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Hidrex S

Hidrex S

Ask a doctor about a prescription for Hidrex S

5.0(39)
Doctor

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Doctor

Hocine Lokchiri

General medicine20 years of experience

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Hidrex S

Patient Information Leaflet: User Information

HYDREX S, 4%, skin solution

Chlorhexidine digluconate solution
Read this leaflet carefully, as it contains important information for the patient.
This medicine is available without a prescription. However, to achieve the best treatment result, the medicine Hydrex S should be used carefully.

  • This leaflet should be kept in case it needs to be read again.
  • The pharmacist should be consulted if advice or additional information is needed.
  • If symptoms worsen or do not improve, a doctor should be contacted. If any of the side effects worsen or any side effects not mentioned in the leaflet occur, the doctor or pharmacist should be informed.

Table of Contents of the Leaflet:

  • 1. What is Hydrex S and what is it used for
  • 2. Important information before using Hydrex S
  • 3. How to use Hydrex S
  • 4. Possible side effects
  • 5. How to store Hydrex S
  • 6. Other information

1. What is Hydrex S and what is it used for

Hydrex S is intended for use on the skin only.
The medicine contains the active substance chlorhexidine digluconate, which acts on many Gram-positive and Gram-negative bacteria and some viruses and fungi.
Indications
For use as an antiseptic hand wash, for skin disinfection of hands before surgery, and for skin disinfection before surgery.

2. Important information before using Hydrex S

When not to use Hydrex S

  • for disinfecting body cavities.

When to exercise special caution when using Hydrex S

The medicine is intended for use on the skin only.
Hydrex S must not come into contact with brain tissue and meninges.
Ears should be protected from the medicine. Contact of the medicine with the middle ear can cause hearing loss.
Caution should be exercised when rinsing the head with the medicine.
If the medicine comes into contact with mucous membranes, they should be rinsed immediately with a large amount of water.
Hydrex S should not come into contact with the eyes due to the risk of eye damage. If contact with the eyes occurs, they should be rinsed immediately and thoroughly with water. If irritation, redness, or eye pain occurs or vision is impaired, a doctor should be contacted immediately.
After using medicines containing chlorhexidine digluconate, severe cases of permanent corneal damage (eye surface damage) have been reported in patients under general anesthesia (deep, painless sleep) due to accidental contact with the eyes during surgical procedures, which may require corneal transplantation.

Using other medicines

The doctor or pharmacist should be informed about all medicines currently being used or recently used, including those available without a prescription.
There is no data on interactions with other medicines.

Pregnancy and breastfeeding

A doctor or pharmacist should be consulted before using any medicine.

Driving and operating machinery

The effect of Hydrex S on the ability to drive and operate machinery is not known.

Important information about some ingredients of Hydrex S

The medicine may cause allergic reactions due to hypersensitivity to chlorhexidine digluconate, dialkylamine oxide, or koschenillo red.
The medicine contains ethanol denatured with methanol.

3. How to use Hydrex S

The medicine should be used as directed by the doctor. In case of doubts, a doctor should be consulted.

Method of use

For external use only - for local application on the skin.

As an antiseptic for hand washing:

Wet hands and forearms with water, then apply 5 ml of the medicine and rub into the skin for 1 minute. Rinse hands and forearms thoroughly with water, then dry.
For skin disinfection of hands before surgery:
Wet hands and forearms with water, then apply 5 ml of the medicine and rub into the skin for 1 minute, and clean the nails with a nail brush. Then rinse hands and forearms with water, reapply 5 ml of the medicine, and rub into the skin for 2 minutes. Rinse hands and forearms thoroughly with water and dry.
For skin disinfection before surgery:
After bathing on the day before the procedure, lightly moisten the skin of the entire body and rinse with 25 ml of the medicine.
Particular attention should be paid to the areas around the navel, armpits, groin, and perineum. Then rinse the entire body thoroughly with water and dry with a clean towel.
The procedure should be repeated on the day of surgery.
In case of doubts about using the medicine, a doctor or pharmacist should be consulted.

Using a higher dose of Hydrex S than recommended

Chlorhexidine is poorly absorbed from the skin surface into the body.
If the medicine is swallowed, a doctor should be contacted immediately. The doctor will perform gastric lavage and symptomatic treatment, as appropriate for the patient's condition.

4. Possible side effects

Like all medicines, Hydrex S can cause side effects, although they may not occur in everyone.
Frequency not known (cannot be determined from available data): corneal damage (eye surface damage) and permanent eye damage, including permanent vision impairment (after accidental exposure of the eye during surgical procedures on the head, face, and neck) in patients under general anesthesia (deep, painless sleep) - after using medicines containing chlorhexidine digluconate.
The medicine may cause allergic reactions due to hypersensitivity to chlorhexidine digluconate, koschenillo red, or dialkylamine oxide, especially after repeated use.

Reporting side effects

If any side effects occur, including any side effects not mentioned in this leaflet, the doctor, pharmacist, or nurse should be informed.
Side effects can be reported directly to the Department of Post-Marketing Surveillance of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products,
Jerozolimskie Avenue 181C
02-222 Warsaw
tel.: +48 22 49 21 301
fax: +48 22 49 21 309,
Website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
Reporting side effects will help gather more information on the safety of the medicine.

5. How to store Hydrex S

Store in a place out of sight and reach of children.
Store at a temperature below 25°C.
Shelf life: 3 years.
Do not use after the expiry date stated on the packaging. The expiry date refers to the last day of the specified month.
Medicines should not be disposed of via wastewater or household waste containers. The pharmacist should be asked what to do with unused medicines. This will help protect the environment.

6. Other information

What Hydrex S contains

Active substance:
100 g of skin solution contains 3.876 g of chlorhexidine digluconate, solution, (Chlorhexidini digluconatis solutio)
Excipients:
glycerol, dialkylamine oxide, denatured ethanol, hydroxyethyl cellulose, fragrance, koschenillo red (E 124), purified water.

What Hydrex S looks like and what the pack contains

Hydrex S is a skin solution.
Packaging:
Bottles containing 250 ml or 500 ml of skin solution, or a canister containing 5000 ml of skin solution.

Marketing authorization holder

Ecolab Sp. z o.o. ul. Opolska 114

31-323 Kraków

Poland +48 12 2616100

Importer:

Ecolab Deutschland GmbH

Ecolab-Allee 1

40789 Monheim am Rhein

Germany

Date of approval of the leaflet:

Alternatives to Hidrex S in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Hidrex S in Spain

Dosage form: TOPICAL SOLUTION, 4 mg/ml
Active substance: chlorhexidine
Prescription not required
Dosage form: TOPICAL SOLUTION, 1 g
Active substance: chlorhexidine
Prescription not required
Dosage form: TOPICAL SOLUTION, 10 mg/ml
Active substance: chlorhexidine
Manufacturer: Alfasigma Espana S.L.
Prescription not required
Dosage form: TOPICAL SOLUTION, 0.04 g chlorhexidine digluconate/ ml
Active substance: chlorhexidine
Prescription not required
Dosage form: TOPICAL SOLUTION, 10 mg/ml
Active substance: chlorhexidine
Manufacturer: Seid S.A.
Prescription not required
Dosage form: TOPICAL SOLUTION, 1% in chlorhexidine digluconate
Active substance: chlorhexidine
Prescription not required

Alternative to Hidrex S in Ukraine

Dosage form: solution, 0.05% in 100 ml container
Active substance: chlorhexidine
Prescription not required
Dosage form: solution, 0.05% in 100 ml or 200 ml
Active substance: chlorhexidine
Manufacturer: PP "Kilaff
Prescription not required
Dosage form: solution, 0.05% in 100 ml or 200 ml
Active substance: chlorhexidine
Manufacturer: PRAT "FITOFARM
Prescription not required
Dosage form: solution, 100 ml in bottles
Active substance: chlorhexidine
Prescription not required
Dosage form: solution, 100 ml, 200 ml in bottles
Active substance: chlorhexidine
Manufacturer: PrAT "Biolik
Prescription not required

Online doctors for Hidrex S

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Hidrex S – subject to medical assessment and local rules.

5.0(39)
Doctor

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
CameraBook a video appointment
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  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
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.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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Her focus is on helping patients regain health through deep understanding of symptoms, personalised nutrition plans, and evidence-based correction of deficiencies, stress-related conditions, and metabolic imbalances. Dr Fedoryshyn works with adults experiencing chronic conditions, fatigue, hormonal disruption, and post-stress exhaustion.

She integrates medical analysis, psychological insight, and real-life behaviour change tools to offer treatment plans tailored to each patient’s biochemistry, mental state, and lifestyle.

Main areas of practice:

  • Chronic condition management and medical counselling
  • Weight loss programmes based on metabolic profiling
  • Diagnosis and treatment of micronutrient deficiencies
  • Recovery from stress, burnout, and hormonal imbalances
  • Emotional support and psychosomatic symptom care
Her approach is never one-size-fits-all – each consultation begins with a deep dive into your unique health history, test results, and emotional landscape. Consultations are available in Ukrainian, Polish, and Russian.
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Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

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Cardiology – Diagnosis and treatment of:

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  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
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  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
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  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
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  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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She treats adults with respiratory illnesses such as pneumonia, COPD and bronchial asthma, as well as cardiovascular conditions including hypertension and ischaemic heart disease. Her practice also covers gastrointestinal complaints and chronic comorbidities that require careful, structured medical supervision.

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Her work also includes developing personalised immunisation plans and supporting families with long-term preventive care.

Known for her structured clinical approach and clear communication, Dr Liudmyla Boichuk offers patients of all ages comprehensive, reliable and evidence-based medical care.

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With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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