omee-caine oral gel - Oxetacaine (10mg/5ml) + Aluminium Hydroxide (0.291gm/5ml) medicine

Alzym Oral Gel Sugar Free: Complete Medicine Guide

No reviews yet
🏭 Alkem Laboratories Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for symptomatic relief; limited for off-label uses.
Reviewed by
SaathiMed Expert Panel | Sep 25, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or swelling of face, lips, or throat
  • Severe abdominal pain or vomiting blood
  • Black, tarry stools
  • Signs of allergic reaction like widespread rash or itching
  • Chest pain or irregular heartbeat
  • Yellowing of eyes or skin
  • Decreased urine output or swelling in legs

If experiencing severe symptoms, call emergency services immediately.

What is omee-caine oral gel used for?

This medicine is a sugar-free oral gel combining oxetacaine (a local anaesthetic) and aluminium hydroxide (an antacid). It provides fast relief from mouth ulcers, sore throat, heartburn, and acid reflux by numbing pain and neutralising stomach acid.

  • Generic Name: Oxetacaine (10mg/5ml) + Aluminium Hydroxide (0.291gm/5ml)
  • Manufacturer: Alkem Laboratories Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 omee-caine oral gel के बारे में (Hindi Summary)

उपयोग: यह दवा मुँह के छालों, गले की खराश, एसिडिटी, और सीने में जलन से राहत दिलाने के लिए इस्तेमाल की जाती है। इसमें ऑक्सेटाकेन नाम का सुन्न करने वाला तत्व होता है जो दर्द को कम करता है, और एल्युमिनियम हाइड्रॉक्साइड होता है जो पेट के एसिड को बेअसर करता है। यह शुगर-फ्री जेल है, इसलिए डायबिटीज वाले मरीज भी इसे ले सकते हैं।

साइड इफेक्ट्स: आमतौर पर यह दवा सुरक्षित मानी जाती है। कुछ लोगों को हल्की मतली, कब्ज, मुँह सूखना, या मुँह और गले में अस्थायी सुन्नपन महसूस हो सकता है। गंभीर दुष्प्रभाव बहुत कम होते हैं, लेकिन अगर चकत्ते, खुजली, सूजन, या साँस लेने में तकलीफ हो तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा का इस्तेमाल डॉक्टर की सलाह के अनुसार ही करें। हर बार लेने से पहले बोतल को अच्छी तरह हिलाएँ। दवा लेने के 15-30 मिनट तक कुछ खाएँ-पिएँ नहीं। अन्य दवाओं के साथ लेने से पहले 1-2 घंटे का अंतर रखें। बिना सलाह 2 हफ्ते से ज्यादा इस्तेमाल न करें। बच्चों की पहुँच से दूर रखें। गर्भवती या स्तनपान कराने वाली महिलाएँ डॉक्टर से सलाह लें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 omee-caine oral gel Uses & Benefits

[{"condition":"Mouth ulcers and stomatitis","description":"Provides local pain relief and protects irritated oral mucosa while reducing acid irritation.","evidence":"Well-established"},{"condition":"Sore throat and pharyngitis","description":"Soothes throat pain and discomfort through local anaesthetic action.","evidence":"Well-established"},{"condition":"Acid reflux and heartburn","description":"Neutralises stomach acid and relieves burning sensation in the food pipe.","evidence":"Well-established"},{"condition":"Gastritis and dyspepsia","description":"Reduces acid-related stomach discomfort and provides symptomatic relief.","evidence":"Well-established"},{"condition":"Pre-procedure oral discomfort","description":"Sometimes used before minor oral examinations or dental procedures for comfort.","evidence":"Limited"}]

Off-label uses: [{"condition":"Radiation-induced oral mucositis","description":"Occasionally used for soothing oral pain in patients undergoing head and neck radiation.","evidence":"Limited"},{"condition":"Chemotherapy-related mouth sores","description":"May be used as a supportive care measure for oral discomfort.","evidence":"Limited"}]

Primary treatment for: Acid reflux and mouth ulcers

Also treats: Gastritis, Dyspepsia, Sore throat, Stomatitis

📋 Drug Information

Generic Name(s)Oxetacaine (10mg/5ml) + Aluminium Hydroxide (0.291gm/5ml)
Brand Nameomee-caine oral gel
ManufacturerAlkem Laboratories Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action Class
Route of AdministrationOral (topical oral gel applied to the mouth and throat; may be swallowed in small amounts as directed)
StorageStore at room temperature between 15°C and 30°C. Protect from direct sunlight and moisture. Do not freeze.
Shelf Life24 months from the date of manufacture, or as printed on the pack.
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
Take this medicine after meals and at bedtime for best acid-neutralising effect.
2
Shake the bottle well before each use to ensure even mixing.
3
Do not eat or drink for at least 15-30 minutes after taking to allow the gel to coat the affected area.
4
Separate this medicine from other oral drugs by at least 2 hours to avoid absorption interference.
5
Use the measuring spoon or cup provided; household spoons are not accurate.
6
If symptoms persist beyond 2 weeks, consult a doctor for further evaluation.
7
For mouth ulcers, apply directly to the ulcer with a clean cotton swab for faster relief.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Mouth ulcers
This medicine is commonly used for this.
Likely Use
✅
Sore throat
Provides local pain relief.
Likely Use
✅
Heartburn
Neutralises stomach acid.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary
❌
Headache
Not indicated for headache.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionOxetacaine is poorly absorbed from mucous membranes when applied topically, which limits systemic exposure. Aluminium hydroxide is minimally absorbed from the gastrointestinal tract; most of it remains in the gut and is excreted in faeces.
DistributionSystemic distribution of oxetacaine is minimal after oral topical use. Absorbed aluminium can distribute to bone and other tissues, but this is negligible in people with normal kidney function.
Protein BindingNot established from the available information.
MetabolismOxetacaine is likely metabolised in the liver, but specific metabolic pathways are not well established. Aluminium hydroxide is not metabolised and acts locally in the gut.
Half-LifeNot established from the available information.
ExcretionMost aluminium hydroxide is excreted unchanged in the faeces. Any absorbed aluminium is excreted primarily by the kidneys. Oxetacaine and its metabolites are likely excreted renally, but specific data are not established.
BioavailabilitySystemic bioavailability of oxetacaine after oral topical use is low. Aluminium hydroxide has negligible systemic bioavailability in healthy individuals.
Onset of ActionPain relief from oxetacaine begins within a few minutes of application. Antacid effect of aluminium hydroxide starts within 5 to 10 minutes of ingestion.
Peak Plasma TimeNot established from the available information.
Duration of ActionLocal anaesthetic effect typically lasts 15 to 30 minutes. Antacid effect may last 30 to 60 minutes depending on gastric emptying.

How It Works

This medicine works through two complementary actions. Oxetacaine is a local anaesthetic that reversibly blocks sodium channels in nerve endings, preventing pain signals from being transmitted from the mouth, throat, or food pipe. Aluminium hydroxide is an antacid that chemically neutralises excess hydrochloric acid in the stomach, raising the pH and reducing acid irritation of the mucosa. Together, they provide both rapid symptomatic pain relief and acid neutralisation.

Mechanism Steps

1
Local anaesthetic binding: Oxetacaine binds to voltage-gated sodium channels on sensory nerve endings in the oral and pharyngeal mucosa.
2
Nerve signal blockade: This binding prevents sodium influx and blocks the propagation of pain impulses, producing local numbness.
3
Acid neutralisation: Aluminium hydroxide reacts with gastric hydrochloric acid to form aluminium chloride and water, raising gastric pH.
4
Mucosal protection: The gel base coats irritated surfaces, providing a physical barrier and prolonging contact of the active ingredients.

💡 How to Take omee-caine oral gel

Strength: Sugar-free oral gel containing Oxetacaine 10mg/5ml and Aluminium Hydroxide 0.291gm/5ml.

1Shake the bottle well before use.
2Measure the dose using the provided spoon or cup.
3Take it orally, either directly or diluted in a little water.
4For mouth ulcers, apply a small amount directly to the affected area with a clean finger or cotton swab.
5Do not eat or drink for at least 15-30 minutes after taking.
6Follow the dosage schedule prescribed by your doctor.

Dosage Information

Adult DosageThe usual adult dose is 5 to 10 mL (one to two teaspoonfuls) taken orally, either directly or diluted in a little water, up to three or four times daily, preferably after meals and at bedtime. For mouth ulcers, apply a small amount directly to the affected area. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the recommended dose without medical advice.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the constipating effects of aluminium hydroxide. Use the lowest effective dose for the shortest duration. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in patients with renal impairment. Avoid in severe kidney disease due to risk of aluminium accumulation. Dose must be individualized by a qualified clinician.
Hepatic ImpairmentNo specific dose adjustment is established for hepatic impairment. Use with caution in severe liver disease. Dose must be individualized by a qualified clinician.
Maximum Daily DoseThe maximum recommended daily dose is 40 mL in divided doses, but this may vary based on clinical judgment. Do not exceed without medical advice.

Dosage Timeline

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

🍽️ Food Timing Guide

With meals
Take after meals
Food buffers the stomach and enhances the antacid effect.
Milk
Separate by 2 hours
May reduce the effectiveness of the antacid.
Spicy or acidic foods
Avoid
Can worsen mouth ulcers and acid reflux.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take 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 double dose to catch up.

⚠️ Side Effects of omee-caine oral gel

✅ Common Side Effects

Mild nausea (Common (1-10%))
Take the medicine after meals and avoid lying down immediately. Consult doctor if it persists.
Constipation (Common (1-10%))
Increase fibre and water intake. Consult doctor if constipation lasts more than 3 days.
Dry mouth (Common (1-10%))
Sip water frequently. Usually temporary.
Temporary numbness of mouth or throat (Common (1-10%))
Avoid eating or drinking until sensation returns to prevent choking.

🚨 Serious Side Effects

Allergic reaction (rash, itching, swelling) (Rare (<0.1%))
Stop the medicine and seek immediate medical attention.
Swelling of face, lips, or throat (Rare (<0.1%))
Call emergency services immediately.
Difficulty breathing (Rare (<0.1%))
Seek emergency medical care at once.
Aluminium accumulation in kidney disease (Rare (<0.1%))
Avoid in severe kidney disease. Consult doctor if you have kidney problems.

⚠️ Rare Side Effects

Methemoglobinemia (theoretical with local anaesthetics)
Seek immediate medical attention if you notice bluish lips or skin.
Phosphate depletion with prolonged high-dose use
Do not exceed recommended dose or duration. Consult doctor for long-term use.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Tetracycline Major
Fluoroquinolone Major
Iron salts Major
Levothyroxine Moderate
Digoxin Moderate
Ketoconazole Moderate
Anticholinergics Minor
Other antacids Minor

🚨 Major Interactions

  • Tetracycline antibiotics
  • Fluoroquinolone antibiotics
  • Iron salts

⚡ Moderate Interactions

  • Levothyroxine
  • Digoxin
  • Ketoconazole

🍷 Alcohol Interaction

Alcohol may worsen stomach irritation and increase the risk of gastric discomfort. It is advisable to avoid alcohol while using this medicine, especially if you have gastritis or acid reflux.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to oxetacaine or aluminium hydroxide","Severe kidney disease or dialysis","Suspected gastrointestinal obstruction","Children under 12 years (unless directed by a doctor)"]

⚠️ Warnings & Precautions

["Do not exceed the recommended dose or duration of use.","Avoid use in patients with severe kidney impairment.","Use with caution in elderly patients due to increased risk of constipation.","Do not use for more than 2 weeks without medical advice.","Keep out of reach of children.","If symptoms persist or worsen, consult a doctor."]

🤱 Lactation Safety

It is not known whether oxetacaine passes into breast milk in significant amounts. Aluminium hydroxide is minimally absorbed. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose with this medicine is unlikely to cause serious harm because systemic absorption is low. However, large amounts of aluminium hydroxide can cause constipation, nausea, or, in rare cases, bowel obstruction. If you suspect an overdose, contact a doctor or poison control centre immediately. Treatment is supportive and symptomatic.

⏰ Missed Dose

If you miss a dose, take 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 double the dose to catch up.

Additional Safety Advice

General Safety

Use this medicine only for the condition and duration advised by your doctor. Shake the bottle well before each use if it is a suspension. Measure the dose with the spoon or cup provided, not with a household spoon. Do not eat or drink for at least 15 to 30 minutes after taking this medicine so that it can coat the affected area properly. Avoid taking other medicines within 1 to 2 hours of this product, as aluminium hydroxide can reduce their absorption. Do not use it for more than 2 weeks without medical advice. Keep it out of reach of children. If you are pregnant, breastfeeding, or have kidney disease, consult your doctor before use.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more prone to constipation from aluminium hydroxide. Use the lowest effective dose and monitor bowel habits. Ensure adequate hydration and fibre intake.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. Short-term use is generally considered acceptable, but always seek medical advice.

🏥 Post-Surgery Considerations

Consult your doctor before using this medicine after surgery, especially if you have been advised to remain nil by mouth or have gastrointestinal surgery.

🦷 Dental Procedures

This medicine can be used for mouth ulcers before or after dental procedures. Inform your dentist if you are using it, as it may affect taste sensation temporarily.

💚 Lifestyle Tips for Better Results

🏃
Avoid spicy, oily, and acidic foods that can worsen mouth ulcers and acid reflux.
🥗
Eat smaller, more frequent meals instead of large heavy meals.
😴
Do not lie down immediately after eating; wait at least 2-3 hours.
💧
Elevate the head of your bed if you have night-time reflux.
🧘
Maintain good oral hygiene and rinse your mouth with warm salt water.
🌞
Reduce stress and get adequate sleep to promote healing.

🏋️ Exercise Considerations

No specific exercise restrictions are required while taking this medicine. However, if you experience dizziness or numbness in the mouth, avoid strenuous activities until you feel normal.

🥗 Diet Recommendations

Eat soft, bland foods like bananas, rice, applesauce, and toast.
Avoid citrus fruits, tomatoes, and spicy foods.
Stay well hydrated with water and clear fluids.
Limit caffeine and carbonated drinks.
Include probiotic-rich foods like yogurt if not allergic.

💼 Impact on Daily Work & Life

This medicine is unlikely to affect your ability to drive or operate machinery. However, temporary numbness in the mouth or throat may affect swallowing, so avoid eating or drinking immediately after taking it. It does not cause drowsiness.

🛑 When to Stop This Medicine

Stop using this medicine and consult a doctor if symptoms do not improve within 2 weeks, if they worsen, or if you experience any serious side effects. Do not stop prescribed treatment without consulting your doctor.

📅 Long-Term Use Effects

Long-term use of aluminium hydroxide can lead to constipation, phosphate depletion, and, in patients with kidney disease, aluminium accumulation. Oxetacaine is generally safe for short-term use. Prolonged use should be monitored by a doctor, especially in the elderly and those with renal impairment.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Saltwater gargles

Can help soothe sore throat and mouth ulcers.

Evidence: Traditional
Honey

May help heal mouth ulcers and soothe throat.

Evidence: Limited
Dietary changes

Avoiding trigger foods can reduce acid reflux.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are known. You can receive vaccinations while taking 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

Carry this medicine in its original packaging with the prescription label intact. Keep a copy of your prescription in case of customs checks. Store it in a cool, dry place away from direct sunlight. If travelling across time zones, continue your regular dosing schedule as advised by your doctor. Do not leave it in a hot car or checked luggage. For air travel, keep it in your carry-on bag if you need it during the flight.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old teacher with recurrent mouth ulcers
She was prescribed this medicine for painful mouth ulcers. She applied it directly to the ulcers three times a day and noticed significant pain relief within minutes. She also took it orally after meals for associated acidity. She was advised to avoid spicy foods and to follow up if ulcers persisted beyond two weeks.
💡 Lesson: Direct application to ulcers provides rapid local relief, while oral intake helps with acid-related symptoms.
👤 A 50-year-old man with chronic acid reflux
He experienced heartburn and sore throat every night. His doctor recommended this medicine after dinner and at bedtime. Within a week, his night-time symptoms improved considerably. He was advised to avoid late meals and alcohol, which further helped.
💡 Lesson: Taking the medicine at bedtime and making lifestyle changes can significantly reduce night-time acid reflux.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Pain relief from the local anaesthetic begins within a few minutes. The antacid effect starts within 5-10 minutes.

Q: Can I take it with other medicines?

A: It can interact with several medicines by reducing their absorption. Separate by at least 2 hours and inform your doctor.

Q: Is it safe for diabetics?

A: Yes, it is sugar-free, so it is generally safe for people with diabetes.

Q: How long can I use it?

A: Do not use for more than 2 weeks without medical advice.

🤔 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 omee-caine oral 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 cure all stomach problems.
    Fact: It provides symptomatic relief but does not treat underlying causes like infections or ulcers.
  • Myth: It is safe to take indefinitely.
    Fact: Prolonged use without medical supervision can lead to side effects like constipation or aluminium accumulation.
  • Myth: It can be taken with all other medicines.
    Fact: It can interact with several medicines by reducing their absorption. Always inform your doctor.

🔄 Alternative Options

Generic Alternatives

  • Oxetacaine + Aluminium Hydroxide oral gel (various manufacturers)

Brand Alternatives

  • Alzym Oral Gel Sugar Free

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Oxetacaine + Aluminium Hydroxide","key_feature":"Sugar-free, local anaesthetic + antacid"},{"medicine":"Aluminium Hydroxide + Magnesium Hydroxide","composition":"Aluminium Hydroxide + Magnesium Hydroxide","key_feature":"Antacid only, no local anaesthetic"},{"medicine":"Lidocaine + Aluminium Hydroxide","composition":"Lidocaine + Aluminium Hydroxide","key_feature":"Local anaesthetic + antacid, may contain sugar"}]

😊 Was this information helpful?

Browse Medicines A-Z

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Back to Medicines Directory