What sizes is chlorhexidine (CHX) 4% available in Canada?

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Chlorhexidine 4% Sizes Available in Canada

In Canada, chlorhexidine gluconate 4% solution is available in 118 mL (4 fl oz) bottles with a flip-top design. 1

Product Details

  • Chlorhexidine gluconate 4% solution is available as an antiseptic liquid in 118 mL (4 fl oz) containers with a flip-top design 1
  • The product is manufactured as a non-sterile solution intended for external use only 1
  • The active ingredient is specifically formulated as chlorhexidine gluconate solution at 4% concentration 1

Clinical Relevance and Applications

  • 4% chlorhexidine gluconate formulations have greater antimicrobial efficacy compared to lower concentrations (0.5% or 2%) for skin antisepsis 2
  • Preparations with 2% chlorhexidine gluconate are slightly less effective than those containing 4% chlorhexidine for hand hygiene and surgical preparation 2
  • 4% chlorhexidine detergent solutions have been shown to be significantly more effective than other antiseptic products like 2% triclosan for surgical hand disinfection 3

Usage Considerations

  • The 4% chlorhexidine solution is primarily used for skin antisepsis and surgical hand preparation due to its broad-spectrum antimicrobial activity 2
  • Chlorhexidine has substantial residual antimicrobial activity on the skin, making it valuable for sustained protection 2
  • Products containing 4% chlorhexidine are most likely to cause dermatitis when used frequently for antiseptic handwashing compared to lower concentrations 2

Storage and Handling Precautions

  • The product should be kept from freezing to maintain its efficacy 1
  • Chlorhexidine gluconate skin cleansers will cause stains if used with chlorine-releasing products such as chlorine bleach 1
  • When using the product, it should be rinsed completely and only non-chlorine detergents should be used for laundering/cleaning 1

Safety Considerations

  • The product is labeled for external use only and contains warnings regarding potential exposure to chemicals known to the State of California to cause cancer 1
  • Care must be taken to avoid contact with eyes when using preparations with >1% chlorhexidine, as it can cause conjunctivitis and severe corneal damage 2
  • Ototoxicity precludes its use in surgery involving the inner or middle ear, and direct contact with brain tissue and meninges should be avoided 2

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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