anabel-ct gel - Choline Salicylate (8.7% w/w) + Lidocaine (2% w/w) medicine

Anabel Liquid Gel: Complete Medicine Guide

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🏭 Group Pharmaceuticals Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for symptomatic relief of oral pain and inflammation.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in stool or vomit
  • Severe abdominal pain
  • Chest pain or difficulty breathing
  • Severe headache with visual changes
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output
  • Ringing in the ears or confusion

If experiencing severe symptoms, call emergency services immediately.

What is anabel-ct gel used for?

This medicine is a topical oral gel containing choline salicylate (8.7% w/w) and lidocaine (2% w/w). It is used to relieve pain and inflammation in the mouth and throat, such as mouth ulcers, teething pain, sore throat, and dental pain. It works by reducing inflammation and numbing the area. Apply a small amount to the affected area up to 3-4 times daily. Do not swallow.

  • Generic Name: Choline Salicylate + Lidocaine
  • Manufacturer: Group Pharmaceuticals Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 anabel-ct gel के बारे में (Hindi Summary)

उपयोग: यह दवा मुंह और गले के दर्द और सूजन के इलाज के लिए इस्तेमाल की जाती है। इसमें कोलीन सैलिसिलेट और लिडोकेन दो सक्रिय तत्व होते हैं। कोलीन सैलिसिलेट सूजन और दर्द को कम करता है, जबकि लिडोकेन प्रभावित क्षेत्र को सुन्न करता है। इसका उपयोग मुंह के छालों, दांत निकलने के दर्द, गले में खराश, और दांतों के दर्द के लिए किया जाता है। इसे प्रभावित क्षेत्र पर लगाएं और निगलें नहीं।

साइड इफेक्ट्स: आम दुष्प्रभावों में लगाने की जगह पर हल्की जलन या चुभन शामिल है, जो आमतौर पर जल्दी ठीक हो जाती है। कुछ लोगों को मतली, उल्टी, या चक्कर आ सकते हैं यदि वे जेल निगल जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी प्रतिक्रियाएं जैसे दाने, खुजली, चेहरे, होंठ, या गले में सूजन, सांस लेने में कठिनाई, या गंभीर त्वचा प्रतिक्रियाएं शामिल हो सकती हैं। लंबे समय तक उपयोग या जेल निगलने से सैलिसिलेट विषाक्तता हो सकती है, जिसके लक्षणों में कान में घंटी बजना, सिरदर्द, भ्रम, या तेजी से सांस लेना शामिल है।

सुरक्षा सलाह: इस दवा को केवल मुंह के प्रभावित हिस्से पर लगाएं। जेल को निगलें नहीं। लगाने के बाद कम से कम 15 मिनट तक कुछ खाएं या पिएं नहीं। बिना डॉक्टर की सलाह के 7 दिनों से अधिक इसका उपयोग न करें। बच्चों की पहुंच से दूर रखें। गर्भवती, गर्भधारण की योजना बना रही, या स्तनपान कराने वाली महिलाएं उपयोग से पहले डॉक्टर से सलाह लें। यदि आपको एस्पिरिन, अन्य सैलिसिलेट, या लिडोकेन से एलर्जी है तो इसका उपयोग न करें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 anabel-ct gel Uses & Benefits

[{"condition":"Mouth ulcers","description":"Provides symptomatic relief from pain and inflammation associated with mouth ulcers.","evidence":"Well-established"},{"condition":"Teething pain","description":"Soothes gum pain in infants and young children during teething.","evidence":"Well-established"},{"condition":"Sore throat","description":"Relieves pain and discomfort in the throat due to infections or irritation.","evidence":"Well-established"},{"condition":"Dental pain","description":"Temporary relief from pain after dental procedures or due to minor dental issues.","evidence":"Well-established"},{"condition":"Oral inflammation","description":"Reduces inflammation and pain in conditions like gingivitis or stomatitis.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Aphthous stomatitis","description":"May be used off-label for recurrent aphthous ulcers to reduce pain and promote healing.","evidence":"Limited"}]

Primary treatment for: Oral pain and inflammation

Also treats: Mouth ulcers, Teething pain, Sore throat, Dental pain, Gingivitis, Stomatitis

📋 Drug Information

Generic Name(s)Choline Salicylate + Lidocaine
Brand NameAnabel Liquid Gel
ManufacturerGroup Pharmaceuticals Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassSTOMATOLOGICALS
Action ClassNonsteroidal Anti-inflammatory Drug (NSAID) + Local Anesthetic
Route of AdministrationOral (topical application to the oral mucosa)
StorageStore at room temperature (15-30°C) in a dry place. Protect from direct sunlight. Do not freeze. Keep the tube tightly closed when not in use.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Apply this medicine only to the affected area inside the mouth or on the gums.
2
Do not swallow the gel; it is for topical use only.
3
Avoid eating or drinking for at least 15 minutes after application.
4
Do not use this medicine for more than 7 days without consulting a doctor.
5
Keep this medicine out of reach of children.
6
If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before use.
7
Do not use if you have an allergy to aspirin, other salicylates, or lidocaine.
8
If symptoms persist or worsen, stop use and seek medical advice.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Mouth ulcers
This medicine is commonly prescribed for this.
Likely Use
Teething pain
This medicine can be used for teething pain in infants after consulting a pediatrician.
Likely Use
Sore throat
This medicine can provide temporary relief from sore throat pain.
Likely Use
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionWhen applied topically to the oral mucosa, choline salicylate and lidocaine are absorbed locally. Systemic absorption is generally minimal but can occur, especially if the gel is swallowed or applied to large areas. The rate and extent of absorption depend on the duration of contact and the integrity of the mucosa.
DistributionAfter absorption, choline salicylate is distributed throughout the body, with high concentrations in the liver, kidneys, and plasma. Lidocaine is distributed widely, with a volume of distribution of about 1.1 to 2.1 L/kg in adults. Both substances can cross the placenta and are excreted in breast milk.
Protein BindingCholine salicylate is approximately 80-90% bound to plasma proteins, primarily albumin. Lidocaine is about 60-80% bound to plasma proteins, including alpha-1-acid glycoprotein and albumin.
MetabolismCholine salicylate is metabolized in the liver by conjugation with glycine to form salicyluric acid and by glucuronidation. Lidocaine is extensively metabolized in the liver by cytochrome P450 enzymes, primarily CYP3A4 and CYP1A2, to active metabolites such as monoethylglycinexylidide (MEGX) and glycinexylidide (GX).
Half-LifeThe elimination half-life of salicylates is dose-dependent, ranging from 2 to 3 hours at low doses to 15 to 30 hours at high doses. The elimination half-life of lidocaine is approximately 1.5 to 2 hours in healthy adults.
ExcretionSalicylates are excreted primarily by the kidneys as unchanged salicylic acid and its metabolites. Lidocaine and its metabolites are excreted in the urine, with less than 10% excreted unchanged.
BioavailabilityThe bioavailability of choline salicylate and lidocaine from topical oral gel is not well established. Systemic absorption is generally low when used as directed, but can be significant if swallowed.
Onset of ActionThe local anesthetic effect of lidocaine begins within 1 to 2 minutes after application. The anti-inflammatory effect of choline salicylate may take longer to become noticeable, typically within 15 to 30 minutes.
Peak Plasma TimePeak plasma concentrations of salicylates after topical oral application are not well established. For lidocaine, peak plasma levels after topical application are typically reached within 30 minutes to 1 hour.
Duration of ActionThe numbing effect of lidocaine lasts approximately 15 to 30 minutes. The anti-inflammatory and analgesic effects of choline salicylate may last for several hours, depending on the severity of the condition and individual factors.

How It Works

This medicine combines two active ingredients with complementary mechanisms. Choline salicylate is a non-steroidal anti-inflammatory drug (NSAID) that irreversibly inhibits cyclooxygenase enzymes (COX-1 and COX-2), reducing the production of prostaglandins, which are mediators of pain and inflammation. Lidocaine is an amide-type local anesthetic that blocks voltage-gated sodium channels in nerve cell membranes, preventing the initiation and conduction of nerve impulses, thereby producing local numbness. When applied topically to the oral mucosa, choline salicylate reduces inflammation and pain, while lidocaine provides rapid numbing of the area.

Mechanism Steps

1
Application and local absorption: The gel is applied to the affected oral mucosa, where the active ingredients come into contact with the tissue.
2
Choline salicylate inhibits COX enzymes: Choline salicylate penetrates the mucosa and inhibits cyclooxygenase enzymes, reducing prostaglandin synthesis and thereby decreasing inflammation and pain.
3
Lidocaine blocks sodium channels: Lidocaine diffuses into nerve membranes and blocks voltage-gated sodium channels, preventing depolarization and conduction of pain signals.
4
Local analgesic and anti-inflammatory effect: The combined actions result in rapid numbing and reduction of inflammation at the site of application.

💡 How to Take anabel-ct gel

Strength: Oral gel containing Choline Salicylate 8.7% w/w and Lidocaine 2% w/w.

1Wash your hands before and after applying the gel.
2Squeeze a small amount of gel onto a clean finger or cotton swab.
3Apply gently to the affected area inside the mouth or on the gums.
4Do not swallow the gel. Avoid eating or drinking for at least 15 minutes after application.
5Use up to 3-4 times daily or as directed by your doctor.
6Close the tube tightly after use.

Dosage Information

Adult DosageApply a small amount of the gel to the affected area in the mouth or throat up to 3-4 times daily, or as directed by your doctor. Do not swallow the gel. The dose may vary depending on the condition being treated. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician. This medicine should not be used in children under 12 years of age without medical advice, and it is contraindicated in children with viral infections due to the risk of Reye's syndrome.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Use with caution and follow the advice of a healthcare professional. Dose must be individualized by a qualified clinician based on renal and hepatic function.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be necessary. Consult a doctor before use.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary. Consult a doctor before use.
Maximum Daily DoseThe maximum daily dose for adults is not established from the available information. Do not exceed the recommended dose or frequency without medical advice.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Avoid eating or drinking for at least 15 minutes after application.
To allow the medicine to work and prevent swallowing.
Alcohol
Avoid
May increase risk of gastrointestinal bleeding and enhance sedative effects.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Apply the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not apply a double dose to catch up.

⚠️ Side Effects of anabel-ct gel

✅ Common Side Effects

Mild burning or stinging at application site (Common (5-10%))
This usually resolves on its own. If it persists or worsens, consult your doctor.
Nausea (Uncommon (1-5%))
Avoid swallowing the gel. If nausea persists, consult your doctor.
Dizziness (Uncommon (1-5%))
Sit down and rest. Avoid driving if you feel dizzy. Consult your doctor if it continues.

🚨 Serious Side Effects

Allergic reactions (rash, itching, swelling, difficulty breathing) (Rare (<0.1%))
Seek immediate medical attention if you experience any signs of a severe allergic reaction.
Salicylate toxicity (ringing in ears, headache, confusion, rapid breathing) (Rare (<0.1%))
Stop using the medicine and seek immediate medical help if you notice these symptoms.
Methemoglobinemia (bluish lips, skin, or nails, shortness of breath) (Very rare (<0.01%))
This is a medical emergency. Seek immediate medical attention.

⚠️ Rare Side Effects

Severe skin reactions (Stevens-Johnson syndrome, toxic epidermal necrolysis)
Stop using and seek immediate medical attention if you develop a severe rash with blistering or peeling skin.
Seizures
Seek emergency medical help if seizures occur.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Methotrexate Major
Other NSAIDs Major
ACE inhibitors Moderate
Loop diuretics Moderate
Cimetidine Moderate
Antacids Minor
Corticosteroids Minor

🚨 Major Interactions

  • Warfarin
  • Methotrexate
  • Other NSAIDs

⚡ Moderate Interactions

  • ACE inhibitors
  • Loop diuretics
  • Cimetidine

🍷 Alcohol Interaction

Avoid consuming alcohol while using this medicine. Alcohol can increase the risk of gastrointestinal bleeding due to the salicylate component and may enhance the sedative effects of lidocaine if absorbed systemically.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to choline salicylate, lidocaine, or any other ingredients.","History of asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs.","Children or teenagers with viral infections (e.g., chickenpox, influenza) due to risk of Reye's syndrome.","Severe hepatic or renal impairment.","Active peptic ulcer disease or history of recurrent ulcers.","Third trimester of pregnancy."]

⚠️ Warnings & Precautions

["For oral use only. Do not swallow.","Do not apply to large areas of the mouth or to deep wounds.","Avoid contact with eyes.","Do not use for more than 7 days without consulting a doctor.","Keep out of reach of children.","If symptoms persist or worsen, discontinue use and consult a healthcare professional.","Do not use if the tube is damaged or the gel has changed color.","Patients with a history of allergy to salicylates or lidocaine should avoid this medicine.","Use with caution in patients with hepatic or renal impairment.","Use with caution in elderly patients due to increased risk of systemic effects."]

🤱 Lactation Safety

Salicylates and lidocaine are excreted in breast milk. Topical use on the oral mucosa is unlikely to result in significant systemic absorption, but caution is advised. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose from topical oral gel is unlikely if used as directed. However, if large amounts are swallowed, it can lead to salicylate toxicity and lidocaine toxicity. Symptoms of salicylate toxicity include tinnitus, headache, dizziness, confusion, rapid breathing, and nausea. Symptoms of lidocaine toxicity include dizziness, confusion, seizures, and cardiac arrhythmias. If overdose is suspected, seek immediate medical attention. Treatment is supportive and symptomatic, including activated charcoal if ingestion is recent, monitoring of vital signs, and management of seizures or arrhythmias.

⏰ Missed Dose

This medicine is used as needed for pain relief. If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Apply this medicine only to the affected area inside the mouth or on the gums. Do not swallow the gel. Avoid eating or drinking for at least 15 minutes after application. Do not use this medicine for more than 7 days without consulting a doctor. Keep it out of reach of children. Do not apply to large areas of skin or to deep wounds. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before use. Do not use if you have an allergy to aspirin, other salicylates, or lidocaine. If symptoms persist or worsen, stop use and seek medical advice.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of this medicine, especially systemic effects from salicylates and lidocaine. Use with caution and follow the advice of a healthcare professional. Dose must be individualized by a qualified clinician based on renal and hepatic function.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. Salicylates are generally avoided in the third trimester due to risk of premature closure of the ductus arteriosus and bleeding. Lidocaine is considered safe for topical use during pregnancy when used as directed.

🏥 Post-Surgery Considerations

If you have recently had surgery, consult your doctor before using this medicine, especially if you are taking other medications or have a history of bleeding disorders.

🦷 Dental Procedures

This medicine can be used for temporary relief of dental pain. However, it is not a substitute for professional dental care. If you have dental pain, consult a dentist for proper diagnosis and treatment.

💚 Lifestyle Tips for Better Results

🏃
Maintain good oral hygiene by brushing and flossing regularly.
🥗
Avoid spicy, acidic, or hard foods that can irritate mouth ulcers.
😴
Stay hydrated by drinking plenty of water.
💧
Get adequate rest to support healing.
🧘
Manage stress as it can contribute to mouth ulcers.
🌞
Avoid tobacco and alcohol as they can worsen oral conditions.

🏋️ Exercise Considerations

No specific exercise modifications are required while using this medicine. However, if you experience dizziness or systemic effects, avoid strenuous activities until you feel better.

🥗 Diet Recommendations

Eat soft, bland foods that are easy to chew and swallow.
Avoid spicy, acidic, or salty foods that can irritate the mouth.
Include foods rich in vitamin B and C to support oral health.
Stay well hydrated with water and non-acidic fluids.
Avoid very hot or cold foods and drinks.

💼 Impact on Daily Work & Life

This medicine is unlikely to affect your ability to work or drive. However, if you experience dizziness or drowsiness due to systemic absorption, avoid driving or operating heavy machinery until you feel alert.

🛑 When to Stop This Medicine

Stop using this medicine and consult a doctor if your symptoms do not improve within 7 days, if they worsen, or if you experience any serious side effects such as allergic reactions or signs of toxicity. Do not stop prescribed therapy without consulting your doctor.

📅 Long-Term Use Effects

Long-term use of this medicine without medical supervision is not recommended. Prolonged use of salicylates can lead to gastrointestinal irritation, bleeding, and renal toxicity. Lidocaine toxicity can occur with excessive absorption. Regular monitoring of renal and hepatic function may be necessary with prolonged use. Do not use for more than 7 days without consulting a doctor.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Saltwater rinses

Gently rinsing the mouth with warm salt water can help soothe mouth ulcers and reduce inflammation.

Evidence: Limited
Honey

Applying a small amount of honey to mouth ulcers may promote healing due to its antibacterial properties.

Evidence: Limited
Cold compresses

Applying a cold compress to the outside of the mouth can help numb pain and reduce swelling.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are known. However, if you are scheduled for a vaccination, inform your healthcare provider about this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging with the prescription label intact. Bring a copy of your prescription in case you need to show it at customs. Store it at room temperature and protect it from direct sunlight. If you are traveling across time zones, continue using it as needed for pain relief; no specific time zone adjustment is required for as-needed use. Keep it in your carry-on luggage if you need it during the flight.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 45-year-old office worker with chronic mouth ulcers
Started using this medicine as prescribed for recurrent mouth ulcers. Within a few days, noticed significant pain relief and faster healing. Emphasized applying it gently and avoiding swallowing.
💡 Lesson: Consistent application and avoiding swallowing improve both efficacy and tolerability.
👤 A 30-year-old mother using this medicine for her teething infant
Used this medicine for her 8-month-old baby's teething pain after consulting a pediatrician. Applied a small amount to the gums and noticed the baby was more comfortable. Was advised not to use it for more than 7 days.
💡 Lesson: Always consult a pediatrician before using this medicine in infants and follow the recommended duration.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The numbing effect begins within 1-2 minutes, and maximum pain relief is typically felt within 15-30 minutes.

Q: Can I swallow the gel?

A: No, this medicine is for topical application only. Swallowing it can lead to systemic side effects and is not recommended.

Q: Is it safe for children?

A: This medicine should not be used in children under 12 years without medical advice, and it is contraindicated in children with viral infections due to the risk of Reye's syndrome. Consult a pediatrician.

Q: How often can I apply it?

A: Apply a small amount to the affected area up to 3-4 times daily, or as directed by your doctor.

Q: What should I do if I miss a dose?

A: Apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply a double dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for anabel-ct gel

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can be swallowed for faster relief.
    Fact: No, this medicine is for topical application only. Swallowing it can lead to systemic side effects and is not recommended.
  • Myth: This medicine is safe for infants with teething pain.
    Fact: This medicine should not be used in children under 12 years without medical advice, and it is contraindicated in children with viral infections due to the risk of Reye's syndrome.
  • Myth: You can use this medicine indefinitely.
    Fact: Prolonged use without medical supervision is not recommended. Do not use for more than 7 days without consulting a doctor.

🔄 Alternative Options

Generic Alternatives

  • Choline salicylate + lidocaine oral gel (generic)

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","active_ingredient":"Choline salicylate + Lidocaine","route":"Oral topical","common_use":"Oral pain and inflammation"},{"medicine":"Benzocaine oral gel","active_ingredient":"Benzocaine","route":"Oral topical","common_use":"Oral pain"},{"medicine":"Lidocaine oral gel","active_ingredient":"Lidocaine","route":"Oral topical","common_use":"Oral pain"}]

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