Background pattern
DYNEXAN 20 mg/g BUCAL GEL

DYNEXAN 20 mg/g BUCAL GEL

Ask a doctor about a prescription for DYNEXAN 20 mg/g BUCAL GEL

5.0(13)
Doctor

Tarek Agami

General medicine11 years of experience

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.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • 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.

CameraBook a video appointment
€69
Today07:00
Today07:25
Today07:50
Today08:15
Today08:40
More times
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 DYNEXAN 20 mg/g BUCAL GEL

Introduction

Package Leaflet: Information for the Patient

Dynexan 20 mg/g Oral Gel

Lidocaine Hydrochloride

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

  • Follow the administration instructions for the medication contained in this package leaflet or as indicated by your doctor, dentist, or pharmacist.
  • Keep this package 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, dentist, or pharmacist, even if they are not listed in this package leaflet. See section 4.
  • You should consult a doctor or dentist if it worsens or does not improve after 2 days and the underlying cause is unknown.

Contents of the Package Leaflet:

  1. What is Dynexan and what is it used for
  2. What you need to know before using Dynexan
  3. How to use Dynexan
  4. Possible side effects
  5. Storage of Dynexan
  6. Contents of the pack and further information

1. What is Dynexan and what is it used for

Dynexan contains the active ingredient lidocaine hydrochloride, a substance for local numbing (local anesthesia) of the skin and mucous membranes.

Dynexan is used for the short-term symptomatic treatment of pain in the oral mucosa, gums, and lips in adults, adolescents, and children from 6 years of age.

You should consult a doctor or dentist if it worsens or does not improve after 2 days and the underlying cause is unknown.

2. What you need to know before using Dynexan

Do not use Dynexan:

  • if you are allergic to lidocaine hydrochloride or any of the other components of this medication (listed in section 6).
  • if you are allergic to local anesthetics of the amide type (e.g., prilocaine, mepivacaine).

Warnings and precautions

Consult your doctor, dentist, or pharmacist before starting to use Dynexan if you have severe underlying diseases, e.g., heart disease or severe liver or kidney disease.

Within 45 minutes after application, you should be cautious when consuming hot drinks or food to avoid asphyxiation, biting, or burns on the tongue.

Children

Do not administer this medication to children under 6 years of age.

Other medications and Dynexan

Tell your doctor, dentist, or pharmacist if you are using, have recently used, or might use any other medication.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you might be pregnant, or plan to become pregnant, consult your doctor, dentist, or pharmacist before using this medication. Dynexan should not be used during pregnancy unless strictly necessary.

Lidocaine is excreted in breast milk in small amounts.

At therapeutic doses of Dynexan, no effects on breastfed infants are expected.

Driving and using machines

Dynexan has no known effect on the ability to drive and use machinery.

Dynexan contains benzalkonium chloride

This medication contains 1 mg of benzalkonium chloride per gram of gel.Benzalkonium chloride may cause local irritation.

3. How to use Dynexan

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

Adults and adolescents

The recommended dose for adults and adolescents is 4-8 applications per day of a pea-sized amount of gel (approx. 0.2 g of gel (4 mg of lidocaine hydrochloride)).

Use in children

For children from 6 years of age, the dosage should be up to 4 times a day, a pea-sized amount of gel (approx. 0.2 g of gel (4 mg of lidocaine hydrochloride)).

How to administer

Oral route.

Apply Dynexan to the painful areas and gently massage.

If you wear dentures or dental appliances, apply a thin layer of Dynexan to the affected areas.

If symptoms persist for more than 2 days and the underlying cause is unknown, you should consult a doctor or dentist.

If you use more Dynexan than you should

So far, no cases of intoxication due to overdose, accidental ingestion, or errors with Dynexan have been reported. If you think you have used more Dynexan than you should, talk to your doctor or dentist immediately.

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.

If you have any other questions about the use of this medication, ask your doctor, dentist, or pharmacist.

4. Possible side effects

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

Very rarely, Dynexan may cause allergic reactions, in the most severe cases, an acute hypersensitivity reaction that can cause shock (anaphylactic shock). If you develop an allergic reaction, stop using Dynexan and seek medical attention immediately.

Other possible side effects

Very rare: may affect up to 1 in 10,000 people

  • Local skin alterations, e.g., burning sensation, swelling, redness, itching, urticaria, contact dermatitis, exanthema, pain
  • Alteration of taste
  • Numbness

Reporting side effects

If you experience any side effects, consult your doctor, dentist, or pharmacist, even if they are not listed in this package leaflet. You can also report them directly through the Spanish Medicines Monitoring System: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medication.

5. Storage of Dynexan

Keep this medication out of the sight and reach of children.

Do not use this medication after the expiration date stated on the carton and tube after EXP. The expiration date is the last day of the month indicated.

No special storage conditions are required.

After opening the tube, the validity period is 3 months.

Medications should not be disposed of via wastewater or household waste. Deposit the packaging and any unused medication in the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medication. This will help protect the environment.

6. Contents of the pack and further information

Composition of Dynexan

  • The active ingredient is lidocaine hydrochloride.
  • 1 g of gel contains 20 mg of lidocaine hydrochloride (as lidocaine hydrochloride 1 H2O).
  • The other components (excipients) are benzalkonium chloride, glycerol, guar gum, partially demetholized peppermint oil, liquid paraffin, peppermint oil, sodium saccharin, anhydrous colloidal silica, thymol, soft white petrolatum, purified water.

Appearance and packaging of the product

Dynexan is a white gel-like paste in the form of an oral gel.

Tubes containing 10 g of oral gel

Not all pack sizes may be marketed.

Marketing authorization holder and manufacturerChemische Fabrik Kreussler & Co. GmbH Rheingaustr. 87-93 65203 Wiesbaden Germany

This medication 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

Spain: Dynexan 20 mg/g oral gel

Italy, Poland: Dynexan

Luxembourg: Dynexan Gel

Netherlands: Dynexan Gel 20 mg/g, gel voor oromucosaal gebruik

Date of the last revision of this package leaflet:

March 2025

Detailed and up-to-date information on this medication can be found on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/

Alternatives to DYNEXAN 20 mg/g BUCAL GEL in other countries

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

Alternative to DYNEXAN 20 mg/g BUCAL GEL in Poland

Dosage form: Patch, 700 mg
Active substance: lidocaine
Marketing authorisation holder (MAH): Grunenthal GmbH
Prescription required
Dosage form: Gel, 20 mg/ml
Active substance: lidocaine
Prescription not required
Dosage form: Aerosol, 10 %
Active substance: lidocaine
Marketing authorisation holder (MAH): Egis Pharmaceuticals PLC
Prescription required
Dosage form: Solution, 20 mg/ml
Active substance: lidocaine
Importer: AS Grindeks
Prescription required
Dosage form: Solution, 10 mg/ml
Active substance: lidocaine
Importer: AS Grindeks
Prescription required
Dosage form: Solution, 20 mg/ml
Active substance: lidocaine
Manufacturer: Demo S.A.
Prescription required

Alternative to DYNEXAN 20 mg/g BUCAL GEL 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 DYNEXAN 20 mg/g BUCAL GEL

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for DYNEXAN 20 mg/g BUCAL GEL – subject to medical assessment and local rules.

5.0(3)
Doctor

Ngozi Precious Okwuosa

General medicine6 years of experience

Dr. Ngozi Precious Okwuosa is a Primary Care Physician with over 5 years of clinical experience in Hungary, Sweden, and Nigeria. A graduate of the University of Szeged (cum laude), she offers online consultations for adults in the areas of internal medicine, women’s health, and postoperative care.

Key areas of consultation:

  • Preventive and family medicine
  • Women’s health, including gynaecology and obstetrics
  • Chronic disease management: hypertension, diabetes, and more
  • Mental health support, anxiety, and counselling
  • Postoperative care and lab test interpretation
She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.
CameraBook a video appointment
€50
Today05:00
Today05:50
Today06:40
Today07:30
Today08:20
More times
5.0(13)
Doctor

Tarek Agami

General medicine11 years of experience

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.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • 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.

CameraBook a video appointment
€69
Today07:00
Today07:25
Today07:50
Today08:15
Today08:40
More times
5.0(8)
Doctor

Iryna Reznychenko

Gynecology26 years of experience

Dr Iryna Reznychenko is an obstetrician-gynaecologist, paediatric gynaecologist, and certified lactation consultant. She provides online consultations for women at all stages of life – from adolescence to menopause. Her work combines medical care for gynaecological conditions with dedicated support for breastfeeding challenges, both physical and emotional.

Areas of expertise:

  • interpretation of test results and personalised treatment planning
  • menstrual irregularities, PCOS, endometriosis
  • abnormal uterine bleeding, endometrial hyperplasia, cervical dysplasia
  • care during perimenopause and menopause, hormonal balance, cancer prevention
  • breastfeeding issues: nipple pain, cracked skin, blocked ducts, low milk supply
  • support during the postpartum and lactation period
Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.
CameraBook a video appointment
€50
Today07:00
Today07:50
Today08:40
Today09:30
Today10:20
More times
0.0(0)
Doctor

Hocine Lokchiri

General medicine21 years of experience

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
CameraBook a video appointment
€58
Today07:00
Today08:00
January 408:00
January 409:00
January 410:15
More times
5.0(49)
Doctor

Nuno Tavares Lopes

Family 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.

CameraBook a video appointment
€59
Today08:00
Today08:20
Today08:40
Today09:00
Today09:20
More times
5.0(23)
Doctor

Farouk Laafif

Psychiatry4 years of experience

Dr. Farouk Laafif is a psychiatrist providing online consultations for adults and adolescents facing emotional or mental health challenges. His clinical approach integrates psychopharmacology with psychotherapy, with a strong focus on the connection between mental and physical well-being.

He offers compassionate, evidence-based support for individuals dealing with:

  • depression and anxiety disorders
  • bipolar affective disorder
  • schizophrenia and other psychotic conditions
  • psychosomatic symptoms and chronic stress
  • treatment planning and medication adjustment
Dr. Laafif combines scientific expertise with human empathy, helping patients restore emotional balance, improve daily functioning, and regain confidence in their recovery journey.
CameraBook a video appointment
€110
Today08:00
Today08:45
Today09:30
Today10:15
Today11:00
More times
5.0(12)
Doctor

Dmytro Horobets

Family medicine7 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

CameraBook a video appointment
€60
Today09:00
Today09:30
January 1009:00
January 1009:30
January 1709:00
More times
5.0(11)
Doctor

Duarte Meneses

Family medicine5 years of experience

Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

  • Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
  • Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
  • Mental health concerns such as stress, sleep issues, anxiety, and burnout
  • Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
  • Work-related health questions, sick leave documentation, and medical guidance for returning to work
Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

CameraBook a video appointment
€65
Today09:00
Today09:25
Today09:50
Today10:15
Today10:40
More times
5.0(32)
Doctor

Sergio Correa

General medicine8 years of experience

Dr. Sergio Correa is a licensed general practitioner, aesthetic medicine specialist, and trichologist with experience in emergency care and preventive health. He offers online consultations in English and Spanish, supporting adult patients with a wide range of medical concerns – from acute symptoms to chronic condition management.

His areas of focus include:

  • General and urgent care: fever, fatigue, infections, digestive issues, respiratory symptoms, and other common concerns
  • Chronic condition support: hypertension, high cholesterol, diabetes, thyroid issues
  • Aesthetic medicine and dermatology: acne, skin ageing, hyperpigmentation, personalised skincare guidance
  • Trichology: hair loss, scalp conditions, treatment strategies for men and women
  • Preventive care: health check-ups, lifestyle advice, second opinions

Dr. Correa combines medical knowledge with an aesthetic and holistic approach to help patients improve both health and quality of life.

CameraBook a video appointment
€35
Today09:00
Today10:00
Today11:00
Today12:00
Today13:00
More times
5.0(7)
Doctor

Svetlana Kovalenko

Family medicine15 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
Today09:00
Today09:25
Today09:50
Today10:15
Today10:40
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
© 2026 Oladoctor. All rights reserved.
VisaMastercardStripe