Topical NSAID / local analgesic
Benzydamine hydrochloride
Brand names: Difflam
Adult dose
Dose: Mouthwash 15mL gargle/rinse q1.5–3h; oromucosal spray 4–8 sprays q1.5–3h
Route: Topical (oropharyngeal)
Frequency: q1.5–3h
Clinical pearls
- NICE NG84 sore throat: topical NSAID option for symptomatic relief
- SACT / ESMO mucositis guidance
- Available OTC
Contraindications
- Hypersensitivity
Side effects
- Local stinging / numbness
- Hypersensitivity
- Bronchospasm (aspirin-sensitive asthma)
Interactions
- Minimal systemic
Monitoring
- Symptom relief
Reference: BNF; NICE NG84; ESMO mucositis guidance; https://bnf.nice.org.uk/drugs/benzydamine-hydrochloride/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Pathways
- Adult Upper Airway Obstruction (Stridor) · DAS 2015 unanticipated difficult airway; RCEM
- Epistaxis Management · ENT-UK / NICE
- Acute Otitis Media · NICE NG91 2018
- Tonsillitis and Sore Throat · NICE NG84 2018
- Benign Paroxysmal Positional Vertigo · NICE CG124 / AAO-HNS Guidelines
- Acute Rhinosinusitis · NICE NG79 2017 / EPOS 2020