Chlorhexidine with cetrimide
Brand names: Tisept, Travasept
A combined antiseptic of the biguanide chlorhexidine with the quaternary-ammonium surfactant cetrimide, used for cleansing and disinfecting wounds, burns and skin.
ClinCalc Pro is rebuilding its dose data from primary open sources — the manufacturer SmPC (eMC), the WHO Model Formulary and other official references — under clinician review. This drug's structured dose is not yet published here. Confirm all doses against the product SmPC and your local formulary before prescribing.
Clinical monograph
How it works
Chlorhexidine disrupts microbial cell membranes with persistent residual activity, while cetrimide acts as a cationic surfactant that emulsifies debris and has additional antimicrobial and cleansing properties.
Prescribing in practice
- Avoid contact with the eyes, brain, meninges and middle ear, and do not use in body cavities, as chlorhexidine can cause serious harm to these tissues.
- Solutions can become contaminated with resistant organisms, so single-use sterile presentations are preferred for open wounds.
- Cetrimide can be irritant to skin, especially with repeated or prolonged use.
Monitoring
Inspect the wound for signs of irritation or sensitisation and ensure the antiseptic is not used near the eyes or within enclosed cavities.
Counselling the patient
- Use for cleansing skin and wounds as directed and keep away from the eyes and ears.
- Report any stinging, rash or increasing redness of the treated area.
Evidence & guidelines
Guidance on avoiding sensitive tissues and contamination risk follows the SPC and standard wound-care references.
Reference: Drug verified in RxNorm (NLM); confirm dosing against the manufacturer SPC (eMC). Verify against your local formulary and current prescribing references before prescribing. Monograph status: clinician-reviewed (2026-07-04).
Related
Curated clinical cross-links plus same-class fallbacks.
- Melanoma ABCDE Criteria · Diagnosis
- Melanoma Breslow Thickness and Staging · Skin Cancer
- PASI Score (Psoriasis Area and Severity Index) · Psoriasis
- DLQI (Dermatology Life Quality Index) · Quality of Life
- Braden Scale for Pressure Ulcer Risk · Prognosis
- Waterlow Pressure Ulcer Risk Score · Risk Assessment
- Major Trauma — Primary Survey (ATLS) · ATLS 10th Edition; JRCALC; NICE NG39
- Major Haemorrhage / Massive Transfusion · BCSH; RCOA; RCEM; RCS — BCSH Guidelines
- Burns — TBSA Estimation & Fluid Resuscitation · British Burn Association; EMSB; RCEM 2024
- Lower Gastrointestinal Bleed · NICE; BSG; ACPGBI — Commissioning Guide
- Acute Pancreatitis · NICE; IAP/APA; ACPGBI — CG104
- Hypertrophic Pyloric Stenosis · BAPS / RCPCH