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Chlorhexidine

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

Chlorhexidine is an antiseptic medication commonly used in dentistry to treat oral infections and reduce dental plaque. It is available as mouthwashes, gels, and oral solutions for managing gum diseases.

Quick summary

Chlorhexidine is an antiseptic mouthwash and gel used to treat gum disease and reduce dental plaque.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 26, 2026Editorial policy

Key facts at a glance

ATC
A01AB03
RxNorm
2409
Generic
Chlorhexidine
Class
atc-a01
Brands
CHG Teat Dip, Avagard, Malaseb, E-Z Scrub, Supreme, Bactoshield, Tru-Blu C-Hex 110, Tru-Blu Chlor Hex-Wash, Prevantics, Paroex, Mal-A-Ket, Ketochlor, Scrub-Stat, Exidine, Keto-C
Availability
otc
Pregnancy
B
Lactation
caution
Half-life (h)
0
Onset (min)
1
Duration (h)
12
Routes
topical, oral, otic
Forms
solution, gel, mouthwash, wipe, foam, cream, ointment, spray
Regions
United States, Canada, European Union, United Kingdom, Australia, New Zealand, Japan, India
Monitoring
allergic reactions, skin irritation, oral mucosal changes

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)topical solution
Usual dose
apply 4% solution to area
Maximum
consult physician
Frequency
as needed
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)topical solution
Usual dose
apply 2% solution to area
Maximum
consult physician
Frequency
as needed
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)topical solution
Usual dose
apply 4% solution to area
Maximum
consult physician
Frequency
as needed
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Chlorhexidine is a topical antiseptic with minimal systemic absorption; oral ingestion is not typical and limited overdose data exists
Chronic overdose: not typically applicable for topical antiseptic
Immediate actions
remove from skin/eyes, rinse thoroughly, do not induce vomiting if ingested
Antidote
none specific(supportive care is primary treatment)
Poison Control: 1-800-222-1222

Special Populations

10 groups
⚠

pregnancy

first trimester
caution
FDA Category
B
Dose Adjustment

no adjustment needed for topical use

Key Recommendations

use only if clearly needed; topical application preferred over oral rinse

Monitor

standard prenatal care

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
B
Dose Adjustment

no adjustment needed for topical use

Key Recommendations

use only if benefits outweigh risks

Monitor

standard prenatal care

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
B
Dose Adjustment

no adjustment needed for topical use

Key Recommendations

can be used for surgical preparation and wound care

Monitor

standard prenatal care

Use with caution and monitor for adverse effects.

⚠

pediatric_age

neonates
caution
FDA Category
N
Dose Adjustment

use lower concentration (0.05% for skin)

Key Recommendations

avoid near eyes and mucous membranes; not for use on open wounds in premature infants

Monitor

monitor for skin irritation

Use with caution and monitor for adverse effects.

✓

pediatric_age

infants and children
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

can be used for skin antisepsis and oral rinse in children over 6 months

Monitor

monitor for skin or mucosal irritation

✓

geriatric

elderly
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

suitable for skin antisepsis before procedures

Monitor

monitor skin integrity

✓

renal_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no adjustment needed for topical use

Key Recommendations

can be used for wound care and catheter care

Monitor

none required for topical use

✓

renal_impairment

severe
safe
FDA Category
N
Dose Adjustment

no adjustment needed for topical use

Key Recommendations

continue standard topical use

Monitor

none required

✓

hepatic_impairment

any
safe
FDA Category
N
Dose Adjustment

no adjustment needed for topical use

Key Recommendations

can be used for skin antisepsis

Monitor

none required for topical use

✓

lactation

breastfeeding
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

can be used for skin antisepsis; avoid applying to breast area before breastfeeding

Monitor

none

Statistics and clinical data

drug_classWHO
2023

Drug class

Value:Antiseptic/Biguanide

Antiseptic agent classification

prescribingFDA
2023

Commonly used since

Value:1950s

Historical prescribing information

usageMedical guidelines
2023

Common uses

Value:Skin antisepsis, surgical hand scrub, wound cleansing, dental rinse, teat dipping

Common therapeutic applications

mechanismPharmacology databases
2023

Mechanism of action

Value:Disrupts bacterial cell membrane integrity

Pharmacological action description

Chlorhexidine is used to treat and prevent gingivitis (gum inflammation), manage mouth ulcers, reduce dental plaque buildup, and promote oral hygiene after dental surgery or procedures. It is also sometimes used for general mouth disinfection.

Chlorhexidine works by binding to bacterial cell membranes and disrupting their function, causing the bacteria to die. It has a broad-spectrum effect against both gram-positive and gram-negative bacteria, as well as some fungi.

Chlorhexidine is for topical/oral use only and should not be swallowed. Prolonged use may cause temporary tooth staining, altered taste, or oral irritation. It should be used as directed by a dentist or healthcare provider, typically for short-term treatment courses. Avoid contact with eyes and ears.

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 26, 2026. · Read our editorial policy