Choline Salicylate

Dosage Forms Available

• Choline Salicylate is available for use via the topical route in the form of an oral gel.

Age and Dose Restrictions

• This medicine is meant for use in both adults and children over the age of 2 years.

Contraindications

• This medicine is contraindicated in patients with known hypersensitivity to any of the salicylates or any component of the formulation.

• It is also contraindicated in infants below 4 months of age unless advised by a doctor.

Other Medications to Avoid

• This medicine may interact with other NSAIDs (such as ibuprofen and aspirin), other oral salicylates (like sodium salicylate), and anticoagulants (such as warfarin).

Overdose and Missed Dose

• An overdose of Choline Salicylate can lead to symptoms such as ringing in the ears, dizziness, nausea, and rapid breathing. In severe cases, confusion and alterations in blood chemistry can occur. These could be signs of salicylate toxicity, which requires immediate medical attention.

• If you miss a dose of Choline Salicylate, apply the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dose schedule. Do not apply a double dose to make up for the missed one.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• If irritation occurs at the application site, ensure that the gel is not being over-applied or rubbed excessively.

• Drinking water can help soothe mild irritation in the mouth post-application.

Use in Driving and Operating Machinery

• Choline Salicylate does not impair your ability to drive or operate machinery; however, care should be taken to avoid ingesting the gel which could lead to systemic effects.

Use in Pregnancy and Lactation

• The safety of this medicine during pregnancy and lactation has not been fully established. It should only be used if clearly needed and after assessing the potential benefits against risks. Pregnant or breastfeeding women should consult their doctor before using this medication.

Caution in Other Conditions

• Patients who have significant renal (kidney) or hepatic (liver) impairments should use it with caution as the systemic absorption, though minimal, can still present risks.

Special Dietary and Lifestyle Recommendations

• Maintain good oral hygiene to reduce the severity and frequency of mouth ulcers or lesions.

• Include foods rich in vitamin B12, iron, and folate such as lean meats, dairy products, and green leafy vegetables to help prevent mouth ulcers.

• Avoid spicy and acidic foods which can exacerbate mouth ulcers.