DYNEXAN 20 mg /G Bucal Gel

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Doctor
5.0(15)

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 DYNEXAN 20 mg/g BUCAL GEL

Contents of the leaflet

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

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.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

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.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

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/

Online doctors for DYNEXAN 20 mg/g BUCAL GEL

Discuss questions about DYNEXAN 20 mg/g BUCAL GEL, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(15)

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

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Frequently Asked Questions

Is a prescription required for DYNEXAN 20 mg/g BUCAL GEL?

DYNEXAN 20 mg/g BUCAL GEL does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in DYNEXAN 20 mg/g BUCAL GEL?

The active ingredient in DYNEXAN 20 mg/g BUCAL GEL is lidocaine. This information helps identify medicines with the same composition but different brand names.

Who manufactures DYNEXAN 20 mg/g BUCAL GEL?

DYNEXAN 20 mg/g BUCAL GEL 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 DYNEXAN 20 mg/g BUCAL GEL 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 DYNEXAN 20 mg/g BUCAL GEL 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 DYNEXAN 20 mg/g BUCAL GEL 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 DYNEXAN 20 mg/g BUCAL GEL 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 DYNEXAN 20 mg/g BUCAL GEL?

Other medicines with the same active substance (lidocaine) include ACTILOGIC 700 MG MEDICATED ADHESIVE DRESSING, INSTILLIDO 20 mg/ml GEL, LAMBDALINA 40 mg/g CREAM. 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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