Chlorhexidine Bigluconate: instructions for use, analogues and reviews, prices in Russian pharmacies. Instructions for medical use. Cautions for use

Chlorhexidine

Chlorhexidine bigluconate is a drug with antiseptic properties. Destroys bacterial and fungal microflora. It has 3 release forms - gel, suppositories and solution (it is used more often). The main active ingredient is chlorhexidine bigluconate. The duration, frequency of use and form of the medicinal product are prescribed taking into account the nature of the pathology and the stage of its development at the time of initiation of therapy.

Indications for the use of Chlorhexidine

The drug Chlorhexidine bicluconate is used to treat:

1. Sexually transmitted diseases (gonorrhea, syphilis, trichomoniasis, chlamydia, ureaplasmosis). Suppositories are administered or a solution is used for local tissue treatment. Antiseptics are also used to prevent these diseases.

2. Gynecological pathologies (colpitis, vulvitis, cervical erosion). Use vaginal suppositories or prepare a solution for douching. Only an observing specialist can draw up a scheme for the correct dissolution of the drug.

3. Urological diseases – balanitis, balanoposthitis, urethritis. Use a solution of Chlorhexidine.

4. Skin diseases involving a violation of the integrity of tissues or the formation of purulent contents. The main conditions are cuts, burns, boils.

The drug is used in ophthalmology (provided the solution is used not in a concentrated form, but in a diluted form). In dentistry, they are used to rinse gums and soft tissues (for inflammatory and fungal infections).

Chlorhexidine is used to treat the external genitalia during urological and gynecological procedures. For example, bougienage of the urethra, catheterization of the bladder, taking smears. The solution is applied to hands, gloves and instruments before performing procedures.

Contraindications for the use of Chlorhexidine

Based on clinical studies and analysis of their own practice, experts have compiled a list of contraindications for the use of the drug:

Age under 12 years is a limiting factor. Antiseptics are used only in 5% of cases to treat children.

The drug cannot be combined with the use of other products based on sodium lauryl sulfate. Shampoos, shower gels, and liquid soap often contain this component. The abbreviation for the compound is SLS (can be seen on the detergent label in the “Composition” category).

Chlorhexidine bigluconate is dangerous to use for rinsing the ears, since in 98% of cases hearing loss occurs due to destruction of the auditory nerve.

The antiseptic is not used to treat the surgical field or after therapeutic and diagnostic measures on the brain or spinal cord.

Dangerous when used as an eye wash. It has a negative effect on the conjunctiva (causes burns), reduces visual acuity, and destroys the pupil.

An antiseptic is not prescribed if the presence of a viral infection is confirmed.
Microorganisms of this type are resistant to the active substance of the product. The exception is the herpes virus.

Chlorhexidine bicluconate is not used to eliminate dermatitis.

Additional contraindication – lidocaine intolerance. Since this component is also present in the composition of the drug, but only if Chlorhexidine is in the form of a gel.

The drug cannot be combined with the application of another antiseptic. In some cases, this action causes irritation and rashes, in others, the second drug deactivates the properties of Chlorhexidine. This is especially true for the issue of using hydrogen peroxide 3%.

Side effects from using Chlorhexidine

Chlorhexidine bigluconate in the form of vaginal suppositories can cause itching of the genitals, swelling, redness, and the appearance of discharge with a cheesy consistency. The situation is complicated by the fact that the reason for prescribing an antiseptic is sometimes precisely candidiasis, which is characterized by the listed symptoms. The patient continues to use the drug, mistaking the complications that have arisen for signs of the disease.

Other consequences of using medication in the form of suppositories:

Increased dryness of mucous membranes;
the formation of microscopic cracks on their surface;
the condition is accompanied by increased pain during urination, intimacy, and in severe cases - even in the absence of physical activity.

The use of an increased concentration of the drug causes a burn to the mucous membrane (urogenital tract, oral cavity).

Long-term use of Chlorhexidine solution for hand treatment may cause skin irritation and dryness.

An overly concentrated solution contributes to the formation of tartar on the teeth. Therefore, you need to use the medicine only in the percentage prescribed by the doctor, and strictly according to the prescribed regimen. The solution changes the natural shade of the teeth, and less often stains appear on the enamel.

When using the solution in ophthalmological (eye) practice, cases of photophobia developing in patients were identified.

Instructions for use of Chlorhexidine

If the drug is applied topically to the skin (damages are treated, the mouth is washed), the active ingredients do not saturate the bloodstream. If suppositories are administered, the substances are absorbed by the blood and excreted by the kidneys.

1. For inflammatory and infectious processes of the urogenital tract, no more than 4 ml of a 0.05% solution at room temperature is injected into the urethra, twice a day with an interval of 12 hours. The duration of the course is at least 10 days.

2. To treat the ENT organs, rinse with a 0.2% or 0.5% solution of Chlorhexidine bigluconate.

3. Apply a 20% antiseptic solution to the damage, in which 70% ethyl alcohol is dissolved. The surgical field is treated twice, with a maximum interval of 2 minutes.

The appearance of rashes, itching or discomfort at the site of application of the drug is an indication to stop using Chlorhexidine. Even if the first few procedures using an antiseptic did not lead to complications.

Chlorhexidine Bigluconate: instructions for use

Compound

40 ml bottle contains:

active substance: chlorhexidine bigluconate (in the form of Dezine – chlorhexidine bigluconate concentrate 200 mg/ml) – 20 mg;

excipient: purified water – up to 40 ml.

80 ml bottle contains:

active substance: chlorhexidine bigluconate (in the form of Dezine – chlorhexidine bigluconate concentrate 200 mg/ml) – 40 mg;

excipient: purified water – up to 80 ml.

100 ml bottle contains:

active substance: chlorhexidine bigluconate (in the form of Dezine – chlorhexidine bigluconate concentrate 200 mg/ml) – 50 mg;

excipient: purified water – up to 100 ml.

200 ml bottle contains:

active substance: chlorhexidine bigluconate (in the form of Dezine – chlorhexidine bigluconate concentrate 200 mg/ml) – 100 mg;

excipient: purified water – up to 200 ml.

Description

Colorless or slightly yellowish liquid, odorless.

pharmachologic effect

An antiseptic with a pronounced bactericidal effect against gram-positive and gram-negative bacteria (does not affect acid-fast forms of the latter): Treponema pallidum, Chlamidia spp., Ureaplasma spp., Neisseria gonorrhoeae, Gardnerella vaginalis, Bacteroides fragilis, protozoa (Trichomonas vaginalis), microbial spores , viruses, fungi; has little effect on some species of Proteus and Pseudomonas. Chlorhexidine bigluconate is also active against treponemas, gonococci, and trichomonas. Retains activity (slightly reduced) in the presence of blood and pus. Cleanses and disinfects the skin without causing damage.

Pharmacokinetics

Practically not absorbed from the gastrointestinal tract. After accidental ingestion of 300 mg, Cmax is reached after 30 minutes and is 0.206 µg/l. It is excreted mainly in feces (90%), less than 1% by the kidneys.

Indications for use

The drug is used for the prevention of sexually transmitted diseases (syphilis, gonorrhea, trichomoniasis, chlamydia, etc.).

It is used for antiseptic treatment of wounds, abrasions and cracks, burns, for bacterial and fungal diseases of the skin and mucous membranes, incl. in urology, surgery, obstetrics and gynecology.

In dentistry, it is used for rinsing the mouth in cases where compliance with hygiene rules is difficult, in the postoperative period after flap periodontal surgery, for washing periodontal pockets, fistulas, and abscess cavities. Since chlorhexidine bigluconate has a cytotoxic effect, the concentration of the rinse solution should not exceed 0.25 mg/ml.

Contraindications

Hypersensitivity, dermatitis, viral skin diseases, age up to 12 years.

Pregnancy and lactation

Before using the drug during pregnancy and lactation, you should consult your doctor. Do not treat the surface of the mammary glands before feeding.

Directions for use and doses

The medicine is used in the form of irrigations, rinses and applications -
5-10 ml of solution is applied to the affected surface of the skin or mucous membranes with an exposure of 1-3 minutes 2-3 times a day (on a tampon or by irrigation).

For the prevention of sexually transmitted diseases, the drug is effective if used no later than 2 hours after sexual intercourse. Used after urination: use a nozzle to insert into the urethra for men.
(2-3 ml), for women into the urethra (1-2 ml) and into the vagina (5-10 ml) and hold for 2-3 minutes. Treat the skin of the inner thighs, pubis, and genitals. After the procedure, it is not recommended to urinate for 2 hours.

Complex treatment of urethritis and urethroprostatitis is carried out by injecting 2-3 ml of the drug into the urethra 1-2 times a day, the course is 10 days, procedures are prescribed every other day. The rinse solution is usually prescribed 2-3 times a day (for rinsing the mouth, the drug should be mixed with an equal amount of water).

Side effect

Possible allergic reactions (skin rash), dryness and itching of the skin, dermatitis, photosensitivity, stickiness of the skin of the hands (within 3-5 minutes), chemical burns of newborns (frequency unknown). In the treatment of gingivitis – staining of tooth enamel, tartar deposits, taste disturbance.

Overdose

Cases of overdose with external use are unknown. When ingested, the drug is practically not absorbed, so systemic effects are unlikely. However, in case of accidental ingestion, gastric lavage is necessary. If necessary, carry out symptomatic therapy.

Interaction with other drugs

Incompatible with detergents containing an anionic group (saponins, sodium lauryl sulfate, sodium carboxymethylcellulose). Concomitant use with iodine is not recommended.

The presence of soap can inactivate chlorhexidine digluconate, so before using the drug, any remaining soap must be thoroughly rinsed off.

Ethanol enhances the effectiveness of the drug.

Features of application

The bactericidal effect increases with increasing temperature. At temperatures above 100 ºС, the drug partially decomposes. Contact of hypochlorite bleaches on fabrics that have previously been in contact with chlorhexidine-containing products may cause brown stains.

Precautionary measures

In patients with open head injury, spinal cord injuries, or perforation of the eardrum, contact with the surface of the brain, meninges, and the cavity of the inner ear should be avoided. In case of contact with the mucous membranes of the eyes, they should be quickly and thoroughly rinsed with water.

The use of chlorhexidine solution (aqueous or alcoholic) in newborns as a skin antiseptic before invasive procedures is associated with a certain risk of developing a chemical burn. Based on spontaneous reporting and literature data, a higher risk of skin reactions has been identified in preterm neonates, particularly those born before 32 weeks of gestation, in whom chlorhexidine was used during the first two weeks of life.

Before performing invasive procedures, it is necessary to remove all materials soaked in chlorhexidine: bandages, sheets, napkins, gowns, etc. Do not use excessive amounts of solution. The solution should not be allowed to accumulate in skin folds, under the patient’s body, or on materials that are in direct contact with the child’s skin.

If an airtight dressing (occlusive dressing) is to be applied to skin that has previously been exposed to chlorhexidine, ensure that there is no excess chlorhexidine solution on the skin before applying the dressing.

Self-medication can be harmful to your health.
You should consult your doctor and read the instructions before use.

Update: October 2018

Chlorhexidine is a popular drug, a local antiseptic, which is successfully used as a universal disinfectant and antimicrobial agent, and is especially popular in the post-Soviet countries.

The chemical compound chlorhexidine was discovered in Great Britain in 1950, and already in 1954 the first skin antiseptic based on this substance appeared. Subsequently, the substance began to be added to urological lubricants, to impregnate catheters, implants, and uniforms of medical personnel with it. Included in a number of mouth rinses and toothpastes. Widely used in veterinary medicine.

It is noteworthy that during the period of commercial use and numerous studies of chlorhexidine, the possibility of the formation of chlorhexidine-resistant microorganisms has not been confirmed. However, the use of Chlorhexidine has the potential to cause bacterial resistance to antibiotics. The drug belongs to the group of budget drugs and remains accessible to the general public.

Pharmgroup: antiseptic for local use.

Composition, physical and chemical properties, price

The drug is present on the pharmaceutical market in several dosage forms, each of which is characterized by its own scope of application. In addition to the drugs described below, registered in Russia, there are creams, gels, and ointments with a similar active ingredient.

pharmachologic effect

The instructions for use of chlorhexidine indicate that the drug has a local antiseptic effect, mostly bactericidal. Changes the properties and composition of cell membranes of microorganisms. Cations formed during the dissociation of salts of the active substance begin to react with the membrane of bacterial cells, which has a negative charge. The lipophilic groups of the antiseptic promote the disaggregation of the membrane of microorganisms, which has a lipoprotein structure, and lead to disruption of osmotic balance, loss of phosphorus and potassium from the bacterial cell. Destruction of the cytoplasmic membrane ultimately leads to the death of bacteria.

Chlorhexidine digluconate solution is effective against a wide range of microorganisms: Trichomonas vaginalis, Bacteroides fragilis, Neisseria gonorrhoeae, Gardnerella vaginalis, Chlamidia spp., Treponema pallidum, Ureaplasma spp. Has a moderate effect on individual strains of Pseudomonas spp. and Proteus spp. Viruses (except herpes virus) and fungal spores are resistant to the drug.

It has a long-lasting antibacterial effect and can be used for antiseptic treatment of the surgical field and the surgeon’s hands, since after treatment the active substance remains on the skin for some time. Retains antimicrobial activity in a purulent environment, blood, but the effectiveness is somewhat reduced.

Pharmacokinetics

Local application does not have a systemic effect - the drug is not absorbed into the bloodstream.

Indications

Solution

Application in gynecology:

• Trichomonas colpitis;
• itching of the vulva;
• cervical erosion;
• prevention of sexually transmitted diseases: gonorrhea, trichomoniasis, syphilis, chlamydia, ureaplasmosis.

In dentistry and ENT practice:

• gingivitis;
• aphthae;
• stomatitis;
• alveolitis;
• periodontitis;
• disinfection of dentures (partially removable, removable);
• angina;
• postoperative hygiene in dental and ENT departments.

As a local antiseptic for:

• treatment of wounds, including burn surfaces;
• disinfection of the skin, including the surgical field;
• hand treatment for medical staff and surgeons;

Also used for disinfection of work surfaces, equipment, instruments, thermometers that do not allow heat treatment.

Spray

• Hygienic treatment of the hands of surgeons and other medical personnel in institutions of various profiles;
• Treatment of the skin area of ​​the injection site, surgical fields, elbow bends (skin) of donors;
• Disinfection of small-area surfaces of medical products (for example, ENT, dental instruments) for infections of various etiologies (bacterial, fungal, viral) in health care facilities;
• Hygienic treatment of hand skin for catering workers, food industry, and public utilities.

Suppositories

• Prevention of sexually transmitted diseases: syphilis, chlamydia, trichomoniasis, ureaplasmosis, gonorrhea, genital herpes;
• Prevention of infectious and inflammatory complications in gynecology and obstetrics (before childbirth, termination of pregnancy, surgical treatment, before and after installation of an intrauterine device, before and after diathermocoagulation (cauterization) of the cervix, before performing an intrauterine examination;
• Treatment of bacterial vaginosis;
• Therapy of colpitis (including mixed, trichomonas, nonspecific).

Contraindications

• Hypersensitivity to the active or auxiliary components.
• Dermatitis, allergic reactions at the site of application.

Pregnancy, lactation

Not contraindicated during lactation and pregnancy.

special instructions

Prescribed with caution for the treatment of children. In case of accidental ingestion of any form of chlorhexidine, immediately lavage the stomach with a sufficient amount of water, and then take the adsorbent.

The spray should not be applied to mucous membranes and wounds. The solution and spray are not allowed to come into contact with the auditory nerve and meninges. In case of accidental contact with these areas, rinse the drug thoroughly under running water. If the spray gets into your eyes, also rinse with water and drop in albucid.

The drug is incompatible with alkalis, soap and other anionic compounds (gum arabic, colloids, carboxymethylcellulose, sodium lauryl sulfate, saponins). Not used simultaneously with other antiseptics.

Do not forget that chlorhexidine is a drug, not a hygiene product, so it cannot be used for everyday rinsing of the mouth and teeth, as well as douching. There are strict indications for which such a procedure is advisable and necessary, and they should be adhered to. If you use chlorhexidine uncontrollably, this is fraught with an imbalance of microflora, the development of dysbacteriosis and allergic reactions.

Dosage

Solution

• Prevention of sexually transmitted diseases. Used no later than 2 hours after condom breakage or unprotected sexual intercourse. For men, about 2-3 ml of the product is injected into the urethra, for women - 2-3 ml into the urethra and 5-10 ml - additionally into the vagina (chlorhexidine in the form of douching). The skin around the genitals must also be treated. Urination can be performed no earlier than 2 hours after administration of the drug.
• In gynecology. Used as a douche for appropriate indications. Carry out in a horizontal position, squeezing a few drops of the drug from the bottle into the vagina. After the procedure you need to lie down for 5-10 minutes.
• For inflammatory diseases of the urinary tract in men and women. 2-3 ml of solution is injected into the urethra once or twice a day for 10 days in a row.
• To treat skin lesions, wounds, burns, the solution is used in the form of an application, which is left for 1-3 minutes.
• For gargling with sore throat, tonsillitis, pharyngitis. Recommendations for use for rinsing: rinse the mouth with warm water before the procedure. Then take 10-15 ml of solution and thoroughly gargle with it for about 30 seconds. You should not eat or drink for 60 minutes after the procedure. There is no need to dilute chlorhexidine - a 0.05% solution is suitable for the procedure.
• In dentistry. For rinsing teeth, for washing the periodontal canal, fistulas, abscess. It is also used for treating gums after flap periodontal surgery.

Spray

• For hygienic treatment of medical staff’s hands, ~5 ml of spray is distributed onto the hands and rubbed in for 2 minutes.
• To treat the surgeon's hands, first thoroughly wash your hands with warm running water and soap for at least 2 minutes, dry them with a sterile gauze cloth. Already on dry skin, apply the product with a volume of 5 ml at least 2 times, rub in for 3 minutes.
• To treat the elbow folds (skin areas) or the surgical field, the skin is wiped twice, sequentially, using sterile gauze swabs generously moistened with the drug. After finishing treatment you should wait 2 minutes. Before the operation, the patient takes a shower and changes his underwear. During treatment of the surgical field, the skin is wiped in one direction with a sterile swab irrigated with a spray. After finishing the treatment you need to wait 1 minute.
• To disinfect small surfaces (tables, chair armrests, equipment), they are wiped with a sterile rag soaked in the product. Consumption rate - 100 ml per 1 m2.
• Disinfection of instruments. Before processing, remove visible dirt from the instrument by wiping with napkins and rinsing under running water using a brush in compliance with the anti-epidemic regime. Then they are immersed in a container with a solution so that the cavities and channels are completely filled, with exposure depending on the specifics of the treatment. The disinfection solution is good for 3 days when stored under a lid.

Suppositories

• To prevent STIs - 1 suppository once in the vagina. A prerequisite is that no more than 2 hours must pass after sexual intercourse.
• For the treatment of vaginosis, colpitis - 1 suppository twice a day, 7-10 days in a row.

Instructions for use:

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

Pharmacological action of Chloral hydrate

Chloral hydrate has a hypnotic, analgesic, anticonvulsant and sedative effect. In large doses it has narcotic properties. Chloral hydrate has a complex effect on the central nervous system. When prescribed in small doses, the drug weakens inhibitory processes, and in large doses reduces excitation processes. It is dangerous to use too high doses of Chloral hydrate, close to toxic, because they greatly inhibit the process of excitability of nerve cells.

Chloral hydrate has a pronounced irritant effect on the mucous membranes of the stomach and intestines, so it should be prescribed only in diluted form together with enveloping agents.

Chloral hydrate is absorbed very quickly. Sleep, close to physiological sleep, occurs after about 15 minutes and lasts for eight hours.

Indications for use of Chloral hydrate

According to the instructions, Chloral hydrate is used to relieve mental agitation, convulsive seizures in children, with spasmophilia, tetanus, rabies, and eclampsia. Chloral hydrate can be used to conduct certain types of studies in children and restless adult patients that require a fairly long period of immobility (MRI, CT).

Instructions for use

For adults, Chloral hydrate is prescribed orally or in the form of enemas at a dose of 0.2-1.0 g per dose. The drug is taken only together with enveloping agents and in high dilution.

For children, the dosage of Chloral hydrate is prescribed depending on age and ranges from 0.05 to 0.75 g.

The highest single dose of Chloral hydrate for adults is two grams, and the daily dose is six grams.

Side effects

Taking Chloral hydrate may be accompanied by a decrease in blood pressure and vomiting.

Long-term use of this drug often leads to the development of drug addiction (chloralomania).

Contraindications

According to the instructions, Chloral hydrate cannot be used to treat patients suffering from severe diseases of the cardiovascular system, kidneys and liver. Other contraindications to the use of Chloral hydrate are:

Alcohol or drug dependence currently or in history;

Esophagitis, gastritis, peptic ulcer (if the drug is prescribed orally);

Proctitis, colitis (when prescribed as an enema);

Intermittent porphyria.

Chloral hydrate should be administered to pregnant women with great caution. With its long-term use in newborns, withdrawal syndrome may occur.

The drug penetrates well into breast milk and causes a sedative effect in infants. Therefore, if it is necessary to use Chloral Hydrate, breastfeeding should be discontinued.

Overdose

There is no specific antidote. Treatment of poisoning is symptomatic: gastric lavage, maintaining breathing and blood circulation at normal levels, forced diuresis. In case of severe poisoning, hemodialysis is indicated.

special instructions

Taking Chloralhydrate together with other medications that have a depressant effect on the central nervous system and alcoholic beverages is unacceptable.

Chloral hydrate release form and storage conditions

Chloral hydrate is available in the form of tablets containing 0.5, 0.75 and 1.5 g of active substance. The package contains 10 tablets.

The drug belongs to list B. It should be stored at room temperature in a dry place, protected from light, out of reach of children. Shelf life – 8 years.

This article should satisfy you and answer all your questions about the use of Chlorhexidine. Chlorhexidine - what is it? Use of this drug? Composition, release form, instructions for use, etc. We will try to answer these and other questions.

What is chlorhexidine?

In order to understand what this drug is, you need to understand what components it consists of.

Compound

Composition of 0.05% solution of Chlorhexidine Bigluconate:

• 0.5 mg chlorhexidine bigluconate;
• additional substances.

20% solution of Chlorhexidine Bigluconate:

• 0.2 g chlorhexidine bigluconate;
• additional substances.

Composition of suppositories, gel, ointment, Chlorhexidine spray:

• active substance - chlorhexidine;
• additional substances;
• icecaine.

Release form

Name – Chlorhexidine. Available in solution form for outdoor use 0.05% and 20%. And also in the form of suppositories, gels, sprays and ointments.

A solution of 0.05% Chlorhexidine is provided in a polymer bottle with a nozzle or glass bottles of 100 ml. The packaging for the drug is cardboard type. This cardboard package contains 1 bottle.

A solution of 20% Chlorhexidine is available in polymer bottles with a cap, containing 100 or 500 ml.

Vaginal suppositories are available in 8 and 16 mg doses.

pharmachologic effect

Chlorhexidine is a powerful antiseptic. The desired effect on bacterial spores can only be achieved at elevated temperatures. It is at this moment that the active substance of this drug acts on the bacterial membrane, thereby destroying it.

Viruses and fungal spores are more resistant to the drug, with the exception of herpes.

In addition, the active substance, chlorhexidine, perfectly disinfects and cleanses the skin of the hands. Therefore, it can even be used for washing hands, as well as when treating the surgeon’s hands and operating elements.

Its activity, although reduced, is also observed in the presence of purulent wounds, blood, etc.

Indications for use

The drug comes with detailed instructions, which describe the indications for use step by step. Antiseptic used to treat diseases, provoking microorganisms, and for prevention.

The concentration of the solution is correctly distributed in the treatment of certain diseases.

Solutions for local and external use are used in the postoperative period. And for processing dentures in dentistry or for the treatment of periodontitis and stomatitis. The drug is used in prescribed quantities by the dentist himself.

Uses and Applications of Chlorhexidine

Solutions of 0.05%, 0.1%, 0.2% are used:

• in care after surgery in the departments of dentistry and ENT.

Solutions of 0.05%, 0.2% are used:

• when treating ulcers, burns with infection, fungal diseases and bacteria of the skin and mucous membranes in dentistry;
• for the prevention of infectious diseases in obstetrics, gynecology, urology and surgery;
• for the prevention of sexually transmitted diseases and skin disinfection.

A 0.2% solution is used:

• For processing removable dentures.
• For treatment and sanitation of the genital parts of the body in gynecology during diagnosis or treatment.

A 0.5% solution is used:

• For disinfection of wounds and burns.
• For treating abrasions and cracks of the skin, as well as open mucous membranes.
• For sterilization of instruments in medicine at a temperature of 70 degrees.

A 1% solution is used:

• For disinfection of thermometers, surfaces and medical surfaces that cannot be subjected to heat treatment.
• For treating the surgeon's hands and his surgical field. And, of course, skin treatment, both during and after surgery.

A 5% solution is used:

• in the preparation of alcohol, aqueous or glycerin concentrates from 0.01% to 1%.

Contraindications

Do not use chlorhexidine digluconate people with hypersensitivity to the constituent components of the drug itself. If you have skin diseases, such as dermatitis. Children under 18 years of age should take it with great care and caution.

How to use chlorhexidine?

Chlorhexidine digluconate is used for the prevention and treatment of a number of diseases, as well as as an antiseptic. for skin disinfection, medical items, etc. Chlorhexidine is used both externally and locally.

A 0.05% solution is used in an amount of 2-3 ml for men and 1-2 ml for women. It must be used no later than 2 hours after unprotected sexual intercourse. And also do not urinate for another 2 hours after taking it.

If there is a problem with urination, a 0.05% solution is usually prescribed into the urinary canal, 2-3 ml 1 or 2 times a day. Chlorhexidine, in this case, is used every other day. The course of treatment is carried out over 10 days.

In dentistry and ENT practice, 0.05 or 0.1% solutions of Chlorhexidine are used for irrigation or rinsing 2-3 times a day.

special instructions

Dispensed without a doctor's prescription. Possible side effects. Manifest in the form of: redness, itching, stickiness, skin rashes, dryness, etc. For long-term use as an antiseptic to disinfect the oral cavity There may be problems with taste buds, discoloration of teeth and tartar deposits. Shelf life – 3 years. It is not recommended to use the prepared solution more than a week old. Cannot be used after expiration date. Do not allow chlorhexidine to get into the eyes, contact the meninges or the auditory nerve.

Before starting self-medication, we still recommend consulting with a gynecologist. It may even be that you misdiagnosed yourself. In some cases, thrush can be similar to sexually transmitted diseases.

Chlorhexidine solution is a very effective method in the fight against thrush. Douching and treatment with this drug will give the desired result. Chlorhexidine used to treat fungal and infectious diseases, as well as inflammation. With the help of such a concentrate, the genital tract is treated. It is better to use together with accompanying basic treatment agents. Douching with chlorhexidine destroys germs and stops the growth of fungi. The presence of bigluconate contributes to the long-term preservation of its medicinal and antiseptic properties over a long period.

Few people are intolerant to the drug, so its use is possible both during pregnancy and lactation. Besides douching vaginal suppositories are actively used, which contain chlorhexidine.

Before performing the douching procedure for thrush, remember that your hands and genitals must be clean.

The chlorhexidine solution is administered carefully while lying down. You need to lie down, relax, carefully insert the nipple of the bottle into the genital organ and inject the liquid. The amount of solution is prescribed by the gynecologist. When inserting you need slowly press the body of the bottle, and after finishing douching, lie down for another 15-20 minutes so that the procedure is not carried out in vain. If you stand up after douching, the solution will flow out before it has time to take effect. The doctor should also determine how many times the solution should be administered. Usually this is 1-2 times a day. The maximum course is 10 times.

To obtain the desired result, you must follow the instructions without deviating.

Remember! It is necessary to abstain from sexual contact. It is advisable to carry out the washing procedure, but using soap is not recommended. Soap dries the skin and increases itching. It is better to add soda or furacillin to the water. After washing, you can use baby powder. The food should also be special. We recommend eliminating some foods from your diet. For example, tremors, which means bread, rolls, etc., spicy and sweet. Physical activity is also not recommended. With additional sweating, contact with the inflamed mucous membrane will cause great discomfort.

The price of such a medicine is insignificant. For a very reasonable price you can get the desired result. Chlorhexidine Bigluconate has a strong, powerful antiseptic effect. It can be useful for all types of wounds, fungi, infections and even after surgery.

Use of chlorhexidine