Chlorhexidine Allergy: ANSM Guidelines and Alternatives | Symptoms, Risks & Precautions

2023-12-07 11:47:39

The increase in cases of serious allergic reactions linked to chlorhexidine in France has prompted the ANSM to issue guidelines. It is important to be aware of allergy symptoms, such as hives and facial swelling, and to avoid using chlorhexidine as your first disinfectant. Alternatives such as povidone-iodine or sodium hypochlorite are recommended in hospitals.

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Chlorhexidine is found in several products, including skin antiseptics, mouthwashes, toothpastes, certain cosmetics, oral spray solutions, eye drops, urological gels, and lozenges. It is used for its antibacterial and antiseptic properties. The recent increase in the number of cases of serious allergic reactions associated with chlorhexidine raises significant public health concerns, especially in France where exposure to this compound is particularly high. This situation highlights the increased need for information and precautions regarding the use of chlorhexidine. This is why theANSM (National Agency for the Safety of Medicines and Health Products) has written a press release on the subject.

The main information you need to know regarding chlorhexidine

People who use chlorhexidine should be aware of the symptoms of possible serious allergic reactions to this component because they are not uncommon. This includes hives, facial swelling and difficulty breathing. This can lead to anaphylactic shock, which is a medical emergency.

The ANSM advises avoiding using chlorhexidine as the first disinfectant at home. Priority should be given to cleaning superficial wounds with soap and water.

Those who have ever had allergic reactions or suspect an allergy should tell their doctor. They can also save this information in their health space.

What are the alternatives to chlorhexidine?

When a patient is known to be allergic to chlorhexidine or has symptoms that suggest such an allergy, healthcare professionals should be prepared to use alternatives. These alternatives vary depending on the type of treatment or intervention planned. For example, during a surgical procedure, povidone-iodine or a chlorinated derivative such as sodium sodium hypochlorite may be used as a replacement for chlorhexidine. For injections or blood draws, modified alcohol is a preferable option. When cleaning a superficial wound, using soap and water is sufficient.

And although these alternatives are generally safe, they are not free of allergy risks either! In all situations, you must be vigilant.

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