About every second German had at least once a gingivitis or bleeding after brushing his teeth. But that need not be. Chlorhexamed ® forte with the active ingredient chlorhexidine digluconate is not only used in the dental practice for over 50% of treatments, it is also common in domestic bathrooms.
Due to the strong bactericidal (bactericidal) effect, it can quickly counteract infections in the mouth and throat and also, as a prophylactic use in between, demonstrably promote the dental and oral health.
The active ingredient chlorhexidine digluconate is responsible for the effects of Chlorhexamed®. It penetrates into the bacterial membrane and can change it, even destroy it in high concentrations and is therefore bactericidal. The bacterium Streptococcus mutans, which is responsible for tooth decay, has a particularly effective effect on Chlorhexamed®. The antiseptic also works against some types of viruses, which is why it is also frequently used in throat and throat infections.
The molecule chlorhexidine digluconate adheres to the teeth due to its negative charge and can thus remain longer in the mouth and act, while other rinse solutions have long since disappeared from the oral cavity. The negative charge also ensures that chlorhexidine adheres to the oral mucosa, but does not penetrate and enter the bloodstream, which is why the preparation acts only locally. Even if chlorhexidine is inadvertently ingested or the gel reaches the gastrointestinal tract, it will not be absorbed through the intestinal mucosa, but completely excreted.
The effect of chlorhexidine digluconate has been known for 40 years. In general, it can be said that any bacterial inflammatory process in the oral and pharyngeal area (including tonsillitis and throat infections) is one of the main uses of Chlorhexamed ® forte. These include diseases such as gingivitis, inflammation of the gums, in which the gums hurts, blushes and swells. Furthermore, periodontitis, a generalized inflammation of the entire periodontium, is also an indication for the use of Chlorhexamed ® .
The active ingredient is particularly effective against the bacterium Streptococcus mutans, which is the bacterium that causes tooth decay. Therefore, chlorhexidine digluconate can achieve a reduction in the number of microorganisms in the entire oral cavity, which, in support of brushing teeth, leads to fewer caries diseases. However, chlorhexamed® can not treat or even reverse an existing tooth decay.
Furthermore, with limited oral hygiene ability, the preparation is ideal, for example, in old or disabled patients whose ability to perform good dental care is limited. In addition, Chlorhexamed® has a proven positive effect on bad breath.
All suturing surgical procedures in the oral cavity are another indication as the sutures are bactericidal and chlorhexidine rinsing may promote wound closure. Also, rinsing prior to surgery is preferred because it provides relative sterility within the oral cavity.
Caution should be taken with the postoperative behavior after tooth removal, as excessive rinsing is contraindicated in the healing process.
Most side effects of Chlorhexamed® are reversible, that is, reversible. Patients who use the drug for an extended period of time often complain about taste disorders that are almost metallic. The general taste sensation is disturbed. In addition, the tongue, teeth and gums may turn grayish to brownish and may form deposits. In rare cases, it can happen that the top cell layer of the oral mucosa separates, which is called desquamation and leads to an unpleasant sensation in the mouth.
However, these side effects are reversible and once the drug is discontinued, completely disappeared. Probably the most severe side effect is the allergic reaction. This can be a reaction to a component within the solution that can lead to anaphylactic shock and end up life-threatening. Therefore, the exact list of ingredients should be compared with the individual allergies.
Some studies have shown that Chlorhexamed® helps against throat infections. The antibacterial and antiviral effect is so potent that germ counts within the oropharynx are minimized by mere rinsing and gargling. In sore throats, it combats the signs of inflammation and relieves dysphagia. The active ingredient can adhere to the teeth and thus becomes effective for a relatively long time in the oral cavity, while other rinses only act for a short time. Repeated use in an acute infection of the throat is recommended, but not for a period longer than 2 weeks
Whether rinsing with Chlorhexamed® after wisdom tooth surgery ensures faster wound healing is controversial. After a tooth removal should generally only be carefully and little rinsed, as forms in the empty tooth a blood clot, which turns into tissue cells. If it is over-rinsed, the blood is removed and wound healing becomes difficult, even with Chlorhexamed®. Therefore, if ever, only brief, careful rinsing is effective and advisable. The drug should be slowly introduced into the oral cavity and even the slight turning of the head is sufficient as a rinse.
Chlorhexamed® is used in all mouth and throat infections and, thanks to its potent action, quickly relieves symptoms. In conditions such as tonsillitis, angina, side-stream gangrene, and pharyngitis, gargling and rinsing with the solution may be analgesic and anti-inflammatory. The active ingredient chlorhexidine digluconate can accelerate the healing process and alleviate the symptoms by its bactericidal effect in support of a medical therapy. Thus, the use should be used in addition to an ordered medication, but not as sole.
Due to the versatile positive effect of Chlorhexamed® affected patients try to achieve a faster wound closure after a tooth removal by rinsing with the solution. However, any rinsing after extractions is contraindicated. In the empty tooth socket, the alveolus, forms after the removal of the tooth, a blood graft. These blood cells develop into tissue cells and thereby close the open wound, until they also turn into bone cells after months. If, irrespective of the active ingredient, a liquid is rinsed too vigorously, the blood clot is removed and the bare bone is exposed in the open wound and can become infected.
The wound closure is thereby even more difficult. Therefore, the active ingredient Chlorhexamed® should not be actively moved within the oral cavity, if used. Consultation with the treating dentist is recommended.
The main indication of using Chlorhexamed® is gingivitis or gingivitis. This may affect the entire oral cavity or be localized only to a periodontal pocket or tooth. In case of generalized inflammation, rinsing twice with the irrigation solution is also the ideal therapy after brushing for 2-3 weeks. If the inflammation is localized only in one or a few places, the application of gel or fluid products with the active ingredient can achieve a cure. Therapy should be continued until symptom relief occurs.
Read more on the topic: What Helps with Gingivitis ?
Importantly, there are molecules that can inactivate chlorhexidine digluconate and thus block its action. These include sodium lauryl sulfate and triclosan, both of which are often components of toothpaste. Therefore, it is important for the user to use a toothpaste that does not contain either of the two substances or wait two hours between brushing and using Chlorhexamed® to ensure optimal effectiveness of Chlorhexamed®
The most commonly recommended dose is 0.2% and should be administered twice daily for several weeks. In case of periodontitis, the treatment period is 10 weeks. However, this concentration is not suitable for long-term use, so there is a rinse solution with only 0.05% chlorhexidine digluconate, which can be used daily and consistently throughout the year. For fluid and gel preparations with a concentration of 0.1 - 1%, local application (twice a day) is recommended until the symptoms of the inflammation are alleviated, after which the product should be discontinued. Thus, almost all products, except for the solution of reduced concentration (0.05%), are only suitable for temporary use.
The price of over-the-counter medicines containing chlorhexidine digluconate varies from pharmacy to pharmacy. Rinsing solutions are available in the usual sizes from 200ml - 600ml and cost about 3.50 Euros per 100 ml. The gel for the application costs on average as 50g size about 8 euros. In drugstores chlorhexidine preparations are also available, but in a much lower concentration. The individually best fitting product should be discussed with the dentist.
If there is an allergy to an ingredient in Chlorhexamed®, the use is absolutely not recommended. Are there alternatives with the same effect? There are mouthwashes from the pharmacy and drugstores, many of which are purely herbal. However, no mouthwash solution achieves similarly good bactericidal effects within the oral cavity as Chlorhexamed®. This is mainly due to the structure of the molecule chlorhexidine digluconate, because it can adhere to the oral cavity for a very long time, while the active ingredients are quickly washed out of other solutions after rinsing.
When Chlorhexamed® forte is used as intended, the active substance is not absorbed to any appreciable extent. Even if accidentally ingested, the drug is 100% excreted and does not reach the child. An application in pregnancy, as well as during lactation is therefore unproblematic.
The active substance does not influence hormonal contraception in any form and its use is harmless from this point of view since the active substances within the contraceptive and within the chlorhexidine preparations have no interaction.
All GSK products containing chlorhexidine digluconate have been alcohol free since 2011. Studies have found that the alcohol content in rinsing solutions does not provide an effective or supportive benefit and is therefore no longer present in the Chlorhexamed® preparations. Therefore, there is no risk for patients who are suffering from alcohol addiction or could relapse due to the consumption, because even through the oral mucosa alcohol can be absorbed into the bloodstream. For this reason, Chlorhexamed® products are harmless for children over 12 years. Nevertheless, consultation should be held with the treating dentist, as there are also products of other companies that contain alcohol. Please pay attention to the exact leaflet.
Both Chlorhexamed® rinse solutions and gels or fluids for application are available in pharmacies without prescription. The individually fitting preparation for the respective complaint case should be discussed with the dentist and the ordered dosage should not be exceeded.
If Chlorhexamed® rinse solutions and gel preparations are used, tooth discoloration may occur within a few days. Since the chlorhexidine molecule can adhere well to the tooth due to its property of negative charge, discoloration is a possible consequence of the inherent color of the preparation. However, this phenomenon is only reversible and temporary, because after stopping the application, the molecules lose the holding power and the teeth completely restore the old color. On personal request can be helped with a professional teeth cleaning, in which all discolorations are systematically cleaned.
Like many medical devices, Chlorhexamed® is available as a rinse, unless a separate expiration date is stated on the packaging, after opening for 6 months. Furthermore, there are also gels with the active ingredient, which should be used only 3 months after opening. During this time, the manufacturer guarantees the full effect development of the product. If the preparation is still used after this period, it may be that the effect is only partially or not at all. This is not recommended.