Background pattern
Dinexan

Dinexan

Ask a doctor about a prescription for Dinexan

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

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.

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.

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:

Alternatives to Dinexan in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Dinexan in Spain

Dosage form: GEL, 20 mg/ml
Active substance: lidocaine
Manufacturer: Farco-Pharma Gmbh
Prescription required
Dosage form: TOPICAL SOLUTION, 10 mg / dose
Active substance: lidocaine
Prescription required
Dosage form: INJECTABLE, 50 mg lidocaine hydrochloride/ml
Active substance: lidocaine
Prescription required
Dosage form: INJECTABLE, 20 mg/ml
Active substance: lidocaine
Prescription required
Dosage form: INJECTABLE, 10 mg/ml
Active substance: lidocaine
Prescription required
Dosage form: INJECTABLE, 20 mg
Active substance: lidocaine
Prescription required

Alternative to Dinexan in Ukraine

Dosage form: solution, 20 mg/ml in 2 ml ampoules
Active substance: lidocaine
Manufacturer: PAT "Galicfarm
Prescription required
Dosage form: solution, 20 mg/ml, 2 ml in ampoule
Active substance: lidocaine
Dosage form: solution, 20 mg/ml, 2 ml in ampoule
Active substance: lidocaine
Prescription required
Dosage form: solution, 20 mg/ml; 2 ml in ampoule
Active substance: lidocaine
Manufacturer: AT "Lubnifarm
Prescription required
Dosage form: solution, 20 mg/ml, 2 ml in ampoule
Active substance: lidocaine
Prescription required
Dosage form: solution, 10 mg/ml; 3.5 ml or 5 ml
Active substance: lidocaine
Prescription required

Online doctors for Dinexan

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Dinexan – subject to medical assessment and local rules.

0.0(3)
Doctor

Svetlana Kovalenko

Family medicine14 years of experience

Dr Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

CameraBook a video appointment
€55
November 311:00
November 311:25
November 311:50
November 312:15
November 312:40
More times
5.0(16)
Doctor

Taisiya Minorskaya

Family medicine12 years of experience

Dr Taisiya Minorskaya is a family medicine doctor with an official licence to practise in Spain and over 12 years of clinical experience. She provides online consultations for adults and children, combining evidence-based medicine with a personalised, modern European approach.

She helps with:

  • Viral infections and cold symptoms (flu, sore throat, cough, runny nose)
  • Review and adjustment of antibiotics
  • Skin rashes and allergic reactions
  • Chronic condition flare-ups, high blood pressure, headaches, fatigue
  • Lab and test interpretation
  • Medication review and adaptation to European standards
  • Patient navigation: what tests are needed, which specialists to see, when an in-person visit is required
Dr Minorskaya also specialises in the diagnosis and management of gastrointestinal conditions, including bloating, abdominal pain, chronic nausea, IBS, and SIBO. She supports patients with unexplained physical symptoms that may be linked to somatisation or stress, helping them find relief and improve quality of life.

She offers care for people undergoing GLP-1 therapy (Ozempic, Mounjaro, and others) for weight management. Her support follows Spanish clinical guidelines, from treatment planning and side effect counselling to regular follow-ups and coordination with private or public healthcare providers.

CameraBook a video appointment
€65
November 315:00
November 315:30
November 316:00
November 316:30
November 317:00
More times
5.0(14)
Doctor

Jonathan Marshall Ben Ami

Family medicine8 years of experience

Dr. Jonathan Marshall Ben Ami is a licensed family medicine doctor in Spain. He provides comprehensive care for adults and children, combining general medicine with emergency care expertise to address both acute and chronic health concerns.

Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

CameraBook a video appointment
€55
November 315:00
November 315:45
November 316:30
November 317:15
November 318:00
More times
5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 years of experience

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:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

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.

CameraBook a video appointment
€54
November 315:00
November 315:40
November 316:20
November 317:00
November 317:40
More times
0.0(0)
Doctor

Antonio Cayatte

General medicine43 years of experience

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

CameraBook a video appointment
€60
November 315:00
November 315:30
November 316:00
November 316:30
November 317:00
More times
0.0(1)
Doctor

Svetlana Kolomeeva

Cardiology17 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

CameraBook a video appointment
€50
November 315:45
November 316:50
November 1009:00
November 1010:05
November 1011:10
More times
5.0(12)
Doctor

Anna Biriukova

General medicine5 years of experience

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:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
CameraBook a video appointment
€60
November 315:45
November 316:35
November 406:00
November 406:50
November 407:40
More times
0.0(0)
Doctor

Karim BenHarbi

General medicine8 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

CameraBook a video appointment
€79
November 315:45
November 316:15
November 316:45
November 317:15
November 317:45
More times
0.0(1)
Doctor

Maryna Kuznetsova

Cardiology16 years of experience

Dr Marina Kuznetsova is an internal medicine doctor and cardiologist with a PhD in medicine. She provides online consultations for adults with chronic and acute conditions, with a strong focus on cardiovascular health. Her approach is based on current clinical guidelines and evidence-based treatment strategies.

Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
CameraBook a video appointment
€50
November 315:45
November 316:35
November 317:25
November 318:15
November 414:00
More times
5.0(131)
Doctor

Andrei Popov

General medicine6 years of experience

Dr. Andrei Popov is a licensed pain management specialist and general practitioner based in Spain. He provides expert online care for adults dealing with both chronic and acute pain, as well as a wide range of everyday health concerns.

He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

CameraBook a video appointment
€59
November 316:00
November 316:30
November 317:00
November 317:30
November 318:00
More times

Get updates and exclusive offers

Be the first to know about new services, marketplace updates, and subscriber-only promos.

Follow us on social media
FacebookInstagram
Logo
Oladoctor
Find a doctor
Doctors by specialty
Services
Choose language
© 2025 Oladoctor. All rights reserved.
VisaMastercardStripe