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The eMC  

Last Updated 21 May 2012

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Neomycin 0.5% / Chlorhexidine hydrochloride 0.1% cream

Chlorhexidine hydrochloride/Neomycin sulphate (Clor-hex-id-deen hi-droh-clor-ride/Nee-oh-my-sin sul-fate) is a medicine which is used in eradicating certain bacteria from the nose.

The information in this Medicine Guide for Chlorhexidine hydrochloride/Neomycin sulphate varies according to the condition being treated and the particular preparation used.

Neomycin 0.5% / Chlorhexidine hydrochloride 0.1% cream

Information specific to Neomycin 0.5% / Chlorhexidine hydrochloride 0.1% cream when used in eradicating certain bacteria from the nose

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Your medicine

Chlorhexidine hydrochloride/Neomycin sulphate contains two ingredients – chlorhexidine hydrochloride and neomycin sulphate. They work together to treat or prevent bacterial infections of the nose. Chlorhexidine hydrochloride/Neomycin sulphate should only be used in the nose so it is very important that you do not get any Chlorhexidine hydrochloride/Neomycin sulphate in your eyes or ears.

Do not share your medicine with other people. It may not be suitable for them and may harm them.

The pharmacy label on your medicine tells you how much medicine you should use. It also tells you how often you should use your medicine. This is the dose that you and your prescriber have agreed you should use. You should not change the dose of your medicine unless you are told to do so by your prescriber.

If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber.

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When to take your medicine

Some medicines work best if they are taken at a specific time of day. Getting the most from your medicine can also be affected by the times at which you take other medicines.

Specific information on when to use Chlorhexidine hydrochloride/Neomycin sulphate can be found in the Patient Information Leaflet that comes with this medicine. Alternatively, you can request information about when to take your medicine from your doctor or pharmacist.

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How to take your medicine

Some medicines have specific instructions about how to take them. This is because they work better when taken correctly. These instructions can include getting the right dose and special instructions for preparing the medicine.

Specific information on how to use Chlorhexidine hydrochloride/Neomycin sulphate can be found in the Patient Information Leaflet that comes with this medicine or on the medicine label. Alternatively, you can request information about how to take your medicine from your doctor or pharmacist.

If you are having problems taking this form of Chlorhexidine hydrochloride/Neomycin sulphate, you should talk to your prescriber or pharmacist. They may be able to give you advice on other ways to take your medicine or other preparations that are easier for you to take.

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Taking too much of your medicine

Taking extra doses of some medicines can be harmful. In some cases even one extra dose can cause you problems. If you take extra doses of your medicine, you must get medical advice immediately. This is because the effects of taking too much medicine are very complex so it is very important that you seek medical advice.

Contact your prescriber, pharmacist, specialist clinic or call 111 for advice.

Make sure you take all of your medicine containers with you if you are advised to go to hospital.

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Stopping your medicine

Suddenly stopping your medicine may cause your original condition to return. This is why you must speak to your prescriber if you are having any problems using your medicine.

If you are not having any problems taking this medicine then do not stop using it, even if you feel better, unless advised to do so by your prescriber.

If you are in any doubt, contact your prescriber, pharmacist, specialist clinic or call 111.

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Looking after your medicine

The instructions on how you should keep your medicine are on the pharmacy label. It is a good idea to keep your medicine in the original container. This will help to keep your medicine in the best condition and also allow you to check the instructions. Do not take the medicine if the packaging appears to have been tampered with or if the medicine shows any signs of damage. Make sure that the medicine is out of the sight and reach of children.

Specific information on how to look after Chlorhexidine hydrochloride/Neomycin sulphate can be found in the Patient Information Leaflet that comes with this medicine or on the medicine label. Alternatively, you can request information about how to look after your medicine from your doctor or pharmacist.

You must not take the medicine after the expiry date shown on the packaging. If you have any unused medicine, return it to your pharmacist who will dispose of it safely.

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Whether this medicine is suitable for you

Chlorhexidine hydrochloride/Neomycin sulphate is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.

Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:

Furthermore the prescriber may only prescribe this medicine with special care or may not prescribe it at all for a child.

Over time it is possible that Chlorhexidine hydrochloride/Neomycin sulphate can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Chlorhexidine hydrochloride/Neomycin sulphate has become unsuitable, it is important that the prescriber is contacted immediately.

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Side-effects

A medicine is only made available to the public if the clinical trials have shown that the benefits of taking the medicine outweigh the risks.

Once a medicine has been licensed, information on the medicine's effects, both intended and unintended, is continuously recorded and updated.

Some side-effects may be serious while others may only be a mild inconvenience.

Everyone's reaction to a medicine is different. It is difficult to predict which side-effects you will have from taking a particular medicine, or whether you will have any side-effects at all. The important thing is to tell your prescriber or pharmacist if you are having problems with your medicine.

The frequency of these side-effects is unknown:

  • anaphylactic reactions
  • damage to the kidney or damage to the ear if Chlorhexidine hydrochloride/Neomycin sulphate is used for a long period of time
  • sensitivity reactions
  • skin irritation
  • temporary loss of sense of smell or taste

If you feel unwell or if you have concerns about a side-effect, you will need to seek advice. If you feel very ill, get medical help straight away. Contact your prescriber, pharmacist, nurse or call 111.

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Taking other medicines

There are no known important interactions between Chlorhexidine hydrochloride/Neomycin sulphate and other medicines. If you experience any unusual symptoms while using Chlorhexidine hydrochloride/Neomycin sulphate and other medicines you should tell your prescriber.

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Complementary preparations and vitamins

Medicines can interact with complementary preparations and vitamins. In general, there is not much information available about interactions between medicines and complementary preparations or vitamins.

If you are planning to take or are already taking any complementary preparations and vitamins you should ask your prescriber whether there are any known interactions with Chlorhexidine hydrochloride/Neomycin sulphate.

Your prescriber can advise whether it is appropriate for you to take combinations that are known to interact. They can also discuss with you the possible effect that the complementary preparations and vitamins may have on your condition.

If you experience any unusual effects while taking this medicine in combination with complementary preparations and vitamins, you should tell your prescriber.

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Driving and operating machinery

When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.

Like all medicines Chlorhexidine hydrochloride/Neomycin sulphate can cause side effects. You should see how this medicine affects you and then judge if you are safe to drive or operate machinery. If you are in any doubt, talk to your prescriber.

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Diet

Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.

In the case of Chlorhexidine hydrochloride/Neomycin sulphate:

  • there are no specific foods that you must exclude from your diet when using Chlorhexidine hydrochloride/Neomycin sulphate
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Alcohol

Alcohol can interact with certain medicines.

In the case of Chlorhexidine hydrochloride/Neomycin sulphate:

  • there are no known interactions between alcohol and Chlorhexidine hydrochloride/Neomycin sulphate
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Family planning and pregnancy

Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.

In the case of Chlorhexidine hydrochloride/Neomycin sulphate:

  • using this medicine during pregnancy is unlikely to cause any harm to your baby

You need to discuss your specific circumstances with your doctor to weigh up the overall risks and benefits of taking this medicine. You and your doctor can make a decision about whether you are going to take this medicine during pregnancy.

If the decision is that you should not have Chlorhexidine hydrochloride/Neomycin sulphate, then you should discuss whether there is an alternative medicine that you could take during pregnancy.

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Breast-feeding

Certain medicines can pass into breast milk and may reach your baby through breast-feeding.

In the case of Chlorhexidine hydrochloride/Neomycin sulphate:

  • using Chlorhexidine hydrochloride/Neomycin sulphate while breast-feeding is unlikely to affect your baby

Before you have your baby you should discuss breast-feeding with your doctor or midwife. They will help you decide what is best for you and your baby based on the benefits and risks associated with this medicine. You should only breast-feed your baby while taking this medicine on the advice of your doctor or midwife.

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Ingredients of your medicine

Medicines contain active ingredients. They may also contain other, additional ingredients that help ensure the stability, safety and effectiveness of the medicine. They are also added to improve the medicine's appearance and to make it easier to use. Some may be used to prolong the life of the medicine.

This medicine contains chlorhexidine hydrochloride and neomycin sulphate.

We are unable to list all of the ingredients for your medicine here. For a full list, you should refer to the patient information leaflet that comes with this medicine. You should check that you are able to take the ingredients of your medicine, especially if you have any allergies. You should also check whether any of these ingredients are known to have side-effects.

If you are not able to take any of the ingredients in your medicine, talk to your prescriber or pharmacist to see if they can suggest an alternative medicine. If you have reacted badly to Chlorhexidine hydrochloride/Neomycin sulphate before, do not take Chlorhexidine hydrochloride/Neomycin sulphate. Talk to your prescriber, pharmacist or nurse as soon as possible.

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Chlorhexidine hydrochloride/Neomycin sulphate, Version 4, last updated 21 May 2012