Strepsils Orange with Vitamin C Lozenges

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

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Overview

Strepsils Orange with Vitamin C Lozenges are medicated throat lozenges made by Reckitt, the manufacturer of the Strepsils range. Each lozenge contains 2,4-dichlorobenzyl alcohol 1.2 mg and amylmetacresol 0.6 mg, two antiseptic active ingredients, together with 100 mg of vitamin C (as ascorbic acid and sodium ascorbate) in an orange-flavoured sugar-based lozenge.

The vitamin C content is what distinguishes this variant from the original Strepsils lozenge. Because the lozenge base contains sugars (sucrose and glucose), people who need to watch their sugar intake, including those with diabetes, should check the pack and speak with a pharmacist. DoctorOnCall lists the lozenges in packs of 6 and 24, and some retailers also sell a 12-lozenge pack, so please check the pack size on the product page when you order.

As an OTC (Over-the-Counter) medicine, Strepsils Orange with Vitamin C Lozenges can be bought through DoctorOnCall without needing a doctor’s prescription. They are intended for adults and children over 6 years of age, and they are dissolved slowly in the mouth rather than chewed or swallowed whole. The dosing interval and the daily maximum on the pack insert should always be followed.

Directions for Use

  • Dissolve one lozenge slowly in the mouth; do not chew it or swallow it whole.
  • Repeat every 2 to 3 hours as needed, and do not exceed the maximum number of lozenges per day stated on the pack insert.
  • For adults and children over 6 years only; do not give to children under 6 years.
  • Do not use together with other medicated lozenges that contain 2,4-dichlorobenzyl alcohol or amylmetacresol, such as other Strepsils variants or Difflam AB.
  • If symptoms persist or get worse after 3 days, stop using the lozenges and consult a doctor.

Dosage

Adults, the elderly and children over 6 years: dissolve one lozenge slowly in the mouth every 2 to 3 hours as needed. The manufacturer’s package leaflet gives a maximum of 12 lozenges in 24 hours; please follow the daily maximum printed on your pack insert and do not exceed it. Not recommended for children under 6 years. If you miss a dose there is nothing to make up, as the lozenges are taken only as needed. If symptoms last for more than 3 days, or are accompanied by fever, rash or headache, stop using the lozenges and consult a doctor.

Shelf Life

Use Strepsils Orange with Vitamin C Lozenges before the expiry date printed on the pack. Check the expiry date and batch number before each use, and do not use lozenges that are past their expiry date or that look damaged or sticky.

Storage Instructions

Store as directed on the pack, generally in a cool, dry place away from direct sunlight and moisture. Keep the lozenges in their original wrapper or pack until use, and keep all medicines out of the reach and sight of children.

Side Effects

  • Mild irritation or burning sensation in the mouth
  • Nausea or upset stomach (rare)
  • Allergic reactions like rash or itching (uncommon)
  • Temporary numbness in the mouth or throat

Contraindications

  • Do not use if you are allergic or hypersensitive to 2,4-dichlorobenzyl alcohol, amylmetacresol, vitamin C or any other ingredient in the lozenge.
  • Do not give to children under 6 years.
  • Do not use if you have rare hereditary problems of fructose intolerance, glucose-galactose malabsorption or sucrase-isomaltase insufficiency, because the lozenge contains sucrose and glucose.
  • Do not use together with other medicated lozenges that contain the same antiseptic ingredients.

Drug / Food Interactions

  • No clinically significant drug interactions have been established at the labelled lozenge dose, but please tell your pharmacist about all medicines you take.
  • Other medicated lozenges, sprays or gargles containing 2,4-dichlorobenzyl alcohol or amylmetacresol (for example other Strepsils variants and Difflam AB): avoid using them together, to prevent duplicate dosing.
  • Vitamin C supplements: each lozenge already contains 100 mg of vitamin C, so count it towards your daily intake if you also take a vitamin C supplement.
  • No specific food interactions are known; it is best not to eat or drink while a lozenge is dissolving, so that it stays in contact with the mouth and throat.

Quick Tips

  • Let the lozenge dissolve slowly; do not chew it or swallow it whole.
  • Space the lozenges at least 2 to 3 hours apart, and stay within the daily maximum on your pack.
  • Do not combine with another medicated lozenge that has the same active ingredients, such as other Strepsils or Difflam AB.
  • Remember that each lozenge contains sugars and 100 mg of vitamin C; check the pack if you monitor your sugar intake.
  • Keep the lozenges out of the reach of young children, who should not be given them, as they are a choking risk.
  • Stop and see a doctor if symptoms last more than 3 days or are accompanied by fever, rash or headache.

Ingredients / Active Ingredients

  • Active ingredients (per lozenge): 2,4-Dichlorobenzyl alcohol 1.2 mg; Amylmetacresol 0.6 mg.
  • Vitamin C (per lozenge): 100 mg (as ascorbic acid and sodium ascorbate).
  • Dosage form: Lozenge, orange flavour.
  • Other ingredients: contains sugars (sucrose and glucose); full excipient list is printed on the pack.
  • Manufacturer: Reckitt.

Safety Advice

Pregnancy

Safe If Prescribed

This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.

Breastfeeding

Generally Safe

This medicine is generally safe during breastfeeding with minimal risk to the infant.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

Generally Safe

Generally safe, but caution may be required in some patients.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Generally Safe

This medicine is generally safe and should not impair your driving ability.

Relevant Information

Precautions: Use Strepsils Orange with Vitamin C Lozenges only as directed on the pack insert, and do not give them to children under 6 years. The lozenges contain sugars, so people with diabetes or on a sugar-restricted diet should speak to a pharmacist, and those with rare hereditary sugar intolerances should not use them. Speak to a doctor or pharmacist before use if you are pregnant or breastfeeding, have a history of kidney stones, or take other medicines, and avoid using other medicated lozenges with the same active ingredients at the same time. Keep the lozenges out of the reach of children.

When to See a Doctor or Pharmacist: See a doctor if your symptoms last more than 3 days, get worse, or come with fever, rash, headache, nausea or vomiting, or if you have difficulty swallowing or breathing. Seek urgent medical attention if you develop swelling of the face, lips or throat, a spreading rash, or any sign of a severe allergic reaction.

Frequently Asked Questions

Product Specifications

BrandStrepsils
ClassificationNon-prescription
Ingredients / Active IngredientsAmylmetacresol
Pack Size24s, 6s

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