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Spitaderm

Spitaderm

Ask a doctor about a prescription for Spitaderm

5.0(1)
Doctor

Lina Travkina

Family medicine12 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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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 Spitaderm

Package Leaflet: Information for the User

Spitaderm,(70 g + 0,5g + 1,5 g) /100 g, solution for the skin
(Isopropyl alcohol + Chlorhexidine digluconate + Hydrogen peroxide 30 percent)

Read the package leaflet carefully before using the medicine, as it contains important information for the patient/user.

This medicine should always be used exactly as described in the package leaflet for the patient or as directed by a doctor, pharmacist, or nurse.
Keep this leaflet, you may need to read it again.

  • If you need advice or additional information, consult a pharmacist.
  • If the patient experiences any side effects, including any possible side effects not listed in this leaflet, tell your doctor, pharmacist, or nurse. See section 4.
  • If there is no improvement or the patient feels worse, contact a doctor.

Table of Contents of the Leaflet:

  • 1. What is Spitaderm and what is it used for
  • 2. Important information before using Spitaderm
  • 3. How to use Spitaderm
  • 4. Possible side effects
  • 5. How to store Spitaderm
  • 6. Contents of the pack and other information

1. What is Spitaderm and what is it used for

Medicine for hygienic and surgical hand and skin disinfection

Spitaderm is a complex product containing active substances with proven clinical efficacy.
In this medicine, the active substances used are isopropyl alcohol, chlorhexidine digluconate, and hydrogen peroxide, which complement each other's range of action, providing a broad spectrum of action.
This medicine is effective against microorganisms on the skin: bacteria (including tuberculosis bacillus), fungi, and viruses (HBV, HIV).
Efficacy against hepatitis B virus (HBV) has been confirmed by the MADT test (Morphological Alteration and Disintegration Test).
The medicine is self-sterilizing (European Patent No. 0016319). Hydrogen peroxide ensures that the medicine is free from spores during production, pouring, and filling. The hydrogen peroxide contained in the medicine destroys bacterial spores that may re-enter the solution.

2. Important information before using Spitaderm

When not to use Spitaderm

If the patient has been diagnosed with hypersensitivity to the active substances or any excipient.
This medicine must not be used to disinfect mucous membranes or wounds. Do not use near the eyes.

Warnings and precautions

Do not allow Spitaderm to come into contact with the eyes, due to the risk of vision damage. In case of contact with the eyes, rinse them immediately and thoroughly with water. If irritation, redness, or eye pain occurs or vision disturbances appear, contact a doctor 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) during surgical procedures, which may require corneal transplantation.
The medicine is flammable; do not spray near flames; Flash point (according to DIN 51755) 20°C; follow application times and safety rules; wait for the medicine to dry before turning on electrical devices; use with caution on surfaces sensitive to alcohol action. Enzymatic glucose test can be performed only after at least 1 minute after using the medicine. Chemical burns have been reported due to the use of chlorhexidine gluconate in newborns and infants. Premature babies are at particular risk due to the immaturity of the skin barrier. Therefore, Spitaderm should be used in newborns and infants only when there are no alternative medicines, and the expected therapeutic benefits outweigh the risk. It is recommended to remove all unnecessary liquid immediately. Concurrent use of products containing anionic surfactants may cause deactivation of chlorhexidine.

Pregnancy, breastfeeding, and fertility

Pregnancy

There are no results of controlled clinical trials on the use of the medicine in pregnant women. No animal studies have been conducted.
When using the medicine in pregnant women, caution should be exercised.

Breastfeeding

No clinical data are available.

Driving and using machines

The effect of Spitaderm on the ability to drive and use machines is not known.

Important information about some ingredients of Spitaderm

Possible allergic skin irritation caused by chlorhexidine.

3. How to use Spitaderm

This medicine should always be used as directed by a doctor or pharmacist. In case of doubts, consult a doctor or pharmacist.
Method of use:
The medicine is for external use only.
Solution for use undiluted.
Surgical hand disinfection:
At least 5 ml of the medicine should be rubbed into the hands and forearms for 1.5 minutes.
The procedure should be repeated. Hands should remain moist during disinfection.
Hygienic hand disinfection:
3 ml of the medicine should be rubbed in for 30 seconds.
Disinfection of the skin before injections:
The skin should be exposed to the medicine for 15 seconds.
Disinfection of the skin before punctures, operations:
The skin should be exposed to the medicine for 1 minute.

Using more than the recommended dose of Spitaderm

In case of accidental ingestion: rinse the mouth,
consult a doctor.
Procedure in case of accidental eye contact:
immediately rinse the eyes with clean water for at least 10 minutes, consult a doctor. In case of doubts related to the use of the medicine, consult a doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.
The most common side effect is short-term skin redness, which does not pose any risk and resolves on its own.
Hives and allergic reactions, including anaphylactic shock, have occurred rarely (from >1/10000 to <1>1/100 to <1>Corneal damage (eye surface damage) and permanent eye damage, including permanent vision impairment (after accidental eye exposure during surgical procedures on the head, face, and neck) in patients under general anesthesia (deep, painless sleep) - after using medicines containing chlorhexidine digluconate (frequency not known).

Reporting side effects

If you experience any side effects, including any side effects not listed in this leaflet, tell your doctor, pharmacist, or nurse. Side effects can be reported directly to:
Department for Monitoring of Adverse Reactions to Medicinal Products, Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 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 to gather more information on the safety of the medicine.

5. How to store Spitaderm

Store the medicine at a temperature below 25°C.
Shelf life after first opening the immediate packaging: 6 months.
Keep out of the reach and sight of children.

Do not use after the expiry date.

For packages over 1000 ml: any refilling with the medicine should be done under sterile conditions (sterile workstation).
Medicines should not be disposed of via wastewater or household waste.
Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and other information

What Spitaderm contains

100 g of solution contains active substances: 70 g isopropyl alcohol, 0.5g chlorhexidine digluconate, 1.5g 30% hydrogen peroxide solution.
Other ingredients are: macrogol-6-glycerol caprylocaprate, fragrance 70/0676, purified water.

What Spitaderm looks like and contents of the pack

Spitaderm is a clear, slightly yellow, transparent solution with a characteristic isopropyl alcohol smell.
pH: 6.5-7.5.
Packaging: bottles of 500 ml or cans of 5000 ml.

Marketing authorization holder:

Ecolab Sp. z o.o. ul. Opolska 114
31-323 Kraków
Poland
+48 12 2616100

Manufacturer:

Ecolab Deutschland GmbH
Reisholzer Werftstrasse 38-42 D-40589
Düsseldorf
Germany

Date of last revision of the leaflet:

Alternatives to Spitaderm in other countries

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

Alternative to Spitaderm in Spain

Dosage form: OINTMENT, 10+10+300 mg/g+mg/g+IU/g
Active substance: chlorhexidine, combinations
Prescription required
Dosage form: TOPICAL SOLUTION, 20mg/ml + 0.70ml/ml
Active substance: chlorhexidine, combinations
Prescription not required
Dosage form: TOPICAL SOLUTION, 0.5 ml / 99.5 ml
Active substance: chlorhexidine, combinations
Prescription not required
Dosage form: TOPICAL SOLUTION, 20 mg/ml / 0.7 ml/ml
Active substance: chlorhexidine, combinations
Prescription not required
Dosage form: TOPICAL SOLUTION, 20 mg/ml + 0.7 ml/ml
Active substance: chlorhexidine, combinations
Prescription not required
Dosage form: TOPICAL SOLUTION, 20 mg/ml + 0.70 ml/ml
Active substance: chlorhexidine, combinations
Manufacturer: Vesismin S.L.U.
Prescription not required

Alternative to Spitaderm in Ukraine

Dosage form: cream, 15 g or 30 g in a tube
Active substance: chlorhexidine, combinations
Manufacturer: PAT "Kiivmedpreparat
Prescription not required
Dosage form: spray, solution 30 ml in a bottle
Active substance: chlorhexidine, combinations
Dosage form: cream, 30 g in an aluminum tube
Active substance: chlorhexidine, combinations
Manufacturer: TOV "Ternofarm
Prescription not required
Dosage form: cream, 20 g, or 40 g, or 100 g in a tube
Active substance: chlorhexidine, combinations
Dosage form: spray, 30 ml in a bottle
Active substance: chlorhexidine, combinations
Prescription not required
Dosage form: cream, 100 g, 30 g or 3.5 g in a tube
Active substance: chlorhexidine, combinations
Prescription not required

Online doctors for Spitaderm

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

5.0(1)
Doctor

Lina Travkina

Family medicine12 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Antonio Cayatte

General medicine43 years of experience

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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Dr. Andrei Popov is a licensed pain management specialist and general practitioner based in Spain. He provides expert online care for adults dealing with both chronic and acute pain, as well as a wide range of everyday health concerns.

He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • 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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Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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Dr. Moret provides expert evaluation and treatment for:

  • Skin conditions such as eczema, acne, rosacea, dermatitis, and psoriasis.
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  • Pediatric skin problems — from newborns to adolescents.
  • Sexually transmitted infections (STIs) and dermatovenereology.
  • Aesthetic concerns: skin ageing, non-invasive cosmetic treatments.
  • Skin allergies and hypersensitivity reactions.
  • Mole checks, lesion evaluation, and skin cancer screening.
  • Skincare advice and personalised cosmeceutical routines.

Combining dermatology with general medical knowledge, Dr. Moret offers comprehensive care that addresses both skin health and underlying conditions. She also holds certification from the Canadian Board of Aesthetic Medicine, ensuring an internationally aligned approach to aesthetic dermatology.

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Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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You can consult Dr. Ben Harbi for:

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  • Paediatric concerns — fever, infections, general well-being.
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Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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