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oral mucoadhesive (MuGard)

 

Classes: Oral Rinses

Dosing and uses of MuGard (oral mucoadhesive)

 

Adult dosage forms and strengths

oral rinse

  • 8 oz bottle with dose cup

Contents

  • Purified water, glycerin, benzyl alcohol, sodium saccharin, Carbomer Homopolymer A, potassium hydroxide, citric acid, polysorbate 60, and phosphoric acid

 

Oral Sores or Irritation

Indicated for the management of oral mucositis/stomatitis that may be caused by radiotherapy and/or chemotherapy and all types of oral wounds (mouth sores and injuries), including aphthous ulcers/canker sores and traumatic ulcers (eg, caused by oral surgery, ill-fitting dentures, or braces)

5 mL in mouth and rinse entire oral cavity for a minute or longer

If needed, up to 10 mL may be used to fully coat the inside of the mouth

After rinsing, excess rinse may be expelled or swallowed

Oral mucositis/stomatitis: Use 4-6 times/day

Other ulcerative oral cavity conditions: Use 4-6 times/day or prn

Also see Administration

 

Pediatric dosage forms and strengths

Safety and efficacy not established

 

MuGard (oral mucoadhesive) adverse (side) effects

None reported

 

Warnings

Contraindications

Known hypersensitivity to any of the ingredients (see Dosage Forms and Strengths)

 

Cautions

Good oral hygiene, especially as recommended by a physician, should be used in addition to the use of oral mucoadhesives

 

Pregnancy and lactation

Pregnancy category: C

Lactation: Not systemically absorbed; not distributed into breast milk

 

Pregnancy categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

 

Pharmacology of MuGard (oral mucoadhesive)

Mechanism of action

Formulated to adhere to the mucosal surface of the mouth and thereby forms a soothing, protective layer

 

Administration

Directions for Use

Gently pour 5 mL of rinse into the mouth and rinse the entire oral cavity for a minute or longer if possible

If the action of rinsing is inconvenient or too painful, can be spread throughout the mouth by a gentle rotating action of the head

Ensure that all parts of the oral cavity have been coated with the rinse

If necessary, up to 10 mL may be used to fully coat the inside of the mouth

After rinsing, excess rinse may be expelled or swallowed

Oral mucositis/stomatitis: Use 4-6 times/day; purchase rinse prior to the commencement of cancer therapy

Other ulcerative conditions of the oral cavity: Use 4-6 times/day or prn

Use in addition to good oral care

Special precautions

  • Avoid eating or drinking for at least 1 hr after rinsing
  • After use, replace the bottle cap and tightly seal the bottle
  • Do not use this product after the expiration date shown on the product label
  • Do not use this product in patients with a known sensitivity to any of product’s ingredients
  • Dilution of the product prior to use is not recommended

 

Storage

Store at room temperature out of direct sunlight