COLGATE PerioGard Gum Protection Mouthwash 400ml | Gum Care mouthwash | Helps Protect Gums from Problems and Irritation | Antibacterial Ingredients | Fights Plaque Bacteria | Dual Active Formula

Product Information

If you develop allergic symptoms such as skin rash, itch, generalized swelling, breathing difficulties, lightheadedness, rapid heart rate, upset stomach or diarrhea, seek medical attention immediately. PerioGard® should not be used by persons who have a sensitivity to it or its components. Coventry J, et al. BMJ. 2000;321:36–39; 2.Richards D. Evid Based Dent. 13;14: Eke PI, Dye BA, Wei L,et al. J Periodontol. 2015;86:611–622 Common side effects happen in more than 1 in 100 people. They're usually mild and do not last long. If you are going into hospital, you may be sent a chlorhexidine product to wash with before you come into hospital to reduce the chances of infection. This should come with instructions on how to use it. What if I forget to use my chlorhexidine treatment? The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

If you cannot use it at a different time, then rinse your mouth thoroughly with water after brushing your teeth. Wait at least 5 minutes before using chlorhexidine. Chlorhexidine treatments are generally very safe. Many people use them without having any side effects at all. Side effects with skin treatmentsTell your doctor if you are pregnant or plan to become pregnant before using Periogard; it is unknown how it would affect a fetus. It is unknown if Periogard passes into breast milk. Consult your doctor before breastfeeding. Additional Information Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. Use your chlorhexidine treatment instead of soap or shower gel when you wash. You use it in the same way as an ordinary soap or gel. However, it may not be as foamy.

There are no common side effects with chlorhexidine skin treatments. However, in rare cases, some people may get red, itchy or irritated skin. It may be because you are using too much lotion or cream where you have folds or creases in your skin, such as around your groin.

Nursing Mothers

Do not eat, brush teeth, or rinse with water or other mouthwash right after using Periogard (chlorhexidine gluconate (oral)). Several rinses are currently available. 6 Essential oils disrupt cell wall viability to achieve antibacterial effects. Since the majority of these rinses contain alcohol, data is equivocal if effect is due to the actual essential oils or high alcohol content. An example in this category is Listerine, which contains eucalyptol, menthol, thymol, and methyl salicylate. Potential side effects include: tissue dryness and trauma from alcohol concentration. Some cell toxicity may also occur due to alcohol – a concern for surgical cases. Why rinsing? Rinsing is simple, fast and easy. Rinsing allows for a broad delivery system and can penetrate interdentally. Additionally, rinsing will deliver therapeutic agents, such as antiseptics, fluoride and anti-inflammatory agents) in a short period. The ideal rinsing product should have a combination effect of reducing bacterial load while delivering a therapeutic benefit to the tissue. The reduction of bacterial load should not be from the act of rinsing but the therapeutics in the rinsing liquid. PerioGard® may taste bitter to some patients and can affect how foods and beverages taste. This will become less noticeable in most cases with continued use of PerioGard®.

As far as the bactericidal rinses, chlorhexadine and cetylpyridinium chloride (i.e. Cepacol) utilize a cationic charge to bind anionic bacterial cell wall to achieve bactericidal effect. Both products have significant side effects but chlorhexadine is significantly worse. Chlorhexadine contains alcohol and will cause significant staining. Other side effects include altered taste, oral mucosal erosion, parotid gland swelling due to stenosis of the parotid and enhanced supergingival calculus formation. 7 Chlorhexadine has overdose issues with children. Ingestion of 1-2 ounces of CHX by small child may lead to gastric distress including nausea or signs of alcohol intoxication. Chlorhexadine is also available alcohol free, though the staining and other issues remain. Some people get peeling skin inside their mouth when using chlorhexidine. If this happens to you, stop using the medicine and the side effect will usually clear up. Speak to your dentist or doctor, who may be able to recommend a different medicine. Serious eye symptoms such as sudden vision loss, blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights; Pour 10ml into the measuring cup. Rinse the mouthwash around your mouth for about 1 minute. Spit out the mouthwash, do not swallow it.The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: Chlorhexidine is used to treat gingivitis. It helps to reduce the inflammation (redness) and swelling of your gums and to reduce gum bleeding. Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of this medicine in the elderly with use in other age groups. Breastfeeding Rosen P. and Levine W. A pilot study comparing a botanical rinse to chlorhexidine rinse in managing postsurgical inflammation around dental implants.

Brush and floss your teeth before rinsing. Rinse with 1 tablespoon (15 mL) of Periogard (chlorhexidine gluconate (oral)) for 30 seconds. Store at 20° to 25°C (68° to 77°F) excursions permitted between 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature]. The usual dose for children aged 12 and older is up to 5 lozenges a day. Adults can have up to 10 a day. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. Periodontal disease occurs with an initial inflammatory response to bacterial infection. This activates the innate immune system. Amplification of this initial localized response results in the release of an array of cytokines and other mediators and propagation of inflammation through the gingival tissues. The failure to encapsulate this “inflammatory front” within gingival tissue results in expansion of the response adjacent to alveolar bone. The inflammatory process then drives the destruction of connective tissue and alveolar bone that is the cardinal sign of periodontal disease. 4There have been cases of parotid gland swelling and inflammation of the salivary glands (sialadenitis) reported in patients using chlorhexidine gluconate oral rinse. Front-tooth fillings (especially those having rough surfaces)—Chlorhexidine may cause staining that, in some cases, may be impossible to remove and may require replacement of the filling Chlorine dioxide, which is found in CloSYS, TheraBreath, Oxyfresh, and ProFresh (sodium chlorite), has an anti-bacterial effect that is combined with increased reduction of volatile sulfur compounds. The primary benefit of these products is fresh breath. Wash your hands before and after using chlorhexidine. Keep it away from your eyes and ears. If chlorhexidine gets into your eyes or ears, rinse well with water. Dosage and how to use lozenges Some patients may experience an alteration in taste perception while undergoing treatment with a chlorhexidine gluconate oral rinse USP, 0.12%. Rare instances of permanent taste alteration following chlorhexidine gluconate oral rinse USP, 0.12% use have been reported via postmarketing product surveillance.