lidocaine, combinations. This information helps identify medicines with the same composition but different brand names.
Calgel is manufactured by Delpharm Orleans. Pharmacy brands and packaging may differ depending on the distributor.
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether Calgel is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.
You can buy Calgel in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.
To obtain a prescription, you can use Oladoctor:
Other medicines with the same active substance (lidocaine, combinations) include Anesderm, Emla Plaster, Emla. 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.
















