Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Chlorhexidine
Drug ID BADD_D00434
Description Chlorhexidine is a broad-spectrum antimicrobial biguanide used as a topical antiseptic and in dental practice for the treatment of inflammatory dental conditions caused by microorganisms.[L11512] It is one of the most common skin and mucous membrane antiseptic agents in use today.[A190417] The molecule itself is a cationic bis-guanide consisting of two 4-chlorophenyl rings and two biguanide groups joined by a central hexamethylene chain.[A190453] Topical chlorhexidine for disinfection, as well as oral rinses for dental use, carries activity against a broad range of pathogens including bacteria, yeasts, and viruses.[L11518,L11512,A190453] Chlorhexidine was developed in the UK by Imperial Chemical Industries in the early 1950s[A190474] and was introduced to the US in the 1970s.[L11572]
Indications and Usage Chlorhexidine is available over-the-counter in various formulations (e.g. solution, sponge, cloth, swab) as a topical antiseptic to sanitize prior to surgeries and/or medical procedures.[L11518,L11521,L11527,L11533] Dental formulations, available by prescription only, include an oral rinse indicated for the treatment of gingivitis[L11512] and a slow-release "chip" which is inserted into periodontal pockets and is indicated for the reduction of pocket depth in adult patients with periodontitis as an adjunct therapy to dental scaling and root planing procedures.[L11536]
Marketing Status approved; vet_approved
ATC Code A01AB03; B05CA02; D08AC02; D09AA12; R02AA05; S01AX09; S02AA09; S03AA04
DrugBank ID DB00878
KEGG ID D07668
MeSH ID D002710
PubChem ID 9552079
TTD Drug ID D0V4GY
NDC Product Code 76107-135; 53296-0010
UNII R4KO0DY52L
Synonyms Chlorhexidine | Chlorhexidine Hydrochloride | Hydrochloride, Chlorhexidine | Tubulicid | Novalsan | Sebidin A | Chlorhexidine Acetate | Acetate, Chlorhexidine | MK-412A | MK 412A | MK412A
Chemical Information
Molecular Formula C22H30Cl2N10
CAS Registry Number 55-56-1
SMILES C1=CC(=CC=C1NC(=NC(=NCCCCCCN=C(N)N=C(N)NC2=CC=C(C=C2)Cl)N)N)Cl
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Rhinitis22.07.03.006; 11.01.13.004--
Sialoadenitis11.01.04.002; 07.06.04.002--
Sinusitis22.07.03.007; 11.01.13.005--
Skin disorder23.03.03.007--Not Available
Skin exfoliation23.03.07.003--Not Available
Stomatitis07.05.06.0050.000203%
Stridor22.04.02.003--
Swelling08.01.03.015--Not Available
Swelling face08.01.03.100; 23.04.01.018; 10.01.05.018--Not Available
Swollen tongue07.14.02.003; 23.04.01.014; 10.01.05.0150.000608%Not Available
Tenderness08.01.08.005--Not Available
Tendonitis15.07.01.003; 12.01.07.007--Not Available
Tongue coated07.14.02.011--Not Available
Tongue discolouration07.14.02.0060.000359%Not Available
Tongue disorder07.14.01.002--Not Available
Tongue geographic07.14.01.006--Not Available
Tongue oedema23.04.01.009; 10.01.05.008; 07.14.02.0070.000783%Not Available
Tooth disorder07.09.05.001--Not Available
Toothache07.09.06.001--
Type I hypersensitivity10.01.03.006--Not Available
Ulcer08.03.06.001--Not Available
Upper respiratory tract infection22.07.03.011; 11.01.13.009--
Urticaria23.04.02.001; 10.01.06.0010.000138%
Vertigo17.02.12.002; 04.04.01.003--
Vision blurred17.17.01.010; 06.02.06.007--
Visual acuity reduced06.02.10.012; 17.17.01.0110.000092%
Visual impairment06.02.10.013--Not Available
Application site vesicles23.03.01.009; 12.07.01.009; 08.02.01.009--Not Available
Musculoskeletal discomfort15.03.04.001--Not Available
Haemorrhage24.07.01.002--Not Available
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ADReCS-Target
Drug Name ADR Term Target
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