COLGATE PerioGard Gum Protection Mouthwash 400ml | Gum Care mouthwash | Helps Protect Gums from Problems and Irritation | Antibacterial Ingredients | Fights Plaque Bacteria | Dual Active Formula

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Only use chlorhexidine lozenges and sore throat spray for a short time. Do not keep using them continuously. Measure your dose using the cup provided with the medication. Swish the medicine in your mouth for at least 30 seconds, then spit it out. Do not swallow the mouthwash. Mariotti A, Hefti AF. BMC Oral Health. 2015;15(Suppl 1):S6 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4580771/ Accessed October 12, 2016 Rosen PS, Levine WZ. A Pilot Study Comparing An Alcohol Free Botanical Rinse to Chlorhexidine Rinse in Managing Post-Surgical Inflammation with Dental Implants. Submitted Chlorine dioxide, which is found in CloSYS, TheraBreath, Oxyfresh, and ProFresh (sodium chlorite), has an anti-bacterial effect that is combined with increased reduction of volatile sulfur compounds. The primary benefit of these products is fresh breath.

Some patients may experience an alteration in taste perception while undergoing treatment with a chlorhexidine gluconate oral rinse USP, 0.12%. Rare instances of permanent taste alteration following chlorhexidine gluconate oral rinse USP, 0.12% use have been reported via postmarketing product surveillance. PerioGard® may cause some tooth discoloration, or increase in tartar (calculus) formation, particularly in areas where stain and tartar usually form. It is important to see your dentist for removal of any stain or tartar at least every six months, or more frequently if your dentist advises. WHAT TO EXPECT WHEN USING PERIOGARD® (CHLORHEXIDINE GLUCONATE ORAL RINSE USP, 0.12%): Your dentist has prescribed PerioGard® (Chlorhexidine Gluconate Oral Rinse USP, 0.12%) to treat your gingivitis, to help reduce the redness and swelling of your gums, and also to help you control any gum bleeding. Use PerioGard® regularly, as directed by your dentist, in addition to daily brushing and flossing. Spit out after use; PerioGard® should not be swallowed. Minor irritation and superficial desquamation of the oral mucosa have been noted in patients using chlorhexidine gluconate oral rinse. Shetty BS, Udupa SL, Udupa AL, Somayaji SN. Effect of centella asiatica L (Umbelliferae) on normal and dexamethasone-supressed would healing in wistar albino rats. Int J Low Extrem Wounds. 2006;5(3):137-143

Gum problems (other)—Use of chlorhexidine may make other gum problems, such as periodontitis, worse PerioGard® may taste bitter to some patients and can affect how foods and beverages taste. This will become less noticeable in most cases with continued use of PerioGard®. At Colgate, we make toothpaste that promotes healthy smiles. Not only because having a healthy smile is important to your overall health, but because when you have a healthy smile, you actually smile more – and that’s a powerful thing. Smiles are the simplest form of optimism, something we need now more than ever. That’s why we’re committed to raising oral healthcare standards everywhere. PerioGard Gum and Sensitivity Toothpaste Benefits To minimize discoloration, you should brush and floss daily, emphasizing areas which begin to discolor. to make sure that it is safe for you to take Periogard (chlorhexidine gluconate (oral)) with all of your drugs and health problems. Do not start, stop, or change the dose of

Use your chlorhexidine treatment instead of soap or shower gel when you wash. You use it in the same way as an ordinary soap or gel. However, it may not be as foamy. Do not add water to the oral rinse. Do not rinse your mouth with water or other mouthwashes right after using Periogard. Pediatric Use: Clinical effectiveness and safety of PerioGard® have not been established in children under the age of 18. The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: If you are going into hospital, you may be sent a chlorhexidine product to wash with before you come into hospital to reduce the chances of infection. This should come with instructions on how to use it. What if I forget to use my chlorhexidine treatment?Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. The usual dose for children aged 12 and older is up to 5 lozenges a day. Adults can have up to 10 a day. The most common side effects associated with chlorhexidine gluconate oral rinse USP, 0.12% are: (1) an increase in staining of teeth and other oral surfaces, (2) an increase in calculus formation, and (3) an alteration in taste perception; see WARNINGS and PRECAUTIONS. Oral irritation and local allergy-type symptoms have been spontaneously reported as side effects associated with use of chlorhexidine gluconate rinse. The following oral mucosal side effects were reported during placebo-controlled adult clinical trials: aphthous ulcer, grossly obvious gingivitis, trauma, ulceration, erythema, desquamation, coated tongue, keratinization, geographic tongue, mucocele, and short frenum. Each occurred at a frequency of less than 1.0%. Tell your doctor if you are pregnant or plan to become pregnant before using Periogard; it is unknown how it would affect a fetus. It is unknown if Periogard passes into breast milk. Consult your doctor before breastfeeding. Additional Information The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

Put a small amount of gel onto your fingertip or a cotton bud. Gently wipe it across the surface of your mouth ulcer, gum or the sore part of your mouth. For patients having coexisting gingivitis and periodontitis, see PRECAUTIONS. DOSAGE AND ADMINISTRATION Wait at least 30 to 60 minutes before having something to eat or drink. Dosage and how to use mouthwash Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine. Other Interactions To avoid taste interference, rinse with PerioGard® after meals. Do not rinse with water or other mouthwashes immediately after rinsing with PerioGard®.So, what are we going to do about this? We need to target plaque and treat inflammation. Dental hygienists are truly the periodontal oral healthcare champions of our practice. They are on the front line of disseminating oral self-care instructions to our patients on a daily basis. Along with explaining the ravages of periodontal disease to our patients, they give fastidious oral hygiene instruction including brushing, flossing and rinsing. Rinsing should be an integral part of basic oral hygiene instructions. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. Signs of allergic reaction (nasal congestion; shortness of breath or troubled breathing; skin rash, hives, or itching; or swelling of face Both stain and tartar can be removed by your dentist or hygienist. PerioGard® may cause permanent discoloration of some front-tooth fillings.

Periogard may interact with other drugs. Tell your doctor all medications and supplements you use. Periogard During Pregnancy or Breastfeeding If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was Swish chlorhexidine around in the mouth for 30 seconds. Then spit out. Use the medicine full strength. Do not mix with water before using. Do not swallow the medicine. Dosing Store at 20° to 25°C (68° to 77°F) excursions permitted between 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature].

PerioGard - Clinical Pharmacology

If you cannot use it at a different time, then rinse your mouth thoroughly with water after brushing your teeth. Wait at least 5 minutes before using chlorhexidine.