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CHLORAPREP is a brand name for Isopropyl Alcohol. The medicine, its uses, side effects and dosage are the same regardless of brand.
Used for: The medicinal product is to be used for disinfection of the skin prior to invasive medical procedures.
Verbatim from this product's MHRA label. Tap a section to expand.
Posology ChloraPrep may be used on all age groups and patient populations. 4, Special warnings and precautions for use). 5 ml or 26 ml of the ChloraPrep alcoholic solution. Method of administration For cutaneous use The choice of applicator will depend on the invasive procedure being undertaken and the clinician’s preference.
5 ml 26 ml 25 x 30 50 x 50 - Minor and major surgical procedures - Implantable device placement - Prosthetic device placement or removal - Midline, Peripheral Intravascular Central Catheter (PICC) & CVC insertion and maintenance - Cardiac catheterisation and Cardiac Cath Lab procedures - Interventional Radiology procedure The applicator is removed from the wrapper and held with the sponge facing downward.
The applicator is squeezed gently to break the ampoule containing the antiseptic solution, which is released onto the sponge in a controlled flow (for the 26 ml applicator the lever is pressed). Pinch wings once only to activate the applicator and release the antiseptic.
Do not repeatedly pinch or pump the wings in an attempt to accelerate the saturation of the foam. The broken ampoule remains safely contained within the applicator. The sponge is gently pressed against the patient’s skin in order to apply the antiseptic solution.
Once the solution is visible on the skin, use gentle back and forth strokes to prep the site for 30 seconds. The 26 ml applicator includes two swabs. Clean intact umbilicus with enclosed swabs when applicable. ) The area covered should be allowed to air dry completely.
It is recommended that ChloraPrep remain on the skin post-procedure to provide continued antimicrobial activity. If removal is necessary, remove with soap and water or alcohol.
g. erythematous, papular, or maculopapular), pruritus and blisters or application site vesicles. Other local symptoms have included skin burning sensation, pain and inflammation. Frequency not known: dermatitis, eczema, urticaria, chemical burns in neonates.
4). The most commonly reported adverse reactions reported are associated with application site reactions. e. at the prep site) and very rarely spread. The adverse reactions were often self-limiting in nature or resolved following treatment with topical steroids and / or antihistamines.
The most commonly reported reactions were non-serious in nature and included application site rash, application site erythema, application site vesicles, application site pain and application site pruritus. Frequency, type and severity of adverse reactions in children are expected to be the same as in adults.
Cases of anaphylactic reactions have been reported during anaesthesia.
Eye disorders Frequency not known:
Eye irritation, pain, hyperaemia, corneal erosion, epithelium defect/corneal injury, significant permanent visual impairment*. 4). Description of selected adverse reactions There have been isolated spontaneous reports of generalised allergic reactions potentially associated with ChloraPrep solution and have been reported during anaesthesia.
4). This product may cause a severe allergic reaction. Symptoms may include wheezing/difficulty breathing, shock, facial swelling, hives, or rash. 3). If hypersensitivity or an allergic reaction occurs, stop use and seek medical help right away.
Reporting of suspected adverse reactions Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.
The solution is flammable. Do not use electrocautery procedures or other ignition sources until the skin is completely dry. Remove any soaked materials, drapes or gowns before proceeding with the intervention. Do not use excessive quantities and do not allow the solution to pool in skin folds or under the patient or drip on sheets or other material in direct contact with the patient.
Where occlusive dressings are to be applied to areas previously exposed to ChloraPrep, care must be taken to ensure no excess product is present prior to application of the dressing. For external use only on intact skin. ChloraPrep contains chlorhexidine.
Chlorhexidine is known to induce hypersensitivity, including generalised allergic reactions and anaphylactic shock. The prevalence of chlorhexidine hypersensitivity is not known, but available literature suggests this is likely to be very rare.
8). The solution is an irritant to mucous membranes. It should therefore be kept away from these areas. ChloraPrep must not come into contact with the eye. Serious cases of persistent corneal injury, potentially requiring corneal transplant, were reported following accidental ocular exposure to chlorhexidine containing medicinal products despite taking eye protective measures due to migration of solution beyond the intended surgical preparation area.
Extreme care must be taken during application to ensure that ChloraPrep does not migrate beyond its intended application site into the eyes. Particular care should be taken in anaesthetised patients, who are unable to immediately report ocular exposure.
If ChloraPrep comes into contact with the eyes, wash out promptly and thoroughly with water. An ophthalmologist’s advice should be sought. Do not use on open skin wounds. Do not use on broken or damaged skin. In addition, direct contact with neural tissue or the middle ear must be avoided.
8).
Not medical advice. Always read the patient information leaflet and follow your prescriber or pharmacist.
Other brands of Isopropyl Alcohol in United Kingdom.
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Prolonged skin contact with alcohol containing solutions should be avoided. 2 above). When the solution has been applied in an over-vigorous manner to very fragile or sensitive skin or after repeated use, local skin reaction may occur including: erythema or inflammation, itching, dry and/or flaky skin and local application site pain.
At the first sign of local skin reaction application of ChloraPrep should be stopped. Anaphylactic reactions during anaesthesia Chlorhexidine-containing products are known causes of anaphylactic reactions during anaesthesia. g. a significant portion of skin may be covered or patient unable to communicate early symptoms.
g. abrupt fall in blood pressure, hives, angioedema), chlorhexidine-related allergic reaction should be considered. g. IV lines) should be removed. Special precaution should be taken to avoid patient exposure to any other product containing chlorhexidine during the course of the treatment.
Paediatric population The use of chlorhexidine solutions, both alcohol based and aqueous, for skin antisepsis prior to invasive procedures has been associated with chemical burns in neonates. Based on available case reports and the published literature, this risk appears to be higher in preterm infants, especially those born before 32 weeks of gestation and within the first 2 weeks of life.