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Acriflavine

Published: July 26, 2026Updated: August 24, 2026

Acriflavine is a topical antiseptic agent belonging to the acridine dye family, used primarily for its antimicrobial properties against bacteria and certain fungi. It is applied to minor wounds, skin infections, and mucous membranes to reduce the risk of infection and promote healing. This medication is intended for external use only and should not be ingested or used in the eyes.

Quick summary

Acriflavine is a topical antiseptic used to prevent and treat minor skin infections and wounds.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

Key facts at a glance

ATC
D08AA03
RxNorm
249
Generic
Acriflavine
Class
atc-d08
Brands
Blu-Kote
Availability
rx
Lactation
unknown
Routes
topical
Forms
spray
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity when ingested orally
Chronic overdose: prolonged topical use on large wound areas leading to systemic absorption
Immediate actions
gastric lavage if ingestion within 1-2 hours, activated charcoal administration, supportive care
Antidote
no specific antidote available(supportive care is primary treatment, no specific antidote proven effective)
Poison Control: 1-800-222-1222

Special Populations

11 groups
⚠

pregnancy

first trimester
caution
FDA Category
N
Dose Adjustment

use minimal amount

Key Recommendations

avoid large scale or prolonged use on large skin areas

Monitor

monitor for any skin reactions

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
N
Dose Adjustment

use minimal amount

Key Recommendations

avoid application on large body surface areas

Monitor

regular skin assessment

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
N
Dose Adjustment

use minimal amount

Key Recommendations

avoid prolonged use or application near delivery site

Monitor

monitor skin integrity

Use with caution and monitor for adverse effects.

✓

lactation

breastfeeding
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

avoid application on breast area before nursing

Monitor

ensure no contact with infant mouth or eyes

⚠

pediatric_age

neonates
caution
FDA Category
N
Dose Adjustment

use reduced concentration and limited area

Key Recommendations

avoid use on very young infants unless directed by veterinarian or physician

Monitor

monitor for skin irritation or sensitization

Use with caution and monitor for adverse effects.

⚠

pediatric_age

children
caution
FDA Category
N
Dose Adjustment

use under supervision

Key Recommendations

avoid ingestion, use only on intact skin for limited periods

Monitor

monitor for allergic reactions

Use with caution and monitor for adverse effects.

✓

geriatric

elderly
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

use as directed for topical application

Monitor

monitor skin integrity due to potential fragility

✓

renal_impairment

mild
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

topical use has minimal systemic absorption

Monitor

standard monitoring

✓

renal_impairment

severe
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

continue standard topical use

Monitor

standard wound care monitoring

✓

hepatic_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

topical application does not significantly affect hepatic function

Monitor

standard monitoring

✓

hepatic_impairment

severe
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

continue standard topical use

Monitor

standard wound monitoring

Statistics and clinical data

prescribingFDA
2023

First synthesized

Value:Early 1900s

Historical development information

drug_classWHO
2023

Drug class

Value:Antiseptic agent

Drug class classification

usageMedical guidelines
2023

Common uses

Value:Topical antiseptic, wound disinfection

Therapeutic applications

formulationPharmacopoeia
2023

Common formulations

Value:Topical solution, ointment

Available dosage forms

Used as a topical antiseptic for minor wounds, cuts, abrasions, and skin infections. Also employed for mucous membrane disinfection and historically used in veterinary medicine for similar purposes.

Acriflavine is a cationic acridine dye that exerts its antimicrobial effect by intercalating with microbial DNA and disrupting cell membrane integrity, leading to inhibition of bacterial and fungal growth.

For external use only. May temporarily stain skin and fabrics yellow-orange. Avoid contact with eyes. Not recommended for use on large areas of burned or extensively damaged skin. Consult a healthcare provider if infection worsens or does not improve within 7 days.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy