Topical nasal antiseptic/antibiotic
Chlorhexidine with neomycin
Brand names: Naseptin
Adult dose
Dose: Apply small amount to each nostril QDS for 10 days
Route: Topical (nasal)
Frequency: QDS
Clinical pearls
- Eradication of nasal staphylococcal carriage; mupirocin alternative if peanut allergy
Contraindications
- Hypersensitivity to peanut/soya (peanut oil base)
- Hypersensitivity to neomycin
Side effects
- Local irritation
- Hypersensitivity
Reference: BNF; https://bnf.nice.org.uk/drugs/chlorhexidine-with-neomycin/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
- Centor / McIsaac Score for Strep Pharyngitis · Throat
- Lund-Mackay CT Score for Chronic Rhinosinusitis · Sinonasal
- SNOT-22 (Sinonasal Outcome Test) · Chronic Rhinosinusitis
- Epistaxis Severity Score (ESS) · Epistaxis
- FeverPAIN Score for Strep Throat · Throat
- Jarisch-Herxheimer Reaction Severity Assessment · Treatment Reactions
Pathways
- Adult Upper Airway Obstruction (Stridor) · DAS 2015 unanticipated difficult airway; RCEM
- Epistaxis Management · ENT-UK / NICE
- Acute Otitis Media · NICE NG91 2018
- Tonsillitis and Sore Throat · NICE NG84 2018
- Benign Paroxysmal Positional Vertigo · NICE CG124 / AAO-HNS Guidelines
- Acute Rhinosinusitis · NICE NG79 2017 / EPOS 2020