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Effects of chlorhexidine/benzydamine mouth spray on pain and quality of life in acute viral pharyngitis: a prospective, randomized, double-blind, placebo-controlled, multicenter study.

Abstract
We conducted a prospective, randomized, double-blind, placebo-controlled, multicenter study to assess the efficacy of chlorhexidine gluconate/benzydamine HCl mouth spray for reducing pain and improving quality of life in patients with acute viral pharyngitis. Prior to treatment, patients rated the intensity of their pain on a visual analog scale and evaluated their quality of life on the 36-Item Short-Form Health Survey. Patients were then randomized to receive either paracetamol (acetaminophen) plus chlorhexidine/benzydamine or paracetamol plus placebo for 7 days. On days 3 and 7 of treatment, the participants again rated the intensity of their pain, and on day 7, they again rated their quality of life. A total of 164 patients were evaluable at study's end-80 in the chlorhexidine/benzydamine group and 84 in the control group. A comparison of self-evaluations revealed that the active treatment group reported less pain on both day 3 (p < 0.001) and day 7 (p = 0.002). Likewise, the chlorhexidine/benzydamine group reported a significantly better quality of life on day 7 (p < 0.001). Chlorhexidine/benzydamine was well tolerated, and no serious adverse events were observed.
AuthorsCemal Cingi, Murat Songu, Ahmet Ural, Muzeyyen Yildirim, Nagehan Erdogmus, Cengiz Bal
JournalEar, nose, & throat journal (Ear Nose Throat J) Vol. 89 Issue 11 Pg. 546-9 (Nov 2010) ISSN: 1942-7522 [Electronic] United States
PMID21086279 (Publication Type: Journal Article, Multicenter Study, Randomized Controlled Trial)
Chemical References
  • Anti-Inflammatory Agents
  • Drug Combinations
  • Mouthwashes
  • Benzydamine
  • chlorhexidine gluconate
  • Chlorhexidine
Topics
  • Anti-Inflammatory Agents (administration & dosage)
  • Benzydamine (administration & dosage)
  • Chlorhexidine (administration & dosage, analogs & derivatives)
  • Double-Blind Method
  • Drug Combinations
  • Humans
  • Mouthwashes (administration & dosage)
  • Pain (drug therapy)
  • Pain Measurement
  • Pharyngitis (drug therapy)
  • Prospective Studies
  • Quality of Life
  • Virus Diseases (drug therapy)

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