Cleanstar Plus Mouthwash

Introduction

This combination of active ingredients is commonly found in oral hygiene products, such as mouthwashes and toothpastes. Each component serves a specific role in promoting oral health by acting as an antiseptic, analgesic, and anti-inflammatory agent. Together, they help to reduce plaque, prevent cavities, freshen breath, and provide relief from minor oral discomfort.

Uses

This combination is used for:

Maintaining oral hygiene by reducing plaque and gingivitis.
Preventing dental cavities through the action of fluoride.
Providing relief from minor mouth irritations.
Freshening breath and reducing oral malodor.
Alleviating symptoms of mouth sores or gum inflammation.

Brand Name	Cleanstar Plus
Type	Mouthwash
Weight
Generic	Eucalyptol + Menthol + Methyl Salicylate + Thymol + Sodium Fluoride
Manufacturer	Sharif Pharmaceuticals Ltd.
Available in	English বাংলা

Mechanism of Action

- Eucalyptol: Acts as an antimicrobial agent, helping to reduce bacterial populations in the mouth.
- Menthol: Provides a cooling sensation and helps to alleviate irritation while also acting as a mild antiseptic.
- Methyl Salicylate: Functions as an anti-inflammatory and analgesic agent, soothing sore gums and oral tissues.
- Thymol: Has antiseptic properties and helps to kill bacteria, preventing oral infections.
- Sodium Fluoride: Strengthens tooth enamel and prevents cavities by promoting remineralization of teeth.

How Long Does It Take to Work?

When used as a mouthwash or toothpaste, the effects of this combination are typically felt within a few minutes. Relief from irritation and a fresher breath can be noticed almost immediately, while cavity prevention and plaque reduction are gradual processes that occur with regular use over weeks to months.

Absorption

Most of these components act locally in the oral cavity with minimal systemic absorption. Sodium fluoride, however, is absorbed through the mucosal membranes and systemic circulation after oral use, helping to protect teeth throughout the body.

Route of Elimination

The primary route of elimination for most components is through the gastrointestinal tract, where they are eventually excreted via feces. Sodium fluoride, once absorbed, is excreted primarily through urine.

Dosage

Use twice daily after brushing your teeth with toothpaste.Vigorously swish 10 ml of rinse between your teeth for 1 minute and then spit out. Do not swallow the rinse. Do not eat or drink for 30 minutes after rinsing. Supervise children as necessary until capable of using without supervision.

Use in Children: According to the consultancy of dentist or physician.

For mouthwashes, typically 10-20 mL of the solution is used by rinsing the mouth for 30 seconds to 1 minute, usually 1-2 times daily. Toothpastes containing this combination should be used as directed, usually twice a day.

Administration

The combination is administered via topical oral application, either as a mouth rinse or toothpaste. For mouthwash, swish in the mouth without swallowing; for toothpaste, it should be used to brush teeth thoroughly.

Side Effects

Possible side effects may include:

Mouth or throat irritation.
Temporary burning or tingling sensation.
Allergic reactions, including rash or swelling in sensitive individuals.
Fluoride toxicity if ingested in large quantities, leading to symptoms like nausea or stomach discomfort.

Toxicity

Toxicity is rare when used as directed. However, excessive ingestion of products containing fluoride can lead to fluorosis, which manifests as white spots on teeth or more severe systemic effects in cases of acute overdose, such as vomiting, abdominal pain, or hypotension.

Precautions

Precautions include avoiding swallowing large amounts of mouthwash or toothpaste and keeping the product out of reach of children. Individuals with a known allergy to any of the ingredients should not use the product.

Interaction

There are generally no significant drug interactions when used topically. However, those using high doses of fluoride supplements or treatments should consult their dentist or doctor before adding fluoride-based oral products to their regimen.

Disease Interaction

Patients with gastrointestinal disorders, such as ulcers, should use these products with caution as the alcohol and menthol content in mouthwashes may cause irritation. Those with a history of allergy or sensitivity to any of the components should avoid use.

Drug Interaction

No significant systemic drug interactions are expected with the topical use of this combination. However, interactions with fluoride supplements, excessive fluoride exposure, or certain gastrointestinal medications could theoretically affect fluoride metabolism.

Food Interactions

There are no significant food interactions with this combination. However, fluoride should not be combined with dairy products immediately after use as calcium may reduce fluoride absorption.

Pregnancy Use

This combination is generally considered safe for use during pregnancy when used topically, as minimal systemic absorption occurs. However, fluoride-containing products should be used cautiously and not swallowed.

Lactation Use

Topical use of this combination is generally safe during breastfeeding, as the systemic absorption of fluoride and other components is minimal. However, caution should still be exercised to avoid ingestion of excessive fluoride.

Acute Overdose

In the event of ingestion of large quantities, especially by children, symptoms of acute fluoride overdose may include nausea, vomiting, diarrhea, and abdominal pain. Immediate medical attention is required in such cases.

Contraindication

Contraindications include known hypersensitivity to any of the components, especially menthol, thymol, or methyl salicylate. Children under the age of 6 should not use fluoride mouthwashes without supervision to prevent swallowing.

Use Direction

For mouthwash: Rinse with the recommended dose (typically 10-20 mL) for 30 seconds to 1 minute, then spit out. For toothpaste: Apply a small amount (pea-sized for children) to a toothbrush and brush teeth thoroughly for 2 minutes.

Storage Conditions

Store at room temperature away from direct sunlight and moisture. Keep the container tightly closed and out of the reach of children. Avoid freezing or excessive heat.

Volume of Distribution

The systemic volume of distribution for this combination is negligible due to the local action of the ingredients in the oral cavity. Fluoride, if absorbed, has a volume of distribution that includes bones and teeth.

Half Life

The half-life of the topical components is not relevant as they act locally. Sodium fluoride, when absorbed, has a plasma half-life of approximately 3-10 hours, depending on renal function.

Clearance

Most of the components are cleared locally in the oral cavity, with minimal systemic absorption. Absorbed fluoride is primarily cleared by the kidneys through urine, with clearance rates dependent on renal function and hydration status.

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