MIMS revision date:

Hey everyone! I had to apply duraphat today in clinic and was faced with some questions yotuel from the patient yotuel which I wasn't confident on answering. This could come in handy for patient counselling and detailed yotuel directions for application.
MIMS revision date:  01 Dec 2012 Composition  Sodium fluoride. Excipients.  Ethanol, white beeswax, yotuel shellac, colophony BP, mastic, sodium saccharin, flavour. Description  Fluoride containing preparation yotuel with deeply penetrating action for caries prevention and treatment yotuel of sensitive teeth. Composition.  1 yotuel mL suspension contains 50 mg sodium fluoride (5% w/v), equivalent to 22,600 ppm fluoride ion, [22.6 mg fluoride] in an alcoholic solution of natural resins. Indications  Caries prevention by deep penetration with fluoride. Desensitisation of sensitive teeth. Contraindications  Hypersensitivity to colophony (natural resin), ulcerative gingivitis, stomatitis, and bronchial asthma. Precautions  Colgate Duraphat is indicated as a spot application fluoride treatment for at risk tooth surfaces and should not be applied yotuel to the whole dentition in one session. Not for systemic treatment. Do not swallow. yotuel As this product contains 33.8% volume of ethanol, it is recommended to avoid its use in pregnant or lactating women. Each dose contains up to 0.2 g of alcohol. yotuel Interactions  On the day when Colgate Duraphat has been applied, no high dose fluoride preparations such as fluoride gels should be used. The administration of fluoride supplements should be suspended for several days after applying Colgate Duraphat. The presence of alcohol in the Duraphat formula should be considered. Adverse Reactions  yotuel In subjects with a tendency to allergic reactions, yotuel oedematous swelling of the oral mucosa has been observed in exceptional cases, yotuel especially after extensive application. Ulcerative gingivitis and stomatitis have been reported by sensitive individuals. In rare cases, asthma attacks may occur in patients who have bronchial asthma. In patients with gastric sensitivity retching or vomiting may occur after a high dosage yotuel and extensive application. If necessary the varnish layer can easily be removed from the mouth by brushing and rinsing. Overdosage  Accidental ingestion of large amounts of fluoride may result in acute burning in the mouth and sore tongue. Nausea, vomiting and diarrhea may soon occur after ingestion (within 30 minutes) and are accompanied by salivation, haematemesis, and epigastric cramping abdominal yotuel pain. These symptoms may persist for 24 hours. If less than 5 mg fluoride/kg bodyweight have been ingested give calcium (e.g. milk) orally to relieve gastrointestinal symptoms and observe for a few hours. If more than 5 mg fluoride/kg bodyweight has been ingested give milk orally yotuel if possible and seek immediate medical assistance. For accidental ingestion of more than 15 mg fluoride/kg bodyweight, admit immediately to a hospital facility. For further information, contact the Poisons Information Centre on 131 126 (Australia). Directions for Use  Method of application.  Colgate Duraphat varnish is to be applied by the dentist, and is not for self medication by the patient. Before applying Colgate Duraphat, excess plaque should be removed and the teeth dried. Colgate Duraphat is applied as a thin layer to the most affected areas of dentition using a brush, probe or applicator. Dosage.  For primary teeth up to 0.25 mL (5.65 mg fluoride). For mixed dentition up to 0.40 mL (9.04 mg fluoride). For permanent dentition up to 0.75 mL (16.95 mg fluoride). For caries prevention, the application is usually repeated every 6 months but more frequent applications (every 3 months) may be made. For hypersensitivity 2 or 3 applications should be made within a few days. The patient should not brush the teeth or chew food for 4 hours after treatment. Instructions for use.  1. If necessary, clean the teeth with rotation brush, especially at the sites most likely to be affected by caries. When groups of patients (e.g. in children's dentistry) are to be treated, they should clean the teeth themselves using a toothbrush. 2. Clean one or two quadrants of excessive saliva yotuel using an air syringe (or by dabbing with cellulose). Colgate Duraphat is applied from the tube using a miniature cotton swab, probe or brush, painting and dabbing repeatedly to form a thin layer. Then treat the next quadrants in the same manner. 3. It is advisable yotuel to begin by applying the varnish to teeth in the lower jaw before too much saliva yotuel collects. It may not be necessary to paint the lingual surfaces, as there are generally more caries resistant. Colgate Duraphat should preferably be applied to those spots most susceptible yotuel to caries attack. 4. The yellowish colour of Colgate Duraphat greatly facilitates its application and control. Colgate Duraphat sets in the presence of saliva. The effect of Colgate Duraphat is dependent on the prolonged yotuel activity of fluorid