home Audience 2 Chlorhexidine hydrochloride instructions for use. Chlorhexidine: use of an antiseptic. Impact on the ability to drive vehicles and other complex mechanisms

Chlorhexidine hydrochloride instructions for use. Chlorhexidine: use of an antiseptic. Impact on the ability to drive vehicles and other complex mechanisms

The composition of the drug 0.05% solution Chlorhexidine Bigluconate includes 0.5 mg chlorhexidine bigluconate , additional substances.

The composition of the drug 20% solution Chlorhexidine Bigluconate includes 0.2 g of active substance, additional substances.

Release form

INN: Chlorhexidine

The form of release of the product is as follows. The drug is available in the form of a 0.05% solution for external use. In a polymer bottle with a nozzle, as well as in glass bottles of 100 ml, 1 bottle in a cardboard package.

A 20% solution of the drug is sold in polymer bottles with a cap, 100 ml, 500 ml.

Candles and gel are also produced (it includes lidocaine ), cream, ointment, spray with a similar active ingredient.

pharmachologic effect

An aqueous solution of Chlorhexidine Bigluconate has a local antiseptic effect, predominantly bactericidal. The product is a dichlorine derivative biguanide . It affects the body by changing the properties of the cell membrane of microorganisms. The cations that are formed due to the dissociation of chlorhexidine salts react with the bacterial membranes, which have a negative charge. The effect of the drug promotes the destruction of the cytoplasmic membrane of the bacterium. Its balance is disrupted, and the bacterium eventually dies.

Chlorhexidine Bigluconate solution 0.05%, gluconate 20% effectively destroys a number of strains of microorganisms. This Neisseria gonorrhoeae , Trichomonas vaginalis , Bacteroides fragilis , Chlamydia spp. ., Gardnerella vaginalis , Treponema pallidum . The drug is also active against Ureaplasma spp. ., and also has a moderate active influence in relation to individual strains Proteus spp. And Pseudomonas spp. .

Viruses (with the exception of viruses) and fungal spores demonstrate resistance to the drug.

If Chlorhexidinum rinse is used to wash hands, or skin treated with the drug, Chlorhexidine Bigluconate has a long-term antibacterial effect. Therefore, the drug can be used to treat surgeon’s hands and surgical field.

The product retains its antimicrobial activity in the presence of pus, blood, etc., but a decrease in its effectiveness is noted.

Pharmacodynamics and pharmacokinetics

At local application Chlorhexidine is not absorbed into the bloodstream and has no systemic effect.

Indications for use

What an antiseptic is used for can be found in detailed annotation to the drug. It is widely used to treat diseases that are caused by microorganisms sensitive to the influence of Chlorhexidine, and for their prevention.

The medicine is used for therapy certain diseases depending on the concentration of the solution.

A solution of 0.05%, 0.1% and 0.2% is widely used for the prevention of infectious diseases after surgical interventions. The use of such solutions in dentistry is practiced in order to process dentures. How to use Chlorhexidine in dentistry is determined by dentists during various procedures, and is also used for stomatitis , periodontitis for rinsing gums.

Skin treatment is practiced in urology (if penetration into the urethra is necessary, etc.), surgery, gynecology before surgical intervention and after it to prevent infection. The use of the product in gynecology is practiced for the purpose of disinfecting mucous membranes and skin before carrying out a series of manipulations. How to use the solution depends on the type of procedure or manipulation.

In gynecology, Chlorhexidine is also used for thrush. To get rid of thrush, a woman is recommended to douche according to a special scheme.

Chlorhexidine is used in the treatment of many dermatological diseases, having both bacterial and fungal origin. The use of the product is also indicated if there is purulent wounds, diseases of the mucous membranes caused by microorganisms sensitive to the active substance of the drug.

What Chlorhexidine is is known to those who have been seriously injured. The product is often used to treat wounds and damaged skin to prevent infection. What it is, and whether it is worth using the product in a particular case, is determined by the doctor.

Chlorhexidine Bigluconate solution is used to prevent sexually transmitted diseases -,.

Chlorhexidine Bigluconate solution 0.5% used to treat damage to mucous membranes and skin, as well as for the treatment of medical instruments (the solution temperature should be 70 degrees Celsius).

Chlorhexidine Bigluconate solution 1% used to prevent infection of burns and wounds, for disinfection before operations, as well as for treating instruments and devices that cannot be subjected to heat treatment.

Chlorhexidine Bigluconate solution 5% and 20% used in the preparation of solutions based on water, glycerin or alcohol.

Contraindications

Marked the following contraindications to use this tool:

High sensitivity to the components of the product.
Not used to treat patients suffering from dermatitis .
Do not use at the same time with other antiseptics (this and etc.).
It is not advisable to use it for disinfection of the surgical field before surgery or after interventions on the central nervous system and auditory canal.
Not used in ophthalmology (the answer to the question whether it is possible to wash the eyes with this product is negative, since in ophthalmology only a specially prepared solution is used).
For the treatment of children, use with caution.

Side effects

When using Chlorhexidine Bigluconate during treatment, the following side effects were observed in some patients:

dry skin;
itchy skin ;
the appearance of a rash;
dermatitis ;
photosensitivity.

With prolonged use, the means for rinsing and irrigating the mouth may change taste sensations, appears , there is a change in the color of the teeth.

Instructions for use Chlorhexidine Bigluconate (Method and dosage)

The instructions for Chlorhexidine stipulate that aqueous and alcoholic solutions of Chlorhexidine are used for local treatment infectious diseases.

Instructions for use Chlorhexidine Bigluconate for prevention venereal diseases next. A 0.05% solution is used no more than two hours after unprotected sexual intercourse. For men, 2-3 ml of the product is injected into urinary canal, for women, 1-2 ml is injected into the urinary canal and another 5-10 ml into the vagina (like douching in gynecology). It is also advisable to treat the skin near the genitals with the solution. The instructions on how to use the drug in this case contain a warning that urination should be done no earlier than 2 hours after using the drug. Otherwise, the effectiveness of the action decreases.

For prevention in this case, suppositories with Chlorhexidine Bigluconate can also be used.

How to douche with Chlorhexidine for other gynecological diseases, and whether it is possible to douche when certain symptoms appear, you should definitely first ask your gynecologist. For douching, a ready-made solution of 0.05% is used, which does not require additional dilution. Before douching, you need to lie down horizontally and, after squeezing a few drops of the product from the bottle into the vagina, lie down for a few minutes. If allergic reactions develop, such procedures should not be performed.

How to use Chlorhexidine for inflammatory diseases urinary tract next: 2-3 ml of 0.05% is injected into the urinary canal once or twice a day. The course of treatment lasts 10 days. This method of application is practiced in men and women.

To treat burns, wounds and other skin injuries, a solution of the drug 0.05%, 0.02% or 0.5% is used. It is used for irrigation or applications. The application is left for a period of 1 to 3 minutes. A spray with a similar active ingredient can also be used.

If it is necessary to disinfect the skin before surgery, use a 20% solution of Chlorhexidine digluconate, which is diluted with 70% ethyl alcohol (1 part of a 20% solution of Chlorhexidine digluconate and 40 parts of 70% alcohol). The surgical field is treated twice with an interval of 2 minutes.

In ENT practice, Chlorhexidine is used for, pharyngitis , . If you have a sore throat, you should gargle with a solution of 0.2% or 0.5%.

Before you use Chlorhexidine for gargling , it is recommended to rinse your mouth thoroughly warm water. Next, gargling for a sore throat is carried out as follows: you should take 10–15 ml (about a tablespoon) of the solution, which can be used to gargle for about 30 seconds. You can repeat these steps one more time. After rinsing, it is advisable not to take food or liquid for 1 hour. How to gargle with Chlorhexidine, as well as how many times a day this procedure for the throat should be performed, the doctor will tell you, taking into account individual symptoms patient. You should also ask the specialist whether it is possible to gargle with Chlorhexidine if the patient notes a manifestation side effects.

It should be noted that if rinsing your mouth with Chlorhexidine causes a burning sensation, then most likely the solution has too much high concentration. The highest permissible concentration is no more than 0.5%. You must first study the instructions on how to dilute the medicine for mouth rinsing. After teeth extraction, rinse your mouth three times a day for 1 minute. Is it possible to rinse your mouth more often and how to rinse your mouth if complications are noted after tooth extraction, you need to find out from a specialist.

Chlorhexidine solution should not be swallowed while rinsing; if the solution accidentally gets into the stomach, you need to drink activated carbon tablets (1 tablet per 10 kg of person’s weight).

Many people are convinced that Miramistin and Chlorhexidine are the same thing. In fact, these drugs do belong to the same class of antiseptics. What is the difference between Chlorhexidine and Miramistin is in the active substances contained in the preparations. Miramistin is not complete analogue Chlorhexidine. It has a pronounced antifungal and antiviral effect. Therefore, there are some differences in the indications for use of this drug. Miramistin is not contraindicated for people suffering from dermatitis.

Synonyms

Hexicon.

For children

For the treatment of children, the drug is used with caution and only after a doctor’s prescription.

During pregnancy and lactation

Chlorhexidine during pregnancy and during pregnancy breastfeeding can be applied topically. However, despite the fact that pregnancy is not a contraindication to the use of the drug, prolonged use of the solution is not recommended.

Gargling during pregnancy is possible only under the supervision of a doctor.

Chloral hydrate - belongs to a group of drugs that affect the central nervous system.

Pharmacological action of Chloral hydrate

The drug has the following properties: anticonvulsant, sedative, analgesic, hypnotic. If you take Chloral hydrate in large dosages, it has a narcotic effect.

The drug has a strong effect on the central nervous system. When administered in small doses, Chloral hydrate weakens inhibitory processes, and when administered in large doses, excitation processes in humans are reduced.

Experts do not recommend taking large doses drugs that are close to toxic. After all, it is precisely these doses that inhibit the process of excitability of nerve cells.

The drug has a strong irritant effect on the mucous membranes of the stomach and intestines. For this reason, Chloral hydrate should be taken only in diluted form in combination with enveloping drugs.

Chloral hydrate is absorbed fairly quickly. Sleep, which is close to physiological sleep, occurs after about 15-20 minutes. This sleep lasts for 8 hours.

Indications for use of Chloral hydrate

According to the instructions, specialists prescribe Chloralhydrate for the relief of mental agitation, treatment seizures in adolescents and children. In addition, the drug is used for rabies, tetanus, and eclampsia.

The drug is prescribed to patients who need to undergo certain types studies requiring prolonged immobility. Doses in this case are selected individually, depending on the age and characteristics of the body.

Directions for use and dosage

For adult patients, the drug should be prescribed either orally or in the form of enemas (dose 0.2-1.0 grams per dose). Chloral hydrate should be taken only with enveloping drugs and in a sufficiently large dilution.

For children, the dosage of the drug should be prescribed depending on age - 0.05-0.75 grams.

The maximum dosage of Chloral hydrate for adult patients is two grams, and the daily dosage is six grams.

Side effects

When taking Chloral hydrate, a person may experience a decrease in arterial pressure and vomiting may occur.

Long-term use of the drug often leads to the patient becoming dependent on taking Chloral hydrate. This addiction is called chloralomania.

Contraindications

According to the instructions, Chloral hydrate should not be used if patients suffer from severe illnesses of cardio-vascular system, liver or kidneys. Also, the drug is not prescribed:

For alcohol or drug addiction. Such dependence may be present or in history;
With gastritis, peptic ulcer, esophagitis (when prescribing Chloral hydrate orally);
For colitis, proctitis (when prescribing Chloral hydrate as an enema);
With intermittent porphyria.

Chloral hydrate is prescribed with extreme caution to pregnant women. If you take the drug for a long period, the newborn may experience withdrawal syndrome.

The drug actively penetrates into breast milk, while causing a sedative effect in children. For this reason, breastfeeding should be stopped when the drug is prescribed.

Overdose

Currently, there is no specific antidote. Treatment of overdose is as follows: gastric lavage should be performed, breathing and circulation should be maintained at optimal levels, and forced diuresis should be performed.

If the patient has severe poisoning, hemodialysis should be performed.

special instructions

The drug should not be taken simultaneously with drugs that affect the central nervous system, as well as with alcoholic beverages.

Storage conditions

According to the instructions, Chloral hydrate must be stored at room temperature for 8 years.

The drug belongs to list B.

Chloral hydrate release form

Chloral hydrate is produced in the form of tablets that contain 0.5, 0.75, and 1.5 grams of the active substance. The package contains 10 tablets.

Chlorhexidine solution is one of the most popular antiseptic drugs. The medicine appeared on the market more than 60 years ago, but is still used today in great demand. To the benefits this tool include high efficiency, safety, minimum list of contraindications, affordable price. The scope of application of "Chlorhexidine" includes various branches of medicine.

The product is available in the form of a spray, ointment, rinse, suppository. The most common is the solution, which is poured into bottles (25 - 200 ml) or canisters (1 - 20 l). The main active ingredient of the drug is chlorhexidine, which is active against various bacteria, including Trichomonas, Treponema. The component does not affect spores and viral cells.

Pharmacological properties and pharmacokinetics

"Chlorhexidine" - is active against large quantity pathogenic microorganisms, destroys the causative agents of tuberculosis, herpes virus, HIV, is effective against dermatophytes, yeast-like fungi of the genus Candida, etc.

The drug for external use is widely used in gynecology, cosmetology, dentistry, etc. Absorption of the active components is possible only when administered intravaginally.

Why is the drug prescribed?

Antiseptic is purchased medical institutions. "Chlorhexidine" is not only effective, but also cheap drug, therefore it is used not only in medicinal purposes. The solution is used to disinfect surfaces, devices and equipment that are used when performing medical procedures.

An antiseptic is prescribed to treat the following diseases:

You can gargle with Chlorhexidine for infectious and inflammatory pathologies. The product promotes rapid recovery and reduces the likelihood of complications. They are used to rinse the oral cavity after tooth extraction, in case of wounds and ulcers on the mucous membrane. The drug will help prevent the development of sexually transmitted diseases. It can be used to treat pimples, blackheads, and blackheads. An antiseptic is prescribed after surgery. The medicine has powerful disinfectant properties, destroys bacteria, and promotes rapid, effective cure of the disease.

Instructions for use of Chlorhexidine

The pattern of use of an antiseptic depends on the form of its release, as well as on the specifics and course of the disease. Before starting the course, it is recommended to consult with a specialist. He will tell you how to rinse your mouth correctly, determine the duration of treatment, and the dosage of the drug.

Solution for local and external use

A solution is the most common form. Preparations are available in different concentrations active substance. The minimum content of chlorhexidine is 0.05%.

Antiseptic is widely used in dentistry. A 0.1% solution is used to sterilize work surfaces and surgical instruments. "Chlorhexidine" 0.2% and 0.5% - for external use only.

The solution can be used in two ways: for rinsing the mouth and filling baths.

It is necessary to rinse the mouth in case of inflammatory and infectious diseases (tonsillitis, stomatitis, etc.). Take a small amount of the solution into your mouth, move the liquid from side to side for 1 - 1.5 minutes, and spit it out.
Baths are done after tooth extraction. In such cases, you cannot rinse, because there is a high risk of washing blood clot, the consequence of which will be inflammation or infection of the hole.

If you plan to use Chlorhexidine 0.1% or 0.2% for medicinal purposes, be sure to dilute the drug with water. Upon contact with mucous membranes oral cavity a solution with a concentration higher than 0.05% may cause burns or irritation.

To treat the affected area of the skin with an antiseptic, you can simply irrigate the wound or apply applications. The optimal duration of treatment with Chlorhexidine is 10–12 days.

Alcohol spray for external use

Spray is used to treat hands medical workers before performing diagnostic or surgical procedures. Chlorhexidine in this dosage form is used in Food Industry. The product is used to disinfect the hands of employees of catering establishments, cafes, canteens, public services, etc.

Before the procedure, hands must be thoroughly washed and dried with a clean gauze cloth. Now the skin should be generously sprayed with spray and rubbed until completely absorbed.

Vaginal suppositories 8 mg and 16 mg

Chlorhexidine suppositories are used for the prevention of sexually transmitted diseases and the treatment of infectious and inflammatory pathologies. With clean hands, remove the suppository from the package and insert it intravaginally in the supine position. The scheme of use is determined individually. The instructions for use indicate the standard dosage: 1 suppository 2 times a day. The duration of the course is 7 – 10 days. The maximum duration of treatment is 20 days.

During pregnancy and lactation

Antiseptic "Chlorhexidine" is not contraindicated for pregnant and breastfeeding women. The active components of the product do not affect the course of pregnancy or the condition of the fetus.

Drug interactions

Chlorhexidine is most effective in a neutral environment.

If the pH exceeds 8, a precipitate forms.
The bactericidal effect is reduced under the influence of hard water.
You cannot combine the use of an antiseptic with the use of soap, alkalis and other anionic compounds.
The combination of Chlorhexidine with iodine and iodine-containing drugs is not recommended.

The effectiveness of the drug is enhanced when used simultaneously with ethyl alcohol.

Contraindications, side effects and overdose

The drug "Chlorhexidine" is contraindicated in patients who have increased sensitivity to antiseptic components or a tendency to allergic reactions. Medicines are not prescribed for dermatoses. Do not apply the solution to open, bleeding wounds. If the product gets on the mucous membrane of the eyes, they should be washed immediately big amount clean water and contact a specialist.

The use of Chlorhexidine may be accompanied by the following unpleasant symptoms:

allergies (itching, redness of the skin);
change in the shade of tooth enamel;
loss of sensitivity to tastes;
tartar (rare).

The drug is not intended for internal use. If the medicine is accidentally swallowed, you should immediately drink a large amount of water. After this, you should take a product with an absorbent effect ( Activated carbon, “White sorbent”, etc.).

Cases of overdose with Chlorhexidine have not been described. If you treat damaged areas of the skin or rinse your mouth frequently, the risk of adverse reactions increases.

Chlorhexidine analogs

The most popular substitute for this antiseptic is the drug “Chlorhexidine bigluconate”. This is a medicine that contains only a solution of chlorhexidine (20%) and purified water. The antiseptic is effective for inflammation of the pharynx, larynx, and tonsils.

"Amident" - antiseptic based on chlorhexidine. The average price of the drug is 70 rubles. for 100 ml. The antiseptic effectively destroys bacteria, as well as some types of viruses and fungi. Amident is used to cleanse and disinfect the skin.

Other available substitutes from the same group include the following drugs:

Furacilin can be used as an antiseptic. Like Chlorhexidine, it costs a penny and is available not only in the form of a solution, but also in the form of tablets for dilution. The drug has powerful disinfecting, antimicrobial, and anti-inflammatory properties.

Patients often ask the question: what is the difference between Miramistin and Chlorhexidine. These are analogues, but not synonyms. Both drugs have their own scope, advantages and disadvantages. "Miramistin" - modern antiseptic, the cost of which is an order of magnitude higher than the price of “Chlorhexidine” (starts at 200 rubles per 50 ml bottle). The drug has more wide range action, is active against complex viruses, but in terms of effectiveness it is inferior to Chlorhexidine.

The antiseptic "Miramistin" is made based on the active ingredient benzyldimethyl. The drug is available in the form of a solution. "Miramistin" is prescribed for the treatment of tonsillitis, sinusitis, stomatitis and other infectious and inflammatory pathologies of the oral cavity, occurring in acute or chronic form. The medicine can be used to treat burns, prevent inflammation and suppuration of wounds after surgery.

The advantages of the drug include the absence of contraindications (except for hypersensitivity), low likelihood of side effects, and a wide range of applications. There is only one drawback - high cost compared to analogues.

The price of Miramistin ranges from 200 to 800 rubles. Antiseptic "Chlorhexidine" is much cheaper. Its price starts from 20 rubles. If there are visible effects from the use of Chlorhexidine, there is no point in replacing it with Miramistin.

For bacterial infections and gum inflammation, Chlorhexidine is used. This skin antiseptic has a wide range of uses and is available in several formats that differ in indications and composition. When using Chlorhexidine, precautions and protection should be taken into account, because the product has a number of contraindications, and if used incorrectly, can lead to negative reactions.

What is Chlorhexidine

According to pharmacological classification, Chlorhexidine is antiseptic drug with disinfecting actions. This means that it can be used to disinfect wounds, surfaces, skin and mucous membranes, if you follow the instructions and the precautions specified therein. Role active component The medication is chlorhexidine bigluconate.

Composition and release form

There are three known formats of Chlorhexidine - aqueous, alcoholic solution and vaginal suppositories, plus on the shelves of pharmacies you can find gels and solutions based on the active substance. The detailed composition is shown in the table:

	Water solution	Alcohol solution	Vaginal suppositories
Description	Clear liquid		White torpedo-shaped suppositories with slight marbling and a yellowish tint, a funnel-shaped depression
Concentration of chlorhexidine bigluconate	0.05, 0.5, 1, 5 or 20%		8 or 16 mg per 1 piece.
		Water, ethanol 96%	Macrogol 400
Package	Bottles made of plastic or glass, 100 ml, for stationary uses– 1 or 5 l		5 or 10 pieces in a blister pack

Properties of the drug

Chlorhexidine is an antiseptic for skin disinfection that is active against gram-negative or gram-positive bacteria and viruses. The product can act on bacterial spores only when elevated temperature. The drug cleanses and disinfects the skin without damaging the integument. It has a prolonged effect of up to four hours.

When used intravaginally, the medication exhibits antiseptic activity against gram-positive and gram-negative bacteria, viruses, including chlamydia, ureaplasma, gardnerella, and herpes simplex. Acid-resistant forms and spores are not sensitive to the drug with a bactericidal effect. When applied topically, the product does not destroy lactobacilli.

Chlorhexidine bigluconate belongs to the cationic biguanides, has amino groups of cellular proteins, penetrates the membranes of bacterial cells, and settles in the cytoplasm. The component prevents the penetration of oxygen, which leads to a decrease in the level of adenosine triphosphate and the death of microorganisms. The medication destroys DNA and its synthesis in bacteria and does not penetrate intact skin.

Indications for use

According to the instructions, the use of Chlorhexidine depends on its concentration and release form. A 0.05% solution can be used without dilution for gargling or antiseptic treatment mucous membranes. A product with a concentration of 0.5% is used to disinfect medical instruments, in the treatment of wounds, and in the treatment of burns. A 1% solution is used to treat surgeons' hands, instruments, and to prevent infection of burns. 5%, 20% solutions are used to prepare less concentrated liquids based on water, glycerin or alcohol.

Aqueous solution of Chlorhexidine

Wide spectrum active use The aqueous solution of Chlorhexidine is different. His testimony:

cervical erosion;
colpitis;
itching of the vulva, prevention of gonorrhea, syphilis, trichomoniasis, genital herpes and other vaginal diseases;
disinfection of removable dentures, postoperative treatment wounds, burns;
gingivitis, stomatitis, aphthosis, periodontitis, tonsillitis, alveolitis, and other oral diseases.

Chlorhexidine alcohol solution

Unlike an aqueous, alcohol solution of Chlorhexidine cannot be used to treat mucous membranes - this will cause a burning sensation, other unpleasant symptoms. Indications for use of the product include hand treatment medical personnel, surgical field before performing an intervention or examination. The working surfaces of devices and equipment are irrigated with an alcohol solution.

Candles

Vaginal suppositories based on Chlorhexidine have a wide range of indications for use. This:

prevention of sexually transmitted infections (syphilis, gonorrhea, ureaplasmosis);
treatment bacterial vaginosis, Trichomonas, mixed and nonspecific colpitis;
prevention of infectious and inflammatory complications in gynecology (before operations, childbirth, abortion, installation intrauterine device, diathermocoagulation of the cervix, intrauterine examinations).

Directions for use and dosage

Depending on the form of release and concentration, the method of administration and dosage of the medication depends. All uses require that the product be applied topically or topically, but not internally - it should not be swallowed or drunk as this may cause unpleasant consequences for the body. The instructions for using the drug are described in the instructions.

Chlorhexidine solution

Water and alcohol solutions applied externally. To treat microtraumas on the skin, scratches, burns, it is recommended to moisten a napkin with liquid and apply it to the damaged area; you can fix it with a bandage or plaster. For the treatment of urethritis, urethroprostatitis, Chlorhexidine is injected into the urethra in an amount of 2-3 ml 2-3 times a day for a course of 10 days every other day. Irrigations, gargling and liquid applications should last 1-3 minutes and be applied 2-3 times/day.

To prevent genital tract infections, the drug is used no later than two hours after sex. Before treatment, you need to go to the toilet, wash your hands and genitals, treat the skin of the pubis, inner thigh, and genitals. Using a nozzle, men inject urethra 2-3 ml of liquid, women in the vagina - 5-10 ml for 2-3 minutes (douching). After treatment, you should not go to the toilet for two hours.

How to rinse your mouth with Chlorhexidine after tooth extraction

Chlorhexidine rinsing is actively used in dentistry. After tooth extraction, this will help disinfect the oral cavity and prevent germs from entering the resulting cavity. Recommendations for rinsing the cavity:

it is carried out an hour after brushing your teeth, and you should not eat or drink for the same amount of time before and after rinsing your mouth;
in case of accidental ingestion, you need to drink several tablets of activated carbon;
carry out the procedure 2-3 times/day (morning and evening);
do not make movements too intense so as not to wash out the protective blood clot;
take the solution into your mouth, hold for 1-2 minutes, slightly tilting your head to the sides.

Rinse for sore gums

Chlorhexidine mouthwash can be used for gum inflammation. Instructions for its use:

brush your teeth;
rinse your mouth with chamomile decoction or iodine-saline solution (a teaspoon of soda, 2/3 teaspoon of salt, a drop of iodine per glass of water);
Take a tablespoon of medicine into your mouth, gargle for a minute, and spit;
after the procedure you cannot eat for two hours;
if rinsing is not possible (for example, in children), treat the gums with a cotton swab soaked in a 0.05% solution diluted with water twice (adults do not need to dilute).

Suppositories

The suppositories are intended for intravaginal administration. Release the suppository from its protective packaging, lie on your back and insert it into the vagina. To treat infections, one suppository is used twice a day for a course of 7-10 days; if necessary, therapy continues for up to 20 days. To prevent diseases, one suppository is inserted into the vagina no later than two hours from the moment of contact. Suppositories are not used to treat thrush.

Chlorhexidine spray

The aerosol form of the medication is used externally to treat personnel's hands or work surfaces. 5 ml of the product is applied to the skin and rubbed in for two minutes. Before treating the surgeon’s hands, you must first wash your hands with warm water and soap for two minutes, dry with a sterile gauze cloth, apply the product twice in 5 ml portions, rubbing into the skin, maintaining a wet state for three minutes.

To treat the surgical site or the donor's elbow, the skin is wiped with cotton swabs soaked in the product for two minutes. The day before, the patient should take a shower and change his underwear. The holding time of the liquid on the surgical field is one minute. To disinfect large surfaces, the solution rate will be 100 ml per square meter. To process complex instruments, disassembled instruments are completely placed in liquid so that all channels are filled.

special instructions

It is useful to study the section in the instructions for use special instructions, which contains important points on the use of the drug:

the medication remains active in the presence of organic substances;
if eye wash is not prescribed special form, avoid getting the product in the eyes, contact with meninges, auditory nerve;
in case of contact with the mucous membrane of the eyes, rinse them with water, drip Albucid; in case of contact with the stomach, rinse it, take activated charcoal;
Alcohol-based product is highly flammable;
alcohol increases the effect of the medication for skin diseases.

During pregnancy

According to doctors, the product can be used during pregnancy and breastfeeding without dose adjustment. At local use the medication does not penetrate the systemic bloodstream, does not affect the development of the fetus and newborn during lactation (does not penetrate into breast milk). Suppositories can be used before and after childbirth to sanitize the birth canal. The course of application lasts 5-10 days, one suppository is used 1-2 times/day as monotherapy or complex treatment.

In childhood

The use of Chlorhexidine in children is limited to the age of 12 years, but applications in the oral cavity can be carried out in younger children. This should be done with caution, after consulting a doctor and in the presence of parents. To avoid swallowing the solution, you should not carry out standard rinses - the solution has a slightly bitter taste, so the baby may accidentally swallow it.

Drug interactions

During treatment with Chlorhexidine, negative reactions may occur when combined with other medicines:

not compatible with soap, detergents with anionic group (saponins, lauryl sulfate and sodium carboxymethylcellulose);
can be combined with drugs based on a cationic group (cetrimonium bromide);
You cannot combine suppositories with iodine preparations.

Side effects

According to reviews, the drug is well tolerated. Very rarely may occur side effects in the form of allergic reactions, skin itching, redness and short-term swelling. These effects disappear after discontinuation of the drugs. To date, not a single case of drug overdose has been recorded, because it is used externally and does not penetrate into the body. internal organs and fabrics.

Contraindications

The main prohibiting contraindication for the use of the medication is individual intolerance or allergic reactions on the active substance of the composition and other components. You can use the product with caution in childhood, when combined with surfactants and a number of other drugs. Before use, medical consultation is recommended.

Terms of sale and storage

You can buy the medicine without a prescription. It is stored at temperatures up to 25 degrees for two years for candles and three years for solutions.

Analogs

There are direct analogues of the product containing the same active substance, and indirect analogues - those that have a similar effect. antiseptic effect on the skin and mucous membranes. The following drugs are analogues of the drug:

Chlorhexidine price

You can purchase the product through pharmacies or online stores at prices depending on the form of release, concentration and volume of packaging. The approximate cost for Moscow and St. Petersburg will be (see table):

Video

Chlorhexidine Bigluconate 0.05 is an antiseptic; depending on the concentration, it exhibits a bacteriostatic or bactericidal effect against gram-positive and gram-negative bacteria.

Active against vegetative forms of gram-negative and gram-positive bacteria, as well as yeast, dermatophytes and lipophilic viruses. It affects bacterial spores only at elevated temperatures. Cleanses and disinfects the skin without causing damage.

In the presence of various organic substances, secretions, pus and blood, it retains its activity (slightly reduced).

Various concentrations of alcohol and aqueous solutions affects the bacteriostatic and bactericidal effect of the drug.

At a concentration of 0.01% it has a bacteriostatic effect, and at a concentration of 0.05% Chlorhexidine Bigluconate has a fungicidal effect. The drug also acts on bacterial spores at elevated temperatures.

Indications for use

What does Chlorhexidine Bigluconate 0.05 help with? According to the instructions, the drug is prescribed in the following cases:

genital herpes, syphilis, gonorrhea, trichomoniasis, ureaplasmosis, chlamydia (for the prevention of sexually transmitted infections; no later than 2 hours after sexual intercourse);
cracks, abrasions (for disinfecting the skin);
infected burns, purulent wounds;
fungal and bacterial diseases skin and mucous membranes of the genitourinary organs;
alveolitis, periodontitis, aphthae, stomatitis, gingivitis (for irrigation and rinsing).

Instructions for use of Chlorhexidine Bigluconate 0.05, dosage

The solution is used topically or externally 2 to 5 times a day. To treat minor abrasions, scratches, and cuts, use a cotton-gauze swab soaked in the solution to carefully wipe the affected area with blotting movements.

For the treatment of burns, poorly healing wound surfaces or deep cuts the solution can be used under an occlusive dressing, changing it as it dries, but at least 3 times a day. If pus is released from the wound surface, then before using the solution, the area should be thoroughly treated several times with a solution of hydrogen peroxide.

For treatment gynecological diseases vagina and cervix Chlorhexidine Bigluconate solution is used for douching and tampons. The duration of the course of drug treatment is determined by the doctor. individually, depending on the diagnosis.

For the prevention of sexually transmitted diseases, the drug is effective if it is used no later than 2 hours after sexual intercourse. Using a nozzle, insert the contents of the bottle into the urethra of men (2-3 ml), women (1-2 ml) and into the vagina (5-10 ml) for 2-3 minutes. Treat leather internal surfaces thighs, pubis, genitals. After the procedure, do not urinate for 2 hours.

Complex treatment of urethritis and urethroprostatitis is carried out by injecting 2-3 ml of a 0.05% solution of Chlorhexidine bigluconate into the urethra 1-2 times a day, the course is 10 days, procedures are prescribed every other day.

Chlorhexidine Bigluconate for gargling

In ENT practice it is used for sore throat, pharyngitis, tonsillitis. If you have a sore throat, you should gargle with a solution of 0.2% or 0.5%.

Before using Chlorhexidine as a gargle, it is recommended to rinse your mouth thoroughly with warm water. Next, gargling for a sore throat is carried out as follows: you should take 10–15 ml (about a tablespoon) of the solution, which can be used to gargle for about 30 seconds. You can repeat these steps one more time.

After rinsing, it is advisable not to take food or liquid for 1 hour. Your doctor will tell you how to gargle with Chlorhexidine, as well as how many times a day you need to do this procedure for your throat, taking into account your individual symptoms.

If you feel a burning sensation when rinsing your mouth, then most likely the solution is too concentrated. The highest permissible concentration is no more than 0.5%.

special instructions

Remains active in the presence of blood and organic substances.

Avoid contact with eyes (except for special dosage form, intended for washing the eyes), as well as contact with the meninges and the auditory nerve.

Side effects

The instructions warn about the possibility of developing the following side effects when prescribing Chlorhexidine Bigluconate 0.05:

Allergic reactions – skin rash, dry skin, itching, dermatitis, sticky hands (for 3-5 minutes), photosensitivity.
In the treatment of gingivitis – staining of tooth enamel, tartar deposits, taste disturbance.

Contraindications

It is contraindicated to prescribe Chlorhexidine Bigluconate 0.05 in the following cases:

hypersensitivity to chlorhexidine.

Overdose

In case of accidental ingestion, it is practically not absorbed (gastric lavage should be done using milk, a raw egg, gelatin).

If necessary, symptomatic treatment is carried out.

Analogues of Chlorhexidine Bigluconate 0.05, price in pharmacies

If necessary, you can replace Chlorhexidine Bigluconate 0.05 with an analogue according to active substance- these are drugs:

Hexicon,
Amident.

Similar in action:

Miramistin;
Iodonate;

When choosing analogues, it is important to understand that the instructions for use of Chlorhexidine Bigluconate 0.05, the price and reviews do not apply to drugs with similar effects. It is important to consult a doctor and not change the drug yourself.

Price in Russian pharmacies: Chlorhexidine bigluconate solution 0.05% 100ml - from 15 to 18 rubles, according to 702 pharmacies.

Store in a place protected from light and moisture, at temperatures up to 25 °C. Keep away from children. Shelf life – 2 years.

Conditions for dispensing from pharmacies - without a prescription.