Fluoride supplement
Sodium fluoride
Brand names: Duraphat, FluoriGard
Adult dose
Dose: Toothpaste 2,800 or 5,000 ppm BD (high-caries-risk). Mouthwash 0.05% OD or 0.2% weekly
Route: Topical (oral)
Frequency: BD
Clinical pearls
- Caries prevention in high-risk patients (radiotherapy, dry mouth, orthodontic)
- Spit, don't rinse, after brushing
Contraindications
- Children <10 (5,000 ppm)
- Hypersensitivity
Side effects
- Dental fluorosis (excess)
- GI upset (swallowing)
- Hypocalcaemia (massive ingestion)
Interactions
- Calcium/dairy (reduces absorption — for systemic supplements)
Reference: BNF; NICE NG30; SDCEP; https://bnf.nice.org.uk/drugs/sodium-fluoride/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Pathways
- Sepsis Screening and Sepsis Six · UK Sepsis Trust; NICE NG51; Surviving Sepsis Campaign 2021
- Unintentional Weight Loss Workup · NICE NG12; BSG
- Chronic Fatigue Workup · NICE NG206; BMJ Best Practice
- Lymphadenopathy Workup · NICE NG12; BMJ Best Practice
- Pre-op Medical Clearance · NICE NG45; ESC 2022
- Secondary Hypertension Workup · NICE NG136; ESH 2023