Product image of Instillagel (Chlorhexidine Gluconate, Methyl Parahydroxybenzoate, Propyl Parahydroxybenzoate, Lidocaine Hydrochlo) supplied by GNH India

Instillagel

Active Ingredient:
Chlorhexidine Gluconate, Methyl Parahydroxybenzoate, Propyl Parahydroxybenzoate, Lidocaine Hydrochlo
Origin:
EU

Instillagel (Chlorhexidine Gluconate, Methyl Parahydroxybenzoate, Propyl Parahydroxybenzoate, Lidocaine Hydrochlo)

Chlorhexidine Gluconate, the active ingredient in Instillagel, is an antiseptic presented as a gel for rectal, urethral and vaginal use. It provides antimicrobial protection and local analgesia to mucosal surfaces. Instillagel also contains lidocaine hydrochloride for additional local anesthesia.

GNH India supplies Instillagel as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Farco-Pharma Gmbh

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Indications & Clinical Uses

Instillagel, a chlorhexidine‑based antiseptic and lidocaine local‑anesthetic gel, is applied to mucosal surfaces of the lower genitourinary tract.

  • Rectal mucosal antisepsis: cleanses and reduces bacterial load before procedures such as proctoscopy.
  • Urethral preparation: lowers microbial count prior to catheterisation or endoscopic interventions.
  • Vaginal antiseptic and analgesia: provides cleansing and numbing before gynecological examinations or surgeries.

How It Works

  • Chlorhexidine gluconate binds to bacterial cell membranes, disrupting their integrity and causing cell death, while lidocaine hydrochloride blocks voltage‑gated sodium channels in nerve fibers, preventing depolarisation and producing local anaesthesia on the treated mucosa.

Side Effects

Instillagel may cause local reactions when applied to mucosal surfaces.

Common Side Effects

  • Burning or stinging sensation at the application site.
  • Mild itching or irritation of the mucosa.
  • Transient numbness that resolves after a short period.
  • Local redness or mild erythema.
  • Allergic contact dermatitis in sensitised individuals.
  • Slight discomfort during application.

Serious or Rare Side Effects

  • Anaphylactic reaction with systemic symptoms.
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Severe mucosal ulceration or necrosis.
  • Systemic toxicity from lidocaine absorption (rare).
  • Persistent numbness beyond expected duration.
  • Severe hypersensitivity requiring medical intervention.

Precautions & Warnings

Before using Instillagel, consider the following safety measures.

  • Allergy assessment: avoid if known hypersensitivity to chlorhexidine, lidocaine, or parabens.
  • Pregnancy: use only if clearly needed; safety data are limited.
  • Breastfeeding: consider potential exposure to the infant; consult a clinician.
  • Mucosal integrity: do not apply to severely damaged or ulcerated tissue.
  • Ophthalmic exposure: avoid contact with eyes; if accidental, rinse thoroughly.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Instillagel may interact with other medicines when used concurrently.

Major Interactions (Avoid)

  • Other local anesthetics: concurrent use may increase systemic lidocaine levels.
  • Alcohol‑based antiseptics: combined use can cause increased irritation.
  • Systemic chlorhexidine preparations: may lead to additive toxicity.

Moderate Interactions (Monitor Closely)

  • Anticholinergic drugs: may potentiate local anesthetic effects.
  • Beta‑blockers: could affect lidocaine metabolism and clearance.
  • Renal impairment: monitor for accumulation of lidocaine.

Frequently Asked Questions

Instillagel is a gel formulation that combines chlorhexidine gluconate and lidocaine hydrochloride. It is applied to the rectal, urethral or vaginal mucosa to provide antiseptic cleansing and local anaesthesia before diagnostic or therapeutic procedures such as catheterisation, proctoscopy or gynecological surgery.

Chlorhexidine gluconate acts by binding to bacterial cell membranes, disrupting their structure and causing leakage of intracellular contents, which leads to rapid cell death. This broad‑spectrum antimicrobial activity reduces the risk of infection on the treated mucosal surfaces.

The amount of Instillagel to be applied is determined by the prescribing clinician based on the procedure and the size of the mucosal area. Typically, a thin layer is spread over the target site immediately before the intervention, but exact dosing instructions must come from a qualified health professional.

Safety data for Instillagel in pregnancy and lactation are limited. It should only be used when clearly needed and after a risk‑benefit assessment by the treating physician. If used, the prescriber should monitor both mother and infant closely.

To request Instillagel, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and the necessary import documentation.

Compared with povidone‑iodine gels, Instillagel offers both antimicrobial activity and immediate local anaesthesia due to its lidocaine component. This dual action can improve patient comfort during procedures, whereas povidone‑iodine provides only antisepsis and may cause more stinging on sensitive mucosa.

Instillagel should be stored at room temperature, below 25 °C, in its original sealed container. Keep the product away from moisture, direct sunlight and extreme temperatures. Do not freeze the gel, and ensure the cap is tightly closed after each use to maintain sterility.

Instillagel is applied topically to the target mucosal surface. The clinician spreads a thin layer of the gel over the rectal, urethral or vaginal area using a sterile applicator or gloved finger, allowing it to act for a few minutes before proceeding with the planned procedure.

The most serious risks include severe allergic reactions such as anaphylaxis, Stevens‑Johnson syndrome or toxic epidermal necrolysis, and rare systemic toxicity from lidocaine absorption. Any signs of widespread rash, difficulty breathing, swelling, or persistent numbness should prompt immediate medical attention.

Instillagel should be avoided in individuals with known hypersensitivity to chlorhexidine, lidocaine, methyl‑ or propyl‑parahydroxybenzoate (parabens), or any other component of the formulation. It is also contraindicated on severely damaged, ulcerated or compromised mucosal tissue and should not be applied to the eyes.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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