• Keep this leaflet. You may wish to read it again.
• Ask your pharmacist if you need more information or advice.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.

What is in this leaflet:

1. What Anbesol Adult Strength Gel is and what it is used for
2. What you need to know before you use Anbesol Adult Strength Gel
3. How to use Anbesol Adult Strength Gel
4. Possible side effects
5. How to store Anbesol Adult Strength Gel
6. Contents of pack and other information

• If you are allergic to lidocaine hydrochloride, chlorocresol, cetylpyridinium chloride, other anaesthetics similar to lidocaine or any of the other ingredients in this medicine (listed in Section 6).
• You have porphyria (a disease which causes stomach pain, constipation, changes in the colour of urine, skin rashes and disturbed behaviour).

Talk to your doctor or pharmacist before using Anbesol Adult Strength Gel:

• If you have open wounds or damaged areas in the lining of your mouth as this may result in too much of the active ingredients being absorbed.
• If symptoms continue for more than 7 days or recur frequently, speak to your pharmacist, doctor or dentist.

Do not use more Anbesol Adult Strength Gel than recommended (as listed in Section 3) as this may result in the active ingredients being absorbed into the body causing serious side effects, such as convulsions (fits).

Do not give this medicine to children under the age of 12 years.

Not suitable for treatment of teething in children.

Tell your doctor or pharmacist if you are taking, have recently taken or might take any of the following medicines as they may interfere with Anbesol Adult Strength Gel:

• Other anaesthetics or medicines similar to lidocaine for example antiarrhythmic drugs such as mexiletine which are used to control abnormal heartbeats
• Erythromycin a type of antibiotic used to treat bacterial infections
• Itraconazole a type of antifungal medicine used to treat fungal infections
• Antiarrhythmic drugs such as amiodarone which are used to control abnormal heartbeats
• Cimetidine used to treat stomach ulcers or heartburn
• Beta-blockers used to treat heart conditions, high blood pressure or migraine
• Calcium chloride used for the treatment of hypocalcaemia or as a food additive
• Codeine phosphate used to treat pain, diarrhoea or relieve coughs
• Diamorphine hydrochloride a painkiller used to treat severe pain
• Paveretum used to treat moderate to severe pain and to calm you before an operation
• Quinine hydrochloride used to treat malaria or leg cramps
• Methylcellulose used to treat constipation
• Non-ionic surfactants such as Cetomacrogrol 1000 and polysorbate 80 which are used in medicines, foods and cosmetics

If you are pregnant, breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.

If you are breast-feeding small amounts of the active ingredient lidocaine will pass into your breast milk but in such small quantities that it should not harm your baby if this medicine is used as directed.

Anbesol Adult Strength Gel is unlikely to affect your ability to drive or use machines.

This medicine contains chlorocresol and the azo dye Ponceau 4R (E124) which may cause allergic reactions in sensitive individuals.

This medicine contains 128 mg of alcohol (ethanol) in each pea-sized amount (0.2 g), which is equivalent to 640 mg/ g (63.9% w/w). The amount in 0.2 g of this medicine is equivalent to less than 3 ml beer or 2 ml wine. The small amount of alcohol in this medicine will not have any noticeable effects.

• Apply a small amount of Anbesol Adult Strength Gel to the affected area with a clean fingertip.
• One application should be sufficient to obtain temporary pain relief.
• Do not apply more frequently than every 3 hours.

If anyone used more Anbesol Adult Strength Gel than they should, or if large quantities of the gel are accidentally swallowed, contact your doctor or your nearest Accident and Emergency department, taking this leaflet and pack with you.

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard,or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

Anbesol Adult Strength Gel contains the active ingredients; lidocaine hydrochloride 2.0%w/w, Chlorocresol 0.1%w/w and cetylpyridinium chloride 0.02%w/w.

It also contains alcohol, clove oil, glycerol, hydroxypropyl cellulose, sodium saccharin, Ponceau 4R (E124) and purified water.

Anbesol Adult Strength Gel is a soft pink clear gel for oromucosal use supplied in a tube containing 10g.

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