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The accidental ingestion of pHisoHex (hexachlorophene) in amounts from 1 oz to 4 oz has caused anorexia, vomiting, abdominal cramps, diarrhea, dehydration, convulsions, hypotension, and shock, and in several reported instances, fatalities.

If patients are seen early, the stomach should be evacuated by emesis or gastric lavage. Olive oil or vegetable oil (60 mL or 2 fl oz) may then be given to delay absorption of hexachlorophene, followed by a saline cathartic to hasten removal. Treatment is symptomatic and supportive; intravenous fluids (5 percent dextrose in physiologic saline solution) may be given for dehydration. Any other electrolyte derangement should be corrected. If marked hypotension occurs, vasopressor therapy is indicated. Use of opiates may be considered if gastrointestinal symptoms (cramping, diarrhea) are severe. Scheduled medical or surgical procedures should be postponed until the patient's condition has been evaluated and stabilized.

pHisoHex (hexachlorophene) should not be used on burned or denuded skin.

It should not be used as an occlusive dressing, wet pack, or lotion.

It should not be used routinely for prophylactic total body bathing.

It should not be used as a vaginal pack or tampon, or on any mucous membranes.

pHisoHex (hexachlorophene) should not be used on persons with sensitivity to any of its components. It should not be used on persons who have demonstrated primary light sensitivity to halogenated phenol derivatives because of the possibility of cross-sensitivity to hexachlorophene.

Last reviewed on RxList: 5/21/2008
This monograph has been modified to include the generic and brand name in many instances.