CALGEL (3.3 mg + 1 mg)/g Gel

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Doctor
5.0(14)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Calgel

Contents of the leaflet

  1. Package Leaflet: Information for the Patient
  2. Calgel
    1. Read the package leaflet carefully before using the medicine, as it contains
    2. Package Leaflet Contents:
  3. What Calgel is and what it is used for
  4. Important information before using Calgel
    1. When not to use Calgel
    2. Warnings and precautions
    3. Calgel and other medicines
    4. Pregnancy and breastfeeding
    5. Driving and using machines
    6. Calgel contains macrogolglycerol hydroxystearate (hydrogenated polyoxyethylene castor oil)
    7. Calgel contains benzoe acid (derived from herbal flavoring)
    8. Calgel contains Peruvian balsam (derived from herbal flavoring)
    9. Calgel contains benzyl alcohol (derived from herbal flavoring)
    10. Calgel contains a flavoring substance with benzyl benzoate, benzyl cinnamate, cinnamaldehyde, d-limonene, and linalool
    11. Calgel contains sorbitol
    12. Calgel contains ethanol
    13. Calgel contains macrogolglycerol hydroxystearate (hydrogenated polyoxyethylene castor oil)
    14. Calgel contains benzyl alcohol (derived from herbal flavoring)
  5. How to use Calgel
    1. Using a higher dose of Calgel than recommended
    2. Missing a dose of Calgel
  6. Possible side effects
    1. Reporting side effects
  7. How to store Calgel
  8. Package contents and other information
    1. What Calgel contains
    2. What Calgel looks like and contents of the package
    3. Marketing authorization holder
    4. Manufacturer
    5. Date of last revision of the package leaflet:

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
Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

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).

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

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.

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.

AgeDose
Infants from 3 months of ageA 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:

Online doctors for Calgel

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

Doctor
5.0(14)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(22)

Taisiia Proida

Psychiatry7 years of experience

Taisiia Proida is a general practitioner with a specialization in mental health and a cognitive behavioral therapist (CBT), a member of the European Psychiatric Association. She offers online consultations for adults aged 18 and over, combining evidence-based medicine with an individualised approach to mental health care. She specialises in consultations and ongoing support for a wide range of mental health concerns, including: 

  • Mood disorders: depression, bipolar disorder, postpartum depression.
  • Anxiety disorders: generalised anxiety, OCD, panic attacks, phobias.
  • Post-traumatic stress disorder (PTSD) and complex PTSD.
  • Attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Assessment is provided only after an initial psychiatric evaluation and during a follow-up appointment.
  • Personality disorders and emotional instability.
  • Cyclothymia and mood fluctuations.
  • Schizophrenia spectrum and related conditions.

Dr. Proida combines clinical expertise with an empathetic approach, offering structured support based on evidence-based practices. Her work integrates CBT techniques with medical management, with a focus on anxiety and depressive disorders. She works with clients from different countries and cultural backgrounds, adapting her communication style and recommendations to individual needs. With experience in international clinical trials (Pfizer, Merck), she values clarity, trust, and collaborative partnership in patient care.

Book a video appointment
€156
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

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
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
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.

Book a video appointment
€70
Doctor
5.0(6)

Anastasiia Hladkykh

Psychiatry15 years of experience

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.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
Book a video appointment
€156

Get Calgel Prescription Online

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Frequently Asked Questions

Is a prescription required for Calgel?

Calgel does not require a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in Calgel?

The active ingredient in Calgel is lidocaine, combinations. This information helps identify medicines with the same composition but different brand names.

Who manufactures Calgel?

Calgel is manufactured by Delpharm Orleans. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Calgel 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 Calgel is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy Calgel in Spain?

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:

What are the alternatives to Calgel?

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.

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