The compared medications that are actively used in dentistry are painkillers and anti-inflammatory gels. They are applied directly to the oral mucosa and are safe for use except in cases of allergies. Cholisal and Kamistad are interchangeable treatment options, despite the fact that their composition and some features of use differ. The easiest way would be to consider the pros and cons of using these gels for adults and children.
Kamistad: composition and release form
Kamistad is a modern drug for the treatment of dental diseases. This drug effectively reduces pain and inflammation in the mouth and lips. The German company produces the drug in children's and adult forms, 10 g each in an aluminum tube. Kamistad gel has an anti-inflammatory and strong analgesic effect due to the content of the following components:
1. Kamistad for adults 2% (content per 100 g of gel):
- lidocaine (monohydrate) – 2 g;
- chamomile flower extract – 18.5 g.
Auxiliary components: 200 mg of 50% benzalkonium chloride solution, 100 mg of camphor cinnamon oil, 100 mg of sodium saccharinate, 1.5 g of carbomer, 40 mg of 98% formic acid, 2.81 g of trometamol, 820 mg of 96% ethanol, 73.93 g distilled water.
2. Kamistad for children:
- polidocanol;
- extract from chamomile flowers.
Auxiliary components: carbomer, glycerol, water, propylene glycol and other components. The excipients also include flavors (mint and honey), they give the gel a pleasant smell and taste, which children especially like.
Difference in composition and action
The main difference in the composition of the compared drugs, which you should pay attention to first of all, is the presence of lidocaine
in Kamistad for adults.
In dentistry, it is used in local anesthesia, but this is not done too often or without prior testing (first application in a small amount). The main soothing active ingredient is a completely harmless chamomile
. In addition to lidocaine, formic acid can also be found in the medicine, albeit as just an auxiliary element. Due to its fast and fairly strong anesthetic effect, Kamistad may be a more suitable option for severe pain.
Despite the fact that Cholisal does not contain lidocaine, it also relieves pain quite effectively. The main active ingredients are cetalkonium chloride
and
choline salicylate
anhydrous. The first component disinfects the surface of the mucous membrane (antiseptic effect), the second has an analgesic and “calming” effect on irritation (anti-inflammatory effect). Among the ingredients that distinguish it from its rival, which are worth paying special attention to, are anise oil and ethyl alcohol. Although the oil is only an auxiliary substance, the amount of which is small, its presence is still important for people with allergies (the same goes for chamomile extract in the opponent).
In the Cholisal line there is also a variant of Cholisal Dental, produced in one and a half times larger volume (15 g). It contains peppermint oil and propylene glycol. It is indicated not only for inflammation and infectious infections, characterized by irritation and swelling of the oral mucosa, but also in the case of ulcerative and purulent processes. Does not contain sugar. Otherwise, the composition does not differ from regular Kholisal. In general, this option is preferable if you choose what is best for stomatitis.
Gels are applied 2-3 times a day before meals (if it hurts to chew) or after (after rinsing your mouth), as well as before bed.
The difference in shelf life is almost double - Kholisal has a shelf life of 3 years, Kamistad 5 years (although tubes of 10-15 g are unlikely to last that long). Both should be kept away from heat sources and not exposed to sunlight.
Neither one nor the other gel should be cooled or even frozen, even if you want to enhance the analgesic effect with coolness - this will negatively affect the effectiveness of the components.
What to choose?
The decision which is better - Cholisal or Kamistad, primarily depends on the purpose and degree of pain. When teething, children's forms of both are suitable; Kamistad's composition is more “natural” in this regard, the main thing is to make sure that the child is not allergic to chamomile.
For adults with inflammatory processes in the oral cavity, it is better to choose Cholisal (regular or Dental), since its composition is more focused on disinfecting and relieving inflammation.
Why is this composition so good?
The gel quickly relieves pain and effectively relieves inflammation due to the content of antiseptics and anesthetics in the composition. Chamomile extract acts as an antiseptic, which has an anti-inflammatory and healing effect. Anesthetics (lidocaine and polidocanol) relieve itching, cool, soothe the mucous membrane, and also block pain impulses from the first seconds of applying the gel.
How does Cholisal help with stomatitis?
Cholisal is a medicine based on anhydrous choline salicylate . It fights not only the symptoms of the disease, but also pathogens .
Stops the synthesis of foci of inflammation, normalizes body temperature , and helps strengthen the gums .
Properties:
- pain reliever;
- antibacterial;
- anti-inflammatory.
Reference! The medicine destroys bacteria , heals wounds , and restores mucosal tissue . Inflammation disappears, the patient recovers.
In addition to the main active ingredient – anhydrous choline salicylate, the ointment contains auxiliary ingredients:
- cetalkonium chloride ;
- ethanol ; _
- glycerol;
- purified water ;
- hydroxyethylcellulose;
- propyloxybenzoate;
- anise oil;
- methyloxybenzoate.
Indications:
- stomatitis;
- candidiasis;
- radiation sickness;
- gum damage, including bleeding .
Contraindications:
- pregnancy;
- lactation;
- individual intolerance ;
- children's age up to 1 year .
Pros and cons of treating a child with ointment
Advantages:
- fast and effective pain relief;
- preservation of medicinal properties when interacting with saliva;
- elimination of the source of the disease;
- It is perfectly absorbed, leaving a thin film that protects painful areas from harmful microorganisms entering them.
Cholisal has one drawback: it causes increased salivation when used, which is explained by the effect of anise oil presented in the composition.
Purpose of Kamistad gel
Dentists recommend using Kamistad for diseases such as:
- stomatitis of any etiology;
- gingivitis;
- cheilitis (inflammation of the lips);
- erythema of the lips.
Dental gel can also be used in the following cases:
- in case of injury to the oral mucosa (from the use of dentures, after operations);
- with irritation from wearing braces;
- during teething
;
- during orthodontic and dental procedures.
Kamistad gel is an immediate local anesthesia; the drug effectively eliminates inflammation, regenerating the tissue of the lips and oral mucosa.
Prevention of stomatitis
To avoid the appearance of stomatitis in adults, it is necessary to maintain oral hygiene, eat well, stop smoking, promptly treat colds and other diseases, prevent dirt from getting on the mucous membrane, and undergo preventive examinations at the dentist to prevent caries and other dental problems.
Learn about other oral diseases
Noma Periodontitis Damage to the oral mucosa (from wearing dentures, piercings, braces, crowns) Periodontitis
Contraindications of the drug
As experts note, Kamistad gel is very well tolerated by patients, however, due to the specific composition, the product is not recommended for use in the following cases:
- with arterial hypertension;
- with heart failure;
- with bradycardia (slow heartbeat);
- with renal failure;
- during lactation and pregnancy;
- with liver failure;
- if the child's age is less than 3 months.
It is also not recommended to use the gel in patients who have hypersensitivity to lidocaine, chamomile or auxiliary components of the drug.
special instructions
What do dentists recommend to their patients when they prescribe Kamistad?
Before use, you should always wash your hands thoroughly to avoid introducing infection into the oral cavity. Under no circumstances should the gel get into your eyes.
Benzalkonium chloride (antiseptic), which is part of the gel, can cause the formation of black pigment plaque on tooth enamel. Chromatogenic staining of enamel is a temporary and non-hazardous defect, but it does not go away on its own and must be removed in the dental office with professional teeth cleaning.
.
Kamistad: instructions for use
Kamistad is very easy to use, but before use it is necessary to carry out preparatory procedures: wash your hands thoroughly, dry the mucous membranes of the mouth and lips with a dry gauze swab.
To relieve pain, 1 drop of dental gel is enough. The gel is applied to the finger and gently rubbed into the problem area.
Children are allowed to use Kamistad Baby no more than 3 times a day; adults use Kamistad as needed, but no more than 6 times a day.
In the process of adaptation to dentures, the product is applied to the diseased area, and then the denture
installs immediately. If ulcers appear in your mouth, you should urgently contact a dental clinic for advice.
The drug contains benzalkonium chloride; for this reason, the gel is not allowed to be used for stomatitis with erosions and ulcers in the mouth. It also makes sense to use a dental drug only as part of a complex treatment; Kamistad itself cannot cope with aphthous or herpetic stomatitis, since it does not have the necessary anti-inflammatory and antiviral properties.
Cholisal gel: analogues of the active substance
Complete analogues of Cholisal gel in terms of active ingredients are Mundizal and Holicet.
There are also other drugs with choline satylate, however, they are aimed at combating ear diseases (Brotinum, Otinum, Holikaps) and neuralgia of bone tissue (Sachol).
Brotinum, Otinum and Holikaps
The active ingredient is choline sacylate.
The drugs also lower fever, fight viruses and reduce pain, but are available in the form of drops.
The liquid substance is convenient for instillation into the ear canals.
However, Otinum, Holikaps and Brotinum are used as cheap analogues of Cholisal gel.
Otinum price – from 120 rubles.
Brotinum price – from 130 rubles.
The price of Holikaps is from 210 rubles.
Drops are used as a wet compress on the affected area 3-4 times a day.
Doctors, in turn, recommend resorting to drugs that do not contain citalkonium chloride, extremely rarely, if it is not possible to purchase Holicet or Mundizal.
Mundizal and Holicet
They are the most complete analogues of Cholisal gel both in composition and form of application.
- Choline satylate;
- Cetalkonium chloride.
Unlike the expensive analogue, they do not contain methylparaben and hydroxyethylcellulose, due to which their cost is lower. Mundizal burns more strongly than Holicet due to the lack of glycerin compounds in the composition.
The price of Mundizal is from 260 rubles.
The price of Holicet is from 280 rubles.
These gels are used more often than Cholisal - 3-4 times a day, since the effect of the anesthetic component lasts for 6-7 hours.
Features of use during lactation and pregnancy
According to the original instructions, contraindications include lactation and pregnancy. However, this is not a strict contraindication; in practice, the dentist can recommend the drug to patients if absolutely necessary. However, during such an important period, it is better for women to give preference to alternative drugs such as Cholisal or Metrogyl Denta.
"Cholisal" relieves inflammation, pain and kills pathogenic microorganisms. According to the original instructions, it can be used by women both during pregnancy and lactation, but with caution, not exceeding the dose of the drug.
"Metrogid Dent" is only suitable for relieving inflammation; the drug cannot boast of an analgesic effect like Kamistad. This dental gel is only allowed to be used by pregnant women during the 2nd and 3rd trimesters. During lactation, the drug should not be used either; the active components easily pass into breast milk, but if necessary, breastfeeding can be stopped.
Comparison of safety of Kamistad and Kholisal
The safety of a drug includes many factors.
At the same time, Kamistad’s is higher than Kholisal’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 Kamistad, as well as in Cholisal, 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, Kamistad has fewer risks when used than Cholisal.
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 Kamistad and Kholisal.
Kamistad: reviews from specialists and patients
Dentists speak very positively about Kamistad and call it an emergency solution for toothache. Patients who used this product reported effectiveness and rapid action. You don't have to wait long, just a few seconds after application and the pain goes away. Some patients suffering from stomatitis used the gel a few minutes before meals - this reduced pain during meals and provided comfort.
For children who are teething, this drug is very necessary; the gel not only reduces pain, but also relieves irritation, inflammation and calms the child.
What benefits do dentists and patients report?
- Versatility of use.
The drug is available in two forms, which allows it to be used by both children and adults.
- In
normal doses, the drug is inert and does not react with other drugs
, which makes it possible to include it in combination therapy. - No side effects or overdose
, if you use the drug according to the instructions. Otherwise, redness, burning and itching may occur at the application site, and in severe cases, swelling of the oral mucosa may occur.
- The gel contains sugar.
- The gel form of the product allows the active components to penetrate quickly and deeply into the tissues
, providing a strong and long-lasting analgesic effect.
- Kamistad gel does not affect the psychomotor state of the patient
, so it can be used while driving vehicles or working with complex mechanisms.
- Children enjoy the taste and smell of Kamistad Baby
.
- The gel is applied topically
, the effect is instant.
- Availability and popularity.
Kamistad is sold without a prescription, so you can easily purchase it at any pharmacy.
- There is no need to store the product in the refrigerator
, besides, after opening the tube, Kamistad is suitable for up to 1 year.
Comparison of side effects of Kamistad and Cholisal
Side effects or adverse events are any adverse medical event that occurs in a subject after administration of a drug.
Kamistad's rate of adverse events is almost the same as that of Cholisal. 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 Kamistad are similar to Cholisal: how quickly the body recovers after taking it and whether it recovers at all.
Gel Kamistad: analogues and prices
Gel Kamistad - the price is about 250 rubles (data as of March 2017), there are no direct analogues at a lower price.
Analogues of Kamistad in terms of therapeutic effect:
- Holisal.
- Luan.
- Dantol, Dentol baby.
- Kalgel.
- Lidocaine.
- Lidoxor.
- Dentagel.
- Solcoseryl and others.
Which is better, Holisal, Kamistad or Solcoseryl?
In the treatment of stomatitis, its analogue - Kamistad . Its advantages:
- excellent analgesic effect ;
- adheres well ;
- fights inflammation, ulcers.
The downside of Kamistad is its weak antimicrobial effect , which is explained by the presence of tsetalkonium chloride in the composition. To destroy harmful bacteria, you will need to use an additional drug.
Photo 1. A well-known analogue of Cholisal is Kamistad gel for topical use, manufactured by STADA, in a 10 g tube.
The second known analogue of Cholisal is Solcoseryl . Benefits: Effective wound healing, fights harmful bacteria, easy to use. The disadvantage is the inability to use the drug during pregnancy and breastfeeding.
Important! Of the three drugs against stomatitis, Cholisal stands out because it has more benefits . The product is superior to analogues in efficiency and speed of tissue healing. Able to fight inflammation and bacteria, has a complex effect.
Comparison with other drugs
The properties of the drug “Kalgel” are very similar to Kamistad; it also contains lidocaine and a chemical antiseptic. The only difference between the Kalgel gel is that its anesthetic effect is weaker and can only be used by children from 5 months. However, “Kalgel” can be used even for ulcerative stomatitis; it also provokes less salivation, which is very good if it is necessary to numb the teeth of a one-year-old baby.
Cholisal gel has a wider spectrum of action than Kamistad, it relieves pain, relieves inflammation, and destroys pathogenic microorganisms. However, the anise oil included in the composition provokes strong salivation, so it is not recommended for use in infancy.
The article was written by a dentist with 12 years of experience!
Comparison of ease of use of Kamistad and Cholisal
This includes dose selection taking into account various conditions and frequency of doses. At the same time, it is important not to forget about the release form of the drug; it is also important to take it into account when making an assessment.
The ease of use of Kamistad is approximately the same as Cholisal. However, they are not convenient enough to use.
The drug ratings were compiled by experienced pharmacists who studied international research. The report is generated automatically.
Last update date: 2020-12-04 13:45:20
