What is Starlon?
Starlon gluconate is a germicidal mouthwash that reduces bacteria in the mouth.
Starlon gluconate oral rinse is used to treat gingivitis (swelling, redness, bleeding gums). Starlon gluconate is usually prescribed by a dentist.
Starlon gluconate oral rinse is not for treating all types of gingivitis. Use the medication only to treat the condition your dentist prescribed it for. Do not share this medication with another person, even if they have the same gum symptoms you have.
Starlon gluconate may also be used for purposes not listed in this medication guide.
Starlon indications
Starlon® (Starlon Gluconate
Oral Rinse USP, 0.12%) is indicated for use between dental visits as part of a professional program for the treatment of gingivitis as characterized by redness and swelling of the gingivae, including gingival bleeding upon probing. Starlon® has not been tested among patients with acute necrotizing ulcerative gingivitis (ANUG). For patients having coexisting gingivitis and periodontitis, see PRECAUTIONS.
How should I use Starlon?
Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.
Rinse your mouth with Starlon gluconate twice daily after brushing your teeth.
Measure your dose using the cup provided with the medication. Swish the medicine in your mouth for at least 30 seconds, then spit it out. Do not swallow the mouthwash.
Do not add water to the oral rinse. Do not rinse your mouth with water or other mouthwashes right after using Starlon gluconate.
Starlon gluconate may leave an unpleasant taste in your mouth. Do not rinse your mouth to remove this taste after using the medication. You may rinse the medicine away and reduce its effectiveness.
Use this medication for the full prescribed length of time. Your symptoms may improve before your gingivitis is completely cleared. Starlon gluconate will not treat a viral or fungal infection such as cold sores, canker sores, or oral thrush (yeast infection).
Visit your dentist at least every 6 months for preventive tooth and gum care.
Store Starlon gluconate at room temperature away from moisture and heat.
Uses of Starlon in details
Use: Labeled Indications
Gingivitis:
Oral rinse: Antimicrobial dental rinse for gingivitis treatment
Periodontitis: Periodontal chip: Adjunctive therapy to scaling and root planning procedures to reduce pocket depth in patients with periodontitis
Off Label Uses
Medication-related osteonecrosis of the jaw (MRONJ), adjunctive therapy:
Oral rinse:
Based on a position paper by the American Association of Maxillofacial Surgeons (AAOMS), Starlon gluconate oral rinse is an effective and recommended adjunctive treatment strategy in the management of medication-related osteonecrosis of the jaw (MRONJ) (stage 1 and above [eg, patients with exposed and necrotic bone or fistulae that probes to bone]).
Oropharyngeal decontamination to reduce the risk of ventilator-associated or hospital-acquired pneumonia, Cardiac surgical patients:
Oral rinse:
Data from a prospective, randomized, double-blind, placebo-control trial and a prospective, randomized, case-controlled trial in patients undergoing coronary artery bypass grafting, valve, or other open heart surgical procedures who received Starlon gluconate 0.12% oral rinse during the perioperative period showed a decreased rate in hospital-acquired pneumonia. However, the trials used in both meta-analyses were heterogeneous and included patients in a variety of settings (eg, cardiothoracic, general ICU, mixed medical-surgical ICU, trauma ICU). The trials also displayed significant variability with Starlon treatment regimens. Starlon concentration varied from 0.12%, 0.2%, or 2% across studies. Frequency of administration, Starlon dosage form (oral rinse, gel, paste, foam), and technique of application also varied across studies. In the US, Starlon gluconate for use in the oral cavity is commercially available only as 0.12% solution. Additional trials may be necessary to further define the role of Starlon gluconate oral rinse in this condition.
Starlon description
Each chip contains Chlorhexidine Gluconate 2.5 mg in a biodegradable matrix of hydrolyzed gelatin (cross-linked with glutaraldehyde).
Starlon also contains glycerin and purified water as excipients.
Starlon gluconate, an antimicrobial agent, is 1, 1'-hexamethylenebis [5-(p-chlorophenyl)biguanide] di-D-gluconate. Molecular Formula: C22H30Cl2N10·2C6H12O7. Molecular Weight: 897.8.
Starlon dosage
Starlon Dosage
Generic name: Starlon gluconate 1.2mg in 1mL
Dosage form: mouthwash
The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.
Starlon therapy should be initiated directly following a dental prophylaxis. Patients using Starlon should be reevaluated and given a thorough prophylaxis at intervals no longer than six months. Recommended use is twice daily oral rinsing for 30 seconds, morning and evening after toothbrushing. Usual dosage is 15ml (marked in cap) of undiluted Starlon. Patients should be instructed to not rinse with water or other mouthwashes, brush teeth or eat immediately after using Starlon. Starlon is not intended for ingestion and should be expectorated after rinsing.
More about Starlon (Starlon topical)
- Side Effects
- During Pregnancy or Breastfeeding
- Dosage Information
- Support Group
- Pricing & Coupons
- En Espanol
- 2 Reviews - Add your own review/rating
- Generic Availability
Consumer resources
- Starlon solution
- Starlon oral rinse
- Starlon (Advanced Reading)
- Other brands: Hibiclens, Betasept, Starlon, ChloraPrep One-Step, More (9) »
Professional resources
- Starlon (FDA)
- Starlon (AHFS Monograph)
Related treatment guides
- Gingivitis
- Mucositis
- Periodontitis
Starlon interactions
See also:
What other drugs will affect Starlon?
Starlon is incompatible with the soap, and detergents containing anionic group (saponins, sodium lauryl sulfate, sodium carboxymethyl cellulose).
Starlon Pharmaniaga is compatible with any medication containing cationic group (cetrimonium bromide, benzalkonium chloride).
Starlon side effects
See also:
What are the possible side effects of Starlon?
The most common side effects associated with Starlon gluconate oral rinses are (1) an increase in staining of teeth and other oral surfaces, (2) an increase in calculus formation; and (3) an alteration in taste perception; see WARNINGS and PRECAUTIONS.
Oral irritation and local allergy-type symptoms have been spontaneously reported as side effects associated with the use of Starlon gluconate rinse.
The following oral mucosal side effects were reported during placebo-controlled adult clinical trials: aphthous ulcer, grossly obvious gingivitis, trauma, ulceration, erythema, desquamation, coated tongue, keratinization, geographic tongue, mucocele, and short frenum. Each occurred at a frequency of less than 1.0%.
Among post marketing reports, the most frequently reported oral mucosal symptoms associated with Starlon gluconate oral rinse are stomatitis, gingivitis, glossitis, ulcer, dry mouth, hypesthesia, glossal edema, and paresthesia.
Minor irritation and superficial desquamation of the oral mucosa have been noted in patients using Starlon gluconate oral rinse.
There have been cases of parotid gland swelling and inflammation of the salivary glands (sialadenitis) reported in patients using Starlon gluconate oral rinse.
Starlon contraindications
See also:
What is the most important information I should know about Starlon?
You should not use this medication if you are allergic to Starlon gluconate.
If you have periodontal disease, you may need special treatments while you are using Starlon gluconate.
Starlon gluconate oral rinse is not for treating all types of gingivitis. Use the medication only to treat the condition your dentist prescribed it for. Do not share this medication with another person, even if they have the same gum symptoms you have.
Do not give this medication to a child or teenager without a doctor's advice.
Do not add water to Starlon gluconate oral rinse. Do not rinse your mouth with water or other mouthwashes right after using Starlon gluconate.
Avoid eating, drinking, or brushing your teeth just after using this medication.
Do not use any other mouthwash unless your doctor has told you to.
Starlon gluconate can stain teeth, dentures, tooth restorations, your tongue, or the inside of your mouth. Talk with your dentist about ways to remove staining from these surfaces. Stains may be harder to remove from false teeth that have scratches in their surfaces.
Visit your dentist at least every 6 months for preventive tooth and gum care.
Active ingredient matches for Starlon:
Chlorhexidine Gluconate Topical
Unit description / dosage (Manufacturer) | Price, USD |
STARLON SOLUTION 1 bottle / 100 ML solution each (Cadila Pharmaceuticals Ltd) | $ 0.37 |
List of Starlon substitutes (brand and generic names): | |
Rexidin | |
Rexidin 0.2% w/v M-WASH / 50ml | $ 0.28 |
0.2 % w/v x 100ml | $ 0.52 |
0.2 % w/v x 1l | $ 2.88 |
0.2 % w/v x 50ml | $ 0.28 |
REXIDIN 0.2% MOUTH WASH 1 bottle / 120 ML mouth wash each (Indoco Remedies Ltd) | $ 0.89 |
REXIDIN 0.2% MOUTH WASH 1 bottle / 170 ML mouth wash each (Indoco Remedies Ltd) | $ 0.87 |
REXIDIN 0.2% MOUTH WASH 1 bottle / 50 ML mouth wash each (Indoco Remedies Ltd) | $ 0.78 |
REXIDIN 0.25% GEL 1 tube / 20 GM gel each (Indoco Remedies Ltd) | $ 0.08 |
Rexidin 0.2% Mouth Wash (Indoco Remedies Ltd) | $ 0.94 |
Rexidin 0.25% Gel (Indoco Remedies Ltd) | $ 0.08 |
REXIDIN PLUS (India) | |
150ml | $ 0.83 |
RINZIN (MEDMANOR) | |
RINZIN / MEDMANOR 0.20% MOUTH WASH 1 bottle / 100 ML mouth wash each (Med Manor Organics Pvt Ltd) | $ 0.56 |
Rouhex-g (Canada) | |
Savlorin | |
Scrub Care | |
Scrub Care solution 4 mg/100mL (Productos Urologos De Mexico, S.A. De C.V. (US)) | |
SEPTLON | |
SEPTLON SCRUB 1 packet / 100 ML scrub each (West-Coast Pharmaceutical Works Ltd) | $ 1.20 |
Septofervex (Poland) | |
Sicura 3 (Italy) | |
SILKIN SOAP (India) | |
75g (Haledew) | $ 0.48 |
Silkin Soap Chlorhexidine gluconate 1.5 %w/w, Aloe vera 1 % w/w, Glycerin 2 % w/w. SOAP / 75g (Haledew) | $ 0.48 |
SILKIN SOAP soap 75g (Haledew) | $ 0.48 |
Silkin Soap Chlorhexidine gluconate 1.5 %w/w, Aloe vera 1 % w/w, Glycerin 2 % w/w. SOAP / 75g (Haledew) | $ 0.48 |
SKINN C | |
SKINN-C (India) | |
SKINN-C SOAP 1 packet / 75 GM soap each (Med Manor) | $ 0.77 |
SKINN-C soap 75g (Med Manor) | $ 0.46 |
Spectrum-4 | |
Superdent Chlorhexidine Gluconate Oral Rinse | |
Superdent Chlorhexidine Gluconate Oral Rinse liquid .12 g/100mL (Darby Dental Supply, LLC (US)) | |
SUTHOL | |
SUTHOL ANTISEPTIC SPRAY 1 packet / 100 ML spray each (G D Pharmaceuticals Pvt Ltd) | $ 0.72 |
SYMODENT M-WASH (India) | |
0.2 % w/v x 100ml (Symbiosis) | $ 0.46 |
Symodent M-Wash 0.2% w/v M-WASH / 100ml (Symbiosis) | $ 0.46 |
SYMODENT M-WASH mouthwash 0.2 % w/v x 100ml (Symbiosis) | $ 0.46 |
Symodent M-Wash 0.2% w/v M-WASH / 100ml (Symbiosis) | $ 0.46 |
Trihexid (Singapore) | |
Trihexid 0.2 % x 200 mL x 1's | |
TROGYL-DENTA (India) | |
1 % w/w x 15g (JB Chemicals) | $ 0.30 |
TROGYL-DENTA dental gel 1 % w/w x 15g (JB Chemicals) | $ 0.30 |
Welwash | |
Welwash 0.002% w/v Mouth Wash (Fitwel Pharmaceuticals Private Limited) | $ 1.14 |
WONDENT MOUTH WASH (India) | |
WONDENT MOUTH WASH mouthwash 0.2 % w/v x 100ml (Wonder (Wonder HC)) | $ 0.48 |
WYDENT MOUTH WASH (India) | |
WYDENT MOUTH WASH mouthwash 150ml (CE-Biotec) | $ 0.95 |
Xtragene 2/Xtragene 4 (Indonesia) | |
Zak Mouthwash Mint | |
Zak Mouthwash Strawberry | |
See 290 substitutes for Starlon |
References
- DailyMed. "CHLORHEXIDINE GLUCONATE; ISOPROPYL ALCOHOL: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
- PubChem. "chlorhexidine". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
- DrugBank. "chlorhexidine". http://www.drugbank.ca/drugs/DB00878 (accessed September 17, 2018).
Reviews
The results of a survey conducted on ndrugs.com for Starlon are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Starlon. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.User reports
Consumer reported useful
No survey data has been collected yetConsumer reported price estimates
No survey data has been collected yet1 consumer reported time for results
To what extent do I have to use Starlon before I begin to see changes in my health conditions?As part of the reports released by ndrugs.com website users, it takes > 3 month and a few days before you notice an improvement in your health conditions.
Please note, it doesn't mean you will start to notice such health improvement in the same time frame as other users. There are many factors to consider, and we implore you to visit your doctor to know how long before you can see improvements in your health while taking Starlon. To get the time effectiveness of using Starlon drug by other patients, please click here.
Users | % | ||
---|---|---|---|
> 3 month | 1 | 100.0% |
Consumer reported age
No survey data has been collected yetConsumer reviews
There are no reviews yet. Be the first to write one! |
Information checked by Dr. Sachin Kumar, MD Pharmacology