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HIBISCRUB 40 mg/ml CUTANEOUS SOLUTION

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About the medicine

How to use HIBISCRUB 40 mg/ml CUTANEOUS 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

Hibiscrub 40 mg/ml Cutaneous Solution

Chlorhexidine digluconate

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, pharmacist, 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, pharmacist, or nurse, even if they are side effects not listed in this package leaflet. See section 4.

Contents of the Package Leaflet

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

1. What Hibiscrub is and what it is used for

Hibiscrub belongs to a group of medications called antiseptics and disinfectants.

It is indicated for adults and children as an antiseptic for hand washing in surgery and for healthcare personnel, and as an antiseptic for pre- and post-operative skin.

Doctor consultation

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

Do not use Hibiscrub

  • if you are allergic to chlorhexidine digluconate or any of the other components of this medication (listed in section 6).
  • Hibiscrub contains soybean oil. Do not use this medication in case of peanut or soy allergy.

Warnings and Precautions

Consult your doctor, pharmacist, or nurse before starting to use Hibiscrub.

  • External use on the skin. Do not ingest.
  • In case of accidental contact with the ears, rinse immediately with plenty of water.
  • Hibiscrub should not come into contact with the eyes due to the risk of visual impairment. 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. Serious cases of persistent corneal injury have been reported when similar products have accidentally come into contact with the eyes during surgical procedures in patients under general anesthesia (deep sleep induced without pain).
  • Do not use in case of deep and extensive wounds.
  • In case of repeated applications, applications on very extensive areas, or when using dressings that cover the affected area, the product may penetrate the skin and produce unwanted effects.
  • Clothes that have come into contact with Hibiscrub should not be washed with bleach or other hypochlorites, as this may cause a brownish discoloration of the tissues, but with domestic detergents based on sodium perborate.
  • Use with caution in neonates, especially in premature babies. Hibiscrub can cause chemical burns on the skin.
  • Hibiscrub is flammable. Do not use it with ignition sources until it is dry.

Children and Elderly Patients

There are no special dosage recommendations for children and elderly patients. The normal adult dose is suitable unless otherwise recommended by the doctor.

Other Medications and Hibiscrub

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

Avoid using several disinfectants at the same time or successively, except with other cationic compounds.

Do not use in combination or after the application of anionic soaps, acids, heavy metal salts, and iodine.

Pregnancy, Breastfeeding, and Fertility

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

There is no evidence of adverse effects on the fetus from the use of this medication for hand washing during pregnancy and breastfeeding.

Driving and Using Machines

No effects on driving ability or use of machines have been described after using this medication.

Hibiscrubcontains isopropyl alcohol and citrus perfume

This medication contains 40 mg of isopropyl alcohol per ml. It may cause dryness, irritation, redness, or a burning sensation on the skin. Allergic contact dermatitis or contact allergies are very rare.

This medication contains fragrances with 3-Methyl-4-(2,6,6-trimethyl-2-cyclohexen-1-yl)-3-buten-2-one, Amyl cinnamaldehyde, Amyl cinnamaldehyde alcohol, Anisic alcohol, Benzyl alcohol, Benzyl benzoate, Benzyl cinnamate, Benzyl salicylate, Cinnamaldehyde, Cinnamyl alcohol, Citral, Citronellol, Coumarin, d-Limonene, Eugenol, Farnesol, Geraniol, Hexyl cinnamaldehyde, Hydroxycitronellal, Hydroxy-methylpentyl-cyclohexenecarboxaldehyde, Isoeugenol, Lilial, Linalool, Methyl heptin carbonate, Oak moss extract, and Treemoss extract. These may cause allergic reactions.

The fragrance also contains Bergamot oil which contains bergapten, Soybean oil, Ethanol, Methyl benzoate, Benzoic acid, Peru balsam, Formaldehyde, and Sodium lauryl sulfate.

Bergamot oil which contains bergapten may increase sensitivity to UV light (natural or artificial daylight).

Etanol may cause a burning sensation on damaged skin.

Benzoic acid, Benzyl benzoate, and Methyl benzoate may cause local irritation. Benzoic acid, Benzyl benzoate, and Methyl benzoate may increase the risk of jaundice (yellowing of the skin and eyes) in newborns (up to 4 weeks old).

Peru balsam may cause skin reactions.

Formaldehyde may cause local skin reactions (such as contact dermatitis).

Sodium lauryl sulfate may cause local skin reactions (such as itching or burning sensation) or increase skin reactions caused by other medications when applied to the same area.

3. How to use Hibiscrub

Follow the administration instructions for the medication contained in this package leaflet or as indicated by your doctor or pharmacist. In case of doubt, ask your doctor or pharmacist.

Cutaneous use.

Surgical hand antisepsis:

Wet hands and forearms, apply 5 ml of Hibiscrub, and wash for 1 minute, cleaning nails with a brush, rinse, and apply another 5 ml for 2 minutes; rinse and dry.

Antisepsis of healthcare personnel's hands:

Wet hands and forearms, apply 5 ml of Hibiscrub, and wash for 1 minute; rinse and dry.

Pre-operative skin antisepsis:

Wash the entire body (bath or shower) at least twice, usually the day before and the day of the operation, as follows: the day before the operation, wash with 25 ml of Hibiscrub from the face downwards, paying attention to the areas around the nose, armpits, navel, groin, and perineum. Then rinse and repeat the wash with another 25 ml, including the hair. Finally, rinse and dry. This procedure will be repeated the next day. For bedridden patients, apply the usual washing technique in bed. Perform conventional antisepsis of the surgical site with the patient in the operating room.

Post-operative skin antisepsis:

From the third day after the surgical procedure, wash the entire body, excluding the surgical site, following the pre-operative skin antisepsis procedure.

If you use more Hibiscrub 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.

Medicine questions

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4. Possible Side Effects

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

Serious Side Effects:

Frequency not known (cannot be estimated from available data):

  • Severe allergic reactions (anaphylactic reaction) that can cause difficulty breathing, weakness, collapse, and death, and may be preceded by swelling (particularly lip, tongue, and facial swelling) or rash.
  • Chemical burns in neonates.

At the first signs of these reactions, inform your doctor, pharmacist, or nurse and immediately stop using Hibiscrub.

Other possible side effects are:

  • Frequency not known (cannot be estimated from available data): skin allergic disorders, skin inflammation (dermatitis), itching (pruritus), skin redness (erythema), eczema, rash, urticaria (hives), skin irritation, and blisters.
  • Corneal injury (injury to the surface of the eye) and permanent eye injury, including permanent visual impairment (after accidental eye exposure during surgical procedures in the head, face, and neck) in patients under general anesthesia (deep sleep induced without pain).

Reporting Side Effects

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

5. Storage of Hibiscrub

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

Do not use this medication after the expiration date shown on the bottle after 'EXP'. The expiration date is the last day of the month indicated.

Do not store above 25°C.

Medications should not be disposed of through wastewater or household waste. Deposit the packaging and any unused medication in the pharmacy's SIGRE collection point. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medication. This will help protect the environment.

6. Package Contents and Additional Information

Hibiscrub Composition

  • The active ingredient is chlorhexidine digluconate. Each ml contains 40 mg of chlorhexidine digluconate.
  • The other ingredients (excipients) are: PEG-7-glyceryl cocoate, glycerol (E422), D-gluconolactone, isopropyl alcohol, lauryldimethylamine oxide, citrus perfume, polyoxyethylene-polyoxypropylene copolymer (poloxamer 237), Ponceau 4R (E124), sodium hydroxide (E524), and purified water.

Appearance of the Product and Package Contents

Hibiscrub is presented in 500 ml HDPE bottles.

Marketing Authorization Holder

Mölnlycke Health Care AB

Entreprenörsstråket 21

SE-431 53 Mölndal

Sweden

Manufacturer

Société de Production Pharmaceutique et d'Hygiène (SPPH)

7 Impasse des Boussenots

21800 Quetigny

France

Local Representative

Mölnlycke Healthcare, S.L.

Date of the Last Revision of this Package Leaflet: June 2024

Detailed and updated 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 HIBISCRUB 40 mg/ml CUTANEOUS SOLUTION

Discuss questions about HIBISCRUB 40 mg/ml CUTANEOUS 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.

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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.

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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Jorge Correa Bellido

General medicine 7 years exp.

Dr. Jorge Correa Bellido is a Spanish physician who offers online consultations in Spanish and English. He graduated from the University of La Laguna and has a solid background in clinical practice and international research.

Throughout his career, he has participated in various medical and academic projects, including a research fellowship in Spain, where he contributed to evidence-based studies in the field of family medicine. This experience allowed him to broaden his global perspective on healthcare and comprehensive patient care.

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Andrei Popov

General medicine 7 years exp.

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

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Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
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  • Frequent respiratory infections (cold, flu, persistent cough)
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What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

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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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Frequently Asked Questions

Is a prescription required for HIBISCRUB 40 mg/ml CUTANEOUS SOLUTION?
HIBISCRUB 40 mg/ml CUTANEOUS 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 HIBISCRUB 40 mg/ml CUTANEOUS SOLUTION?
The active ingredient in HIBISCRUB 40 mg/ml CUTANEOUS SOLUTION is chlorhexidine. This information helps identify medicines with the same composition but different brand names.
Who manufactures HIBISCRUB 40 mg/ml CUTANEOUS SOLUTION?
HIBISCRUB 40 mg/ml CUTANEOUS SOLUTION is manufactured by Moelnlycke Health Care Ab. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of HIBISCRUB 40 mg/ml CUTANEOUS 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 HIBISCRUB 40 mg/ml CUTANEOUS 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 HIBISCRUB 40 mg/ml CUTANEOUS SOLUTION?
Other medicines with the same active substance (chlorhexidine) include AQUASEPTIC PHARMA 20 mg/ml CUTANEOUS SOLUTION, AQUASEPTIC PHARMA ORANGE 20 mg/mL CUTANEOUS SOLUTION, CHLORHEXLAN 20 mg/ml CUTANEOUS SPRAY 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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