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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
tbc

Hibiscrub

Chlorhexidine gluconate 40 mg/ml

85mm

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.
Marketing Authorisation Holder
Regent Medical (Overseas)
Limited, Medlock Street, Oldham,
Lancashire, OL1 3HS, UK.
Manufacturer
BCM Ltd., 1 Thane Road West,
Nottingham, NG2 3AA, UK.
This leaflet was last revised in
03/2016.

What Hibiscrub contains
• The active substance is
chlorhexidine gluconate 4% w/v
(40 mg/ml)
• The other ingredients are
poloxamer 237, lauryl dimethyl,
isopropyl alcohol, amine oxide,
glycerol, macrogol 7 glycerol
cocoate, gluconolactone,
perfume (Herbacol), ponceau
4R (E124), sodium hydroxide
and purified water.

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

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.
The following side effects may
occur; it is not known how
often they occur but available

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.

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.

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 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.

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 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.

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.

PEEL HERE BUT DO NOT REMOVE

6. Contents of the pack and
other information

HIBISCRUB®

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

tbc

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.

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

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.
This includes any possible side
effects not listed in this leaflet.
You can also report side effects
directly via:

• 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.
Children
Use with care in newborn babies,
especially those born
prematurely. Hibiscrub may
cause chemical skin burns.
3. How to use Hibiscrub
Always use this medicine exactly
as described in this leaflet or as

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
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

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
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.

• 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.
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.

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

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

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 EXTERNAL USE ONLY

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.

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
tbc

115mm

in white bottles
containing 250 ml,
500 ml or 5 litres of
liquid.

115mm

Marketing
Authorisation
Holder
Regent Medical
(Overseas) Limited
Medlock Street,
Oldham, Lancashire,
OL1 3HS, UK.
Manufacturer
BCM Ltd., 1 Thane
Road West,
Nottingham,
NG2 3AA, UK.
This leaflet was last
revised in 03/2016.
Hibiscrub® is a trade
mark of Regent
Medical Ltd.

45mm

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

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.

tbc

42mm

32mm

infections by killing
germs on the skin.

115mm

Hibiscrub is used to
disinfect the hands
and skin prior to or
after an operation or
a clean procedure
(pre- and postoperative hand and
skin disinfection/
antisepsis).
Hibiscrub is can
also be 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).

32mm

doctor, pharmacist
or nurse.
4. Possible side
effects

115mm

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.

32mm

115mm

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.

32mm

Allergic reactions to
chlorhexidine-impreg
nated 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.
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

PEEL HERE BUT DO NOT REMOVE

115mm

6. Contents of the
pack and other
information

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

42mm

into direct contact
with chlorhexidine.
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
United Kingdom
Yellow Card Scheme
Website:
www.mhra.gov.uk/yello
wcard
By reporting side
effects you can help
provide more
information on the
safety of this medicine.

32mm

32mm

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

32mm

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

32mm

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 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

32mm

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.

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

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
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

32mm

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.
If you have any
further questions on
the use of this
medicine, ask your

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.

1. Palm to palm.

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

tbc

102mm

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.

Height - 150mm

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 poloxamer 237, lauryl dimethyl,
isopropyl alcohol, 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.
Marketing Authorisation Holder
Regent Medical (Overseas) Limited, Medlock Street,
Oldham, Lancashire, OL1 3HS, UK.
Manufacturer
BCM Ltd., 1 Thane Road West, Nottingham, NG2 3AA, UK.
This leaflet was last revised in 03/2016.

Base Label - 102mm
Page 3

1. What Hibiscrub is and what it is used for
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
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.
4% w/v Cutaneous Solution
Chlorhexidine gluconate

3. How to use Hibiscrub
Children
Use with care in newborn babies, especially those born
prematurely. Hibiscrub may cause chemical skin burns.
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.
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).

HIBISCRUB®

Package leaflet: Information for the patient

2. What you need to know before you use Hibiscrub
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. 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
By reporting side effects you can help provide more
information on the safety of this medicine.

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 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.

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

tbc

The Hibiscrub handwashing technique is based on a procedure
described by Ayliffe GAJ et al. J Clin Path 1978; 31: 923.
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.
6. Rotational rubbing
backwards and forwards
of tips of fingers and
thumb of right hand in
left palm and vice versa.

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

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

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 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.

Height - 150 mm

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.
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.

Page 5 - 91mm

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

FOR EXTERNAL USE ONLY

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.

Do not inject. Do not use in the body’s internal spaces.

Like all medicines, this medicine can cause side effects,
although not everybody gets them.

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).

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
4. Possible side effects

Chlorhexidine must not be used in direct contact with nerve
tissue, for example brain and spinal cord tissue.

If you have any further questions on the use of this medicine,
ask your doctor, pharmacist or nurse.

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

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.

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

Page 6 - 91mm

Front Cover - 99mm

PEEL HERE BUT DO NOT REMOVE

Page 4
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.

Inside Cover

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.

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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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