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CHLORHEXLAN 20 mg/ml CUTANEOUS SPRAY SOLUTION

CHLORHEXLAN 20 mg/ml CUTANEOUS SPRAY SOLUTION

Ask a doctor about a prescription for CHLORHEXLAN 20 mg/ml CUTANEOUS SPRAY SOLUTION

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Doctor

Tarek Agami

General medicine10 years of experience

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.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
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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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 CHLORHEXLAN 20 mg/ml CUTANEOUS SPRAY SOLUTION

Introduction

ProspectusInformationfor the User

C

chlorhexidine digluconate

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

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

  • Keep this prospectus, as you may need to read it again.
  • If you need advice or more information, consult your doctor or nurse.
  • If you experience adverse effects, consult your doctor or nurse, even if they are adverse effects that do not appear in this prospectus. See section 4.

Contents of the Prospectus

  1. What is Clorhexlan and what is it used for.
  2. What you need to know before starting to use Clorhexlan
  3. How to use Clorhexlan
  4. Possible adverse effects
  5. Storage of Clorhexlan
  6. Content of the packaging and additional information

1. What is Clorhexlan and what is it used for

Clorhexlan 20 mg/ml is a solution for cutaneous use whose active ingredient is chlorhexidine digluconate.

It is used in adults and children as a skin antiseptic, for the prevention of infections, before performing invasive medical procedures, such as injections, insertion of intravascular catheters, minor and major surgery.

2. What you need to know before starting to use Clorhexlan

Do not use Clorhexlan

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

Warnings and precautions

Consult your doctor or nurse before starting to use this medication.

Clorhexlan is for external use on the skin only. Do not ingest.

Clorhexlan should not be used:

  • Near sensitive areas (mucous membranes), as it may cause irritation. In case of contact with the mucous membranes of the body's entry points, the affected area should be washed immediately with plenty of water.
  • Clorhexlan should not come into contact with the eyes due to the risk of visual damage. If it comes into contact with the eyes, wash 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 (injury to the surface of the eye) that could 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 part of the ear (middle ear).
  • In direct contact with neural tissue (e.g., brain and spinal cord).

Avoid prolonged contact with the skin. When applying an occlusive dressing to areas previously exposed to Clorhexlan, special care should be taken to ensure that there is no excess product before placing the dressing.

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

Soaked materials, such as surgical fields or gowns, should be removed before use. Do not let the solution stagnate.

Clorhexlan may, in rare cases, cause severe allergic reactions, leading 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 this medication and contact your doctor as soon as possible (see section 4: "Possible adverse effects").

Children

Use with caution in neonates, especially in premature babies. Clorhexlan as a skin antiseptic before invasive procedures may cause chemical burns on the skin of neonates.

Use with caution in neonates, especially in those born before 32 weeks of gestation and in the first two weeks of life.

Other medications and Clorhexlan

The action of chlorhexidine is reduced by alkaline pH, anionic detergents, and tannins:

  • In general, considering possible interference (antagonism, inactivation, etc.), the simultaneous or successive use of antiseptics should be avoided, except with other cationic compounds.
  • It should not be used in combination or after the application of anionic soaps, iodine, heavy metal salts, and acids.

Pregnancy, breastfeeding, and fertility

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.

Driving and using machines

Clorhexlan does not alter the ability to drive or operate machines.

3. How to use Clorhexlan

Your doctor or nurse will select the necessary amount of solution based on the medical procedure, the area to be treated, and the area to be covered. In case of doubt, ask your doctor or pharmacist.

Use undiluted. Clean and dry the skin before applying the medication. Apply directly to the affected area or to a gauze. Let it act for the time indicated based on the medical procedure.

Clorhexlan is only used on the skin.

If you use more Clorhexlan 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.

4. Possible adverse effects

Like all medications, this medication may cause adverse effects, although not all people experience them.

Stop treatment with this medication if you experience any of the following symptoms: swelling of the face, lips, tongue, or throat; red eczema on the skin that causes itching; difficulty breathing; feeling of dizziness or fainting, metallic taste; collapse. You may be experiencing an allergic reaction if these symptoms appear.

Stop using this medication and consult your doctor or nurse if you experience eczema, blisters, inflammation, or experience pain or itching in the area of the skin where the product has been applied.

Other possible adverse effects are:

Very rare (less than 1 in 10,000 people):cutaneous hypersensitivity reactions (including erythema, rash, itching, and blisters at the administration site), burning sensation on the skin, pain, and inflammation. Stop using this medication and seek immediate medical attention if you experience any of the adverse reactions described. You may be having an allergic reaction.

Adverse effects of unknown frequency(cannot be estimated from the available data): dermatitis, eczema, urticaria, skin irritation, blisters, chemical burns in neonates, hypersensitivity reactions, and anaphylactic shock during anesthesia. Corneal injury (injury to the surface of the eye) and permanent eye injury, including permanent visual impairment (after accidental ocular exposure during surgical interventions in the head, face, and neck) in patients under general anesthesia (deep sleep induced without pain).

Reporting adverse effects:

If you experience any type of adverse effect, consult your doctor or nurse, even if it is a possible adverse effect that does not appear in this prospectus. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medications: https://www.notificaram.es. By reporting adverse effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Clorhexlan

No special storage conditions are required.

Keep this medication out of sight and reach of children.

Do not use this medication after the expiration date that appears on the label after CAD. The expiration date is the last day of the month indicated.

Discard the packaging after 3 months from the first opening.

Medications should not be thrown away through the sewers or in the trash. In case of doubt, ask your pharmacist how to dispose of the packaging and medications that are no longer needed. This way, you will help protect the environment.

6. Content of the packaging and additional information

Composition of Clorhexlan

  • The active ingredient is chlorhexidine digluconate. Each ml contains 20 mg of chlorhexidine digluconate. Each ml corresponds to 5 pulses of 200 microliters, each containing 4 mg of chlorhexidine digluconate.
  • The other component (excipient) is purified water.

Appearance of Clorhexlan and content of the packaging

Colorless or slightly yellowish transparent solution presented in high-density polyethylene bottles with a spray pump.

It is presented in:

  • Unitary packages of 25 ml, 100 ml, and 125 ml.
  • Clinical packages of 20 bottles of 100 ml, 125 ml, and 250 ml.

Only some packaging sizes may be marketed.

Marketing authorization holder and manufacturer

LAINCO, S.A.

Avda. Bizet, 8-12 - 08191 RUBÍ - Barcelona (Spain)

Date of the last revision of this prospectus:August 2024

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

Alternatives to CHLORHEXLAN 20 mg/ml CUTANEOUS SPRAY SOLUTION in other countries

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

Alternative to CHLORHEXLAN 20 mg/ml CUTANEOUS SPRAY SOLUTION in Poland

Dosage form: Cream, 50 mg/g + 5 mg/g
Active substance: chlorhexidine
Marketing authorisation holder (MAH): Bayer Portugal, Lda.
Prescription not required
Dosage form: Liquid, 4%
Active substance: chlorhexidine
Importer: Ecolab Deutschland GmbH
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Dosage form: Liquid, 0.5%

Alternative to CHLORHEXLAN 20 mg/ml CUTANEOUS SPRAY SOLUTION 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 CHLORHEXLAN 20 mg/ml CUTANEOUS SPRAY SOLUTION

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for CHLORHEXLAN 20 mg/ml CUTANEOUS SPRAY SOLUTION – subject to medical assessment and local rules.

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Doctor

Tarek Agami

General medicine10 years of experience

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.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
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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Abdullah Alhasan

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  • Hypertension control and cardiovascular disease prevention
  • Interpretation of ECG, blood tests, and Holter monitor results
  • Management of heart failure and coronary artery disease
  • General medical issues: infections, fever, fatigue, gastrointestinal symptoms
  • Guidance on diagnostics, treatment plans, and medication adjustments
Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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Nuno Tavares Lopes

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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
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  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
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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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  • Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
  • Mental health concerns such as stress, sleep issues, anxiety, and burnout
  • Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
  • Work-related health questions, sick leave documentation, and medical guidance for returning to work
Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

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Key areas of consultation:

  • Preventive and family medicine
  • Women’s health, including gynaecology and obstetrics
  • Chronic disease management: hypertension, diabetes, and more
  • Mental health support, anxiety, and counselling
  • Postoperative care and lab test interpretation
She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.
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His clinical expertise spans multi-system conditions, preventive care and long-term management of chronic diseases. Dr. Altaf combines hands-on experience with a strong research background in both medical and surgical fields, enabling him to provide accurate assessments and structured, evidence-based treatment plans. Patients value his ability to explain diagnoses clearly, outline next steps and support them in making informed healthcare decisions.

Online consultations with Dr. Altaf are suitable for many everyday and acute situations where a timely medical opinion can help determine the safest next steps. He evaluates and treats conditions affecting the cardiovascular, respiratory, gastrointestinal, neurological, haematological and endocrine systems. Common examples include:

  • hypertension and other blood pressure issues
  • ischaemic heart disease and angina
  • asthma, COPD and emphysema
  • pneumonia and lung fibrosis
  • gastroenteritis and digestive infections
  • liver conditions, including alcohol-related disease
  • epilepsy, seizures and post-stroke symptoms
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  • diabetes, thyroid disorders and pituitary disease
Many patients reach out when they experience new or worsening symptoms, fluctuations in blood pressure, non-severe chest discomfort, breathing symptoms, digestive issues, suspected infections, chronic fatigue or concerns that affect daily life. He also helps patients understand test results, adjust existing treatment plans and navigate long-term health strategies safely and effectively.

When clinically appropriate, Dr. Altaf can also provide health and fitness certificates, including documentation required for physical activity, sports participation or gym use, based on the patient’s health status and medical indications.

Some conditions are not suitable for online care. Severe chest pain, loss of consciousness, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack require immediate attention from local emergency services. Dr. Altaf prioritises patient safety and will guide you accordingly if your situation needs urgent in-person care.

In all consultations, Dr. Muhammad Tayyab Altaf focuses on clear communication, accurate diagnosis and patient-centred decision-making. His approach ensures that individuals and families feel informed, supported and confident in their next steps, no matter where they are.

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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
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  • 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
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  • 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:

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  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
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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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  • 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.
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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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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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