Dyclonine

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Dyclonine is a local anesthetic used to numb the mucous membranes in the mouth and throat. It is often found in over-the-counter sore throat lozenges and cough drops. Dyclonine works by blocking nerve signals in the body that are responsible for sensation, thereby providing temporary relief from pain and discomfort.

Mechanism of Action[edit | edit source]

Dyclonine hydrochloride, the active form of dyclonine, acts by stabilizing the neuronal membrane and preventing the initiation and transmission of nerve impulses. This action is achieved through its interaction with voltage-gated sodium channels on the neuronal membrane, which inhibits depolarization and blocks nerve conduction. As a result, sensation in the area applied is temporarily lost, providing a numbing effect.

Uses[edit | edit source]

Dyclonine is primarily used for the temporary relief of pain and discomfort associated with minor throat and mouth problems, such as sore throat, sore mouth, minor mouth irritation, pain associated with dental procedures, and other conditions. It is also used in diagnostic procedures requiring the suppression of the gag reflex.

Pharmacokinetics[edit | edit source]

After topical application to the mucous membranes, dyclonine begins to exert its effect within 2 to 10 minutes. The duration of its anesthetic effect can last up to several hours, depending on the dose and site of application. The absorption of dyclonine into the bloodstream is minimal when used as directed, leading to localized effects without significant systemic exposure.

Side Effects[edit | edit source]

While dyclonine is generally safe and well-tolerated, some individuals may experience side effects. Common adverse effects include temporary numbness or tingling in the area of application, mild burning sensation upon application, and taste changes. Rarely, allergic reactions characterized by rash, itching, or swelling may occur. If any severe side effects or signs of an allergic reaction are observed, medical attention should be sought immediately.

Contraindications[edit | edit source]

Dyclonine should not be used in individuals with a known hypersensitivity to dyclonine or any of its components. Caution is advised when using dyclonine in individuals with a history of allergic reactions to local anesthetics. It is also important to avoid eating or drinking immediately after using dyclonine in the mouth or throat area, as numbness can increase the risk of choking.

Drug Interactions[edit | edit source]

There are no known significant drug interactions with dyclonine when used as a topical anesthetic. However, it is always important to inform healthcare providers of all medications and supplements being taken to avoid potential interactions.

Conclusion[edit | edit source]

Dyclonine is a valuable local anesthetic for the temporary relief of pain and discomfort in the mouth and throat. Its ability to numb the mucous membranes with minimal systemic absorption makes it a safe and effective option for many individuals. As with any medication, it is important to use dyclonine as directed and consult with a healthcare provider if any concerns or adverse effects arise.


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Contributors: Prab R. Tumpati, MD