From about six months of age, the baby begins to erupt his first teeth - the front row, the lower jaw. In addition to the direct growth of teeth, you can observe:
- Sleep disturbances, frequent whims and awakenings for no reason at night
- Gums become inflamed, red, and swollen
- The child takes everything in his mouth and chews
- Body temperature can rise to 38 degrees, but lasts no more than three days
- The baby becomes nervous and refuses to eat.
The best method of symptomatic treatment of an erupting tooth is the use of modern gels. These drugs contain an anesthetic that, when applied locally, relieves pain without penetrating into the systemic bloodstream. Also, if the gel is good, then in addition to the anesthetic, its composition should include softening and anti-inflammatory components, and antiseptics.
Comparison of the effectiveness of Kalgeli and Dentinox
The effectiveness of Kalgeli is quite similar to Dentinox - this means that the ability of the drug substance to provide the maximum possible effect is similar.
For example, if the therapeutic effect of Kalgeli is more pronounced, then using Dentinox even in large doses will not achieve this effect.
Also, the speed of therapy - an indicator of the speed of therapeutic action - is approximately the same for Kalgeli and Dentinox. And bioavailability, that is, the amount of a drug reaching its site of action in the body, is similar. The higher the bioavailability, the less it will be lost during absorption and use by the body.
Similarities and differences between the two drugs
At first glance, it may seem that Kalgel and Kamistad Baby are the same product under different brands. They have a number of similar characteristics:
- Same appearance and packaging.
- They are used in the same cases.
- Same mechanism of action.
- Same method of application.
Nevertheless, there are still differences. First of all, you should pay attention to the following parameters.
Compound
There is an opinion that polidocanol is a derivative of lidocaine. This is wrong. Polidocanol has a weak anesthetic effect , but it has nothing to do with lidocaine. It acts only on surface receptors, without involving the nerve channel. Therefore, the drug does not have a pronounced effect. Kamistad Baby is recommended to be used at night. While the medicine is working, the child will have time to fall asleep.
In addition to pain relief, thanks to the anti-inflammatory effect of chamomile extract, Kamistad Baby is prescribed for inflammatory processes in the oral cavity in children .
Lidocaine, which is part of Kalgel, affects the entire depth of the nerve canal. Therefore, the effect of Kalgel is stronger and longer than Kamistad Baby. Cetylpyridinium chloride has a disinfecting effect . But long-term use of this substance is not advisable, as it can disrupt the normal microflora of the mouth and cause stomatitis.
Despite its weak effect, polidocanol remains on the oral mucosa longer . Thus, Kalgel acts stronger, and Kamistad Baby lasts longer. Both remedies do not solve the problem as a whole; they provide only symptomatic treatment.
Overdose
Often, when trying to apply the gel, mothers are faced with the fact that the child licks the gel off his finger . In these cases, a drug overdose may occur. Kamistad Baby consists of 50% natural products ; during the observation period, no cases of complications due to overdose were identified.
Kalgel is 100% chemical substances . Kalgel contains lidocaine, which is a strong allergen.
An overdose of this drug can cause respiratory depression in a child . In addition, lidocaine has an effect on the heart muscle and reduces the heart rate. In 2014, US medical services strongly recommended the abandonment of lidocaine gels due to increased complications in infants. Therefore, when using Kalgel you need to be careful not to exceed the permitted dosage.
Child's age
The instructions for Kamistad Baby indicate that the product can be used in children from 3 months . In practice, the medicine is successfully used from the birth of a child.
Kalgel is used no earlier than 5 months . This is due to the increased allergenicity of the drug. In addition, the product has a number of contraindications.
Comparison of safety of Kalgeli and Dentinox
The safety of a drug includes many factors.
At the same time, Kalgeli’s is higher than Dentinox’s. It is important where the drug is metabolized: drugs are excreted from the body either unchanged or in the form of products of their biochemical transformations. Metabolism occurs spontaneously, but most often involves major organs such as the liver, kidneys, lungs, skin, brain and others. When assessing metabolism in Kalgeli, as well as in Dentinox, we look at which organ is the metabolizing organ and how critical the effect on it is.
The risk-benefit ratio is when the prescription of a drug is undesirable, but justified under certain conditions and circumstances, with the obligatory observance of caution in use. At the same time, Kalgeli has fewer risks when used than Dentinox.
Also, when calculating safety, it is taken into account whether only allergic reactions occur or possible dysfunction of the main organs. In other matters, as well as the reversibility of the consequences of using Kalgeli and Dentinox.
Kalgel
Produced in Poland by GlaxoSmithKline Pharmaceuticals. Release form, also in tubes of 10 grams. Yellowish-brown color, menthol smell. Used for teething in children from five months.
Contains:
- Lidocaine.
- Cetylpyridinium chloride.
- Excipients, sorbitol, alcohol, sweeteners.
Lidocaine has a local anesthetic effect . Cetylpyridinium chloride is an antiseptic and prevents the proliferation of bacteria and fungi in the oral cavity.
Method of use: the drug in an amount of 5-7 mm is lightly rubbed into the inflamed gum. It begins to act within a few minutes. Repeated application no earlier than 20 minutes, no more than 6 times a day.
There are contraindications:
- Hypersensitivity to components.
- Severe diseases of the kidneys, liver, heart.
- Low pressure.
- Bradycardia.
May cause allergic reactions . If signs of an allergy appear, you should consult a doctor immediately.
Comparison of addiction between Kalgeli and Dentinox
Like safety, addiction also involves many factors that must be considered when evaluating a drug.
So, the totality of the values of such parameters as “o syndrome” in Kalgeli is quite similar to the similar values in Dentinox. Withdrawal syndrome is a pathological condition that occurs after the cessation of intake of addictive or dependent substances into the body. And resistance is understood as initial immunity to a drug; in this it differs from addiction, when immunity to a drug develops over a certain period of time. The presence of resistance can only be stated if an attempt has been made to increase the dose of the drug to the maximum possible. At the same time, in Kalgeli the meaning of “syndrome” is quite small, however, the same as in Dentinox.
Kamistad Baby
Manufacturer: German pharmaceutical company STADA Arzneimittel AG . Available in tubes of 10 g . Shelf life : 2.5 years . Minty taste and smell with notes of chamomile and honey. Transparent gel with a yellowish-brown tint. According to the instructions, it is used for pain and discomfort from teething in children from 3 months.
Includes:
- Polidocanol.
- Chamomile extract.
- Excipients, including glycerin, flavorings, sweeteners.
Polidocanol is a weak anesthetic . Has a cooling and distracting effect. Chamomile extract helps reduce inflammation and swelling of the gums and oral mucosa.
Directions for use: a pea-sized amount of product is lightly rubbed into the painful area of the gum. Pain relief occurs within a few minutes. The only contraindications are individual intolerance. No side effects
Comparison of side effects of Kalgeli and Dentinox
Side effects or adverse events are any adverse medical event that occurs in a subject after administration of a drug.
Kalgeli's side effects are almost the same as Dentinox's. They both have few side effects. This implies that the frequency of their occurrence is low, that is, the indicator of how many cases of an undesirable effect of treatment are possible and registered is low. The undesirable effect on the body, the strength of influence and the toxic effect of Kalgeli are similar to Dentinox: how quickly the body recovers after taking it and whether it recovers at all.
Comparison of the effectiveness of Kamistad and Dentinox
Dentinox is more effective than Kamistad - this means that the ability of the drug substance to provide the maximum possible effect is different.
For example, if the therapeutic effect of Dentinox is more pronounced, then with Kamistad it is impossible to achieve this effect even in large doses.
Also, the speed of therapy is an indicator of the speed of the therapeutic action; Dentinox and Kamistad are also different, as is the bioavailability - the amount of the drug reaching the place of its action in the body. The higher the bioavailability, the less it will be lost during absorption and use by the body.
Dentinox or Kamistad?
Dentinox is a transparent homogeneous substance with a yellowish tint. The smell is menthol with notes of chamomile. If you use dentinox in advance for preventive purposes before the expected tooth eruption, you can avoid the painful consequences of eruption. Dentinox prevents inflammation of the mucous membrane, the occurrence of stomatitis, and pain during further tooth growth.
The composition contains active substances - chamomile flower extract, lidocaine, polidocanol. Auxiliary components – sorbitol, xylitol, saccharin, levomenthol. The drug can be prescribed from the age of four months. Dentinox is contraindicated in the presence of open wounds in the mouth, and in people with hypersensitivity to fructose. Possible side effects in the form of a local allergic reaction, itching, rash, swelling.
Find out more about Dentinox analogues here.
Kamistad - can be used from the age of three months, but with caution and under the supervision of a doctor, since the content of lidocaine in it is high. Without the supervision of a specialist, Kamistad can be used from the age of 12. It contains two active ingredients - lidocaine hydrochloride and chamomile flower tincture. Additionally it contains sterile water, sodium saccharin, benzalkonium chloride, carbomers.
The advantage of the drug is that side effects are rare. They usually manifest themselves as redness and a burning sensation in the gums. Contraindications include hypersensitivity to the components of the gel and children under 3 months of age.
What is better to choose – Cholisal or Kalgel?
These two medications are the most popular among all others in the category of dental gels, so they need to be examined in detail and compared.
Cholisal contains active ingredients – choline salicylate and cetalkonium chloride, which effectively eliminate swelling and inflammation. Due to the direct effect on the cause of pain, the discomfort disappears after 2-3 minutes, and the duration of the effect is at least eight hours in a row. The drug has a wide range of uses and can be used for stomatitis, gingivitis, periodontal disease, and oral candidiasis. When teething, it can be used in children from 1 year of age.
Kalgel is prescribed to children from 5 months, the active ingredients are the anesthetic lidocaine and the antimicrobial cetylpyridinium chloride. With prolonged use, it can cause allergies, and also has many contraindications: intolerance, hypersensitivity, heart failure of 2 and 3 degrees, low blood pressure and renal and liver failure.
Which of these drugs is better? Depends on the specific situation. Kalgel can be prescribed from 5 months, and Cholisal only from 1 year. The price category for these drugs is the same. Kalgel has a sufficient number of contraindications; it can also cause an allergic reaction. Cholisal is safer in this regard - the only contraindications are individual intolerance, and the side effects are local tingling and itching.
