Chlorhexidine Gluconate

Manufacturer
VistaPharm, LLC
Effective date
2022-01-19
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
3
Source
full-release
Hydrated at
2026-05-31 20:59:37

Label at a glance#

ProductChlorhexidine Gluconate
Active ingredientCHLORHEXIDINE GLUCONATE
Label structure12 sections

Indications and uses

Chlorhexidine gluconate oral rinse USP, 0.12% is indicated for use between dental visits as part of a professional program for the treatment of gingivitis as characterized by redness and swelling of the gingivae, including gingival bleeding upon probing. Chlorhexidine gluconate oral rinse USP, 0.12% has not been tested among patients with acute necrotizing ulcerative gingivitis (ANUG). For patients having coexisti...

Dosage and administration

Chlorhexidine gluconate oral rinse USP, 0.12% therapy should be initiated directly following a dental prophylaxis. Patients using chlorhexidine gluconate oral rinse USP, 0.12% should be reevaluated and given a thorough prophylaxis at intervals no longer than six months. Recommended use is twice daily oral rinsing for 30 seconds, morning and evening after toothbrushing. Usual dosage is 1/2 fl. oz. (one 15 mL unit-d...

Label contents#

Full prescribing information#

DESCRIPTION:

DESCRIPTION SECTION

Chlorhexidine gluconate oral rinse USP, 0.12% is an oral rinse containing 0.12% chlorhexidine gluconate (1,1’-hexamethylene bis [5-(p-chlorophenyl) biguanide] di-D-gluconate) in a base containing water, propylene glycol, glycerin, sorbitol, polyoxyl 40 hydrogenated castor oil, flavor, cetylpyridinium chloride, and FD&C blue no. 1. Chlorhexidine gluconate oral rinse USP, 0.12% product is a near neutral solution (pH range 5-7). Chlorhexidine gluconate is a salt of chlorhexidine and gluconic acid. Its chemical structure is:

Structure
Structure

CLINICAL PHARMACOLOGY:

CLINICAL PHARMACOLOGY SECTION

Chlorhexidine gluconate oral rinse USP, 0.12% provides antimicrobial activity during oral rinsing. The clinical significance of chlorhexidine gluconate oral rinse’s antimicrobial activities is not clear. Microbiological sampling of plaque has shown a general reduction of counts of certain assayed bacteria, both aerobic and anaerobic, ranging from 54-97% through six months’ use.

Use of chlorhexidine gluconate oral rinse USP, 0.12% in a six-month clinical study did not result in any significant changes in bacterial resistance, overgrowth of potentially opportunistic organisms or other adverse changes in the oral microbial ecosystem. Three months after chlorhexidine gluconate oral rinse USP, 0.12% use was discontinued, the number of bacteria in plaque had returned to baseline levels and resistance of plaque bacteria to chlorhexidine gluconate was equal to that at baseline.

PHARMACOKINETICS:

PHARMACOKINETICS SECTION

Pharmacokinetic studies with a chlorhexidine gluconate oral rinse USP, 0.12% indicate approximately 30% of the active ingredient is retained in the oral cavity following rinsing. This retained drug is slowly released into the oral fluids.

Studies conducted on human subjects and animals demonstrate chlorhexidine gluconate is poorly absorbed from the gastrointestinal tract. The mean plasma level of chlorhexidine
gluconate reached a peak of 0.206 μg/g in humans 30 minutes after they ingested a 300-mg dose of the drug. Detectable levels of chlorhexidine gluconate were not present in the plasma of these subjects 12 hours after the compound was administered. Excretion of chlorhexidine gluconate occurred primarily through the feces (~90%). Less than 1% of the chlorhexidine gluconate ingested by these subjects was excreted in the urine.

INDICATIONS AND USAGE:

INDICATIONS & USAGE SECTION

Chlorhexidine gluconate oral rinse USP, 0.12% is indicated for use between dental visits as part of a professional program for the treatment of gingivitis as characterized by redness and swelling of the gingivae, including gingival bleeding upon probing. Chlorhexidine gluconate oral rinse USP, 0.12% has not been tested among patients with acute necrotizing ulcerative gingivitis (ANUG). For patients having coexisting gingivitis and periodontitis, see PRECAUTIONS.

CONTRAINDICATIONS:

CONTRAINDICATIONS SECTION

Chlorhexidine gluconate oral rinse USP, 0.12% should not be used by persons who are known to be hypersensitive to chlorhexidine gluconate or other formula ingredients.

WARNINGS:

WARNINGS SECTION

The effect of chlorhexidine gluconate oral rinse USP, 0.12% on periodontitis has not been determined. An increase in supragingival calculus was noted in clinical testing with users of chlorhexidine gluconate oral rinse USP, 0.12% compared with control users. It is not known if chlorhexidine gluconate use results in an increase of subgingival calculus. Calculus deposits should be removed by a dental prophylaxis at intervals not greater than six months. Anaphylaxis, as well as serious allergic reactions, have been reported during postmarketing use with dental products containing chlorhexidine.

SEE CONTRAINDICATIONS.

PRECAUTIONS:

PRECAUTIONS SECTION

General:

GENERAL PRECAUTIONS SECTION

1. For patients having coexisting gingivitis and periodontitis, the presence or absence of gingival inflammation following treatment with chlorhexidine gluconate oral rinse USP, 0.12% should not be used as a major indicator of underlying periodontitis.

2. Chlorhexidine gluconate oral rinse USP, 0.12% can cause staining of oral surfaces, such as tooth surfaces, restorations, and the dorsum of the tongue. Not all patients will experience a visually significant increase in tooth staining. In clinical testing, 56% of the chlorhexidine gluconate oral rinse USP, 0.12% users exhibited a measurable increase in facial anterior stain, compared to 35% of control users after six months; 15% of the chlorhexidine gluconate oral rinse USP, 0.12% users developed what was judged to be heavy stain, compared to 1% of control users after six months. Stain will be more pronounced in patients who have heavier accumulations of unremoved plaque. Stain resulting from the use of chlorhexidine gluconate oral rinse USP, 0.12% does not adversely affect health of the gingivae or other oral tissues. Stain can be removed from most tooth surfaces by conventional professional prophylactic techniques. Additional time may be required to complete the prophylaxis. Discretion should be used when prescribing to patients with anterior facial restorations with rough surfaces or margins. If natural stain cannot be removed from these surfaces by a dental prophylaxis, patients should be excluded from chlorhexidine gluconate oral rinse USP, 0.12% treatment if permanent discoloration is unacceptable. Stain in these areas may be difficult to remove by dental prophylaxis and on rare occasions may necessitate replacement of these restorations.

3. Some patients may experience an alteration in taste perception while undergoing treatment with a chlorhexidine gluconate oral rinse USP, 0.12%. Rare instances of permanent taste alteration following chlorhexidine gluconate oral rinse USP, 0.12% use have been reported via postmarketing product surveillance.

Pregnancy: Teratogenic Effects:

PREGNANCY SECTION

Pregnancy Category B. Reproduction studies have been performed in rats and rabbits at chlorhexidine gluconate doses up to 300 mg/kg/day and 40 mg/kg/day, respectively, and have not revealed evidence of harm to fetus. However, adequate and well-controlled studies in pregnant women have not been done. Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.

Nursing Mothers:

NURSING MOTHERS SECTION

It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when chlorhexidine gluconate oral rinse USP, 0.12% is administered to nursing women. In parturition and lactation studies with rats, no evidence of impaired parturition or of toxic effects to suckling pups was observed when chlorhexidine gluconate was administered to dams at doses that were over 100 times greater than that which would result from a person’s ingesting 30 mL (2 doses) of chlorhexidine gluconate oral rinse USP, 0.12% per day.

Pediatric Use:

PEDIATRIC USE SECTION

Clinical effectiveness and safety of chlorhexidine gluconate oral rinse USP, 0.12% have not been established in children under the age of 18.

Carcinogenesis, Mutagenesis, Impairment of Fertility:

CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY SECTION

In a drinking water study in rats, carcinogenic effects were not observed at doses up to 38 mg/kg/day. Mutagenic effects were not observed in two mammalian in vivo mutagenesis studies with chlorhexidine gluconate. The highest doses of chlorhexidine used in a mouse dominant-lethal assay and a hamster cytogenetics test were 1000 mg/kg/day and 250 mg/kg/day, respectively. No evidence of impaired fertility was observed in rats at doses up to 100 mg/kg/day.

ADVERSE REACTIONS:

ADVERSE REACTIONS SECTION

The most common side effects associated with chlorhexidine gluconate oral rinse USP, 0.12% are: (1) an increase in staining of teeth and other oral surfaces, (2) an increase in calculus formation, and (3) an alteration in taste perception; see WARNINGS and PRECAUTIONS. Oral irritation and local allergy-type symptoms have been spontaneously reported as side effects associated with use of chlorhexidine gluconate rinse. The following oral mucosal side effects were reported during placebo controlled adult clinical trials: aphthous ulcer, grossly obvious gingivitis, trauma, ulceration, erythema, desquamation, coated tongue, keratinization, geographic tongue, mucocele, and short frenum. Each occurred at a frequency of less than 1.0%.

Among postmarketing reports, the most frequently reported oral mucosal symptoms associated with chlorhexidine gluconate oral rinse USP, 0.12% are stomatitis, gingivitis, glossitis, ulcer, dry mouth, hypesthesia, glossal edema, and paresthesia.

Minor irritation and superficial desquamation of the oral mucosa have been noted in patients using chlorhexidine gluconate oral rinse.

There have been cases of parotid gland swelling and inflammation of the salivary glands (sialadenitis) reported in patients using chlorhexidine gluconate oral rinse.

OVERDOSAGE:

OVERDOSAGE SECTION

Ingestion of 1 or 2 ounces of chlorhexidine gluconate oral rinse USP, 0.12% by a small child (~10 kg body weight) might result in gastric distress, including nausea. Medical attention should be sought if more than 4 ounces of chlorhexidine gluconate oral rinse USP, 0.12% is ingested by a small child.

DOSAGE AND ADMINISTRATION:

DOSAGE & ADMINISTRATION SECTION

Chlorhexidine gluconate oral rinse USP, 0.12% therapy should be initiated directly following a dental prophylaxis. Patients using chlorhexidine gluconate oral rinse USP, 0.12% should be reevaluated and given a thorough prophylaxis at intervals no longer than six months. Recommended use is twice daily oral rinsing for 30 seconds, morning and evening after toothbrushing. Usual dosage is 1/2 fl. oz. (one 15 mL unit-dose cup) of undiluted chlorhexidine gluconate oral Rinse USP, 0.12%. Patients should be instructed not to rinse with water or other mouthwashes, brush teeth, or eat immediately after using chlorhexidine gluconate oral rinse USP, 0.12%. Chlorhexidine gluconate oral rinse USP, 0.12% is not intended for ingestion and should be expectorated after rinsing.

HOW SUPPLIED:

HOW SUPPLIED SECTION

Chlorhexidine gluconate oral rinse USP, 0.12% is a blue liquid supplied as follows:

NDC 66689-106-01: 15 mL unit-dose cup

NDC 66689-106-50: Case contains 50 unit-dose cups of 15 mL (NDC 66689-106-01), packaged in 5 trays of 10 unit-dose cups each.

NDC 66689-106-99: Case contains 100 unit-dose cups of 15 mL (NDC 66689-106-01), packaged in 10 trays of 10 unit-dose cups each.

Store at 20° to 25°C (68° to 77°F) excursions permitted between 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature].

DIRECTIONS FOR USE:Swish in mouth undiluted for 30 seconds, then spit out. Use after breakfast and before bedtime. Or, use as prescribed.

NOTE: To minimize medicinal taste, do not rinse with water immediately after use.

WHAT TO EXPECT WHEN USING CHLORHEXIDINE GLUCONATE ORAL RINSE USP, 0.12%

SPL UNCLASSIFIED SECTION

Your dentist has prescribed chlorhexidine gluconate oral rinse USP, 0.12% to treat your gingivitis, to help reduce the redness and swelling of your gums, and also to help you control any gum bleeding. Use chlorhexidine gluconate oral rinse USP, 0.12% regularly, as directed by your dentist, in addition to daily brushing. Spit out after use. Chlorhexidine gluconate oral rinse USP, 0.12% should not be swallowed.

If you develop allergic symptoms such as skin rash, itch, generalized swelling, breathing difficulties, lightheadedness, rapid heart rate, upset stomach or diarrhea, seek medical
attention immediately. Chlorhexidine gluconate oral rinse USP, 0.12% should not be used by persons who have a sensitivity to it or its components.

Chlorhexidine gluconate oral rinse USP, 0.12% may cause some tooth discoloration, or increases in tartar (calculus) formation, particularly in areas where stain and tartar usually form. It is important to see your dentist for removal of any stain or tartar at least every six months, or more frequently if your dentist advises.

Both stain and tartar can be removed by your dentist or hygienist. Chlorhexidine gluconate oral rinse USP, 0.12% may cause permanent discoloration of some front tooth fillings.

  • To minimize discoloration, you should brush and floss daily, emphasizing areas which begin to discolor.
  • Chlorhexidine gluconate oral rinse USP, 0.12% may taste bitter to some patients and can affect how foods and beverages taste. This will become less noticeable in most cases with continued use of chlorhexidine gluconate oral rinse USP, 0.12%.
  • To avoid taste interference, rinse with chlorhexidine gluconate oral rinse USP, 0.12% after meals. Do not rinse with water or other mouthwashes immediately after rinsing with chlorhexidine gluconate oral rinse USP, 0.12%.

If you have any questions or comments about chlorhexidine gluconate oral rinse USP, 0.12%, contact your dentist, pharmacist or call VistaPharm, Inc. at 1-888-655-1505.

Call your health care provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Rx Only. Keep out of reach of children.

Distributed by:
VistaPharm, Inc.
Largo, FL, USA

VP2536
06/2021

PRINCIPAL DISPLAY PANEL

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Chlorhexidine Gluconate Oral Rinse USP, 0.12%

Alcohol-Free

Delivers 15 mL

Store at 20°-25°C [68°-77°F]; [see USP CRT conditions].

Distributed by:

VistaPharm

Largo, FL 33771, USA

XactDose

Rx Only

VP2535

06/21

NDC 66689-106-01

Lidding Label
Lidding Label

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYSPL version
834127chlorhexidine gluconate 0.12 % Oral RinsePSN3
834127chlorhexidine gluconate 1.2 MG/ML MouthwashSCD3
834127chlorhexidine gluconate 0.12 % MouthwashSY3
834127chlorhexidine gluconate 0.12 % Oral RinseSY3

DailyMed Pharmacologic Classes#

Class, Version, Type table
ClassVersionTypeEffective
CHLORHEXIDINE Pharmacologic Class Indexing2Indexing - Pharmacologic Class20180813

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
6c13b22c-b3ba-4127-b768-0132dd5ab0d1Product name120230829
bb6d6c68-649d-4e6d-a1f6-603d969c8f68Product name120160303

FDA-Initiated Inactive NDC Indexing#

NDC, Effective, Action table
NDCEffectiveActionDocumentIndexing SPLRelated label
66689-106-502024-01-30C16284748780-11030e365-04cf-111a-e063-dadaa90a10e2Chlorhexidine Gluconate Oral Rinse USP, 0.12%
66689-106-992024-01-30C16284748780-11030e365-04cf-111a-e063-dadaa90a10e2Chlorhexidine Gluconate Oral Rinse USP, 0.12%

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
66689-106-01Chlorhexidine Gluconate15 mL in 1 CUP, UNIT-DOSERINSE153
66689-106-50Chlorhexidine Gluconate50 in 1 CASERINSE503
66689-106-99Chlorhexidine Gluconate100 in 1 CASERINSE1003

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
66689-106CHLORHEXIDINE GLUCONATE RINSE [VISTAPHARM, LLC]3Current NDC, Legacy NDC, 3 package rows20240209_7fb18b56-a76d-4f15-9438-c941def76fdb.zip

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
66689-106-01ML - Milliliter66689-106a6207d48-959f-4124-aadc-5218e715ea1e12022-02-07
66689-106-50ML - Milliliter66689-106bbafd471-e81f-4fc8-8edd-2d81717d651c12022-02-07
66689-106-99ML - Milliliter66689-10636820dce-441a-4043-8288-89de9506d7f112022-02-07

Products#

Every source-derived product name is available through these pages.

DailyMed product names page 1 of 1 · 9 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
66689-10666689-106-01, 66689-106-50, 66689-106-99
0126-0282

Ingredients#

Every source-derived ingredient row is available through these pages.

DailyMed ingredient rows page 1 of 1 · 8 matching rows.

Source Document#

Source XML

Orange Book application contexts#

All distinct exact application/product contexts derived from this label’s complete NDC list are paginated below.

Orange Book application contexts page 1 of 1 · 1 matching rows.

Source provenance: Browse the complete Orange Book source catalog · source snapshot 43.

Orange Book products#

Current product rows page 1 of 1 · 1 matching rows.

Application-product, Trade name, Ingredient table
Application-productTrade nameIngredientStrengthDosage form / routeTE codesRLD / RSApproval date
A203212-001PERIOGARDCHLORHEXIDINE GLUCONATE0.12%SOLUTION / DENTALAT2016-01-28

Therapeutic equivalence codes#

Current TE-code rows page 1 of 1 · 1 matching rows.

Application-product, TE code table
Application-productTE code
A203212-001AT

Observed Orange Book product history#

Observed FDA ZIP history: Each table is queried independently by exact application/product key from successfully parsed Orange Book snapshots. Capture times identify archived source observations; absence or a change between snapshots is not inferred. FDA publication files that were not recoverable as structured ZIP data are not represented as states.

Product history page 1 of 2 · 43 observed states.

Captured, Edition, Application-product table
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2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A203212-001PERIOGARD0.12%SOLUTION / DENTALAT2016-01-282680178bc6a6…
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2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A203212-001PERIOGARD0.12%SOLUTION / DENTALAT2016-01-28301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06A203212-001PERIOGARD0.12%SOLUTION / DENTALAT2016-01-281e350fbaab3a…
2024-05-31 18:47 UTC2024-05A203212-001PERIOGARD0.12%SOLUTION / DENTALAT2016-01-288072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A203212-001PERIOGARD0.12%SOLUTION / DENTALAT2016-01-285c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04A203212-001PERIOGARD0.12%SOLUTION / DENTALAT2016-01-285d02ea3f76ae…
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2021-12-28 21:50 UTC2021-12A203212-001PERIOGARD0.12%SOLUTION / DENTALAT2016-01-28782e0a99824c…
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2021-03-12 10:30 UTC2021-03A203212-001PERIOGARD0.12%SOLUTION / DENTALAT2016-01-285aa47cf7b7d7…
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2023-12-20 04:57 UTC2023-12A203212-001PERIOGARD0.12%SOLUTION / DENTALAT2016-01-28ea1830bbd6c7…
2023-11-28 05:40 UTC · 2 captures of this ZIP2023-11A203212-001PERIOGARD0.12%SOLUTION / DENTALAT2016-01-28a72a2bbeb626…
2023-10-25 00:34 UTC · 2 captures of this ZIP2023-10A203212-001PERIOGARD0.12%SOLUTION / DENTALAT2016-01-289b2671bbb829…
2023-07-15 15:27 UTC · 2 captures of this ZIP2023-07A203212-001PERIOGARD0.12%SOLUTION / DENTALAT2016-01-28a67488948f0b…
2023-06-13 01:57 UTC · 3 captures of this ZIP2023-06A203212-001PERIOGARD0.12%SOLUTION / DENTALAT2016-01-283f0d92c62455…
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Observed Orange Book normalized TE history#

Normalized TE history page 1 of 2 · 43 observed states.

Captured, Edition, Application-product table
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2025-08-23 18:47 UTC2025-08A203212-001AT16a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A203212-001AT1fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A203212-001AT1b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A203212-001AT103ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A203212-001AT12680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A203212-001AT15bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A203212-001AT1d8e5a09893c0…
2024-10-29 15:01 UTC2024-10A203212-001AT1d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A203212-001AT179d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A203212-001AT1301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06A203212-001AT11e350fbaab3a…
2024-05-31 18:47 UTC2024-05A203212-001AT18072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A203212-001AT15c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04A203212-001AT15d02ea3f76ae…
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2019-12-13 00:20 UTC2019-12A203212-001AT174a2ff9319b5…
2022-03-09 01:35 UTC2022-03A203212-001AT1bb7c543d1eb4…
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2021-05-05 16:15 UTC · 3 captures of this ZIP2021-05A203212-001AT187673890dc5c…
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2024-03-16 18:09 UTC · 4 captures of this ZIP2024-03A203212-001AT16a51e52b5d6a…
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openFDA label cross-check#

OpenFDA label data provides additional search and identifier links. DailyMed’s Structured Product Label is the canonical label on FDA.report. Matching records are deduplicated before they are shown below.

Matched openFDA labels page 1 of 1 · 2 matching rows.

Brand, Generic, Manufacturer table
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
Chlorhexidine GluconateCHLORHEXIDINE GLUCONATEVistaPharm, LLC7fb18b56-a76d-4f15-9438-c941def76fdb2022-01-19Warnings, Adverse reactionsExact identifier
ndc (package): 66689-106-50
ndc (package): 66689-106-99
ndc (package): 66689-106-01
ndc (product): 66689-106
ndc11 (package): 66689010601
ndc11 (package): 66689010699
ndc11 (package): 66689010650
spl id: 5674e1f6-64de-4e08-990e-d3e7cbcd3070
spl set id: 7fb18b56-a76d-4f15-9438-c941def76fdb
Periogard Alcohol FreeCHLORHEXIDINE GLUCONATEColgate Oral Pharmaceuticals, Inc.4993fc4a-bbe2-5ccb-de4d-44d73d484d392021-10-14Warnings, Adverse reactionsExact identifier
ndc (product): 0126-0282

Reported adverse events (FAERS/openFDA)#

Adverse event summaries are temporarily unavailable. Other product information remains available.