Next you will learn:
- What are the specifics of the Forest Balm series toothpastes and what is their composition?
- Do these pastes really help effectively fight gum disease and how do ordinary people respond to them?
- Which toothpaste in the Forest Balm series should you choose specifically for your case?
Forest balm is a Russian brand of teeth and gum care products. The brand belongs to the Kalina concern, which is one of the leading manufacturers of cosmetic and therapeutic products on the domestic market. And in fairness, it is worth noting that the company’s products are generally very loved by domestic consumers, which is confirmed not only by various awards and bonuses (which today, in general, not everyone trusts), but most importantly, by positive reviews of the products.
And for the people, Forest Balm toothpaste is, first of all, a remedy for gum disease. Surely you remember its green packaging, which has become very recognizable, and almost a real national symbol of the brand. The reason for this popularity is very simple: the paste really works. And when a person who has been suffering from bleeding gums for years begins to use it and just a few days later realizes that he no longer spits blood into the sink when brushing his teeth as usual, then this effect speaks in favor of Forest Balm better than any advertising.
It should, however, be borne in mind that today there is a whole set of Forest Balm toothpastes of different types on sale, so before purchasing it will be very useful to first understand how they, in fact, differ from each other, and which option is better to choose. in your case.
It is worth noting that all types of Forest Balm toothpastes contain natural ingredients, and are often recommended by dentists to prevent gum problems.
At the same time, the manufacturer additionally notes the following advantages:
- Safety for human health - any Forest Balsam toothpaste maintains the balance of the natural microflora of the oral cavity. This is very important, since, for example, some toothpastes contain such strong antiseptics that not only pathogenic microorganisms are destroyed, but also completely natural ones, which can subsequently lead to the development of oral candidiasis (a disease caused by fungi - essentially the same thrush, only in the mouth).
- Comprehensive oral care - even despite the specific focus and specific properties of each product, they all care for the gums, prevent the development of caries and have an antimicrobial effect.
- Naturalness - as noted above, any Forest Balsam toothpaste includes natural ingredients (herbal extracts) obtained from natural raw materials. This could be considered a simple advertising ploy (the desire for naturalness is now in fashion), if it did not work so well.
- Affordable price - the domestic manufacturer also made sure that a high-quality product could be purchased by people with almost any income.
- A large assortment - today there are nine types of Forest Balsam pastes on sale. This point may initially create some confusion, since not everyone immediately understands which paste is best to choose, what the composition of each option is, etc. We'll talk about this in more detail below.
According to reviews from consumers and dentists, the use of Forest Balsam toothpastes can indeed significantly reduce the risk of developing periodontal diseases, neutralize the effect of pathogenic bacteria and, in general, significantly improve the condition of diseased gums. Moreover, these natural toothpastes today are often included in a set of treatment procedures for various periodontal diseases.
Review
“...No matter how they promote various imported products to me, I recommend Forest Balm toothpaste to my patients, since I use it myself and know for sure that it works. And I know that the price is affordable even for pensioners. For mild gum bleeding, I prescribe the combined use of it and mouthwash twice a day, and for severe bleeding, I advise using the mouthwash after every meal during the day. I’ve been working for so many years and my patients are happy.”
Andrey Anatolyevich, Krasnoyarsk
Release form and composition
Forest balm Toothpaste is a jelly-like mass for cleaning teeth, with a rich pine or mint flavor (50, 75, 130, 150 ml each in a plastic tube, 1 tube in a cardboard pack).
Forest balm Toothpaste “Anti bleeding gums”:
- active ingredients: oak bark extract, Siberian fir extract, juniper extract, oleoresin, dry nettle powder, chamomile flower extract, yarrow extract, dry extract of St. John's wort flowers/leaves/stem, celandine dry extract, sodium monofluorophosphate, spruce leaf extract, pine leaf extract;
- auxiliary components: polyprenol (Polyprenol), silicon dioxide (Silica), sorbitol (Sorbitol), sodium lauryl sulfate (Sodium Lauryl Sulfate), flavor (Aroma), cellulose gum (Cellulose Gum), citric acid (Citric Acid), glycerin (Glycerin) , Soybean Oil [Glycine Soja (Soybean) Oil], Phenoxyethanol, Phosphoric Acid, Sodium Hydroxide, Sodium Saccharin, Benzyl Alcohol, Limonene, linalool (Linalool), tartrazine (CI 19140), brilliant blue dye (CI 42090), titanium dioxide (CI 77891), water (Aqua).
Forest balm Toothpaste “Anti gum inflammation”:
- active ingredients: sage extract, aloe vera leaf juice, Siberian fir extract, stinging nettle dry powder, chamomile flower extract, yarrow extract, dry extract of St. John's wort flowers/leaves/stem, celandine dry extract, oleoresin, juniper extract, spruce leaf extract , pine leaf extract, sodium monofluorophosphate;
- auxiliary components: polyprenol, silicon dioxide, sorbitol, sodium lauryl sulfate, flavoring, cellulose gum, citric acid, glycerin, soybean oil, phenoxyethanol, phosphoric acid, sodium hydroxide, sodium saccharinate, benzyl alcohol, limonene, linalool, tartrazine (E102), dye brilliant blue (E113), titanium dioxide, water.
Forest balm Toothpaste “For gum health”:
- active ingredients: propolis extract, Siberian fir extract, juniper extract, resin, sodium monofluorophosphate, dry nettle powder, chamomile flower extract, yarrow extract, dry extract of St. John's wort flowers/leaves/stem, celandine dry extract;
- auxiliary components: polyprenol, silicon dioxide, sorbitol, sodium lauryl sulfate, flavoring, cellulose gum, citric acid, glycerin, soybean oil, phenoxyethanol, phosphoric acid, sodium hydroxide, sodium saccharinate, benzyl alcohol, limonene, linalool, tartrazine (E102), dye brilliant blue (E113), titanium dioxide, water.
Forest balm Toothpaste “Oral Immunity Protection”:
- active ingredients: Siberian fir extract, dry nettle powder, chamomile flower extract, yarrow extract, dry extract of St. John's wort flowers/leaves/stem, celandine dry extract, lingonberry leaf extract, raspberry extract, sodium monofluorophosphate;
- auxiliary components: flavor, cellulose gum, glycerin, menthol (Menthol), phosphoric acid, phenoxyethanol, sodium fluoride (Sodium Fluoride), sodium hydroxide, sodium saccharinate, benzyl alcohol, eugenol (Eugenol), limonene, tartrazine, brilliant blue dye, dioxide titanium, silicon dioxide, sorbitol, sodium lauryl sulfate, water.
Forest balm Toothpaste “Forte Active”:
- active ingredients: tea tree leaf oil, Siberian fir extract, yarrow extract, calendula flower extract, chamomile flower extract, celandine dry extract, dry extract of St. John's wort flowers/leaves/stem, St. John's wort oil, spruce leaf extract, pine leaf extract, extract oak bark, raspberry extract, dry nettle powder, lingonberry leaf extract, sodium monofluorophosphate;
- auxiliary components: polyprenol, sorbitol, silicon dioxide, sodium lauryl sulfate, cellulose gum, flavor, allantoin, citric acid, glycerin, menthol, phenoxyethanol, sodium benzoate, sodium chloride, sodium hydroxide, saccharin sodium, sodium sulfate (Sodium Sulfate), isoeugenol (Isoeugenol), limonene, linalool, tartrazine (E102), brilliant blue dye (E113), titanium dioxide, water.
Forest balm Toothpaste “Triple effect”:
- active ingredients: sea buckthorn juice, sea buckthorn oil, peppermint extract, Siberian fir extract, chamomile flower extract, dry nettle powder, yarrow extract, dry extract of St. John's wort flowers/leaves/stem, celandine dry extract, sodium monofluorophosphate;
- auxiliary components: sodium fluoride, benzyl alcohol, citric acid, glycerin, soybean oil, phenoxyethanol, sodium chloride, sodium hydroxide, sodium saccharinate, sodium sulfate, eugenol, limonene, tartrazine, brilliant blue dye, red dye (CI 73360), dye blue (CI 74160), green color (CI 74260), titanium dioxide, water, silica, sorbitol, sodium lauryl sulfate, cellulose gum, flavor.
Forest balm Toothpaste “Triple effect. Extra freshness":
- active ingredients: Siberian fir extract, black currant leaf extract, mint extract, dry nettle powder, chamomile flower extract, yarrow extract, dry extract of St. John's wort flowers/leaves/stem, celandine dry extract, sodium monofluorophosphate;
- auxiliary components: sodium fluoride, silicon dioxide, sorbitol, sodium lauryl sulfate, cellulose gum, benzyl alcohol, citric acid, glycerin, soybean oil, phenoxyethanol, sodium chloride, sodium hydroxide, sodium saccharinate, sodium sulfate, limonene, linalool, tartrazine, brilliant dye blue, titanium dioxide, red dye, blue dye, green dye, flavor, water.
Forest balm Toothpaste “Triple effect. Whitening":
- active ingredients: Siberian fir extract, yarrow extract, white tea leaf extract, chamomile flower extract, lemon juice, dry extract of St. John's wort flowers/leaves/stem, mint extract, oak bark extract, black currant leaf extract, sage leaf extract, dry stinging nettle powder;
- auxiliary components: sodium fluoride, flavoring, cellulose gum, glycerin, lactic acid (Lactic acid), hydrogenated castor oil PEG-40 (Hydrogenated Castor Oil PEG-40), pentylene glycol (Pentylene Glycol), propylene glycol (Propylene Glycol), sodium saccharinate , Triceth-9, Trisodium Phosphate, Eugenol, Limonene, Green, Ultramarine (CI 77007), Titanium Dioxide, Sorbitol, Silicon Dioxide, PEG-32 ), sodium lauryl sulfate, water.
Forest balm Toothpaste “Strengthening gums and teeth”:
- active ingredients: aloe vera leaf juice, white tea leaf extract, Siberian fir extract, dry nettle powder, chamomile flower extract, yarrow extract, dry extract of St. John's wort flowers/leaves/stem, celandine dry extract, sodium monofluorophosphate;
- auxiliary components: silicon dioxide, sorbitol, sodium lauryl sulfate, flavoring, cellulose gum, sodium fluoride, sodium saccharinate, sodium hydroxide, sodium chloride, glycerin, citric acid, phenoxyethanol, benzyl alcohol, sodium benzoate, sodium sulfate, sodium sulfite (Sodium Sulfite) , propanediol, potassium sorbate, linalool, tartrazine, brilliant blue dye, water.
Forest balm Toothpaste “Comprehensive protection”:
- active ingredients: Siberian fir extract, yarrow extract, aloe vera leaf juice, chamomile flower extract, celandine dry extract, hydrogenated jojoba oil, dry extract of St. John's wort flowers/leaves/stem, ginseng root extract, hyaluron (Sodium Hyaluronate), dried nettle dioecious powder, hydroxyapatite;
- auxiliary components: menthol, cellulose gum, citric acid, glycerin, phenoxyethanol, sodium benzoate, sodium chloride, sodium hydroxide, sodium saccharinate, sodium sulfate, eugenol, limonene, linalool, tartrazine, brilliant blue dye, green dye, titanium dioxide, sorbitol , silicon dioxide, sodium monofluorophosphate, sodium orthophosphate, potassium citrate (Potassium Citrate), zinc citrate (Zinc Citrate), sodium lauryl sulfate, flavor, water.
Forest balm Toothpaste “For sensitive teeth and gums”:
- active ingredients: sodium monofluorophosphate, Siberian fir extract, yarrow extract, aloe vera leaf juice, calendula flower extract, chamomile flower extract, celandine dry extract, dry extract of St. John's wort flowers/leaves/stem, rose hips juice extract (Rosa Canina Fruit Extract) ), hydroxyapatite, dry nettle powder;
- Excipients: sorbitol, sodium orthophosphate, silicon dioxide (Hydrated Silica), potassium citrate, sodium sulfate, zinc citrate, flavor, sodium hydroxide, cellulose gum, citric acid, glycerin, soybean oil, natural mica (Mica), phenoxyethanol, potassium sorbate (Potassium Sorbate), sodium benzoate, sodium chloride, sodium hydroxide, sodium saccharinate, sodium sulfate, sodium sulfite, benzyl alcohol, limonene, tartrazine, brilliant blue, titanium dioxide, water.
Forest balm Toothpaste “Natural whitening”:
- active ingredients: sodium monofluorophosphate, Siberian fir extract, yarrow extract, aloe vera leaf juice, chamomile flower extract, celandine dry extract, hydrogenated jojoba oil, dry extract of St. John's wort flowers/leaves/stem, ginseng root extract, hydroxyapatite, dry stinging nettle powder;
- auxiliary components: sodium orthophosphate, water, sorbitol, silicon dioxide, potassium citrate, zinc citrate, sodium lauryl sulfate, flavor, hyaluron, cellulose gum, citric acid, glycerin, phenoxyethanol, sodium benzoate, sodium chloride, sodium hydroxide, sodium saccharinate, sodium sulfate , eugenol, limonene, linalool, tartrazine, brilliant blue dye, green dye, titanium dioxide.
Forest balm Toothpaste “2 in 1”:
- active ingredients: Siberian fir extract, spruce leaf extract, pine leaf extract, stinging nettle dry powder, chamomile flower extract, yarrow extract, dry extract of St. John's wort flowers/leaves/stem, celandine dry extract;
- auxiliary components: sorbitol, silicon dioxide, sodium lauryl sulfate, PEG-32, PEG-40, flavor, sodium fluoride, zinc sulfate, cellulose gum, glycerin, Hydrogenated Castor Oil, phenoxyethanol, sodium chloride, sodium hydroxide, saccharin sodium, sodium sulfate, limonene, linalool, brilliant blue dye, green dye, water.
Forest balm Toothpaste “Intensive restoration”:
- active ingredients: aloe vera leaf juice, sodium monofluorophosphate, troxerutin, ginger root extract, Siberian fir extract, dry nettle powder, chamomile flower extract, yarrow extract, dry extract of St. John's wort flowers/leaves/stem, bisabolol, celandine dry extract;
- auxiliary components: flavor, sodium lauryl sulfate, cellulose gum, water, sorbitol, silicon dioxide, potassium citrate, zinc citrate, citric acid, glycerin, menthol, phenoxyethanol, potassium sorbate, sodium benzoate, sodium chloride, sodium hydroxide, sodium saccharinate, sodium sulfate , sodium sulfite, eugenol, limonene, linalool, tartrazine, brilliant blue dye, titanium dioxide.
Briefly about the manufacturing company
The Lesnoy Balsam trademark is part of the Kalina concern. The range consists of hygienic oral care products: rinses, toothbrushes and pastes. Products are intended for children over 14 years of age and adults.
All products are based on a patented herbal decoction, pine needle extracts, anti-inflammatory and antibacterial plant substances. Thanks to its use, it is possible to relieve periodontal inflammation and bleeding, and perform high-quality cleaning of the oral cavity.
With regular use of hygiene products, it is possible to solve current oral problems. A noticeable result is achieved within two days after the first application. Let us note several advantages of using Forest Balsam products:
- A wide range of. The product line includes 14 specialized toothpastes for adults. Each of them is aimed at solving specific problems of the oral cavity.
- Safety. The active formula includes natural ingredients. They take care of enamel and gums and support the natural bacterial environment. The active ingredients have pronounced antibacterial and antiseptic effects. Thanks to this, they cope with a wide range of diseases, including candidiasis.
- Comprehensive care. Each composition is aimed at solving narrow problems. At the same time, it has a general strengthening effect. Cleaning substances thoroughly remove daily plaque and neutralize pathogenic bacteria, which makes it possible to avoid tartar and periodontitis.
- Affordable price. One of the factors in the popularity of domestic brand products is their low cost. At the same time, the quality level is comparable to more expensive foreign analogues.
It is important to understand that the brand’s trade line includes a wide range of products. Before purchasing a specific product, you need to understand its purpose and nuances of use.
Pharmacological properties
Forest balm Toothpaste is a hygienic oral care product with high antibacterial and anti-inflammatory properties. A wide composition of natural ingredients not only effectively and gently cleanses tooth enamel, but also ensures its strengthening, preventive care and reduction of inflammation and swelling of the gums, prevents the development of inflammation, and promotes the restoration of soft tissues of the oral cavity.
In the recipes of all Forest Balsam products, instead of ordinary water, a decoction of herbs is used, produced using a special patented technology from extracts of chamomile, St. John's wort, celandine, nettle and yarrow, which allows the healing properties of phytoextracts to be preserved as fully as possible. It is prepared using high-tech vacuum extraction, in which boiling is achieved at a temperature of only + 35 ° C, which ensures the most complete transfer of all medicinal properties from plants into a decoction, which ensures the preservation of the balance of oral microflora.
To produce Forest Balsam toothpaste, the following active substances are used, the combination of which determines the properties of each of its types:
- oak bark extract (Quercus Alba Bark Extract): reduces bleeding gums;
- Siberian fir extract (Abies Sibirica Leaf Extract): blocks the development of gum inflammation, has an antimicrobial and tonic effect, increases the protective function of the oral mucosa;
- Juniper extract (Juniperus Communis Fruit Extract): improves blood circulation in the gums;
- turpentine: improves oral immunity;
- celandine dry extract (Chelidonium Majus Extract): the alkaloids and saponins it contains help increase the stress resistance of the oral immune system and regenerate epithelial homeostasis;
- yarrow extract (Achillea Millefolium Extract): contains essential oils with high antibacterial and anti-inflammatory effectiveness, helping to slow down the development of the inflammatory cascade, reducing the bacterial load on periodontal tissue;
- sodium monofluorophosphate (bioactive fluorine): strengthens tooth enamel, protects against caries;
- sage extract, propolis extract (Propolis Extract): reduce gum inflammation;
- aloe vera leaf juice (Aloe Barbadensis Leaf Juice): improves gum nutrition and promotes their restoration;
- dry extract of flowers/leaves/stem of St. John's wort (Hypericum Perforatum Flower/Leaf/Stem Extract), St. John's wort oil (Hippophae Rhamnoides Oil): deeply nourish and strengthen the gums;
- lingonberry leaf extract (Vaccinium Vitis-Idaea Leaf Extract), raspberry extract: accelerate the process of gum restoration;
- tea tree leaf oil: activates the protection of teeth and gums from pathogenic bacteria;
- pine complex [spruce leaf extract (Picea Leaf Extract), pine leaf extract (Pine Leaf Extract)]: prevents the development of gum inflammation;
- calendula flower extract (Calendula Officinalis Flower Extract): relieves gum inflammation;
- Sea buckthorn juice (Hippophae Rhamnoides Fruit Juice), sea buckthorn oil (Hippophae Rhamnoides Oil): deeply nourish and strengthen the gums;
- dry nettle powder: strengthens the soft tissues of the oral cavity;
- chamomile flower extract: reduces the activity of pathological microflora;
- peppermint extract [Mentha Piperita (Peppermint) Leaf Extract]: protects against plaque, keeps breath fresh;
- black currant leaf extract: rich in vitamins to strengthen gums;
- lemon juice: breaks down plaque, helps whiten tooth enamel;
- white tea leaf extract (Camellia Sinensis Leaf Extract): strengthens gums, protects against inflammation;
- hydrogenated jojoba oil (Hydrogenated Jojoba Oil): contains a high percentage of vitamin E, which stimulates the process of cell regeneration and has a good anti-inflammatory effect;
- ginseng root extract (Panax Ginseng Root Extract): nourishes and tones the gums;
- hyaluron (Sodium Hyaluronate): long-lasting moisturizing and moisture-retaining component;
- ginger root extract [Zingiber Officinale (Ginger) Root Extract]: provides a pronounced anti-inflammatory effect;
- hydroxyapatite (Hydroxyapatite): is a source of calcium, in combination with potassium ions, it fills damaged areas of enamel, compacts it, providing a long-term reduction in sensitivity, and restores the natural shine of teeth;
- bisabolol: has a pronounced anti-inflammatory effect;
- troxerutin: helps reduce bleeding gums.
Forest balm “Intensive restoration” is a periodontal toothpaste that has a pronounced anti-inflammatory effect. It is recommended for use in cases of gingivitis, periodontitis, and in the period after surgical operations in the oral cavity for intensive strengthening and nutrition of the gums.
Forest balm “Triple effect. Whitening" has a triple effect: strengthens gums, protects against caries, and gently whitens enamel.
Forest balm “For sensitive teeth and gums” quickly and permanently reduces the painful sensitivity of teeth to external irritants, strengthens the enamel, and has a rich mint taste.
Regular use of Forest Balm Toothpaste reduces the incidence of gum inflammation, the rate of plaque formation on teeth, reduces the bacterial load on the soft tissues of the oral cavity, and provides a long-lasting feeling of cleanliness and freshness in the mouth.
Contraindications to the use of Forest Balsam toothpaste
Forest Balsam pastes are based on herbal extracts. Therefore, anyone who has an individual intolerance to any plants should carefully study the composition of the toothpaste and instructions before use, and, if necessary, choose a different product.
Forest Balsam pastes are affordable, have a natural composition and a wide range: whitening, therapeutic and prophylactic, etc. You can find products for adults and children in it. When choosing a paste, pay attention to the composition, especially if you are prone to allergies.
Author: Lyubov Titova, pharmacist, especially for Karies.pro
Analogs
Analogs of Forest Balm Gum Rinse are Albadent oral balm, medicinal herbs; Stomatofit Fresh rinse; ROX Raspberry mouthwash; Mouthwash Lacalut aktiv; Listerine Expert mouth rinse Gum protection; President Active Mouthwash; Mouthwash Fluorodent Cedar; Mouthwash Asepta Fresh; Mouthwash Fluorodent Healing herbs; Colgate Plax Forte mouthwash Oak and fir bark, etc.
Reviews
On the Internet you can find mostly positive reviews about the Forest Balm series of rinses from. Among their advantages, buyers highlight:
- low cost;
- good anti-inflammatory effect;
- help with bleeding gums, their redness and swelling;
- pleasant smell and taste;
- the ability to use for the treatment and prevention of dental diseases.
When using Forest Balsam rinses, some people experienced unpleasant sensations and a burning sensation in the mouth. In general, the product is well tolerated.
The Forest Balsam series is an additional measure to eliminate and prevent many dental diseases: gingivitis, stomatitis, periodontitis, periodontal disease, etc. Can be used by children and adults for a long time, according to the instructions for use.
Bibliography
- Lukinykh L.M. – Diseases of the oral mucosa, N. Novgorod: Publishing House of the Nizhny Novgorod State Medical Academy, 2000.
- Dmitrieva L.A. — Modern aspects of clinical periodontology, M., 2001.
- Tsepov L.M., Kamanin E.I., Morozov V.G. — Periodontitis: problems of complex therapy, Smolensk, 1992.
- Vertkin A.L. – Clinical pharmacology for students of dental faculties, M.: GEOTAR-Media, 2007.
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special instructions
Mouthwash should not be swallowed!
Forest balm Gum rinse with oak and fir bark extract provides easy cleansing of areas that are difficult to reach with a toothbrush and prevents the recurrence of bleeding during brushing. It takes at least 30 seconds to treat the gums during inflammation, and it is especially necessary to clean the interdental spaces carefully, since it is in these areas, according to statistics, that 57% of dental plaque remains, which can subsequently lead to the occurrence of periodontal diseases.
Treatment for gum disease should only be performed by a dentist. At home, gingivitis should be prevented, and if a lesion develops, you can only temporarily ease the discomfort and slow down the development of the inflammatory process.
When wearing removable dentures, especially in the first 1–3 months of use, unpleasant symptoms or discomfort may occur due to improper or too long wearing. It is necessary to inform a specialist about these undesirable reactions, but if the gums under the denture become inflamed regularly, you can enhance their care with a product containing propolis and St. John's wort. Forest balm Gum rinse effectively cleanses the entire oral cavity, and, exhibiting an anti-inflammatory effect, helps strengthen and restore gums under increased stress associated with wearing a denture.
Forest balm Gum rinse active gel for sensitive teeth and gums is characterized by a long-lasting effect in the oral cavity. The drug, forming a thin protective film on the teeth and gums, helps strengthen tooth enamel and restore gums, reduces the formation of plaque, and prevents staining of the enamel with food dyes (tea, coffee, etc.).
Intensive gum restoration rinse is a product used in periodontics to carry out an express course of gum restoration. The product is able to act deep in the gums, blocking inflammation and normalizing its nutrition, thereby facilitating the complete restoration of the soft tissues of the oral cavity.
Mouth rinses are not drugs. The use of these drugs does not relieve the need for regular sanitation of the oral cavity by a dentist.
Side effects
Forest balm for gum inflammation, bleeding, reducing signs of dental diseases and their causes is well tolerated. A mouthwash without serious restrictions on its intended use or negative consequences.
According to the instructions, among the side effects of the rinse, intolerance reactions are possible: burning sensation in the mouth, numbness of the mucous membranes, redness, rashes.
If these signs occur, you should stop using Forest Balsam and contact the clinic.