Antiseptic: Topical: Castellani Paint 1.5% Modified Solution: Apply small amount to affected area 1 to 3 times daily.
Mouth/throat pain: Oral:
Rinse (Ulcerease): Gargle or swish for 15 seconds, then expectorate; may repeat every 2 hours as needed; do not exceed 12 times/day.
Spray: 1 spray to the affected area; keep in place for 15 seconds, then expectorate; may repeat every 2 hours as needed.
There are no dosage adjustments provided in the manufacturer's labeling.
There are no dosage adjustments provided in the manufacturer's labeling.
(For additional information see "Phenol: Pediatric drug information")
Antiseptic: Children and Adolescents: Castellani Paint 1.5% Modified Solution: Topical (Dermal): Apply small amount to affected area 1 to 3 times daily.
Mouth/throat pain:
Oral rinse: Ulcerease (0.6% liquid):
Infants ≥4 months to Children <12 years: Topical: Apply directly to affected area with clean swab up to 6 times daily.
Children ≥12 years and Adolescents: Topical: Gargle or swish for 15 seconds, then expectorate; may repeat every 2 hours as needed; maximum daily dose: 12 doses/day.
Spray:
0.5% spray (eg, Chloraseptic spray): Children ≥3 years and Adolescents: Topical: 1 spray to the affected area; keep in place for at least 15 seconds, then expectorate; may repeat every 2 hours as needed.
1.4% spray (eg, Good Sense spray): Children ≥6 years and Adolescents: Topical: 1 spray to the affected area; keep in place for 15 seconds, then expectorate; may repeat every 2 hours as needed.
There are no dosage adjustments provided in the manufacturer's labeling.
There are no dosage adjustments provided in the manufacturer's labeling.
Refer to adult dosing.
Excipient information presented when available (limited, particularly for generics); consult specific product labeling. [DSC] = Discontinued product
Liquid, External:
Generic: 1.5% (29.57 mL); Castellani Paint Modified 1.5% (29.57 mL [DSC])
Liquid, Mouth/Throat:
Chloraseptic: 1.4% (20 mL [DSC]) [contains fd&c red #40 (allura red ac dye), saccharin sodium; cherry flavor]
GoodSense Sore Throat Spray: 1.4% (177 mL) [alcohol free, aspirin free, sugar free; contains menthol, quinoline yellow (d&c yellow #10), saccharin sodium]
GoodSense Sore Throat Spray: 1.4% (177 mL) [aspirin free, sugar free; contains alcohol, usp, fd&c red #40 (allura red ac dye), saccharin sodium]
Oralseptic: 1.4% (177 mL) [alcohol free, aspirin free, sugar free]
Phenaseptic: 1.4% (177 mL) [aspirin free, sugar free; contains fd&c red #40 (allura red ac dye); cherry flavor]
Sore Throat Spray: 1.4% (177 mL) [contains fd&c red #40 (allura red ac dye); cherry flavor]
Ulcerease: 0.6% (178 mL)
Solution, Mouth/Throat:
Triaminic Sore Throat: 0.5% (120 mL) [alcohol free, aspirin free, sugar free; contains fd&c blue #1 (brilliant blue), fd&c red #40 (allura red ac dye), saccharin sodium; grape flavor]
Ulcerease: 0.6% (30 mL, 178 mL)
Swab, External:
Phenol EZ Swabs: 89% (30 ea)
May be product dependent
Castellani Paint Modified contains phenol, resorcinol, basic fuchsin, acetone, and alcohol.
Colorless formulations may be available without basic fuchsin.
Oral: Spray and rinse should be allowed to remain in mouth for ~15 seconds, then expectorated; do not swallow. Shake rinse well prior to use.
Topical: Castellani Paint 1.5% Modified Solution: Clean area prior to application. Check skin for sensitivity to phenol prior to applying. May stain skin and clothing.
Topical (Oral):
Rinse: Infants ≥4 months, Children, and Adolescents: Shake well prior to use. Gargle/rinse for ~15 seconds and then expectorate. For infants and young children unable to gargle or rinse, apply to the affected area with a clean swab.
Spray: Children ≥3 years and Adolescents: Spray affected area; allow to remain in mouth for at least 15 seconds, then expectorate; do not swallow. Children <12 years of age require adult supervision with use of this product.
Topical (Dermal): Castellani Paint Modified Solution: For external use only. Avoid contact with eyes. Clean area and check skin for sensitivity to phenol prior to application. May stain skin and clothing. Wash hands after use.
Hazardous agent; use appropriate precautions for handling and disposal (EPA, U-listed).
Antiseptic: First aid antiseptic to protect minor cuts, scrapes, or burns from skin infection
Mouth/throat pain: Temporary relief of minor sore throat pain, sore mouth, mouth irritation, canker sore pain, or teething pain
There are no adverse reactions listed in the manufacturer's labeling.
Other warnings/precautions:
• OTC labeling: Sore throat: Not for use >7 days or if pain, redness, or irritation continues. If sore throat is severe, not for use >2 days or if followed by fever, headache, rash, swelling, nausea, or vomiting. Oral gargles and sprays should not be swallowed.
• OTC labeling: Topical antiseptic: Do not use in eyes, or apply to large areas of the body, deep or puncture wounds, animal bites or burns. Do not use for >7 days; do not bandage affected area.
None known.
There are no known significant interactions.
Phenol is systemically absorbed following oral ingestion, inhalation, or application to the skin. Fetotoxic effects have been observed in animal reproduction studies (Bruce, 1987).
Liquid (Ulcerease Mouth/Throat)
0.6% (per mL): $0.07
Solution (Triaminic Sore Throat Mouth/Throat)
0.5% (per mL): $0.04
Solution (Ulcerease Mouth/Throat)
0.6-1.5% (per mL): $0.05
Swab (Phenol EZ Swabs External)
89% (per each): $5.46
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