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Benzydamine for sore mouth/throat

Difflam

Benzydamine eases painful conditions of the mouth or throat.

It is available as a mouth rinse, lozenges and as a mouth spray.

You can use benzydamine for up to seven days, but do not continue to use it for longer than this except on the advice of a doctor or dentist.

At a glance

  • Benzydamine is an anti-inflammatory painkiller used for painful mouth and throat conditions.

  • It is available as a mouthwash, lozenges, or spray.

  • You can get it on prescription or buy it from a pharmacy without one.

  • Do not use benzydamine for more than seven days unless advised by a doctor or dentist.

  • If your symptoms do not improve within seven days, see your doctor or dentist.

Continue reading below

About benzydamine

Type of medicine

Anti-inflammatory painkiller

Used for

Painful mouth and throat conditions such as mouth ulcers and sore throat

Also called

Difflam®

Available as

Mouth rinse (mouthwash), lozenges or spray

Benzydamine is an anti-inflammatory and painkilling medicine. It reduces pain and discomfort associated with sore throat or mouth conditions such as ulcers and sore throat. It is available as lozenges to suck, a mouthwash which you can gargle with, or as a spray which can be directed towards the sore areas of your mouth.

Benzydamine mouthwash, lozenges and spray are available on a prescription from a doctor or dentist. You can also buy them at a pharmacy, without a prescription.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start using benzydamine it is important that your doctor, dentist or pharmacist knows:

  • If you are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.

  • If you have ever had an allergic reaction to a medicine.

  • If you are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines.

Continue reading below

  • Before you start the treatment, read the manufacturer's printed information leaflet from the pack. It will give you more information about benzydamine and will provide you with a full list of any side-effects which you may experience from using it.

  • If you are using benzydamine oral rinse (mouthwash), use 15 ml as a mouthwash every 1½-3 hours. The cap of the bottle can be used as a measure. After you have gargled with the liquid for about 20-30 seconds, spit it out - try not to swallow benzydamine. If you find the mouthwash causes some stinging, you can dilute the liquid with an equal amount of water before you use it. This oral rinse is not suitable for children under 13 years of age to use.

  • If you are using benzydamine spray, use 4-8 sprays on to the sore area every 1½-3 hours. This is the dose for adults. If you are giving benzydamine to your child, check the label carefully to make sure you are using the correct number of sprays for the age of your child.

  • If you are using benzydamine lozenges, the dose for adults and for children over 6 years is one lozenge three times daily. Allow the lozenge to dissolve slowly in your mouth, do not swallow whole and do not chew. Do not use the lozenges for more than seven days.

How to use benzydamine spray

  1. Hold the bottle upright.

  2. Lift the nozzle of the spray away from the container until it is horizontal.

  3. If it is the first time you have used the spray, point the nozzle away from you and press down on the green plunger on the top of the container until you see a fine mist. The spray is now ready to use.

  4. Aim the spray at the sore area of your mouth or throat and press down on the green plunger to release one spray. Repeat this step to give the correct number of sprays.

  5. When you have finished using the spray, push the nozzle of the spray back down against the container to store it safely until your next dose is due.

  • You should expect the soreness to have eased within seven days of using benzydamine. If there is no improvement after this time, you should arrange to see your doctor or dentist for further advice. Do not continue to use benzydamine for longer than seven days unless it is on the advice of a doctor or dentist.

  • If you are using the spray, be careful not to get it into your eyes. If this does happen by accident, rinse it out with warm water.

Continue reading below

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the ones associated with benzydamine oral rinse and spray. You will find a full list in the manufacturer's information leaflet supplied with the medicine.

Benzydamine mouth rinse and spray side-effects

What can I do if I experience this?

Numbness or a stinging feeling in your mouth

If you are using the mouthwash, dilute it with an equal amount of water

If you experience any other symptoms which you think may be due to benzydamine, speak with your doctor, dentist or pharmacist for further advice.

  • Keep all medicines out of the reach and sight of children.

  • Store in a cool, dry place, away from direct heat and light.

Important information about all medicines

Make sure that the person supplying this medicine knows about any other medicines that you are taking or using. This includes any medicines you have bought, and herbal and homeopathic medicines.

If you are having an operation or dental treatment, tell the person carrying out the treatment which medicines you are using.

This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.

Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.

If you have any questions about this medicine ask your pharmacist.

Never use more than the prescribed dose. If you suspect that someone has taken an overdose of this medicine, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.

Report side effects to a medicine or vaccine

If you experience side effects, you can report them online through the Yellow Card website.

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Unsure about mixing medicines?

Check for possible interactions between medicines, supplements and foods before taking them together.

Frequently asked questions

Can children use benzydamine for mouth or throat pain?

Yes, children can use benzydamine, but the suitable form and dosage vary by age. Benzydamine oral rinse (mouthwash) is not for children under 13 years old. For the spray, check the label carefully for the correct number of sprays based on your child's age. Lozenges are for children over 6 years old.

What should I do if the benzydamine mouthwash causes stinging?

If you experience a stinging feeling when using the benzydamine mouthwash, you can dilute it with an equal amount of water before gargling. This should help to reduce the sensation.

Is it safe to swallow benzydamine mouthwash or spray?

When using the benzydamine mouthwash, you should spit it out after gargling and try not to swallow it. The article doesn't specifically mention swallowing the spray, but it is applied to the sore area in the mouth or throat.

What should I do if my mouth or throat pain doesn't improve after using benzydamine?

You should expect the soreness to ease within seven days of using benzydamine. If there is no improvement after this time, or if you need to use it for longer than seven days, you should consult your doctor or dentist for further advice.

Can I use benzydamine if I'm taking other medications?

It's important to inform your doctor, dentist, or pharmacist about all other medicines you are taking, including non-prescription medicines, herbal remedies, and complementary medicines. This ensures that benzydamine is suitable for you.

How long can I use benzydamine lozenges for?

You should not use benzydamine lozenges for more than seven days. If your symptoms persist beyond this period, you should seek advice from a doctor or dentist.

What should I do if I accidentally get benzydamine spray in my eyes?

If you accidentally get the benzydamine spray into your eyes, you should rinse them out with warm water immediately.

Further reading and references

Continue reading below

About the authorView full bio

Author image

Michael Stewart, MRPharmS

Medicine Leaflet Review Manager – Contractor, Pharmacist

BPharm (Hons), MRPharmS

Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.

About the reviewer

Author image

Sid Dajani

Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.

Article history

The information on this page is written and peer reviewed by qualified clinicians.

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