DYNEXAN 20 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 Dinexan

Contents of the leaflet

  1. Package Leaflet: Information for the Patient
    1. Read the package leaflet carefully before using the medicine, as it contains important information for the patient.
    2. Table of Contents of the Leaflet
  2. What is Dynexan and what is it used for
  3. Important information before using Dynexan
    1. When not to use Dynexan:
    2. Warnings and precautions
    3. Children
    4. Dynexan and other medicines
    5. Pregnancy and breastfeeding
    6. Driving and using machines
    7. Dynexan contains 1 mg of benzalkonium chloride per 1 g of gel.
  4. How to use Dynexan
    1. Adults and adolescents
    2. Children
    3. Method of administration
    4. Overdose of Dynexan
  5. Possible side effects
    1. Reporting side effects
  6. How to store Dynexan
  7. Contents of the pack and other information
    1. What Dynexan contains
    2. What Dynexan looks like and contents of the pack
    3. Marketing authorization holder and manufacturer
    4. This medicine is authorized in the Member States of the European Economic Area under the following names:
    5. Date of last revision of the leaflet:

Package Leaflet: Information for the Patient

Dynexan, 20 mg/g, gel for oral cavity use
Lidocaine hydrochloride

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 the package leaflet for the patient or as directed by a doctor, dentist, or pharmacist.

  • Keep this leaflet, you may need to read it again.
  • If you need advice or additional information, consult a pharmacist.
  • If the patient experiences any side effects, including any possible side effects not listed in the leaflet, they should tell their doctor, dentist, or pharmacist. See section 4.
  • If after 2 days there is no improvement or the patient feels worse, they should contact their doctor or dentist.

Table of Contents of the Leaflet

  • 1. What is Dynexan and what is it used for
  • 2. Important information before using Dynexan
  • 3. How to use Dynexan
  • 4. Possible side effects
  • 5. How to store Dynexan
  • 6. Contents of the pack and other information

1. What is Dynexan and what is it used for

Dynexan contains the active substance lidocaine hydrochloride, a substance used for local anesthesia of the skin and mucous membranes.
Dynexan is used for short-term, symptomatic treatment of pain in the oral mucosa, gums, and lips in adults, adolescents, and children from 6 years of age.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. Important information before using Dynexan

When not to use Dynexan:

Warnings and precautions

Before starting to use Dynexan, the patient should discuss it with their doctor, dentist, or pharmacist if they have a severe illness, e.g., heart disease or severe liver or kidney disease.
Care should be taken when consuming hot beverages or food within 45 minutes of applying the gel to avoid choking, biting the tongue, or burns.

Children

This medicine should not be given to children under 6 years of age.

Dynexan and other medicines

The patient should tell their doctor, dentist, or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.

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, dentist, or pharmacist before using this medicine.
Dynexan should not be used during pregnancy unless absolutely necessary.
Lidocaine passes into breast milk in small amounts. When using Dynexan in therapeutic doses, no effect on the breastfed child is expected.

Driving and using machines

The effect of Dynexan on the ability to drive and use machines is not known.

Dynexan contains 1 mg of benzalkonium chloride per 1 g of gel.

Benzalkonium chloride may cause local irritation.

3. How to use Dynexan

This medicine should always be used exactly as described in the package leaflet for the patient or as directed by a doctor, dentist, or pharmacist. If in doubt, the patient should consult their doctor, dentist, or pharmacist.

Adults and adolescents

The recommended dose for adults and adolescents is a pea-sized amount of gel [about 0.2 g of gel (lidocaine hydrochloride 4 mg)] used 4 to 8 times a day.

Children

In children from 6 years of age, a pea-sized amount of gel [about 0.2 g of gel (lidocaine hydrochloride 4 mg)] should be used up to 4 times a day.

Method of administration

Administration to the oral mucosa.
Dynexan should be applied to painful areas and gently rubbed in.
If the patient has a new dental appliance, a thin layer of Dynexan should be applied to the painful areas.
If the patient's symptoms persist for more than 2 days and the cause is unknown, they should consult their doctor, dentist, or pharmacist.

Overdose of Dynexan

To date, no cases of poisoning due to overdose, accidental ingestion, or improper use of Dynexan have been reported. If the patient suspects they have taken too much Dynexan, they should contact their doctor or dentist immediately.
In case of any further doubts about the use of this medicine, the patient should consult their doctor, dentist, or pharmacist.

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, Dynexan can cause side effects, although not everybody gets them.
Dynexan may very rarely cause allergic reactions, in the most severe cases leading to a severe hypersensitivity reaction, including anaphylactic shock.
In case of an allergic reaction, the use of Dynexan should be stopped and immediate medical attention should be sought.
Other possible side effects:
Very rare: may occur in up to 1 in 10,000 people

  • Local skin reactions, e.g., burning, swelling, redness, itching, hives, contact dermatitis, rash, pain
  • Taste changes
  • Numbness.

Reporting side effects

If side effects occur, including any side effects not listed in the leaflet, the patient should tell their doctor, dentist, or pharmacist. Side effects can be reported directly to: Department of Monitoring of Adverse Reactions to Medicinal Products, 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.
By reporting side effects, more information can be gathered on the safety of the medicine.

5. How to store Dynexan

The medicine should be stored out of sight and reach of children.
Do not use this medicine after the expiry date stated on the carton or tube after EXP.
The expiry date refers to the last day of the month.
Batch number - lot number, EXP - expiry date.
No special precautions for storage.
After first opening the package, the shelf life is: 3 months.

6. Contents of the pack and other information

What Dynexan contains

  • The active substance is lidocaine hydrochloride.
  • 1 g of gel contains 20 mg of lidocaine hydrochloride (as lidocaine hydrochloride 1 H 0)
  • The other ingredients are: benzalkonium chloride, glycerol, purified water, liquid paraffin, white petrolatum, colloidal anhydrous silica, thymol, sodium saccharin, guar gum, dill apiol, star anise oil, peppermint oil with reduced menthol content, spearmint oil.

What Dynexan looks like and contents of the pack

Dynexan is a gel for oral cavity use, which looks like a white ointment.
The tube contains 10 g of gel for oral cavity use.

Marketing authorization holder and manufacturer

Chemische Fabrik Kreussler & Co. GmbH
Rheingaustrasse 87-93
65203 Wiesbaden
Germany
Phone: ++49 (611) 9271-0
Fax: ++49 (611) 9271-111
e-mail: [email protected]

This medicine is authorized in the Member States of the European Economic Area under the following names:

Germany: LidocainKreussler 20 mg/g Gel zur Anwendung am Zahnfleisch/in der Mundhöhle
Italy, Poland: Dynexan
Luxembourg: Dynexan Gel
Netherlands: Dynexan Gel 20 mg/g, gel voor oromucosaal gebruik
Spain: Dynexan 20 mg/g gel bucal

Date of last revision of the leaflet:

Online doctors for Dinexan

Discuss questions about Dinexan, 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 Dinexan Prescription Online

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Frequently Asked Questions

Is a prescription required for Dinexan?

Dinexan 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 Dinexan?

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

Who manufactures Dinexan?

Dinexan is manufactured by Chemische Fabrik Kreussler Co.GmbH. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Dinexan 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 Dinexan 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 Dinexan 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 Dinexan 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 Dinexan?

Other medicines with the same active substance (lidocaine) include Bobodent, Bravera Control, Instillido. 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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