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Hydrogen Peroxide

Published: July 26, 2026Updated: August 27, 2026

Hydrogen Peroxide is an antiseptic oral rinse used for cleansing the mouth and treating minor oral irritations by releasing oxygen to help reduce bacteria in the oral cavity.

Quick summary

An antiseptic oral rinse that cleanses the mouth and reduces oral bacteria for treating minor mouth and gum irritations.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 27, 2026Editorial policy

Key facts at a glance

ATC
A01AB02
RxNorm
5492
Generic
Hydrogen Peroxide
Class
atc-a01
Brands
Peroxi-Fresh, Oxycide, ActiveOxy, Perox-A-Mint, Eskata, Peroxyl, Peroxy Shield, Preop, Periogel, Astri-UC, Pur-Oxy, Oxy Gard, Teat Dip-HP10
Availability
otc
Pregnancy
C
Lactation
unknown
Half-life (h)
0
Onset (min)
0
Duration (h)
0
Routes
topical, oral
Forms
solution, gel, mouthwash, rinse, liquid
Regions
United States, European Union, Canada, Australia, United Kingdom, Japan, worldwide
Monitoring
none

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
3% solution applied to affected area
Maximum
consult physician
Frequency
as needed
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)topical solution
Usual dose
3% solution applied to affected area
Maximum
consult physician
Frequency
as needed
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)topical solution
Usual dose
3% solution applied to affected area
Maximum
consult physician
Frequency
as needed
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose of approximately 10g or more may cause serious toxicity, particularly with solutions exceeding 30% concentration
Chronic overdose: Repeated exposure to concentrations above 3% may lead to cumulative gastrointestinal irritation and potential mucosal damage
Immediate actions
Do not induce vomiting. Gastric decontamination may be considered for large ingestions of concentrated solutions. Administer oxygen. Monitor for signs of oxygen embolism.
Antidote
No specific antidote exists(Supportive care is primary treatment; no antidote has proven effectiveness)
Poison Control: 1-800-222-1222

Special Populations

11 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

use minimal amounts

Key Recommendations

avoid internal use; topical application in dilute solutions only if benefits outweigh risks

Monitor

none required for topical use

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
C
Dose Adjustment

use minimal amounts

Key Recommendations

continue to avoid internal use; topical dilute solutions acceptable

Monitor

none required for topical use

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

use minimal amounts

Key Recommendations

avoid oral rinse use; topical application only

Monitor

none required for topical use

Use with caution and monitor for adverse effects.

⚠

lactation

breastfeeding
caution
FDA Category
C
Dose Adjustment

avoid oral use

Key Recommendations

topical application is acceptable; do not apply to nipples

Monitor

none required

Use with caution and monitor for adverse effects.

⚠

pediatric_age

infants
caution
FDA Category
C
Dose Adjustment

use only under supervision

Key Recommendations

use lower concentrations (3% or less); avoid on large body areas

Monitor

monitor for skin irritation

Use with caution and monitor for adverse effects.

⚠

pediatric_age

children
caution
FDA Category
C
Dose Adjustment

standard dilute solutions

Key Recommendations

adult supervision required; avoid ingestion

Monitor

monitor for accidental ingestion

Use with caution and monitor for adverse effects.

✓

geriatric

elderly
safe
FDA Category
C
Dose Adjustment

none

Key Recommendations

suitable for topical use; monitor for skin sensitivity

Monitor

check for skin irritation

✓

renal_impairment

mild
safe
FDA Category
C
Dose Adjustment

none

Key Recommendations

topical use is safe; no dose adjustment needed

Monitor

none

✓

renal_impairment

severe
safe
FDA Category
C
Dose Adjustment

none

Key Recommendations

topical use only; avoid any oral use

Monitor

none

✓

hepatic_impairment

mild
safe
FDA Category
C
Dose Adjustment

none

Key Recommendations

topical use is safe

Monitor

none

⚠

hepatic_impairment

severe
caution
FDA Category
C
Dose Adjustment

avoid oral use

Key Recommendations

topical application only

Monitor

none for topical use

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

Commonly prescribed since

Value:Early 1900s

General prescribing information

drug_classWHO
2023

Drug class

Value:Antiseptic/Oxidizing Agent

Drug class information

usageMedical guidelines
2023

Common uses

Value:Wound disinfection, oral rinse, hair bleaching, disinfectant

Common therapeutic uses

regulatory_statusFDA
2023

Regulatory status

Value:Over-the-counter (OTC)

FDA regulatory classification

Treatment of minor gum inflammation (gingivitis), mouth ulcers, canker sores, and general oral hygiene. May also be used as a gargle for minor throat irritation.

When applied topically, hydrogen peroxide releases oxygen through decomposition, creating an oxidative environment that kills anaerobic bacteria and helps cleanse wounds and irritated tissue in the mouth.

For oral use only when diluted. May cause temporary stinging or whitening of oral tissues. Do not swallow. Avoid prolonged use as it may disrupt normal oral flora. Consult a healthcare provider if symptoms persist beyond 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 27, 2026. · Read our editorial policy