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CRISTALMINA PLUS 20 mg/ml + 0.70 ml/ml CUTANEOUS SPRAY SOLUTION

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About the medicine

How to use CRISTALMINA PLUS 20 mg/ml + 0.70 ml/ml CUTANEOUS SPRAY SOLUTION

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

Cristalmina Plus 20 mg/ml + 0.70 ml/ml solution for cutaneous spraying

chlorhexidine digluconate / isopropyl alcohol

Read the entire package leaflet carefully before starting to use this medication, as it contains important information for you.

Follow the administration instructions for the medication contained in this package leaflet or as indicated by your doctor or nurse.

  • Keep this package leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor or nurse, even if they are side effects not listed in this package leaflet. See section 4.
  • You should consult a doctor if it worsens or does not improve.

Package Leaflet Contents

  1. What is Cristalmina Plus and what is it used for
  2. What you need to know before starting to use Cristalmina Plus
  3. How to use Cristalmina Plus
  4. Possible side effects
  5. Storage of Cristalmina Plus
  6. Package Contents and Additional Information

1. What is Cristalmina Plus and what is it used for

Cristalmina Plus 20 mg/ml + 0.70 ml/ml is a cutaneous solution of chlorhexidine digluconate 20 mg/ml and isopropyl alcohol 0.70 ml/ml, used as a skin antiseptic before performing invasive medical procedures, such as injections, insertion of intravascular catheters, minor and major surgery in adults and children.

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2. What you need to know before starting to use Cristalmina Plus

Do not useCristalmina Plusif:

If you are allergic (hypersensitive) to chlorhexidine digluconate, isopropyl alcohol, or any of the other components of this medication (listed in section 6).

Warnings and precautions:

Cristalmina Plus is for external use on the skin only. Do not ingest or inhale.

  • The solution is flammable. Cases of fire in the operating room have been reported, resulting in severe burns to the patient.

The risk of fire in the operating room is high when using an ignition source (electrosurgical units, lasers, fiber optic light sources, high-speed drills/burs...) in combination with a combustion source (such as cloths, towels...) and an oxidizing agent (oxygen, air, nitrous oxide...).

To reduce the risk of fire:

Do not use electrocautery procedures or other ignition sources until the skin is completely dry.

Remove any soaked materials, gauzes, or gowns before starting the intervention.

Do not use excessive amounts and avoid accumulating the solution in skin folds, under the patient, or soaking sheets or other materials in direct contact with the patient.

When applying an occlusive dressing to areas previously exposed to Cristalmina Plus, be careful not to leave excess product before applying the dressing.

Reduce oxygen or any other oxidizing agent supply to the minimum necessary. Procedures performed on the head, neck, and upper chest (above T5) and the use of an ignition source near an oxidizing agent put the patient at risk of suffering a surgical fire.

Cristalmina Plus may, in rare cases, cause severe allergic reactions that can lead to a decrease in blood pressure and even loss of consciousness. The first symptoms of a severe allergic reaction may be skin rash or asthma. If you notice these symptoms, stop using Cristalmina Plus and contact your doctor as soon as possible (see section 4: Possible side effects).

Avoid prolonged contact with the skin.

Cristalmina Plus should not be used:

  • Near the eyes or sensitive areas (mucous membranes), as it may cause irritation, pain, redness, vision problems, chemical burns, and eye damage. In case of contact with the eyes or mucous membranes, the affected area should be rinsed immediately with plenty of water.

Avoid contact with the brain, meninges (membranes surrounding the brain and spinal cord), and middle ear.

Cristalmina Plus should not come into contact with the eyes due to the risk of visual damage. If it comes into contact with the eyes, rinse immediately and abundantly with water. In case of irritation, redness, or pain in the eyes, or visual disturbances, consult a doctor immediately. Severe cases of persistent corneal injury (lesion of the eye surface) that may require a corneal transplant have been reported when similar products have accidentally come into contact with the eyes during surgical interventions in patients under general anesthesia (deep sleep induced without pain).

  • On open wounds.
  • On the inner ear (middle ear).
  • In direct contact with neural tissue (e.g., brain and spinal cord).

Cristalmina Plus should only be applied gently to the skin. If the solution is applied too vigorously to fragile or sensitive skin, or after repeated use, it may cause erythema, inflammation, itching, dry skin, and/or peeling, and pain. Upon the first sign of any of these reactions, administration of Cristalmina Plus should be stopped.

ChildrenUse with caution in neonates, especially in premature babies. Cristalmina Plus may cause chemical burns to the skin.

Other medications and Cristalmina Plus

Tell your doctor or nurse if you are using, have recently used, or may need to use any other medication.

Inform your doctor or nurse if you have recently been administered a vaccine or an injection for a skin test (epicutaneous tests to detect allergies).

The use of different antiseptics should be avoided to minimize the risk of possible interference between them.

Do not use Cristalmina Plus with anionic soaps, iodine, heavy metal salts, and acids.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or nurse before using this medication.

It is unknown whether chlorhexidine digluconate or isopropyl alcohol is excreted in breast milk. Since many medications are excreted in breast milk, caution should be exercised when administering Cristalmina Plus to breastfeeding women.

Driving and using machines

Cristalmina Plus does not alter the ability to drive or operate machines.

3. How to use Cristalmina Plus

Apply the product gently to the area of skin that needs to be prepared. Spray as many times as necessary based on the medical procedure. Each spray is equivalent to a volume of 160 microliters. Do not dilute.

In case of doubt, ask your doctor or nurse.

If you use more Cristalmina Plus than you should

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone 91 562 04 20, indicating the medication and the amount ingested.

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4. Possible side effects

Like all medications, this medication can cause side effects, although not everyone experiences them.

Very rare side effects (less than 1 in 10,000 people) observed in the skin and subcutaneous tissue are:

Skin irritation, including: erythema, rash, urticaria, pruritus, and blisters or vesicles at the administration site. Other local symptoms may be: burning sensation on the skin, pain, and inflammation.

Other possible side effects, for which the frequency is unknown, are:

- Allergic reactions, including anaphylactic shock.

- Eye irritation, pain, hyperemia, vision problems, chemical burns, and eye damage in cases of accidental contact.

- Chemical burns in neonates.

- Allergic skin disorders such as dermatitis (skin inflammation), pruritus (itching), erythema (skin redness), eczema, rash, urticaria (hives), skin irritation, and blisters.

- Corneal injury (lesion on the eye surface) and permanent eye damage, including permanent vision loss (after accidental eye exposure during surgical interventions in the head, face, and neck) in patients under general anesthesia (deep sleep induced without pain).

Stop using Cristalmina Plus and seek immediate medical attention if you experience any of the following reactions: swelling of the face, lips, tongue, or throat; red and itchy skin rash; wheezing or difficulty breathing; feeling of fainting and dizziness; strange metallic taste in the mouth; collapse. You may be having an allergic reaction.

Reporting side effects

If you experience any side effects, consult your doctor or pharmacist, even if they are possible side effects not listed in this package leaflet. You can also report them directly through the Spanish Medication Surveillance System for Human Use http://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medication.

5. Storage of Cristalmina Plus

This medication is flammable. Avoid exposing the container and its contents to open flames during use, storage, and disposal of the product.

Do not store above 30°C.

Keep this medication out of the sight and reach of children.

Do not use this medication after the expiration date stated on the container after "CAD". The expiration date is the last day of the month indicated.

Medications should not be disposed of through wastewater or household waste. Ask your pharmacist how to dispose of the container and any unused medication. This will help protect the environment.

6. Package Contents and Additional Information

Cristalmina Plus Composition

The active ingredients are chlorhexidine digluconate 20 mg/ml and isopropyl alcohol 0.70 ml/ml.

The excipient is purified water.

Appearance of the Product and Package Contents

Transparent solution presented in 125 ml and 500 ml white plastic (PET) bottles with a spray valve. It is presented in:

  • Clinical package of 30 bottles of 125 ml
  • Clinical package of 10 bottles of 500 ml

Marketing Authorization Holder and Manufacturer

Laboratorios Salvat, S.A.

C/ Gall, 30-36 - 08950

Esplugues de Llobregat

Barcelona - Spain

Date of the last revision of this package leaflet: July 2024

Updated and detailed information on this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es

Online doctors for CRISTALMINA PLUS 20 mg/ml + 0.70 ml/ml CUTANEOUS SPRAY SOLUTION

Discuss questions about CRISTALMINA PLUS 20 mg/ml + 0.70 ml/ml CUTANEOUS SPRAY SOLUTION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

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Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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Nuno Tavares Lopes

Family medicine 18 years exp.

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

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Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

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Anastasiia Shalko

Family medicine 13 years exp.

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

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Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

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Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

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  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance.

His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation.

Patients commonly consult Dr Daniel Cichi for:

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Frequently Asked Questions

Is a prescription required for CRISTALMINA PLUS 20 mg/ml + 0.70 ml/ml CUTANEOUS SPRAY SOLUTION?
CRISTALMINA PLUS 20 mg/ml + 0.70 ml/ml CUTANEOUS SPRAY SOLUTION does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in CRISTALMINA PLUS 20 mg/ml + 0.70 ml/ml CUTANEOUS SPRAY SOLUTION?
The active ingredient in CRISTALMINA PLUS 20 mg/ml + 0.70 ml/ml CUTANEOUS SPRAY SOLUTION is chlorhexidine, combinations. This information helps identify medicines with the same composition but different brand names.
Who manufactures CRISTALMINA PLUS 20 mg/ml + 0.70 ml/ml CUTANEOUS SPRAY SOLUTION?
CRISTALMINA PLUS 20 mg/ml + 0.70 ml/ml CUTANEOUS SPRAY SOLUTION is manufactured by Laboratorios Salvat S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of CRISTALMINA PLUS 20 mg/ml + 0.70 ml/ml CUTANEOUS SPRAY SOLUTION online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether CRISTALMINA PLUS 20 mg/ml + 0.70 ml/ml CUTANEOUS SPRAY SOLUTION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to CRISTALMINA PLUS 20 mg/ml + 0.70 ml/ml CUTANEOUS SPRAY SOLUTION?
Other medicines with the same active substance (chlorhexidine, combinations) include BACTISEPTIC PHARMA 20 mg/mL + 0.70 mL/mL CUTANEOUS SOLUTION, BACTISEPTIC PHARMA ORANGE 20 mg/mL + 0.70 mL/mL CUTANEOUS SOLUTION, CHLORAPREP ORANGE 20mg/ml + 0.70 ml/ml CUTANEOUS SOLUTION. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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