This combination is primarily used as a topical agent for pain relief and inflammation management, especially in oral and mucosal conditions. Choline salicylate acts as a non-steroidal anti-inflammatory agent (NSAID), while lignocaine (also known as lidocaine) provides local anesthesia. Together, they help reduce swelling, soothe irritation, and numb the affected area, offering fast and targeted relief.

Lignocaine has been approved by the FDA since 1948, while choline salicylate has seen regional use in various countries, including the UK and India. Though not specifically approved as a fixed-dose combination by the FDA, their synergistic use is common in over-the-counter oral pain relief gels. Clinical trials suggest the combination is effective in relieving symptoms of mouth ulcers, teething pain, and denture irritation with minimal adverse effects when used as directed.

This combination is used for:

• Relief from pain and inflammation caused by mouth ulcers
• Alleviation of teething discomfort in infants (under medical supervision)
• Management of denture-related soreness
• Soothing pain from orthodontic braces or dental procedures
• Treatment of minor gum injuries or inflammation

It is typically applied topically in gel or ointment form directly to the affected area inside the mouth. Users should ensure the area is clean and dry before application. A small amount is usually enough, and it should be applied with clean hands or a cotton swab. The standard concentration varies, with choline salicylate at 8.7% and lignocaine hydrochloride at around 2%.

This medication is usually applied 2–3 times a day or as prescribed, and it is available in 10g and 15g tubes commonly found in pharmacies.

Common Side Effects:

• Mild burning or stinging sensation at the site of application
• Temporary numbness in the mouth
• Dry mouth
• Slight redness or irritation of gums

Serious Side Effects:

• Allergic reactions like rash, itching, or swelling (especially of the tongue or throat)
• Difficulty breathing (rare but requires immediate attention)
• Unusual tiredness or dizziness (could suggest systemic absorption)
• Ringing in the ears or hearing changes (in case of salicylate overdose)

If any of these occur, discontinue use and consult a healthcare provider.

• Not suitable for individuals allergic to NSAIDs or amide-type local anesthetics.
• Avoid use in children under 2 years unless directed by a physician.
• Should not be used with other salicylate-containing products to avoid cumulative toxicity.
• Use caution in patients with a history of asthma, bleeding disorders, or ulcers.
• Do not apply on deep or punctured wounds without medical supervision.

Before using this medication, users should disclose their medical history, especially if they have kidney issues, liver disorders, or asthma. It’s also important to ensure the area of application is not open or severely infected, as this could increase systemic absorption. Avoid eating or drinking immediately after application to allow the medicine to stay on the affected area. In children, use should be limited and closely monitored to avoid accidental ingestion. Do not use more than the recommended dosage or frequency, as overuse can increase the risk of side effects.

Always use this medication as directed, applying only a small amount to the affected area. Do not eat or drink for at least 30 minutes after application to ensure maximum effectiveness. Store the gel in a cool, dry place and keep it out of children’s reach. Do not share the tube with others to prevent cross-contamination. If symptoms persist for more than 5–7 days or worsen, seek medical advice. It is not a substitute for professional dental care in the case of severe oral issues.

1. https://go.drugbank.com/drugs/DB14006
2. https://pubchem.ncbi.nlm.nih.gov/compound/Choline-Salicylate
3. https://pmc.ncbi.nlm.nih.gov/articles/PMC6983192/
4. https://www.ncbi.nlm.nih.gov/books/NBK539881/

The information on this page is not a substitute for medical advice. It is meant for educational purposes only. For further details, consult your doctor about your medical condition to know if you can receive this treatment.