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Some people get peeling skin inside their mouth when using chlorhexidine. If this happens to you, stop using the medicine and the side effect will usually clear up. Speak to your dentist or doctor, who may be able to recommend a different medicine. Levine, WZ, Samuels, N, Williams, R. Effect of a Botanical Mouth Rinse on Dental Plaque Formation: A Randomized, Double-blinded, Placebo-controlled Trial Journal of Oral Hygiene and Health August 10, 2014 Swish chlorhexidine around in the mouth for 30 seconds. Then spit out. Use the medicine full strength. Do not mix with water before using. Do not swallow the medicine. Dosing
Use your dental treatment at a different time of day to when you brush your teeth. This is because toothpaste can stop chlorhexidine working properly. Chlorine dioxide, which is found in CloSYS, TheraBreath, Oxyfresh, and ProFresh (sodium chlorite), has an anti-bacterial effect that is combined with increased reduction of volatile sulfur compounds. The primary benefit of these products is fresh breath. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine. Interactions with Food/Tobacco/Alcohol If you are going into hospital, you may be sent a chlorhexidine product to wash with before you come into hospital to reduce the chances of infection. This should come with instructions on how to use it. What if I forget to use my chlorhexidine treatment?
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Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of this medicine in the elderly with use in other age groups. Breast Feeding
Stop using chlorhexidine dental treatments and speak to a dentist, doctor or pharmacist if your mouth is: Rosen P. and Levine W. A pilot study comparing a botanical rinse to chlorhexidine rinse in managing postsurgical inflammation around dental implants. For patients having coexisting gingivitis and periodontitis, the presence or absence of gingival inflammation following treatment with PerioGard® (Chlorhexidine Gluconate Oral Rinse USP, 0.12%) should not be used as a major indicator of underlying periodontitis.
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There are no common side effects with chlorhexidine skin treatments. However, in rare cases, some people may get red, itchy or irritated skin. It may be because you are using too much lotion or cream where you have folds or creases in your skin, such as around your groin. Talk to a doctor, dentist or pharmacist if these side effects bother you or last for more than a few days:
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: mouth or skin rash, itching/swelling (especially of the face/ tongue/throat), severe dizziness, trouble breathing. Periodontal disease is at an epidemic level. “Periodontal diseases and dental caries are the most prevalent chronic diseases, affecting children, adolescents, adults and the elderly.” 1 Over seventy percent of Canadians have some form of periodontal disease. The statistics are similar in the United States. Gingivitis is present at all ages. 2 Fifty percent to 94% of patients are experiencing some form of gingivitis, depending on clinical definition of gingivitis and the sample studied. 3 According to a recent article in the New York Times, “More than 75% of American adults have some form of gum disease, but according to a major survey, only 60% have any significant knowledge”. The oral-systemic link, which has shown implications in diabetes, cardiovascular disease and now possibly stroke, is hard evidence for the importance of oral care. Some patients may experience an alteration in taste perception while undergoing treatment with a chlorhexidine gluconate oral rinse USP, 0.12%. Rare instances of permanent taste alteration following chlorhexidine gluconate oral rinse USP, 0.12% use have been reported via postmarketing product surveillance.DIRECTIONS FOR USE: Fill cap to the fill line (15 mL). Swish in mouth undiluted for 30 seconds, then spit out. Use after breakfast and before bedtime. Or, use as prescribed. Pregnancy: Teratogenic Effects: Reproduction studies have been performed in rats and rabbits at chlorhexidine gluconate doses up to 300 mg/kg/day and 40 mg/kg/day, respectively, and have not revealed evidence of harm to the fetus. However, adequate and well controlled studies in pregnant women have not been done. Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
To decrease staining of teeth and mouth surfaces, brush with toothpaste 3 times daily, brushing more on the stained areas. Use of a "tartar control" toothpaste and electric toothbrush may be more effective. See your dentist at least every 6 months for tooth cleaning/tartar removal. Staining from this medication that may occur on dental work (such as crowns or veneers) usually can only be removed by a dentist/hygienist. To decrease the effect on how food tastes, eat first, followed by tooth brushing and then chlorhexidine rinse. been established in children under the age of 18. Carcinogenesis, Mutagenesis, Impairment Of Fertility Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. If you cannot use it at a different time, then rinse your mouth thoroughly with water after brushing your teeth. Wait at least 5 minutes before using chlorhexidine. Only use chlorhexidine lozenges and sore throat spray for a short time. Do not keep using them continuously.If you forget to use your chlorhexidine skin treatment, that’s okay. Just start your routine again after the missed treatment and carry on as before. Among postmarketing reports, the most frequently reported oral mucosal symptoms associated with chlorhexidine gluconate oral rinse USP, 0.12% are stomatitis, gingivitis, glossitis, ulcer, dry mouth, hypesthesia, glossal edema, and paresthesia. Tell all of your health care providers that you take Periogard (chlorhexidine gluconate (oral)). This includes your doctors, nurses, pharmacists, and dentists. If you think that a child weighing 22 pounds (10 kilograms) or less has swallowed more than 4 ounces of the dental rinse, get emergency help at once. In addition, if a child of any age drinks the dental rinse and has symptoms of alcohol intoxication, such as slurred speech, sleepiness, or a staggering or stumbling walk, get emergency help at once. Side Effects of Periogard If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was
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