Chlorhexidine

treat gingivitis, redness and swelling of gums, and to control gum bleeding. If used too often, can cause tooth discoloration.

Chlorhexidine Overview

Reviewed: September 18, 2013
Updated: 

Chlorhexidine is a prescription medication used to treat gingivitis, redness and swelling of gums, and to control gum bleeding. It is also used to help treat peridontitis, or gum disease. This medication belongs to a group of drugs called antimicrobials. It works by reducing bacteria in the mouth.

Chlorhexidine comes as an oral rinse. Use chlorhexidine rinse regularly, as directed by your dentist, in addition to daily brushing. Spit out after use. Chlorhexidine rinse should not be swallowed. Do not rinse with water or other mouthwashes immediately after rinsing with chlorhexidine.

Chlorhexidine also comes as a dental chip. It is inserted by your dentist into the gum pocket at most once every three months.

Common side effects of the rinse include tooth discoloration, tartar buildup, and altered taste.

Common side effects of the chip include toothache, headache, and upper airway infection.

How was your experience with Chlorhexidine?

First, a little about yourself

Tell us about yourself in a few words?

What tips would you provide a friend before taking Chlorhexidine?

What are you taking Chlorhexidine for?

Choose one
  • Other
  • Candidiasis, Oral
  • Gram-negative Bacterial Infections
  • Gram-positive Bacterial Infections
  • Periodontal Diseases
  • Skin Diseases, Infectious

How long have you been taking it?

Choose one
  • Less than a week
  • A couple weeks
  • A month or so
  • A few months
  • A year or so
  • Two years or more

How well did Chlorhexidine work for you?

Did you experience many side effects while taking this drug?

How likely would you be to recommend Chlorhexidine to a friend?

Uses of Chlorhexidine

Chlorhexidine is a prescription medication used to treat gingivitis, redness and swelling of gums, and to control gum bleeding. It is also used to help treat peridontitis, or gum disease.

This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.

Chlorhexidine Brand Names

Chlorhexidine Drug Class

Chlorhexidine is part of the drug class:

Side Effects of Chlorhexidine

Common side effects of the rinse include tooth discoloration, tartar buildup, and altered taste.

Common side effects of the chip include toothache, headache, and upper airway infection.

This is not a complete list of chlorhexidine side effects. Ask your doctor or pharmacist for more information.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Chlorhexidine Interactions

No drug interactions have been determined by the manufacturer. However, you should tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Not all drug interactions are known or reported and new drug interactions are continually being reported.

Chlorhexidine Precautions

Serious side effects have been reported with chlorhexidine including the following:

  • Allergic symptoms. Tell your health care provider right away if you have some or all of the following symptoms of allergic symptoms.
    • skin rash
    • itch
    • generalized swelling
    • breathing difficulties
    • light headedness
    • rapid heart rate
    • upset stomach
    • diarrhea
  • Pain or swelling. Notify your dentist promptly if pain, swelling, or other problems occur. (Some mild to moderate sensitivity is normal during the first week after placement of chip)

Do not use chlorhexidine if you have a known to be hypersensitive to chlorhexidine gluconate or other formula ingredients.

Chlorhexidine Food Interactions

Medications can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. In the case of chlorhexidine, there are no specific foods that you must exclude from your diet when receiving this medication.

 

 

Inform MD

Before taking chlorhexidine, tell your doctor about all of your medical conditions. Especially tell your doctor if you:

  • are allergic to chlorhexidine or to any of its ingredients
  • are pregnant or breastfeeding

Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements.

 

Chlorhexidine and Pregnancy

Tell your doctor if you are pregnant or plan to become pregnant.

The FDA categorizes medications based on safety for use during pregnancy. Five categories - A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.

Chlorhexidine rinse falls into category B.  There are no well-done studies that have been done in humans with Chlorhexidine. In animal studies, pregnant animals were given this medication, and the babies did not show any medical issues related to this medication.

Chlorhexidine chip falls into category C. There are no well-controlled studies that have been done in pregnant women. Chlorhexidine chip should be used during pregnancy only if the possible benefit outweighs the possible risk to the unborn baby.

Chlorhexidine and Lactation

Tell your doctor if you are breastfeeding or plan to breastfeed.

It is not known if chlorhexidine crosses into human milk. Because many medications can cross into human milk and because of the possibility for serious adverse reactions in nursing infants with use of this medication, a choice should be made whether to stop nursing or stop the use of this medication. Your doctor and you will decide if the benefits outweigh the risk of using chlorhexidine.

Chlorhexidine Usage

Take chlorhexidine exactly as prescribed.

Chlorhexidine comes in a oral rinse and a dental chip. Recommended use for oral solution is twice daily oral rinsing for 30 seconds, morning and evening after toothbrushing. Chlorhexidine rinse should not be swallowed, and should be spit out after use. Do not rinse with water or other mouthwashes immediately after rinsing with chlorhexidine. Do not brush teeth or eat immediately after rinsing with chlorhexidine.

The dental chip is inserted by your dentist into the gum pocket at most once every three months. Patients should avoid dental floss at the site of chip insertion for 10 days after placement, because flossing might dislodge the chip. All other oral hygiene may be continued as usual. There are no restrictions in regards to eating. Notify your dentist as soon as possible if the chip falls out of place.

If you miss a dose, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and take your next dose at the regular time. Do not take two doses of chlorhexidine at the same time.

Chlorhexidine Dosage

Take this medication exactly as prescribed by your doctor. Follow the directions on your prescription label carefully.

The recommended dose of chlorhexidine rinse for the treatment of treat gingivitis, redness and swelling of gums, and to control gum bleeding is 15ml (marked in cap) twice a day.

The recommended dose of chlorhexidine dental chip for the treatment of treat gingivitis, redness and swelling of gums, and to control gum bleeding is 2.5 mg chip every 3 months.

Chlorhexidine Overdose

If you or someone you know swallows chlorhexidine, call your healthcare provider or local Poison Control Center, or seek emergency medical attention right away.

Other Requirements

Store at 20°C to 25°C (68°F to 77°F ).

Keep this and all medicines out of the reach of children.