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Cold Sore Treatment (benzalkonium chloride/camphor)

Topical Cream (GRAM); Topical Gel (GRAM)

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Last reviewed · Source: First Databank (FDB) drug data

Overview

Benzalkonium chloride, a mixture of alkyldimethylbenzylammonium chlorides, is rapidly germicidal for many pathogenic bacteria and fungi.

Properly diluted, benzalkonium chloride is used for the prophylactic disinfection of the intact skin and in the treatment of superficial injuries and infected wounds. It is also used to preserve the sterility of surgical instruments and rubber articles during storage, and to preserve the sterility of ophthalmic solutions.

Generic name: benzalkonium chloride/camphor
Therapeutic class: Dermatological

Reference product & biosimilars

No reference, biosimilar or interchangeable associated with this drug.

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Indications

The following indications are listed for Cold Sore Treatment:

  • Minor Skin Wound Pain
  • Prevent Minor Bacterial Skin Infection
  • Pruritus Of Skin
  • Skin Irritation

Also known as: Itchy Skin Eruption, Prevent Superficial Bacterial Infection Of Skin, Pruritic Dermatitis.

Dosing

Tincture of benzalkonium chloride 1:750 is used for the preoperative disinfection of unbroken skin or treatment of superficial injuries. For preoperative disinfection of mucous membranes and denuded skin, benzalkonium chloride solution in concentrations of 1:10,000 to 1:2,000 is used. For irrigation of the eye, a solution 1:10,000 to 1:5,000 is used. For preservation of ophthalmic solutions, a solution 1:7,500 to 1:5,000 is used. For vaginal douche and irrigation, benzalkonium chloride solution 1:5,000 to 1:2,000 is used. For urinary bladder and urethral irrigation, a solution 1:5,000 to 1:20,000 is used; for retention irrigation of the bladder, a solution 1:20,000 to 1:40,000 is used. For infected, widely denuded areas, benzalkonium chloride solution should be used in concentrations of 1:2,000 to 1:5,000. For irrigation of infected deep wounds, concentrations of 1:20,000 to 1:3,000 may be employed. For the sterile storage of metallic instruments and rubber articles, benzalkonium chloride solution 1:750, with sodium nitrite 0.5% to prevent corrosion, is used.

Drug interactions

There is no enhanced messaging for this drug.

Contraindications

There is no enhanced messaging for this drug.

Adverse reactions

There is no enhanced messaging for this drug.

Precautions

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ICD codes

CodeTypeDescription
Pruritus of skin
L29.8ICD10CMOther pruritus
L29.81ICD10CMCholestatic pruritus
L29.89ICD10CMOther pruritus
L29.9ICD10CMPruritus, unspecified
Skin irritation
L24ICD10CMIrritant contact dermatitis
L24.0ICD10CMIrritant contact dermatitis due to detergents
L24.1ICD10CMIrritant contact dermatitis due to oils and greases
L24.2ICD10CMIrritant contact dermatitis due to solvents
L24.3ICD10CMIrritant contact dermatitis due to cosmetics
L24.4ICD10CMIrritant contact dermatitis due to drugs in contact with skin
L24.5ICD10CMIrritant contact dermatitis due to other chemical products
L24.6ICD10CMIrritant contact dermatitis due to food in contact with skin
L24.7ICD10CMIrritant contact dermatitis due to plants, except food
L24.8ICD10CMIrritant contact dermatitis due to other agents
L24.81ICD10CMIrritant contact dermatitis due to metals
L24.89ICD10CMIrritant contact dermatitis due to other agents
L24.9ICD10CMIrritant contact dermatitis, unspecified cause
L24.AICD10CMIrritant contact dermatitis due to friction or contact with body fluids
L24.A0ICD10CMIrritant contact dermatitis due to friction or contact with body fluids, unspecified
L24.A1ICD10CMIrritant contact dermatitis due to saliva
L24.A2ICD10CMIrritant contact dermatitis due to fecal, urinary or dual incontinence
L24.A9ICD10CMIrritant contact dermatitis due friction or contact with other specified body fluids
L24.BICD10CMIrritant contact dermatitis related to stoma or fistula
L24.B0ICD10CMIrritant contact dermatitis related to unspecified stoma or fistula
L24.B1ICD10CMIrritant contact dermatitis related to digestive stoma or fistula
L24.B2ICD10CMIrritant contact dermatitis related to respiratory stoma or fistula
L24.B3ICD10CMIrritant contact dermatitis related to fecal or urinary stoma or fistula
L25ICD10CMUnspecified contact dermatitis
L25.0ICD10CMUnspecified contact dermatitis due to cosmetics
L25.1ICD10CMUnspecified contact dermatitis due to drugs in contact with skin
L25.2ICD10CMUnspecified contact dermatitis due to dyes
L25.3ICD10CMUnspecified contact dermatitis due to other chemical products
L25.4ICD10CMUnspecified contact dermatitis due to food in contact with skin
L25.5ICD10CMUnspecified contact dermatitis due to plants, except food
L25.8ICD10CMUnspecified contact dermatitis due to other agents
L25.9ICD10CMUnspecified contact dermatitis, unspecified cause
L30.9ICD10CMDermatitis, unspecified
R21ICD10CMRash and other nonspecific skin eruption

ICD code information from First Databank (FDB).

Formulary status

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Last reviewed · Source: First Databank (FDB) drug data