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Chlorhexidine Topical Dosage

Applies to the following strength(s): 4% ; 2% ; 0.12% ; 2.5 mg ; 0.5% ; 20% ; 92 mg

The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.

Usual Adult Dose for:

Usual Pediatric Dose for:

Additional dosage information:

Usual Adult Dose for Gingivitis

15 mL twice daily after brushing. Oral rinse should be retained for 30 seconds then expectorated after rinsing.

Usual Adult Dose for Mucositis

15 mL twice daily after brushing. Oral rinse should be retained for 30 seconds then expectorated after rinsing.

Usual Adult Dose for Periodontitis

Initial: One 2.5 mg chip inserted into a periodontal pocket with probing pocket depth greater than or equal to 5 mm, up to 8 chips in one visit.

Maintenance: Administration is recommended once every 3 months in pockets with remaining probing depth greater than or equal to 5 mm.

Usual Adult Dose for Skin Disinfection, Preoperative

Chlorhexidine gluconate 2% cloth:
Patient preoperative skin preparation:
Hold package in one hand and lift flap on backside of package with the other hand. Grasp flap at top and pull down to tear flap away and expose foam. Alternatively, using sterile scissors, cut off end seal of package. Transfer contents onto prep table, avoiding contact between cloths and outside of package to reduce risk of cloth contamination. Use the first cloth to prepare the skin area indicated for a moist or dry site, making certain to keep the second cloth where it will not be contaminated. Use the second cloth to prepare larger areas.
DRY SURGICAL SITES: (such as the abdomen or arm): Use one cloth to cleanse each 161 cm2 area (approximately 5 x 5 inches) of skin to be prepared. Vigorously scrub skin back and forth for 3 minutes, completely wetting treatment area, then discard. Allow area to air dry for one minute. Do not rinse.
MOIST SURGICAL SITES: (such as the inguinal fold): Use one cloth to cleanse each 65 cm2 area (approximately 2 x 5 inches) of skin to be prepared. Vigorously scrub skin back and forth for 3 minutes, completely wetting treatment area, then discard. Do not rinse.

Chlorhexidine gluconate 4% solution:
SURGICAL HAND SCRUB: Do not dilute. Wet hands and forearms with water and scrub for 3 minutes with about 5 ml and a wet brush, paying close attention to the nails, cuticles, and interdigital spaces. Wash for an additional 3 minutes with 5 ml and rinse under running water. Dry thoroughly.
HEALTHCARE PERSONNEL HANDWASH: Do not dilute. Wet hands with water. Dispense about 5 ml into cupped hands and wash in a vigorous manner for 15 seconds. Rinse and dry thoroughly.
PATIENT PREOPERATIVE SKIN PREPARATION: Do not dilute. Apply liberally to surgical site and swab for at least 2 minutes. Dry with a sterile towel. Repeat procedure for an additional 2 minutes and dry with a sterile towel.
SKIN WOUND AND GENERAL SKIN CLEANSING: Do not dilute. Thoroughly rinse the area to be cleaned with water. Apply a minimum amount necessary to cover the skin or would area and wash gently. Rinse again thoroughly.

Usual Pediatric Dose for Gingivitis

The safety and efficacy of chlorhexidine gluconate has not been established in patients less than 18 years old. However, the use of chlorhexidine gluconate may be appropriate in some situations.

15 mL twice daily after brushing. Oral rinse should be retained for 30 seconds then expectorated after rinsing.

Usual Pediatric Dose for Mucositis

The safety and efficacy of chlorhexidine gluconate has not been established in patients less than 18 years old. However, the use of chlorhexidine gluconate may be appropriate in some situations.

15 mL twice daily after brushing. Oral rinse should be retained for 30 seconds then expectorated after rinsing.

Usual Pediatric Dose for Periodontitis

The safety and efficacy of chlorhexidine gluconate has not been established in patients less than 18 years old. However, the use of chlorhexidine gluconate may be appropriate in some situations.

Initial: One 2.5 mg chip inserted into a periodontal pocket with probing pocket depth greater than or equal to 5 mm, up to 8 chips in one visit.

Maintenance: Administration is recommended once every 3 months in pockets with remaining probing depth greater than or equal to 5 mm.

Renal Dose Adjustments

No adjustment recommended

Liver Dose Adjustments

No adjustment recommended

Dialysis

No adjustment recommended

Other Comments

Chlorhexidine topical cloths are not sterile.

Chlorhexidine topical cloths should not be microwaved.

Chlorhexidine solution should be used with care in premature infants or infants under 2 months of age. These products may cause irritation or chemical burns.

Chlorhexidine topical cloths should not be used in premature or low birthweight infants, infants receiving phototherapy, or infants less than 2 months of age. Chlorhexidine topical cloths and chlorhexidine 4% solution should not be used for lumbar punctures or in contact with the meninges, or on open wounds or as a general skin cleanser.

Chlorhexidine topical cloths and chlorhexidine 4% solution should not make contact with the eyes, nose, or mouth. If contact occurs, the affected area should be washed with cold water and a doctor should be contacted.

Chlorhexidine 4% solution should not be diluted.

Repeated general cleansing of large areas of the body with chlorhexidine 4% topical solution should be avoided except when the underlying condition makes it necessary to reduce the bacterial population of the skin.

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