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HIBISCRUB

Active substance(s): CHLORHEXIDINE GLUCONATE SOLUTION

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BRAILLE TEXT:
HIBISCRUB
Font: Marburg Medium 28,5 pt.
EU Braille

hibiscrub

58mm

HIBISCRUB®
4% w/v Cutaneous Solution

250ml
WLEV9

Hibiscrub

Chlorhexidine gluconate 40 mg/ml

85mm

Marketing Authorisation Holder
Regent Medical (Overseas) Limited,
Medlock Street, Oldham, Lancashire,
OL1 3HS, UK.
Manufacturer
BCM Ltd., Thane Road, Beeston,
Nottingham, NG90 2PR, UK.
This leaflet was last revised in
02/2018.

Hibiscrub is used to disinfect the
hands and skin prior to or after an
operation or clean procedure (preand post-operative hand and skin
disinfection / antisepsis).
Hibiscrub is also used to disinfect
hands after handling infected
materials (antiseptic handwashing).
2. What you need to know before
you use Hibiscrub
Do not use Hibiscrub
• if you are allergic (hypersensitive)
to chlorhexidine gluconate or any
of the other ingredients of this
medicine (listed in section 6).
Warnings and precautions
Talk to your doctor, pharmacist or
nurse before using Hibiscrub.
• Avoid contact with the eyes, brain,
meninges (the membranes
surrounding the brain and spinal

If you have any further questions on
the use of this medicine, ask your
doctor, pharmacist or nurse.
4. Possible side effects
Like all medicines, this medicine can
cause side effects, although not
everybody gets them.
The following side effects may
occur; it is not known how often
they occur but available data
suggests these are very rare
(probably affect fewer than 1 in
every 10,000 people).
• Serious allergic reactions which
can cause breathing difficulties,
weakness, collapse and death, and
can sometimes be preceded by
swelling (in particular lip/tongue
and facial swelling), or rash.
Allergic reactions to
chlorhexidine-impregnated patches

Package leaflet: Information for the
patient

Antimicrobial Skin Cleanser for antiseptic handwashing on the
ward, pre-operative surgical hand disinfection and patient preand post-operative skin antisepsis.
Read the package leaflet before use, which is given
when the label is peeled back.
Excipients: poloxamer 237, isopropyl alcohol, lauryl
dimethyl amine oxide, glycerol, macrogol 7 glycerol
cocoate, gluconolactone, perfume (Herbacol), ponceau 4R
(E124), sodium hydroxide and purified water.
Precautions: Avoid contact with eyes, brain, meninges, eyes and
middle ear. Use with care in newborn babies, especially those
born prematurely. Hibiscrub may cause chemical skin burns.
FOR EXTERNAL USE ONLY
Keep out of the sight and reach of children. Do not store
above 25°C. Store in the original package.
Regent Medical (Overseas) Limited, Medlock Street,
Oldham, Lancashire,
OL1 3HS, UK.
PA 1218/1/1;
PL 22099/0001
Hibiscrub® is a trade mark of Regent Medical Ltd.

have been reported rarely when
used in newborn babies.
At the first sign of any of these
reactions, tell your doctor,
pharmacist or nurse and
application of Hibiscrub should be
stopped immediately.
Other possible side effects, for
which it is not known how often
they occur, are: allergic skin
disorders such as dermatitis
(inflammation of the skin), pruritus
(itch), erythema (redness of the
skin), eczema, rash, urticaria (hives),
skin irritation and blisters.
Inflammation of the membranes of
the brain and spinal cord has been
reported when they have come into
direct contact with chlorhexidine.
Reporting of side effects
If you get any side effects, talk to
your doctor, pharmacist or nurse.

cord) and middle ear. If Hibiscrub
comes into contact with the eyes,
wash out immediately and
thoroughly with water.
• In patients with head or spinal
injuries or a perforated ear drum
(an ear drum with a hole or tear in
it), the benefit of use in
pre-operative preparation should
be evaluated against the risk of
contact.
• Common bleaches (which contain
hypochlorites) may cause brown
stains to develop on fabrics which
have previously been in contact
with chlorhexidine.
• Hibiscrub’s action may be reduced
if used with soap or detergents.
• If you go into hospital, let your
doctor know if you are using
Hibiscrub.

PEEL HERE BUT DO NOT REMOVE

What Hibiscrub looks like and
contents of the pack
Hibiscrub is a clear, red, slightly
viscous solution and comes in white
bottles containing 250 ml, 500 ml or
5 litres of liquid.

HIBISCRUB®

4% w/v Cutaneous Solution
Chlorhexidine gluconate 40 mg/ml

QNAC8

poloxamer 237, isopropyl alcohol,
lauryl dimethyl amine oxide,
glycerol, macrogol 7 glycerol
cocoate, gluconolactone,
perfume (Herbacol), ponceau 4R
(E124), sodium hydroxide and
purified water.

HIBISCRUB

®

4% w/v Cutaneous Solution
Chlorhexidine gluconate

Read all of this leaflet carefully
before you start using this
medicine because it contains
important information for you.
Always use this medicine exactly as
described in this leaflet or as your
doctor, pharmacist or nurse have told
you.
• Keep this leaflet. You may need to
read it again.
• Ask your pharmacist if you need
more information or advice.
• If you get any side effects, talk to
your doctor, pharmacist or nurse.
This includes any possible side
effects not listed in this leaflet. See
section 4.

This includes any possible side
effects not listed in this leaflet. You
can also report side effects directly
via:
Ireland
HPRA Pharmacovigilance
Earlsfort Terrace
IRL - Dublin 2
Tel: +353 1 6764971
Fax: +353 1 6762517
Website: www.hpra.ie
e-mail: medsafety@hpra.ie
United Kingdom
Yellow Card Scheme
Website:
www.mhra.gov.uk/yellowcard or
search for MHRA Yellow Card in the
Google Play or Apple App Store.
By reporting side effects you can
help provide more information on the
safety of this medicine.

Hibiscrub may cause chemical skin
burns.
Hibiscrub contains Herbacol
(fragrance)
This medicine contains fragrance
with 3-Methyl-4-(2,6,6-trimethyl-2cyclohexen-1-yl)-3-buten-2-one,
Amyl cinnamal, Amylcinnamyl
alcohol, Anisyl alcohol, Benzyl
alcohol, Benzyl benzoate, Benzyl
cinnamate, Benzyl salicylate,
Cinnamal, Citral, Citronellol,
Coumarin, d-Limonene, Eugenol,
Farnesol, Geraniol, Hexyl
cinnamaldehyde,
Hydroxymethylpentyl-cyclohexeneca
rboxaldehyde, Isoeugenol, Lilial,
Linalool, Methyl heptine carbonate,
Oak moss and Tree moss. These
may cause allergic reactions.

Children
Use with care in newborn babies,
especially those born prematurely.

The Hibiscrub handwashing
technique is based on a procedure
described by Ayliffe GAJ et al. J Clin
Path 1978; 31: 923.

1. Palm to palm.

2. Right palm over left dorsum
and left palm over right dorsum.

3. Palm to palm fingers
interlaced.

4. Back of fingers to opposing
palms with fingers interlocked.

5. Rotational rubbing of right
thumb clasping in left palm and
vice versa.

6. Rotational rubbing backwards
and forwards of tips of fingers
and thumb of right hand in left
palm and vice versa.
Continue washing hands and wrists
until one minute has elapsed. Clean
the fingernails with a brush or
scraper. Rinse thoroughly. For
pre-operative use repeat the wash a
second time for two minutes.

For Antiseptic Handwashing on
the Ward
Wet the hands and forearms, apply
5 ml of Hibiscrub and wash for one
minute. Rinse thoroughly and dry.
For Preventing Infection Before
Your Operation
Wash the whole of your body in the
bath or the shower on at least two
occasions. This is usually done on
the day before the operation and the
day of the operation. Use the
following method:
• Use 25 ml of Hibiscrub as a soap
solution.
• Wash the whole body. Start with
the face. Work down the body. Pay
special attention to the skin around
the nose, under the arms, around

5. How to store Hibiscrub
Keep this medicine out of the sight and
reach of children.
Do not use this medicine after the
expiry date which is printed on the
bottle after “EXP”. The expiry date
refers to the last day of that month.
Do not store above 25°C. Store in the
original package.
Do not throw away any medicines via
wastewater or household waste. Ask
your pharmacist how to throw away
medicines you no longer use. These
measures will help protect the
environment.
6. Contents of the pack and other
information
What Hibiscrub contains
• The active substance is
chlorhexidine gluconate 4% w/v
(40 mg/ml)
• The other ingredients are

What is in this leaflet
1. What Hibiscrub is and what it is
used for
2. What you need to know before
you use Hibiscrub
3. How to use Hibiscrub
4. Possible side effects
5. How to store Hibiscrub
6. Contents of the pack and other
information
1. What Hibiscrub is and what it is
used for
Hibiscrub belongs to a group of
medicines called antiseptics. This
means that it helps to prevent
infections by killing germs on the
skin.
Hibiscrub cutaneous solution
contains the active ingredient
chlorhexidine gluconate 4% w/v (40
mg/ml) which has antimicrobial
properties.

the belly button, between the legs
and around the bottom.
• Rinse the whole body.
• Repeat the wash. Use the same
amount of Hibiscrub. This time,
wash the hair as well.
• Rinse the whole body and dry
thoroughly with a clean towel.
For Preventing Infection After
Your Operation
Wash the whole of your body,
excluding the operation site, in the
bath or the shower. This is usually
done on the third day after the
operation. Use the method
described above.
If you accidentally swallow any
Hibiscrub
You should go to your nearest
Accident and Emergency
department or contact your doctor
immediately. Take this leaflet and
any other packaging with you so
they know what you have taken.

3. How to use Hibiscrub
Always use this medicine exactly as
described in this leaflet or as your
doctor, pharmacist or nurse have
told you. Check with your doctor,
pharmacist or nurse if you are not
sure.
FOR EXTERNAL USE ONLY
Do not inject. Do not use in the
body’s internal spaces.
Chlorhexidine must not be used in
direct contact with nerve tissue, for
example brain and spinal cord
tissue.
For Pre-operative Surgical Hand
Disinfection
Wet the hands and forearms. Wash
with 5 ml of Hibiscrub using the
following procedure, each step
consisting of five strokes backwards
and forwards.

BRAILLE TEXT:
HIBISCRUB
Font: Marburg Medium 28,5 pt.
EU Braille

hibiscrub
45mm

HIBISCRUB®
4% w/v Cutaneous Solution

Hibiscrub

Chlorhexidine gluconate
40 mg/ml

500ml
LCKW8

115mm

115mm

45mm

Manufacturer
BCM Ltd., Thane
Road, Beeston,
Nottingham,
NG90 2PR, UK.
This leaflet was last
revised in 02/2018.
Hibiscrub® is a trade
mark of Regent Medical
Ltd.

HIBISCRUB®

4% w/v Cutaneous Solution
Chlorhexidine gluconate 40 mg/ml

Antimicrobial Skin Cleanser for antiseptic
handwashing on the ward, pre-operative
surgical hand disinfection and patient pre- and
post-operative skin antisepsis.
Read the package leaflet before use,
which is given when the label is peeled
back.
Excipients: poloxamer 237, isopropyl
alcohol, lauryl dimethyl amine oxide,
glycerol, macrogol 7 glycerol cocoate,
gluconolactone, perfume (Herbacol),
ponceau 4R (E124), sodium hydroxide
and purified water.
Precautions: Avoid contact with eyes,
brain, meninges, eyes and middle ear.
Use with care in newborn babies,
especially those born prematurely.
Hibiscrub may cause chemical skin burns.
FOR EXTERNAL USE ONLY
Keep out of the sight and reach of children.
Do not store above 25°C. Store in the
original package.
Regent Medical (Overseas) Limited,
Medlock Street, Oldham, Lancashire,
OL1 3HS, UK.
PA 1218/1/1; PL 22099/0001
Hibiscrub® is a trade mark of
Regent Medical Ltd.

WKZA9

42mm

32mm

Hibiscrub is also used
to disinfect hands after
handling infected
materials (antiseptic
handwashing).

115mm

2. What you need to
know before you use
Hibiscrub
Do not use Hibiscrub if
• you are allergic
(hypersensitive) to
chlorhexidine
gluconate or any of
the other
ingredients of this
medicine (listed in
section 6).

115mm

Warnings and
precautions
Talk to your doctor,
pharmacist or nurse
before using Hibiscrub.
• Avoid contact with the
eyes, brain, meninges
(the membranes
surrounding the brain
and spinal cord) and
middle ear. If Hibiscrub
comes into contact with
the eyes, wash out
immediately and
thoroughly with water.

Reporting of side
effects
If you get any side
effects, talk to your
doctor, pharmacist, or
nurse. This includes any
possible side effects not
listed in this leaflet. You
can also report side
effects directly via:
Ireland
HPRA
Pharmacovigilance
Earlsfort Terrace
IRL - Dublin 2
Tel: +353 1 6764971
Fax: +353 1 6762517
Website: www.hpra.ie
e-mail:
medsafety@hpra.ie

32mm

32mm

The following side
effects may occur; it
is not known how
often they occur but
available data
suggests these are
very rare (probably
affect fewer than 1 in
every 10,000 people).
• Serious allergic
reactions which can
cause breathing
difficulties, weakness,
collapse and death,
and can sometimes be
preceded by swelling
(in particular lip/tongue
and facial swelling), or
rash.
Allergic reactions to
chlorhexidine-impregnat
ed patches have been
reported rarely when
used in newborn babies.

• In patients with head or
spinal injuries or a
perforated ear drum
(an ear drum with a
hole or tear in it), the
benefit of use in
pre-operative
preparation should be
evaluated against the
risk of contact.
• Common bleaches
(which contain
hypochlorites) may
cause brown stains to
develop on fabrics,
which have previously
been in contact with
chlorhexidine.
• Hibiscrub’s action may
be reduced if used with
soap or detergents.
• If you go into hospital,
let your doctor know if
you are using
Hibiscrub.

At the first sign of any
of these reactions, tell
your doctor,
pharmacist or nurse
and application of
Hibiscrub should be
stopped immediately.

32mm

3. Palm to palm
fingers interlaced.

115mm

Other possible side
effects, for which it is
not known how often
they occur, are: allergic
skin disorders such as
dermatitis (inflammation
of the skin), pruritus
(itch), erythema (redness
of the skin), eczema,
rash, urticaria (hives),
skin irritation and
blisters.
Inflammation of the
membranes of the brain
and spinal cord has been
reported when they have
come into direct contact
with chlorhexidine.

4. Back of fingers to
opposing palms with
fingers interlocked.

5. Rotational rubbing
of right thumb clasping
in left palm and vice
versa.

6. Rotational rubbing
backwards and forwards
of tips of fingers and
thumb of right hand in
left palm and vice versa.

32mm

Children
Use with care in
newborn babies,
especially those born
prematurely. Hibiscrub
may cause chemical skin
burns.

32mm

Continue washing
hands and wrists until
one minute has
elapsed.
Clean the fingernails
with a brush or scraper.
Rinse thoroughly. For
pre-operative use
repeat the wash a
second time for two
minutes.
The Hibiscrub
handwashing technique
is based on a procedure
described by Ayliffe
GAJ et al. J Clin Path
1978; 31: 923.
For Antiseptic
Handwashing on the
ward
Wet the hands and
forearms, apply 5 ml of
Hibiscrub and wash for
one minute. Rinse
thoroughly and dry.
For Preventing
Infection Before Your
Operation
Wash the whole of your
body in the bath or the
shower on at least two
occasions.

32mm

PEEL HERE BUT DO NOT REMOVE

115mm

Marketing
Authorisation Holder
Regent Medical
(Overseas) Limited
Medlock Street,
Oldham, Lancashire,
OL1 3HS, UK.

Package leaflet:
Information for the
patient

HIBISCRUB®

4% w/v Cutaneous
Solution
Chlorhexidine gluconate
Read all of this leaflet
carefully before you
start using this
medicine because it
contains important
information for you.
Always use this
medicine exactly as
described in this leaflet
or as your doctor,
pharmacist or nurse
have told you.
– Keep this leaflet. You
may need to read it
again.
– Ask your pharmacist if
you need more
information or advice.
– If you get any side
effects, talk to your
doctor, pharmacist or
nurse. This includes
any possible side
effects not listed in this
leaflet. See section 4.

42mm

United Kingdom
Yellow Card Scheme
Website:
www.mhra.gov.uk/
yellowcard or search for
MHRA Yellow Card in the
Google Play or Apple App
Store.
By reporting side effects
you can help provide
more information on the
safety of this medicine.
5. How to store
Hibiscrub
Keep this medicine out of
the sight and reach of
children.
Do not use this medicine
after the expiry date
which is printed on the
bottle after "EXP". The
expiry date refers to the
last day of that month.
Do not store above 25°C.
Store in the original
package.
Do not throw away any
medicines via wastewater
or household waste. Ask
your pharmacist how to
throw away medicines
you no longer use. These
measures will help protect
the environment.

32mm

Hibiscrub contains
Herbacol (fragrance)
This medicine contains
fragrance with
3-Methyl-4-(2,6,6-trimeth
yl-2-cyclohexen-1-yl)-3buten-2-one, Amyl
cinnamal, Amylcinnamyl
alcohol, Anisyl alcohol,
Benzyl alcohol, Benzyl
benzoate, Benzyl
cinnamate, Benzyl
salicylate, Cinnamal,
Citral, Citronellol,
Coumarin, d-Limonene,
Eugenol, Farnesol,
Geraniol, Hexyl
cinnamaldehyde,
Hydroxymethylpentylcyclohexenecarboxaldehyde, Isoeugenol,
Lilial, Linalool, Methyl
heptine carbonate, Oak
moss and Tree moss.
These may cause allergic
reactions.
3. How to use
Hibiscrub
Always use this medicine
exactly as described in
this leaflet or as your
doctor, pharmacist or
nurse have told you.

32mm

6. Contents of the pack
and other information
What Hibiscrub
contains
- The active ingredient is
chlorhexidine gluconate
4% w/v (40 mg/ml)
- The other ingredients
are poloxamer 237,
isopropyl alcohol, lauryl
dimethyl amine oxide,
glycerol, macrogol 7
glycerol cocoate,
gluconolactone, perfume
(Herbacol), ponceau 4R
(E124), sodium
hydroxide and purified
water.
What Hibiscrub looks
like and contents of the
pack
Hibiscrub is a clear, red,
slightly viscous solution
and comes in white
bottles containing 250 ml,
500 ml or 5 litres of liquid.

32mm

What is in this leaflet
1.What Hibiscrub is and
what it is used for
2.What you need to
know before you use
Hibiscrub
3.How to use Hibiscrub
4.Possible side effects
5.How to store
Hibiscrub
6.Contents of the pack
and other information
1. What Hibiscrub is
and what it is used for
Hibiscrub belongs to a
group of medicines
called antiseptics. This
means that it helps to
prevent infections by
killing germs on the
skin.
Hibiscrub is used to
disinfect the hands and
skin prior to or after an
operation or a clean
procedure (pre- and
post- operative hand
and skin disinfection/
antisepsis).

32mm

This is usually done on
the third day after the
operation. Use the
method described
above.
If you accidentally
swallow any
Hibiscrub
You should go to your
nearest Accident and
Emergency department
or contact your doctor
immediately. Take this
leaflet and any other
packaging with you so
they know what you
have taken.
If you have any further
questions on the use of
this medicine, ask your
doctor, pharmacist or
nurse.
4. Possible side
effects
Like all medicines, this
medicine can cause side
effects, although not
everybody gets them.

32mm

This is usually done on
the day before the
operation and the day
of the operation. Use
the following method:
• Use 25 ml of
Hibiscrub as a soap
solution.
• Wash the whole body.
Start with the face.
Work down the body.
Pay special attention
to the skin around the
nose, under the arms,
around the belly
button, between the
legs and around the
bottom.
• Rinse the whole body.
• Repeat the wash. Use
the same amount of
Hibiscrub. This time,
wash the hair as well.
• Rinse the whole body
and dry thoroughly
with a clean towel.

Check with your doctor,
pharmacist or nurse if
you are not sure.

For Preventing
Infection After Your
Operation
Wash the whole of your
body, excluding the
operation site, in the
bath or the shower.

1. Palm to palm.

32mm

FOR EXTERNAL USE
ONLY
Do not inject. Do not
use in the body’s
internal spaces.
Chlorhexidine must not
be used in direct contact
with nerve tissue, for
example brain and
spinal cord tissue.
Pre-operative Surgical
Hand Disinfection
Wet the hands and
forearms. Wash with 5
ml of Hibiscrub using
the following procedure,
each step consisting of
five strokes backwards
and forwards.

2. Right palm over left
dorsum and left palm
over right dorsum.

32mm

BRAILLE TEXT:
HIBISCRUB
Font: Marburg Medium 28,5 pt.
EU Braille

hibiscrub

HIBISCRUB

®

4% w/v Cutaneous Solution
Chlorhexidine gluconate 40 mg/ml

150mm

Hibiscrub

NEVS0

102mm

Front Cover - 99mm
PEEL HERE BUT DO NOT REMOVE

XBHC1

Warnings and precautions
Talk to your doctor, pharmacist or nurse before using Hibiscrub.
• Avoid contact with the eyes, brain, meninges (the membranes
surrounding the brain and spinal cord) and middle ear.
If Hibiscrub comes into contact with the eyes, wash out immediately and
thoroughly with water.
• In patients with head or spinal injuries or a perforated ear drum (an ear
drum with a hole or tear in it), the benefit of use in pre-operative
preparation should be evaluated against the risk of contact.
• Common bleaches (which contain hypochlorites) may cause brown
stains to develop on fabrics which have previously been in contact with
chlorhexidine.
• Hibiscrub’s action may be reduced if used with soap or detergents.
• If you go into hospital, let your doctor know if you are using Hibiscrub.

For Pre-operative Surgical Hand Disinfection
Wet the hands and forearms. Wash with 5 ml of Hibiscrub using the
following procedure, each step consisting of five strokes backwards
and forwards.

5. Rotational rubbing of
right thumb clasping in
left palm and vice versa.

4. Back of fingers to
opposing palms with
fingers interlocked.

3. Palm to palm fingers
interlaced.

2. Right palm over left
dorsum and left palm
over right dorsum.

1. Palm to palm.

Height - 150 mm

6. Rotational rubbing
backwards and forwards
of tips of fingers and
thumb of right hand in
left palm and vice versa.

Children
Use with care in newborn babies, especially those born prematurely.
Hibiscrub may cause chemical skin burns.
Hibiscrub contains Herbacol (fragrance)
This medicine contains fragrance with
3-Methyl-4-(2,6,6-trimethyl-2-cyclohexen-1-yl)-3-buten-2-one, Amyl
cinnamal, Amylcinnamyl alcohol, Anisyl alcohol, Benzyl alcohol, Benzyl
benzoate, Benzyl cinnamate, Benzyl salicylate, Cinnamal, Citral,
Citronellol, Coumarin, d-Limonene, Eugenol, Farnesol, Geraniol, Hexyl
cinnamaldehyde, Hydroxymethylpentyl-cyclohexenecarboxaldehyde,
Isoeugenol, Lilial, Linalool, Methyl heptine carbonate, Oak moss and Tree
moss. These may cause allergic reactions.

Continue washing hands and wrists until one minute has elapsed.
Clean the fingernails with a brush or scraper. Rinse thoroughly. For
pre-operative use repeat the wash a second time for two minutes.

3. How to use Hibiscrub
Always use this medicine exactly as described in this leaflet or as your
doctor, pharmacist or nurse have told you. Check with your doctor,
pharmacist or nurse if you are not sure.

Hibiscrub is used to disinfect the hands and skin prior to or after an
operation or clean procedure (pre- and post-operative hand and skin
disinfection / antisepsis).
Hibiscrub is also used to disinfect hands after handling infected materials
(antiseptic handwashing).
2. What you need to know before you use Hibiscrub
Do not use Hibiscrub
• if you are allergic (hypersensitive) to chlorhexidine gluconate or any of
the other ingredients of this medicine (listed in section 6).

FOR EXTERNAL USE ONLY
Do not inject. Do not use in the body’s internal spaces.
Chlorhexidine must not be used in direct contact with nerve
tissue, for example brain and spinal cord tissue.

Inside Cover

Height - 150 mm

Package leaflet: Information for the patient

HIBISCRUB®

4% w/v Cutaneous Solution
Chlorhexidine gluconate

Read all of this leaflet carefully before you start using this medicine
because it contains important information for you.
Always use this medicine exactly as described in this leaflet or as your
doctor, pharmacist or nurse have told you.
• Keep this leaflet. You may need to read it again.
• Ask your pharmacist if you need more information or advice.
• If you get any side effects, talk to your doctor, pharmacist or nurse. This
includes any possible side effects not listed in this leaflet. See section 4.
What is in this leaflet
1. What Hibiscrub is and what it is used for
2. What you need to know before you use Hibiscrub
3. How to use Hibiscrub
4. Possible side effects
5. How to store Hibiscrub
6. Contents of the pack and other information

Page 6 - 91mm

1. What Hibiscrub is and what it is used for

Page 5 - 91mm

Trade Mark of Regent Medical Overseas Ltd.
PA 1218/1/1; PL 22099/0001
Regent Medical (Overseas) Limited
Medlock Street, Oldham, Lancashire, OL1 3HS, UK
Do not store above 25ºC. Store in the original package.

FOR EXTERNAL USE ONLY
Precautions: Avoid contact with eyes, brain, meninges and middle ear.
Use with care in newborn babies, especially those born prematurely.
Hibiscrub may cause chemical skin burns. Keep out of the sight and
reach of children.
Excipients: poloxamer 237, isopropyl alcohol, lauryl dimethyl amine
oxide, glycerol, macrogol 7 glycerol cocoate, gluconolactone, perfume
(Herbacol), ponceau 4R (E124), sodium hydroxide and purified water.
Read the package leaflet before use, which is given when the
label is peeled back.
Antimicrobial skin cleanser for antiseptic handwashing on the ward,
pre-operative surgical hand disinfection, and patient pre- and
post-operative skin antisepsis.

4% w/v Cutaneous Solution
Chlorhexidine gluconate 40 mg/ml

HIBISCRUB®

Hibiscrub belongs to a group of medicines called antiseptics. This means
that it helps to prevent infections by killing germs on the skin.

What Hibiscrub looks like and contents of the pack
Hibiscrub is a clear, red, slightly viscous solution and comes in white
bottles containing 250 ml, 500 ml or 5 litres of liquid.
What Hibiscrub contains
• The active substance is chlorhexidine gluconate 4% w/v (40 mg/ml)
• The other ingredients are poloxamer 237, isopropyl alcohol, lauryl
dimethyl amine oxide, glycerol, macrogol 7 glycerol cocoate,
gluconolactone, perfume (Herbacol), ponceau 4R (E124), sodium
hydroxide and purified water.
6. Contents of the pack and other information
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is printed on the
bottle after “EXP”. The expiry date refers to the last day of that
month.
Do not store above 25°C. Store in the original package.
Do not throw away any medicines via wastewater or household
waste. Ask your pharmacist how to throw away medicines you no
longer use. These measures will help protect the environment.
5. How to store Hibiscrub
By reporting side effects you can help provide more information on
the safety of this medicine.
United Kingdom
Yellow Card Scheme
Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow
Card in the Google Play or Apple App Store.
Ireland
HPRA Pharmacovigilance
Earlsfort Terrace
IRL - Dublin 2
Tel: +353 1 6764971
Fax: +353 1 6762517
Website: www.hpra.ie
e-mail: medsafety@hpra.ie
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse.
This includes any possible side effects not listed in this leaflet. You
can also report side effects directly via:

Hibiscrub cutaneous solution contains the active ingredient chlorhexidine
gluconate 4% w/v (40 mg/ml) which has antimicrobial properties.

Inflammation of the membranes of the brain and spinal cord has been
reported when they have come into direct contact with chlorhexidine.
Other possible side effects, for which it is not known how often
they occur, are: allergic skin disorders such as dermatitis
(inflammation of the skin), pruritus (itch), erythema (redness of the skin),
eczema, rash, urticaria (hives), skin irritation and blisters.
Allergic reactions to chlorhexidine-impregnated patches have been
reported rarely when used in newborn babies.
At the first sign of any of these reactions, tell your doctor,
pharmacist or nurse and application of Hibiscrub should be
stopped immediately.
The following side effects may occur; it is not known how often
they occur but available data suggests these are very rare
(probably affect fewer than 1 in every 10,000 people).
• Serious allergic reactions which can cause breathing difficulties,
weakness, collapse and death, and can sometimes be preceded by
swelling (in particular lip/tongue and facial swelling), or rash.
Like all medicines, this medicine can cause side effects, although not
everybody gets them.
4. Possible side effects
If you have any further questions on the use of this medicine, ask your
doctor, pharmacist or nurse.
If you accidentally swallow any Hibiscrub
You should go to your nearest Accident and Emergency department or
contact your doctor immediately. Take this leaflet and any other
packaging with you so they know what you have taken.
For Preventing Infection After Your Operation
Wash the whole of your body, excluding the operation site, in the bath
or the shower. This is usually done on the third day after the operation.
Use the method described above.
Pay special attention to the skin around the nose, under the arms,
around the belly button, between the legs and around the bottom.
• Rinse the whole body.
• Repeat the wash. Use the same amount of Hibiscrub. This time, wash
the hair as well.
• Rinse the whole body and dry thoroughly with a clean towel.
The Hibiscrub handwashing technique is based on a procedure described by
Ayliffe GAJ et al. J Clin Path 1978; 31: 923.
For Antiseptic Handwashing on the Ward
Wet the hands and forearms, apply 5 ml of Hibiscrub and wash for one
minute. Rinse thoroughly and dry.
For Preventing Infection Before Your Operation
Wash the whole of your body in the bath or the shower on at least two
occasions. This is usually done on the day before the operation and the
day of the operation. Use the following method:
• Use 25 ml of Hibiscrub as a soap solution.
• Wash the whole body. Start with the face. Work down the body.

Page 3

Page 4
Base Label - 102mm
Height - 150mm

This leaflet was last revised in 02/2018.
Manufacturer
BCM Ltd., Thane Road, Beeston, Nottingham, NG90 2PR, UK.
Marketing Authorisation Holder
Regent Medical (Overseas) Limited, Medlock Street, Oldham,
Lancashire, OL1 3HS, UK.

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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