Is it possible to gargle with chlorhexidine for pharyngitis?

Posted on by admin

Instructions for the use and application of chlorhexidine for gargling

Gargling is one of the ways to treat inflammatory throat diseases. For various localizations of inflammation, the effective antiseptic drug Chlorhexidine can be used.

Table of contents:

When to use this drug, how to gargle with chlorhexidine, is this always possible? Chlorhexidine, like other medications, has indications and limitations that must be taken into account.

Indications for use of Chlorhexidine for gargling

The main effect of Chlorhexidine is antibacterial. Under its influence, the properties of bacterial cell walls change, so these microorganisms die. This antiseptic destroys almost all types of bacteria, including those that cause tonsillitis, pharyngitis, and laryngitis. Chlorhexidine is not very effective against viruses.

Thus, it is advisable to use Chlorhexidine for the throat for bacterial infections. Namely, bacteria most often cause such diseases. In particular, tonsillitis in most cases is caused by streptococcus.

Gargling

How to gargle with Chlorhexidine? The procedure is quite simple, but it is important to know that Chlorhexidine is a product for external use; the instructions do not recommend taking it orally. Although it does not penetrate the bloodstream and is not absorbed through the mucous membranes, it is still better to adhere to the recommendations for its use.
  1. Rinse your throat with warm boiled water,
  2. Measure out an incomplete tablespoon of the drug (10-15 ml),
  3. Gargle with Chlorhexidine for at least 20 seconds and no more than a minute,
  4. Spit out the product.
  5. Do not eat or drink for an hour.

Gargling with chlorhexidine for tonsillitis and pharyngitis is usually carried out 2-3 times a day. A single application in the morning, afternoon and late afternoon is sufficient. With purulent sore throat, the effectiveness of the antiseptic is reduced, since this is hampered by pus on the surface of the tonsils. The effectiveness of Chlorhexidine during a purulent process can be increased by more thorough preliminary rinsing with boiled water and rinsing twice in one procedure. That is, after one dose of vml, you need to measure out another one and gargle again.

Be sure to follow the last point, that is, after treating your throat, do not eat or drink. Chlorhexidine is not destroyed when it gets on the mucous membrane of the throat and is not absorbed through it. Remaining a thin layer on the surface of the tonsils and pharynx, it continues its antiseptic effect. Chlorhexidine for a sore throat will bring relief by washing away purulent crusts from the tonsils; in addition, the antiseptic effect will reduce inflammation and speed up recovery.

To treat throat diseases, a pharmaceutical preparation is used in the form of a solution for local and external use, which is available in a concentration of 0.05%. This concentration is suitable for use by adults. If it is necessary to gargle for a child, then Chlorhexidine is diluted in half or 1:2 with water. However, the drug should be used to treat children only after the doctor’s permission, because children’s mucous membranes of the upper respiratory tract are much more delicate than those of adults. Children more often involuntarily swallow the medicine used to gargle, and with long-term use of Chlorhexidine it may no longer be a couple of drops of the drug, but much more.

Contraindications and special cases

A direct contraindication is an allergic reaction, although it is very rare. If you have never used Chlorhexidine before and are concerned about a possible allergy, test it first on the inside of your forearm. Apply the drug to the delicate skin closer to the bend of the elbow and leave it for about 20 minutes. If during this time there is no redness or irritation, then there is no need to fear any allergic reaction.

Another contraindication is age. According to the instructions, it is prohibited to use Chlorhexidine for rinsing in children under 5 years of age. In practice, doctors try to play it safe, and usually prescribe this remedy only to children over the age of seven.

The instructions for Chlorhexidine do not contain instructions on the use of the drug during pregnancy. However, in medical practice it is customary to influence the body as little as possible at this time of a woman’s life.

Any exposure may cause effects on the fetus. No one can guarantee the harmlessness of Chlorhexidine. Theoretically, the drug is not absorbed into the blood and does not harm the fetus. However, doctors prescribe gargling with Chlorhexidine during pregnancy, as well as during breastfeeding, with caution. If it is possible to use milder means, then they will be preferable. These are soda or saline solutions. In cases where Chlorhexidine is prescribed, it should not be used for long, usually a maximum of two weeks.

Side effects

Usually, Chlorhexidine, when used correctly, that is, when the appropriate concentration is observed (a 0.05% solution is needed for gargling), does not cause discomfort or unpleasant consequences. However, these may occur with long-term use. A more concentrated solution may cause a burning sensation in the throat after gargling. To avoid this, you should buy a solution of Chlorhexidine in a ready-made concentration needed for rinsing.

Consequences of long-term use of Chlorhexidine

  • Dry mouth
  • Changes in taste sensations
  • Darkening of tooth enamel
  • Sleep disorders.

Chlorhexidine analogs

Chlorhexidine is not the only means of such antiseptic action. Its closest analogues are solutions called Amident and Hexicon.

In addition, this remedy is included as a component in medications for sore throat. For example, lozenges Sebidin, Anti-Angin, Hexoral tabs, Anzibel lozenges, Drill.

Miramistin is similar in its mode of action and application. It is also an antiseptic, but has a broader effect: it is effective not only against bacteria, but also against fungi and viruses. For this reason, many people prefer Miramistin, but it costs much more than Chlorhexidine. When treating, for example, a sore throat, in most cases Chlorhexidine will be effective, because sore throat is most often caused by bacteria.

Remember that treatment of inflammatory diseases of the throat should be complete and comprehensive, and not limited to rinsing only, even if they are carried out with effective means.

All types of treatment must be prescribed or approved by a doctor; you should not self-medicate, and you should not delay visiting a specialist for inflammatory diseases of the throat.

Related Posts

© www.bolnoegorlo.ru All rights reserved.

Dear visitors! The information presented on the site is provided for informational purposes only. Do not self-medicate, consult your doctor.

Source: http://bolnoegorlo.ru/lekarstva-i-preparaty/instrukciya-po-primeneniyu-xlorgeksidina-dlya-poloskanie-gorla.html

Chlorhexidine: instructions for use for gargling

Chlorhexidine for rinsing the throat and mouth for inflammatory processes caused by bacteria and fungi is one of the most effective and inexpensive remedies.

These two properties make the drug popular among all groups of the population. We will tell you how to dilute and gargle with Chlorhexidine according to the instructions for use in this article.

Composition of Chlorhexidine

The drug is manufactured by a dozen pharmaceutical plants in 5 variants with different concentrations of the active substance - chlorhexidine bigluconate.

In the composition of Chlorhexidine, the instructions for use note 2 components:

The volume fraction of the active substance determines the concentration of the drug and its area of ​​application.

Chlorhexidine for throat and mouth should be 0.05%. For individual use, the medicine is sold in pom bottles. For use in medical institutions - volume up to 2 liters.

Chlorhexidine: instructions for use for gargling

The product in question is a universal antiseptic. First synthesized in the mid-twentieth century in Great Britain, for decades it was used as a disinfectant for the external treatment of damaged skin, medical instruments, and in surgical practice. Chlorhexidine bigluconate is an integral part of numerous antiseptic and regenerative drugs, in particular:

  • tablets and sprays for the throat (Anti-Sore throat, Drill, Sebidin, etc.);
  • dental gels (Metrogil Denta, Metrodent, etc.);
  • wound healing drugs (Depantol, Pantoderm, etc.);
  • anti-inflammatory corticosteroid creams (Bemilon);
  • anesthetic gels and sprays (Instillagel, Lidocaine Asept, etc.)

One of the directions of use is to gargle with Chlorhexidine according to the instructions for use for:

The effectiveness of Chlorhexidine for gargling is determined by its pronounced bactericidal and fungicidal effect. In laboratory conditions, the following results of exposure to a solution with a 0.05% concentration at an ambient temperature of 22 degrees C were demonstrated:

  • the death of bacteria occurred within 1 minute;
  • death of mushrooms - 10 minutes.

The exposure time required for the death of bacteria and fungi at a solution temperature of degrees C is reduced. To eliminate bacteria from the oral cavity in accordance with the instructions for use, it takes no more than 30 seconds. The fungicidal effect of the drug can manifest itself due to the residual amount of the drug on the mucous membrane after the procedure.

How to use Chlorhexidine for gargling according to the instructions:

  1. Measure out the required amount of 0.05% solution.
  2. If you have a liquid with a higher concentration at your disposal, it should be diluted. How to dilute Chlorhexidine for gargling will be discussed in the corresponding paragraph below.
  3. Rinse for 30 seconds.
  4. The frequency of procedures per day is up to 3.

Before being treated with Chlorhexidine and gargling with it, you should carefully read the instructions for use on the advisability of using this particular remedy.

Consumers should be warned about such side effects as darkening of tooth enamel and the appearance of deposits with frequent or long-term use of the drug.

Chlorhexidine: instructions for use for children

The algorithm for using medicine to gargle for children does not differ from that discussed above. Additional dilution to less than 0.05% is impractical because To maintain effectiveness, it will be necessary to increase the exposure time.

Before a child gargles with Chlorhexidine, it should be borne in mind that although the instructions for use indicate that an irritation reaction is rare, the solution is bitter and often causes a burning sensation. On the other hand, many children calmly tolerate the effects of the drug, which suggests individual sensitivity to the active substance.

Children are gargled 2-3 times a day, making sure that the child does not swallow the solution. For this reason, it is advisable to replace the Chlorhexidine solution in children with a spray form or give preference to another product.

Chlorhexidine during pregnancy

There are no significant restrictions on Chlorhexidine during pregnancy in the instructions for use. The substance is not absorbed from the mucosa, and if residual quantities are ingested, systemic absorption is so microscopic that it cannot have any effect on the fetus.

It should be noted that Chlorhexidine for gargling, instructions for use of which are the subject of consideration in this article, has been used for more than 6 decades. At that time, many of the antiseptics known today did not exist, and there was simply no alternative.

Gargling with Chlorhexidine: how to dilute

There is no need to dilute the 0.05% solution: the drug, as noted in the instructions for use, is ready for use.

How to dilute Chlorhexidine for gargling if you have a solution with a high content of active substance:

How to dilute Chlorhexidine for gargling for a child? Maintain the same proportions as above. Dilution below 0.05% can significantly reduce rinsing efficiency.

How to gargle with Chlorhexidine

Before gargling with Chlorhexidine, it is recommended to rinse your mouth with plain water. The instructions for use indicate the need to brush your teeth before the procedure. The drug is most effective in a neutral (pH 5-7) or slightly alkaline (pH 7-8) environment.

You should not pre-rinse with too salty or soda water, because... at pH >8, the active substance precipitates, making the procedure useless. For the same reason, you should not use hard water for hygienic cleaning of the oral cavity: this reduces the bactericidal properties of the antiseptic.

How to gargle with Chlorhexidine according to the instructions for use:

  1. Take a 0.05% solution. Or dilute it to the desired concentration. How to dilute Chlorhexidine for rinsing can be read above.
  2. Use any measuring cup and pour 15 ml of product into it.
  3. If you don’t have a measuring cup, you can use a tablespoon, the volume of which is also 15 ml.
  4. You should gargle with Chlorhexidine by throwing your head back a little, looking up and pronouncing any vowel sound as you exhale.
  5. Rinse for at least 30 seconds.
  6. It is not recommended to swallow the solution.
  7. After rinsing, the entire solution should be spat out.
  8. Abstain from eating and drinking for at least 2 hours.

You should gargle with Chlorhexidine twice a day: in the morning after breakfast and at night.

Is it possible to gargle with Chlorhexidine?

Chlorhexidine 0.05% is an effective and safe means for disinfecting the oral cavity and pharynx. The question of safety is key when we talk about whether pregnant women can gargle with Chlorhexidine: absorption from the mucous membrane, as indicated in the instructions for use, is less than 1% - this makes the drug preferable to, for example, Ingalipt spray.

When we talk about whether it is possible to gargle with Chlorhexidine for a child, then, first of all, we are concerned about how safe it is to accidentally swallow the drug. In this regard, the drug shows a good safety profile, because it is practically not absorbed from the digestive system. 15 ml of solution contains 7.5 mg of active substance.

The given indicators are calculated on the basis of laboratory data obtained in the experiment after a single ingestion of 600 ml of a 0.05% solution.

Chlorhexidine for sore throat

Gargling with Chlorhexidine is recommended for sore throat. The medicine acts on a wide range of pathogens. The instructions for use note that bacterial resistance to it does not develop.

For tonsillitis, it is advisable to gargle three times a day. It is not recommended to be treated for longer than 7 days without a break, because... the drug causes tooth discoloration. If necessary, continue the procedure, you should change the medicine to one of the analogues. You can learn how to gargle with a sore throat from the paragraph above.

Is it possible to rinse your mouth with Chlorhexidine?

The rinse solution is also used to treat infectious lesions of the oral mucosa, gums, and as an antiseptic and wound-healing agent after surgical interventions in the oral cavity.

How to make a mouthwash

Strictly speaking, when we gargle, we are actually gargling not so much our throat as our mouth. And this is justified, because the bulk of bacteria is located in the mouth, from where they infect the pharynx.

Mouth rinsing is also indicated for infectious lesions of the mucous membrane: stomatitis, gingivitis. A 0.05% or more concentrated solution of Chlorhexidine is used, as we described above for diluting. If ineffective, the concentration of the solution can be increased to 0.2%.

Chlorhexidine solution: analogues

The active ingredient of the drug in question is included in other medicines with a similar scope of application and dosage suitable for gargling. These are medicines such as:

They are complete analogues of Chlorhexidine. Meanwhile, pharmacies also have analogues of action, i.e. local antibacterial drugs - numerous antiseptics. Let's look at the most famous and comparable in price.

Chlorhexidine or hydrogen peroxide: which is better?

There have been no clinical comparison studies on whether peroxide or chlorhexidine is better for gargling for respiratory diseases. We can confidently assume that the antimicrobial activity is higher for the second drug.

Hydrogen peroxide, in turn, is good at oxidizing organic substances, incl. pus, effectively promotes its mechanical removal. This property allows the substance to be used for hygienic rinsing for sore throats. In addition, peroxide does not affect the color of teeth. The cost of the drugs is comparable.

Furacilin

It is one of the well-known, inexpensive and widely used antiseptics both in hospitals and at home. Available in several forms:

  • alcohol solution;
  • water solution;
  • tablets for dissolution.

Nitrofural, which is part of Furacilin, exhibits bactericidal properties (including against staphylococci) and has a fungicidal effect (against fungi).

As noted in the instructions for use, cases of bacterial resistance are rare, but resistance does not reach a high degree. As a rinse solution, Furacilin is better tolerated.

Miramistin

Being an innovative antiseptic, Miramistin occupies a place on the list of the best drugs for rinsing the throat and mouth, not only in terms of its antimicrobial effectiveness, but also in terms of its consumer characteristics. Very well tolerated, does not cause irritation, has no taste or smell, and there are no unpleasant effects. At the same time, Miramistin is much more expensive than Chlorhexidine.

Gargling with Chlorhexidine: reviews

As a budget gargle, the product in question receives positive reviews. Consumers highlight the following advantages of the drug:

  • effective to the same extent as other more expensive antiseptics;
  • available - available in any pharmacy, low price.

At the same time, patients who have high demands on the quality of medicines (taste characteristics, minimal side effects) prefer more expensive analogues, motivating their decision by such negative aspects of using the drug as:

  • bitter taste;
  • burning;
  • consumers with hypersensitivity note in their reviews that Chlorhexidine, when gargling, causes nausea and vomiting;
  • decrease in the tone of tooth enamel (indicated in the instructions for use);
  • the need to dilute the drug (highly concentrated options).

Chlorhexidine in a child's throat: reviews

The question of whether children can gargle, given the not very pleasant taste and indirect effect of the drug, worries many parents. There are no official contraindications for children. Even if the child does not know how to rinse, application or spraying can be done in other ways.

But since the only advantage of the drug in question is its low price, then, all other things being equal, Chlorhexidine for the throat for children does not seem to be the right choice.

Useful video

Additional information about the drug Chlorhexidine and the diseases for which it is effective is in the following video:

Conclusion

The rinsing solution, the instructions for use for which we reviewed in this article, has been successfully used for decades in a row. The drug has proven its effectiveness, and its economical price makes it an alternative to expensive antiseptics.

However, the negative aspects of the drug largely offset its advantages. If 20 years ago it was used quite often for gargling, today there is a tendency to switch to more advanced medicines.

An adequate replacement for Chlorhexidine for gargling with sore throat and pharyngitis can be the following:

Did you like the article? Rate the material!

Do you have a question or experience regarding this issue? Ask a question or tell us about it in the comments.

Chlorhexidine is a strong drug, and it’s not for nothing that they even treat the skin with it before surgery. Therefore, you need to gargle carefully, preferably diluted. The instructions for Metrogyl Dent, which contains chlorhexidine, even indicate that the course of treatment should not exceed 7-10 days, otherwise there will be side effects.

All my life I’ve been treating skin sores with chlorhexidine and metrogyl, from abrasions to acne, and I couldn’t even think that it would help my throat. A universal soldier, no less!

Chlorhexidine is generally good for the oral cavity, because it was even added to the composition of Metrogyl Dent. Apparently, the spectrum of action is suitable.

Source: http://www.pulmonologiya.com/preparaty/bol-v-gorle/hlorgeksidin.html

How to gargle with Chlorhexidine

Every person has a sore throat from time to time. First aid in this case is rinsing. It can be carried out using improvised means (salt, soda, iodine) or pharmaceutical solutions. Chlorhexidine is considered very popular and effective. It can be found in any pharmacy at an affordable price. The scope of use of this solution is wide, so you need to know all the features of its use for treating a sore throat.

Composition and characteristics of Chlorhexidine

Chlorhexidine is a local antiseptic with a pronounced bactericidal effect. Effective against many bacteria, but powerless against viruses and fungi. The only exceptions are herpes viruses, which die when interacting with the solution. The active ingredient is chlorhexidine bigluconate.

Chlorhexidine is produced by many pharmaceutical companies in different concentrations - from 0.05% to 20%. A solution of 0.05%, 0.1% and 0.2% is used in surgical operations for the prevention of infectious diseases, in dentistry, for treating the skin for various diseases, in gynecological and urological practice, for the prevention of diseases of the genital organs. 0.5% and 1% liquid is used to treat mechanical and thermal damage to the mucous membranes and skin, as well as the treatment of medical instruments. In higher concentrations (5% and 20%) Chlorhexidine is diluted with water.

The product is available in the form of a solution or spray in glass or plastic bottles with a volume of 100 to 500 ml. It is made on a water, alcohol or glycerin basis, with the addition of auxiliary substances. The result is a transparent or slightly yellowish liquid, without a pronounced odor, with a bitter aftertaste. Available in pharmacies without a prescription.

Chlorhexidine for the throat has no direct analogues. As an indirect alternative, you can take Furacillin, Miramistin, Octenisept, Chlorophyllipt. They have a completely different composition, but are similar in their antiseptic effect. In addition, the price category of Chlorhexidine is much lower than that of other similar drugs.

Storage conditions for the drug include a dark, not sunny place, without any foreign strong odors. The temperature should not exceed 25°. The shelf life depends on the type of solution: 0.05% - 2 years, 20% - 3 years, diluted liquid - up to 7 days.

The characteristics of Chlorhexidine indicate the unconditional availability, effectiveness and safety of the drug for treating the throat and more.

The use of Chlorhexidine for throat diseases

The high effectiveness of Chlorhexidine for the treatment of throat diseases has been proven by laboratory studies. It has a powerful antibacterial and antiseptic effect for pharyngitis, acute respiratory diseases, and tonsillitis. The death of bacteria after treatment of the mucous membrane occurs within 1-2 minutes. If the ambient temperature rises above 20°C, the effectiveness of the drug also increases. In addition, Chlorhexidine creates a thin protective film on the mucous membrane, which has an antiseptic effect for some time after rinsing.

Chlorhexidine - instructions for use and for gargling state that it helps to quickly get rid of inflammation and pain in the larynx during sore throat. Sore throat is a serious disease that affects the tonsils. It manifests itself as severe pain and purulent plugs in the throat, and therefore requires immediate and comprehensive treatment. Rinse must be present in the treatment regimen.

Before using chlorhexidine bigluconate, you need to carefully read the contraindications so that instead of treatment it does not cause harm to the body. The instructions highlight the following conditions in the presence of which you should not use the product:

  • individual intolerance to components,
  • dermatitis of various etiologies,
  • children up to 5 years old,
  • diseases in the field of ophthalmology,
  • during surgical interventions on the auditory canal and central nervous system,
  • simultaneous use with other antiseptics.

Adverse reactions from rinsing with Chlorhexidine were extremely rare, but they did occur. Some patients complained of the appearance of dermatitis, dryness and itching of the skin, allergic rash, darkening of tooth enamel, and changes in taste perception. At the first sign of any of these conditions, you should immediately stop using the product and consult your doctor about replacement options.

Chlorhexidine - gargling and instructions

Gargling with Chlorhexidine is usually done with a 0.05 percent solution. It does not require dilution with water. While 0.2% must be diluted with water in a ratio of 1:4, respectively, as well as 0.5% in a ratio of 1:10, 1% - 1:20, 5% - 1:100.

Proper rinsing should begin with preliminary cleaning of the mouth, then the medicine will have the most effective effect on pathogens. The instructions themselves indicate that you need to brush your teeth. Then you can proceed directly to the procedure.

How to dilute Chlorhexidine for gargling, if only a highly concentrated solution is available, is described above. But it is still better to purchase 0.05% rinse liquid. Unscrew the bottle and pour 15 ml of Chlorhexidine into the glass. It is advisable to use a measuring container for this. You can also use a tablespoon, the volume of which is approximately 15 ml. It is not recommended to measure completely by eye; you can overdo it and overly dry out the mucous membrane of the larynx.

The rinsing process itself is similar to the same procedure with any other medicinal product. Each approach should last at least seconds, preferably 1 minute. The head should be thrown back well. Afterwards, you should not eat or drink for 1-2 hours. You need to rinse 2 times a day in the morning and before bed. For severe sore throat, the number of approaches can be increased up to 3 times. You can also irrigate the mucous membrane with a solution of Chlorhexidine by spraying. The frequency of approaches is similar. The entire course of treatment should not exceed 7-10 days. Longer use of the drug can lead to dryness and burning in the mouth, and staining of the teeth.

It is strictly forbidden to swallow liquid. It is toxic and can harm the stomach. If ingestion occurs accidentally, you must immediately take the adsorbent. Ingestion of the solution in large quantities requires gastric lavage.

Features of Chlorhexidine for children and pregnant women

Children suffer from colds, which are accompanied by inflammation of the mucous membrane, swelling, pain, and sore throat, much more often than adults. The pediatrician usually prescribes rinses to relieve discomfort and prevent bacteria from multiplying. Chlorhexidine can be used for children who have reached 5 years of age. The main condition is that the child knows how to rinse correctly and does not swallow the liquid.

If the parents decide that they need to gargle with Chlorhexidine, then how to dilute it. It's simple: you need to buy a product containing 0.05% chlorhexidine bigluconate at the pharmacy, and then you won't have to add water. A less concentrated solution will bring virtually no therapeutic results. Therefore, if a child refuses such rinses (perhaps due to an unpleasant bitter taste), the product should simply be replaced with a more acceptable one.

The frequency of gargling a child's throat with Chlorhexidine should not exceed 2 times a day. Regardless of the severity of the pain syndrome and the severity of the patient’s condition, the dosage cannot be increased. This increases the risk of allergic reactions and dry mucous membranes. The duration of treatment is no more than 10 days.

Pregnancy and breastfeeding are not contraindications for topical treatment with Chlorhexidine. It does not have the ability to be absorbed into the blood, which means it does not penetrate the placenta and into mother’s milk. Laboratory studies have not shown any negative effect of the drug components on the fetus. The only recommendation during this period is a short course of treatment, up to 7 days.

Chlorhexidine mouth rinse

Due to its high antiseptic activity, the product is actively used in dentistry for the following diseases and pathologies:

  • periodontitis
  • gingivitis
  • stomatitis
  • alveolitis
  • bleeding gums
  • inflammation of the wisdom tooth hood
  • infections after tooth extraction
  • opening the flux
  • disinfection of removable dentures.

Oral rinsing is also carried out with a 0.05 percent solution of Chlorhexidine. But there are some differences from similar procedures for the throat. So, you can start rinsing only after treatment of a particular problem at the dentist. It is not possible to cure the disease solely with Horhexidine. It is only an auxiliary symptomatic remedy.

During the procedure, you must avoid active movements of liquid in the mouth, otherwise you can cause blood and damage to the drainage (with flux). The duration of use of the drug should not exceed more than one day. A long course of treatment will lead to the destruction of beneficial bacteria and, subsequently, stomatitis. The action of Chlorhexidine is aimed exclusively at harmful bacteria. Therefore, it is not prescribed for viral infections of the oral cavity.

The wide range of applications of Chlorhexidine makes it in demand in the treatment of many diseases. But, in any case, a decision on the advisability of its use in a particular case should be made exclusively by a doctor based on individual indications.

Source: http://gorlonos.ru/nose/lechenie-procedury/poloskanie-gorla-hlorgeksidinom.html

First Doctor

Is it possible to gargle with chlorhexidine for pharyngitis?

Inflammatory processes in the pharynx sometimes cause quite severe pain. Chlorhexidine, used as a gargle, helps relieve pain of various types.

The effectiveness of external treatment is ensured by the ability of the drug to destroy pathogenic gram-positive and gram-negative pathogenic microorganisms at the cellular level.

It is better to buy a solution of Chlorhexidine for gargling in the form of a ready-made medicine of 0.05% concentration. A more concentrated drug must be diluted with distilled or boiled water to protect against burns to the mouth or an allergic reaction of the body.

Chlorhexidine bigluconate is a modern antiseptic with a fairly wide spectrum of action.

How is the remedy used to treat children and pregnant women?

Is it possible to gargle with Chlorhexidine for children? A question that interests many parents. The product is recommended for use when children reach 6 years of age. By this time, the child should be able to perform the rinsing procedure and not swallow the medicine. Adults are required to supervise the process to avoid an accident.

Gargling with Chlorhexidine during pregnancy is recommended only as a last resort, when other means do not lead to a positive result, and under the close supervision of your doctor.

The 0.05% solution can not be diluted with water, but during the procedure it is better to use half the recommended dose:

  • Before treatment, you should thoroughly clean your mouth by rinsing it with clean water.
  • Use a teaspoon of warm Chlorhexidine solution to treat the throat for 30 seconds
  • After the rinsing procedure, it is recommended not to eat or drink for 1 - 1.5 hours

Since the recommended concentration for the treatment of throat diseases is 0.05%, it is better to immediately purchase the drug, ready for use. At other concentrations of Chlorhexidine, its dilution should be carried out in distilled or boiled water, cooled to room temperature.

When gargling with Chlorhexidine, how to dilute the medicine to achieve the desired effect? For various categories of patients, the following recommendations should be followed:

  • A 0.05% solution does not require dilution when used by adults and children over 12 years of age. It is possible to heat the medicine in a water bath to a warm state. The same composition is allowed for pregnant and lactating women.
  • When using the drug as a gargle for children aged 6 to 12 years, it is advisable to dilute the liquid in half with boiled warm water.
  • Children under 6 years old should use a Chlorhexidine solution diluted in a ratio of 1:2. A single dose is no more than 1 teaspoon.

It should be remembered that the product loses its antiseptic qualities within minutes if left open. For the effectiveness of using the drug in the treatment of the throat, it is necessary to prepare the composition in the required quantity.

No side effects have been identified with external use, but care should be taken when rinsing to avoid accidentally swallowing the solution.

If a child involuntarily swallows the medicine, you must immediately:

  • Give at least 2 glasses of clean water to drink
  • Induce vomiting
  • Drink activated carbon (1 tablet per 10 kg of person’s weight)

The same recommendations apply to adults who accidentally swallowed a solution of the drug.

Chlorhexidine for a sore throat is used in ml quantities, which corresponds to 1 tablespoon. This dose is recommended for rinsing 3-4 times a day. First you need to rinse your mouth very thoroughly with warm water.

Brushing your teeth with toothpaste before rinsing with the medicine is not recommended, since the components that make up the drug may react with the ingredients of the hygiene product.

How long does treatment last?

The duration of treatment for throat diseases is 7 days, but if necessary, can be extended to two weeks. It is advisable to coordinate the timing and dosage with your doctor.

Sore throat appears for various reasons. Therefore, before self-medicating, you need to visit a doctor and undergo an examination. Establishing a correct diagnosis helps eliminate the cause of the disease and prescribe the course of necessary treatment.

There are not many of them:

  • Hypersensitivity to individual components of the drug
  • Avoid simultaneous use of Chlorhexidine when treating a throat with other antiseptics (for example, hydrogen peroxide)

Medical practice suggests that in most cases, patients who have used Chlorhexidine for a sore throat speak only positively about it. They note that when the affected area is treated with a solution, a favorable antiseptic effect appears in the shortest possible time. For this reason, this drug has found wide use not only among ENT doctors, but also among dentists, as well as in gynecology. Moreover, the side effects described above occur in extremely rare cases, mainly when the instructions for its use are not followed.

(5 votes, average: 4 out of 5)

Chlorhexidine for rinsing the throat and mouth for inflammatory processes caused by bacteria and fungi is one of the most effective and inexpensive remedies.

These two properties make the drug popular among all groups of the population. We will tell you how to dilute and gargle with Chlorhexidine according to the instructions for use in this article.

The drug is manufactured by a dozen pharmaceutical plants in 5 variants with different concentrations of the active substance - chlorhexidine bigluconate.

In the composition of Chlorhexidine, the instructions for use note 2 components:

The volume fraction of the active substance determines the concentration of the drug and its area of ​​application.

Chlorhexidine for throat and mouth should be 0.05%. For individual use, the medicine is sold in pom bottles. For use in medical institutions - volume up to 2 liters.

The product in question is a universal antiseptic. First synthesized in the mid-twentieth century in Great Britain, for decades it was used as a disinfectant for the external treatment of damaged skin, medical instruments, and in surgical practice. Chlorhexidine bigluconate is an integral part of numerous antiseptic and regenerative drugs, in particular:

  • tablets and sprays for the throat (Anti-Sore throat, Drill, Sebidin, etc.);
  • dental gels (Metrogil Denta, Metrodent, etc.);
  • wound healing drugs (Depantol, Pantoderm, etc.);
  • anti-inflammatory corticosteroid creams (Bemilon);
  • anesthetic gels and sprays (Instillagel, Lidocaine Asept, etc.)

One of the directions of use is to gargle with Chlorhexidine according to the instructions for use for:

The effectiveness of Chlorhexidine for gargling is determined by its pronounced bactericidal and fungicidal effect. In laboratory conditions, the following results of exposure to a solution with a 0.05% concentration at an ambient temperature of 22 degrees C were demonstrated:

  • the death of bacteria occurred within 1 minute;
  • death of mushrooms - 10 minutes.

When the temperature of the environment or Chlorhexidine increases, the instructions for use note that the effectiveness of the drug increases.

The exposure time required for the death of bacteria and fungi at a solution temperature of degrees C is reduced. To eliminate bacteria from the oral cavity in accordance with the instructions for use, it takes no more than 30 seconds. The fungicidal effect of the drug can manifest itself due to the residual amount of the drug on the mucous membrane after the procedure.

How to use Chlorhexidine for gargling according to the instructions:

  1. Measure out the required amount of 0.05% solution.
  2. If you have a liquid with a higher concentration at your disposal, it should be diluted. How to dilute Chlorhexidine for gargling will be discussed in the corresponding paragraph below.
  3. Rinse for 30 seconds.
  4. The frequency of procedures per day is up to 3.

Before being treated with Chlorhexidine and gargling with it, you should carefully read the instructions for use on the advisability of using this particular remedy.

Consumers should be warned about such side effects as darkening of tooth enamel and the appearance of deposits with frequent or long-term use of the drug.

The algorithm for using medicine to gargle for children does not differ from that discussed above. Additional dilution to less than 0.05% is impractical because To maintain effectiveness, it will be necessary to increase the exposure time.

Before a child gargles with Chlorhexidine, it should be borne in mind that although the instructions for use indicate that an irritation reaction is rare, the solution is bitter and often causes a burning sensation. On the other hand, many children calmly tolerate the effects of the drug, which suggests individual sensitivity to the active substance.

Children are gargled 2-3 times a day, making sure that the child does not swallow the solution. For this reason, it is advisable to replace the Chlorhexidine solution in children with a spray form or give preference to another product.

There are no significant restrictions on Chlorhexidine during pregnancy in the instructions for use. The substance is not absorbed from the mucosa, and if residual quantities are ingested, systemic absorption is so microscopic that it cannot have any effect on the fetus.

It should be noted that Chlorhexidine for gargling, instructions for use of which are the subject of consideration in this article, has been used for more than 6 decades. At that time, many of the antiseptics known today did not exist, and there was simply no alternative.

Over such a long period of use of this medicine, no negative effects were noted, and the recorded side effects were minimal and rare.

There is no need to dilute the 0.05% solution: the drug, as noted in the instructions for use, is ready for use.

How to dilute Chlorhexidine for gargling if you have a solution with a high content of active substance:

How to dilute Chlorhexidine for gargling for a child? Maintain the same proportions as above. Dilution below 0.05% can significantly reduce rinsing efficiency.

Before gargling with Chlorhexidine, it is recommended to rinse your mouth with plain water. The instructions for use indicate the need to brush your teeth before the procedure. The drug is most effective in a neutral (pH 5-7) or slightly alkaline (pH 7-8) environment.

You should not pre-rinse with too salty or soda water, because... at pH >8, the active substance precipitates, making the procedure useless. For the same reason, you should not use hard water for hygienic cleaning of the oral cavity: this reduces the bactericidal properties of the antiseptic.

How to gargle with Chlorhexidine according to the instructions for use:

  1. Take a 0.05% solution. Or dilute it to the desired concentration. How to dilute Chlorhexidine for rinsing can be read above.
  2. Use any measuring cup and pour 15 ml of product into it.
  3. If you don’t have a measuring cup, you can use a tablespoon, the volume of which is also 15 ml.
  4. You should gargle with Chlorhexidine by throwing your head back a little, looking up and pronouncing any vowel sound as you exhale.
  5. Rinse for at least 30 seconds.
  6. It is not recommended to swallow the solution.
  7. After rinsing, the entire solution should be spat out.
  8. Abstain from eating and drinking for at least 2 hours.

You should gargle with Chlorhexidine twice a day: in the morning after breakfast and at night.

Chlorhexidine 0.05% is an effective and safe means for disinfecting the oral cavity and pharynx. The question of safety is key when we talk about whether pregnant women can gargle with Chlorhexidine: absorption from the mucous membrane, as indicated in the instructions for use, is less than 1% - this makes the drug preferable to, for example, Ingalipt spray.

When we talk about whether it is possible to gargle with Chlorhexidine for a child, then, first of all, we are concerned about how safe it is to accidentally swallow the drug. In this regard, the drug shows a good safety profile, because it is practically not absorbed from the digestive system. 15 ml of solution contains 7.5 mg of active substance.

After accidental ingestion of such an amount, the maximum concentration in the blood is reached after 30 minutes and is 0.mg/l, i.e. Only 0.0002% of the substance is absorbed from the gastrointestinal tract, which can be considered as a statistical error in the analytical technique.

The given indicators are calculated on the basis of laboratory data obtained in the experiment after a single ingestion of 600 ml of a 0.05% solution.

Gargling with Chlorhexidine is recommended for sore throat. The medicine acts on a wide range of pathogens. The instructions for use note that bacterial resistance to it does not develop.

For tonsillitis, it is advisable to gargle three times a day. It is not recommended to be treated for longer than 7 days without a break, because... the drug causes tooth discoloration. If necessary, continue the procedure, you should change the medicine to one of the analogues. You can learn how to gargle with a sore throat from the paragraph above.

The rinse solution is also used to treat infectious lesions of the oral mucosa, gums, and as an antiseptic and wound-healing agent after surgical interventions in the oral cavity.

Strictly speaking, when we gargle, we are actually gargling not so much our throat as our mouth. And this is justified, because the bulk of bacteria is located in the mouth, from where they infect the pharynx.

Mouth rinsing is also indicated for infectious lesions of the mucous membrane: stomatitis, gingivitis. A 0.05% or more concentrated solution of Chlorhexidine is used, as we described above for diluting. If ineffective, the concentration of the solution can be increased to 0.2%.

The active ingredient of the drug in question is included in other medicines with a similar scope of application and dosage suitable for gargling. These are medicines such as:

They are complete analogues of Chlorhexidine. Meanwhile, pharmacies also have analogues of action, i.e. local antibacterial drugs - numerous antiseptics. Let's look at the most famous and comparable in price.

There have been no clinical comparison studies on whether peroxide or chlorhexidine is better for gargling for respiratory diseases. We can confidently assume that the antimicrobial activity is higher for the second drug.

Hydrogen peroxide, in turn, is good at oxidizing organic substances, incl. pus, effectively promotes its mechanical removal. This property allows the substance to be used for hygienic rinsing for sore throats. In addition, peroxide does not affect the color of teeth. The cost of the drugs is comparable.

It is one of the well-known, inexpensive and widely used antiseptics both in hospitals and at home. Available in several forms:

  • alcohol solution;
  • water solution;
  • tablets for dissolution.

Nitrofural, which is part of Furacilin, exhibits bactericidal properties (including against staphylococci) and has a fungicidal effect (against fungi).

As noted in the instructions for use, cases of bacterial resistance are rare, but resistance does not reach a high degree. As a rinse solution, Furacilin is better tolerated.

Being an innovative antiseptic, Miramistin occupies a place on the list of the best drugs for rinsing the throat and mouth, not only in terms of its antimicrobial effectiveness, but also in terms of its consumer characteristics. Very well tolerated, does not cause irritation, has no taste or smell, and there are no unpleasant effects. At the same time, Miramistin is much more expensive than Chlorhexidine.

As a budget gargle, the product in question receives positive reviews. Consumers highlight the following advantages of the drug:

  • effective to the same extent as other more expensive antiseptics;
  • available - available in any pharmacy, low price.

At the same time, patients who have high demands on the quality of medicines (taste characteristics, minimal side effects) prefer more expensive analogues, motivating their decision by such negative aspects of using the drug as:

  • bitter taste;
  • burning;
  • consumers with hypersensitivity note in their reviews that Chlorhexidine, when gargling, causes nausea and vomiting;
  • decrease in the tone of tooth enamel (indicated in the instructions for use);
  • the need to dilute the drug (highly concentrated options).

The question of whether children can gargle, given the not very pleasant taste and indirect effect of the drug, worries many parents. There are no official contraindications for children. Even if the child does not know how to rinse, application or spraying can be done in other ways.

In reviews of the use of Chlorhexidine in a child's throat, options such as spraying on the inside of the cheek, on the pacifier, and lubricating the oral mucosa are noted.

But since the only advantage of the drug in question is its low price, then, all other things being equal, Chlorhexidine for the throat for children does not seem to be the right choice.

Additional information about the drug Chlorhexidine and the diseases for which it is effective is in the following video:

The rinsing solution, the instructions for use for which we reviewed in this article, has been successfully used for decades in a row. The drug has proven its effectiveness, and its economical price makes it an alternative to expensive antiseptics.

However, the negative aspects of the drug largely offset its advantages. If 20 years ago it was used quite often for gargling, today there is a tendency to switch to more advanced medicines.

An adequate replacement for Chlorhexidine for gargling with sore throat and pharyngitis can be the following:

  • Miramistin;
  • Octenisept;
  • Tantum Verde Forte (rinses - from 12 years);
  • Chlorophyllipt.

One of the main ways to treat a sore throat is to gargle. This procedure can be carried out with decoctions of some herbs (chamomile, sage, calendula), simple solutions prepared at home (salt, soda), or with ready-made pharmaceutical products.

Chlorhexidine, an antiseptic drug with a predominantly antibacterial effect, is often used to gargle for inflammation of the tonsils, pharynx and pharynx. Chlorhexidine changes the properties of the bacterial cell wall, which leads to its destruction and death.

This antiseptic is capable of destroying almost all types of bacteria, including those that cause sore throat and other diseases of the pharynx and pharynx, but has no effect on Mycobacterium tuberculosis.

The instructions for the drug warn that this drug is ineffective against fungi and viruses, therefore, for diseases caused by these microorganisms, there is no point in using Chlorhexidine.

The only exception is the herpes virus, which has a complex structure and is destroyed under the influence of this antiseptic.

Attention! We recommend

For the treatment and prevention of sore throats, ARVI and influenza in children and adults, Elena Malysheva recommends the effective drug Immunity from Russian scientists. Thanks to its unique, and most importantly 100% natural composition, the drug is extremely effective in treating sore throats, colds and strengthening the immune system.

Read about Malysheva’s technique...

The antiseptic is also known as Chlorhexidine bigluconate. The closest analogues of this pharmacological agent are antiseptic solutions Hexicon, Amident.

In addition, Chlorhexidine is included in many medications for sore throat - oral tablets Anti-Angin, Hexoral Tabs, Sebidine, Drill and Anzibel lozenges. There are also oral care products containing Chlorhexidine.

The antiseptic Miramistin is similar to Chlorhexidine in its mode of action and area of ​​application. However, these drugs are not interchangeable.

The difference between these agents lies in their active components and the sphere of influence on microorganisms. Miramistin is active against bacteria, viruses and fungi, while Chlorhexidine is considered primarily an antibacterial agent.

An important factor is the price difference, because Miramistin is a more expensive medicine. If it is known that the disease is caused precisely by bacteria, there is no point in overpaying for Miramistin, because Chlorhexidine is in no way inferior to it in terms of antibacterial properties.

The scope of application of Chlorhexidine is very wide and includes gynecological therapeutic and preventive procedures, treatment of sexually transmitted infections, surgical treatment of the surgical field, instruments, surgeon's hands, treatment of the umbilical wound of newborns.

The antiseptic has also found application in the treatment of various wounds, burns, and diseases of the oral cavity.

Chlorhexidine bigluconate is produced in several dosage forms that have different areas of application - in solutions of different concentrations, gels, suppositories. In the treatment of ENT diseases, a 0.05% solution of Chlorhexidine is most often used. Its main use is the treatment of inflamed mucous membranes with pharyngitis or tonsillitis by gargling or irrigating the tonsils with a solution from a bottle.

You can also gargle with Chlorhexidine if you have a sore throat, including purulent one. The presence of pus on the surface of the tonsils only slightly reduces the effectiveness of this antiseptic. For purulent sore throat, before using this drug, you can gargle with plain water to mechanically cleanse the tonsils of pus, and then use Chlorhexidine bigluconate.

It is not advisable to rinse the throat and throat with any other antiseptic during treatment with Chlorhexidine. Rinsing with ordinary boiled water immediately before using the antiseptic will be quite sufficient.

Chlorhexidine digluconate for sore throat and pharyngitis is used only 2 or 3 times a day, therefore, if more frequent treatment of the inflamed mucous is necessary, you can additionally gargle with simple solutions or herbal decoctions.

So, after preliminary rinsing the mouth and throat with water, you need to take Chlorhexidine in an amount of ml, which is approximately equal to the volume of liquid in a dessert or tablespoon. You should gargle with it for about 20 seconds to a minute.

Feedback from our reader - Olga Solotvina

I recently read an article that talks about the natural remedy Immunity, which contains 25 medicinal herbs and 6 vitamins, for the treatment and prevention of colds, sore throats, pharyngitis and many other diseases at home.

I’m not used to trusting any information, but I decided to check and ordered one package. A cold complicated by a sore throat went away in just a couple of days. Now we drink for preventive purposes, preparing for autumn. Try it too, and if anyone is interested, below is the link to the article.

Then the drug must be spat out, since the instructions do not recommend the use of this medicine orally. A single rinse is quite enough for a one-time treatment of the mucous membrane. Repeated rinsing (immediately after the first) is allowed for purulent sore throat.

To gargle children with a 0.05% solution of the drug Chlorhexidine bigluconate, it is allowed to dilute it with water in a ratio of 1:1 or 1:2.

In general, this remedy should be used with caution in children and only after permission from a doctor.

Chlorhexidine is almost not absorbed into the blood and is not destroyed, therefore for some time after use it continues to exert its antiseptic effect.

In this regard, it is recommended to refrain from eating and drinking for an hour after using the drug. Treatment of tonsils when they are inflamed is also done by irrigation, that is, “watering” their surface with an antiseptic directly from a plastic bottle with a special nozzle. This method of treatment has its drawback, namely the difficulty of correctly calculating the dose of the medicine.

All the same quantities of solution are required for processing, but since there is no dispenser on the bottle, it can be quite difficult to determine how much antiseptic was actually used.

The instructions for Chlorhexidine contain some warnings regarding the use of this product. For example, it should not be used if there is a local allergic reaction to the drug or various inflammations of the skin (although in this case you should consult a doctor, since the antiseptic will be used for rinsing the mucous membrane and not treating the skin).

If the wrong concentration of the drug is used topically, Chlorhexidine may cause a burning sensation.

The instructions warn that this is possible if, for example, you rinse the oropharynx with a 0.5% (or even stronger) antiseptic solution. If a burning sensation occurs after using the drug, you need to check the concentration of the drug on the package and henceforth use a 0.05% solution or, maximum, 0.1%. Long-term use of an antiseptic is also undesirable, as this can lead to:

  • Sleep disorders
  • Dry mouth
  • Changes in taste sensations,
  • Darkening of tooth enamel,
  • Increased formation of tartar.

Chlorhexidine bigluconate should be used with caution during pregnancy, although the instructions do not contain any special instructions or warnings regarding the use of this antiseptic during pregnancy and breastfeeding.

Since the drug acts locally and is not absorbed into the bloodstream, it does not have a negative effect on the fetus. However, despite its safety, you should not use this antiseptic for a long time (more than two weeks) during pregnancy.

If there is a need to use an antiseptic during pregnancy and breastfeeding for more than 2 weeks, you should talk to your doctor about a possible replacement of the drug.

Also, if there are doubts about the safety of an antiseptic during pregnancy, it is allowed to use other rinses for the treatment of sore throat or pharyngitis:

  • Soda-salt solution,
  • Infusion of chamomile and calendula,
  • Furacilin solution,
  • The drug Tantum Verde and others.

It should be remembered that sore throat, and especially during pregnancy, must be treated comprehensively and rinsing alone will not work. It is necessary to take antibiotics internally, adhere to the regimen, drink plenty of fluids, and, if necessary, symptomatic medication (antipyretic, antiallergic).

Self-medication for inflammation of the tonsils is a very dangerous thing, since some complications of tonsillitis can make a person disabled. Therefore, you should not risk your health; it is better to trust your doctor in matters of making a diagnosis, choosing a treatment method, and especially specific medications.

Do you still think that it is impossible to get rid of constant colds, FLU and THROAT DISEASES!?

Judging by the fact that you are reading this article, you know firsthand what it is:

  • severe pain in the throat even when swallowing saliva...
  • constant feeling of a lump in the throat...
  • chills and weakness in the body...
  • "breaking" of bones at the slightest movement...
  • complete loss of appetite and strength...
  • constant nasal congestion and coughing up snot...

Now answer the question: are you satisfied with this? Can ALL THESE SYMPTOMS be tolerated? How much time have you already wasted on ineffective treatment? After all, sooner or later the SITUATION WILL GET WORSE. And things could end badly...

That's right - it's time to start ending this problem! Do you agree? That is why we decided to publish Elena Malysheva’s exclusive method, in which she revealed the secret of strengthening immunity in children and adults, and also talked about methods of preventing COLD DISEASES. Read more…

Source: http://first-doctor.ru/mozhno-li-poloskat-gorlo-hlorgeksidinom-pri-faringite/