Sore throat is one of the common complaints of a cold. A flu infection is caused by cold viruses, which cause a painful inflammation of the pharyngeal mucosa. Sore throat is very uncomfortable for those affected and can be relieved with medicines.

In addition to analgesic lozenges and lozenges, sprays for sore throats are also suitable for self-medication.

The sprays at a glance

There are several sprays for sore throat, which lead to pain relief with different active ingredients. For example, the WICK ® spray contains the anesthetic agent lidocaine, a topical anesthetic that makes the cervical mucosa insensitive to pain. There are sprays that have a disinfectant effect on the throat. These include the no longer available Locabiosol with the active ingredient fusafungin and the Neo-Angin ® throat spray with amylmetacresol. Disinfecting throat sprays have the advantage of an antibacterial effect.

Also popular are sprays for sore throat of Tantum verde ® and Dobendan ® . The spray of Tantum verde ® has a fast analgesic effect and is suitable for children. The spray of Dobendan ® scores with a long duration of action of up to 6 hours.

There are also herbal sprays for sore throats, which naturally have a pain-relieving and disinfecting effect. An example is the Bronchostop ® throat spray with sage and thyme extract.

The active ingredients

Sore throat medications often have local anesthetics (topical local anesthetics) or disinfectants (topical disinfectants). In addition, herbal medicines, the so-called phytopharmaceuticals, are also used. Topical local anesthetics often contain the active substance lidocaine. Lidocaine makes the tissue in the throat less sensitive to pain. The pain stimuli do not reach the brain and are therefore not perceived as painful.

Sprays for sore throat, which have a disinfectant effect on the throat, contain the active ingredients fusafungin, amylmetacresol or hexetidine. These substances have an antibacterial and anti-inflammatory action in the throat. The Locabiosol Dosierspray contains, for example, the active ingredient fusafungin. The drug Neo-Angine Halflasm contains Amylmetacresol and the Hexoral Spray Hedetidine.

Herbal sprays for sore throat often include sage leaves and thyme extract, which are said to disinfect and alleviate pain in the throat. The Dobendand ® Direct Flurbiprofen Spray for sore throat contains the active ingredient Flurbiproben, which has anti-inflammatory and analgesic. The Tantum Verde ® Spray contains benzydamine hydrochloride. This active ingredient also has anti-inflammatory, analgesic and antibacterial properties.

The side effects

Like any medicine, any spray for sore throat can cause hypersensitivity reactions to the various active ingredients. If allergies to ingredients of the products are known, it is essential to do without the incompatible spray. Cervical sprays, which contain local anesthetics such as lidocaine, numb the pharyngeal mucosa. A feeling of numbness in the mouth and throat can be perceived as unpleasant by those affected.

Occasionally, side effects such as mouth blush, dry mouth, nausea and vomiting may occur. In addition, the spray of Tantum Verde ® can also promote redness of the skin and sunburns, as it makes the skin more sensitive to sunlight.

Inhale with a cold? You can find more information here .

How often can I use it?

Sprays for sore throat should always be used as recommended in the package leaflet. Attention must be paid to the different dosages of children and adults. If the symptoms persist after three days, a doctor should be consulted.

For example, the Dobendan ® Spray may be applied to the throat every three to six hours with three sprays each. The Wick Spray ® for sore throat may be taken by adults 6 times a day with two to three sprays. Children from 6 to 2 years old may receive the spray up to four times a day with two to three sprays. The spray of Tantum verde ® may be taken up to six times a day with four to eight sprays. Children between the ages of 6 and 12 are allowed to take four sprays approximately every 6 hours, while children under the age of 6 years weighing more than 4 kilograms of body weight are allowed one spray per kilo. Children under the age of 6 years may not take more than four sprays every 6 hours.

The different number of sprays and the time interval between the applications varies between the different products and should be considered in the application.

Which alternatives do I have?

In addition to throat spray, there are other over-the-counter medicines in the pharmacy that relieve sore throats. A good alternative are throat lozenges and lozenges. There are several throat pills, for example, Dolo-Dobendan or neo-angin, which quickly calm the pharyngeal mucosa. Even painkillers such as ibuprofen can be pain-relieving in sore throats. Painkillers should not be taken over a long period of time.

A well-tried home remedy for sore throat is gargling with salt water, chamomile or sage tea. In addition to tea or salt water, you can also put a few drops of eucalyptus oil or tea tree oil in a water bath and inhale the vapors. The liquids moisturize the mucous membranes and have an expectorant effect. Another popular home remedy is warm neck wrap. In addition, the inhalation of sage or chamomile vapor has a particularly effective, if more cold symptoms such as run cold or cough are present. In addition, there are homeopathic medicines for sore throat, such as globules and Schüßler salts.

The costs

The sprays for sore throat are priced in the middle range among the medicines for sore throat. Dobendan ® Direct Flurbiprofen spray and WICK ® Sulagil throat spray are each available with 15 milliliters for 7 to 12 €, depending on the pharmacy. Tantum Verde ® sprays are 30 milliliters in the same price range and therefore cheaper overall.
Online pharmacies may be cheaper, but occasionally come with shipping costs.

Are sprays for sore throat prescription?

Sprays for sore throat are pharmacy-dependent, in particular the sprays containing active ingredients such as lidocaine or benzydamine hydrochloride. However, these sprays for sore throat are not prescription. This means that the sprays are over-the-counter. In addition, there are herbal sprays for sore throats, which are also available in drugstores and health food shops in addition to pharmacies.

Application during pregnancy and lactation possible?

Sprays for sore throats containing the active ingredient lidocaine are not suitable for pregnancy and lactation. Lidocaine passes into breast milk in small quantities and can reach the infant when breastfeeding. Lidocaine-containing sprays such as the WICK ® Sulagil throat spray should be avoided during pregnancy and lactation and should only be used if absolutely necessary for the physician.
The spray of Dobendan ® with the active ingredient flurbiprofen is also harmful to pregnant and lactating women. The spray of Tantum verde ® may in turn be used during normal use during pregnancy and lactation.

Nevertheless, during pregnancy and breast-feeding you should only take the medications recommended by your doctor. Home remedies such as gargling with salt water or chamomile tea can also calm the pharyngeal mucosa and are safe for the child.

Which sprays may be used in children?

When using sprays for sore throat, it must be checked in the package leaflet whether the appropriate throat spray is permitted for children and in which dosage it may be used.

WICK® throat sprays, Tantum Verde®, Neo-Angin® and EMS® are suitable for both adults and children over the age of 6 years. Tantum Verde ® may be used after accurate dosing for children under 6 years old. In any case it can be helpful to ask the pediatrician for a recommendation.

The different sprays


The spray Locabiosol ® lost its approval in May 2016 and has since ceased to be available in pharmacies. The reason for this is that there have been numerous reports of severe allergic reactions with respiratory distress and swelling of the face to the active substance fusafungin contained therein. At present, there is no comparable alternative on the German pharmaceutical market that has a similar antibiotic effect as the active ingredient fusafungin.

Tantum verde®

The Tantum Verde ® Spray works for pain and irritation in the mouth and throat. It has an analgesic, anti-inflammatory and anesthetic properties. It contains the active substance benzydamine hydrochloride, methyl 4-hydroxybenzoate and 10% alcohol by volume. Benzydamine hydrochloride has anti-inflammatory, antibacterial and analgesic properties.

It may be given up to six times a day four to eight sprays of the spray in the throat. Children between 6 and 12 years should not take more than 4 sprays every six hours. For children under 6 years of age over 4 kilograms of body weight, one spray per kilo with a maximum of 4 sprays is considered a therapeutic dose for sore throat.

From Wick®

The Sulagil throat spray from Wick ® works against sore throat in seconds. It contains, among other things, the local anesthetic lidocaine, which blocks pain transmission from the pharyngeal mucosa to the brain. It also has anti-inflammatory and calms the pharyngeal mucosa. The Wick throat spray contains 20% alcohol by volume.

You may take 2 to 3 sprays up to 6 times a day. Children from 6 to 12 years may use the spray up to 4 times a day with 2 to 3 sprays. It is not suitable for children under 6 years, pregnant women and lactating women.


The Dobendan ® Direct Flurbiprofen spray for sore throat contains no alcohol, antibiotics or local anesthetics. It should last for up to 6 hours of pain relief, anti-inflammatory and decongestant. The Dobendan spray is generally considered to be well tolerated.

It may be used every 3 to 6 hours with 3 sprays with no more than 5 dosages per day. If the symptoms persist for more than three days, a doctor should be consulted. It is not suitable for children, adolescents, pregnant women and nursing women. Flurbiprofen can affect fertility.

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