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Hibiscrub Plus 4% Solution 250ml (now as HIBIWASH)

Hibiscrub Plus 4% Solution 250ml (now as HIBIWASH)

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  • ✔️ Kills broad-spectrum bacteria and fungi on contact
  • ✔️ Residual antimicrobial action lasts several hours post-wash
  • ✔️ Used for MRSA decolonisation and pre-operative skin prep
  • ✔️ 4% chlorhexidine gluconate — clinically established antiseptic
  • ✔️ Suitable for hand antisepsis and whole-body skin cleansing

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What Is Chlorhexidine Skin Wash and How Does Hibiwash Help?

 

Hibiwash — previously sold as Hibiscrub Plus 4% Solution — is a trusted antiseptic skin cleanser containing 4% chlorhexidine gluconate as its active ingredient. Whether you're preparing skin before a minor procedure, managing a wound at home, or simply looking for a reliable way to reduce bacteria on the skin, this solution has been used in both clinical and domestic settings for decades. It's available over the counter, which means you don't need a prescription to get it. You can find it alongside other first aid essentials at Cured Pharmacy for just £7.99.

The name change from Hibiscrub Plus to Hibiwash reflects a rebranding by the manufacturer, Mölnlycke Health Care. The formulation itself hasn't changed — you're getting exactly the same 4% chlorhexidine gluconate solution in a 250ml bottle. So if you've used Hibiscrub Plus before and found it effective, Hibiwash is simply the updated version.

 

How Does Hibiwash Work on the Skin?

 

Chlorhexidine gluconate works by targeting the outer membrane of bacterial and fungal cells. Once it comes into contact with a microorganism, it disrupts the cell membrane, causing the contents to leak out — effectively killing the organism. What makes it particularly useful is its residual activity: it continues to work on the skin surface for several hours after you've rinsed it off.

  • Disrupts bacterial and fungal cell membranes on contact
  • Effective against a broad spectrum of Gram-positive and Gram-negative bacteria
  • Provides residual antimicrobial activity lasting several hours post-application
  • Works as both a cleanser and an antiseptic in a single step

 

Who Should Use Hibiwash and Is It Right for You?

 

Hibiwash is suitable for adults and older children who need a reliable antiseptic cleanser for skin hygiene, wound care, or pre-operative preparation. It's particularly useful if you've been advised by a healthcare professional to use a chlorhexidine-based wash before surgery, or if you're managing a skin condition that requires careful hygiene. That said, it's not appropriate for everyone.

  • Adults requiring pre-operative skin decolonisation
  • People managing minor wounds or skin infections under medical guidance
  • Patients with recurrent skin infections such as MRSA, as directed by a GP
  • Healthcare workers or carers needing a reliable hand and skin antiseptic

 

How Does Hibiwash Compare to Other Antiseptic Cleansers?

 

Feature Hibiwash 4% (Chlorhexidine) Povidone-Iodine Scrub
Active ingredient Chlorhexidine gluconate 4% Povidone-iodine 7.5%
Residual activity Yes — several hours Minimal residual effect
Suitable for iodine allergy Yes No
Use in pregnancy Seek medical advice Avoid in pregnancy

 

Is Hibiwash Safe to Store at Home and Who Should Avoid It?

 

The chlorhexidine skin wash in Hibiwash should be stored below 25°C, away from direct sunlight, and kept out of reach of children. It has a shelf life that should be checked on the packaging — do not use it after the expiry date. Once opened, use within the period indicated on the label.

Certain groups should avoid using Hibiwash without medical advice. These include neonates and premature infants, people with known hypersensitivity to chlorhexidine, and anyone with broken or severely damaged skin unless directed by a clinician. If you're browsing our skin care range and are unsure whether Hibiwash is appropriate for your skin type or condition, speak to one of our pharmacists before purchasing.

This product is a medicine. Speak to your doctor or pharmacist before using if you have an underlying medical condition or are taking other medicines.

Hibiwash 4% Chlorhexidine Skin Wash 250ml specifications
Treatment category Antiseptic skin cleanser
Active ingredient Chlorhexidine gluconate 4% w/v
Mechanism of action Disrupts microbial cell membranes; broad-spectrum bactericidal and fungicidal activity
Effective against Gram-positive and Gram-negative bacteria, some fungi and viruses
Suitable for Adults and older children (not for neonates)
Pack size 250ml
Strength 4% w/v chlorhexidine gluconate
UK classification General Sale / OTC
Drug class Antiseptic / disinfectant
Preparation Aqueous solution
Route of administration Topical (external use only)

Specifications of Hibiwash 4% Chlorhexidine Skin Wash 250ml

 

What Is Hibiwash and What Is It Used For?

 

Hibiwash (formerly Hibiscrub Plus 4% Solution) is a topical antiseptic skin wash containing 4% chlorhexidine gluconate. It is used for cleansing and disinfecting the skin in a variety of situations — from pre-operative skin preparation to routine antiseptic hygiene for people at risk of skin infections. It is also used in clinical settings for hand antisepsis and wound site preparation. The NHS recommends chlorhexidine-based products for skin decolonisation in patients carrying MRSA prior to surgery.

 

What Do You Need to Know Before Using Hibiwash?

 

Before using Hibiwash, it's important to be aware of the following contraindications and warnings:

  • Do not use if you have a known allergy or hypersensitivity to chlorhexidine gluconate or any other ingredient in the formulation
  • Do not use on neonates or premature infants — chlorhexidine can be absorbed through immature skin
  • Avoid contact with the eyes, ears, and mucous membranes — chlorhexidine is ototoxic and can cause serious damage if it enters the ear canal
  • Do not use on open wounds, body cavities, or the brain or meninges
  • Use with caution in people with sensitive or eczema-prone skin
  • If you are pregnant or breastfeeding, consult your GP or pharmacist before use

In terms of drug interactions, Hibiwash is applied topically and systemic absorption at normal use levels is minimal. However, be aware of the following:

  • Chlorhexidine may be inactivated by soaps containing anionic surfactants — rinse skin thoroughly before applying
  • Avoid using alongside other topical antiseptics unless directed by a healthcare professional

 

How Should You Use Hibiwash Correctly?

 

Always follow the instructions provided with the product or as directed by your healthcare professional. General guidance for use is as follows:

  1. Wet the skin or hands thoroughly with water
  2. Apply a small amount of Hibiwash directly to the skin
  3. Lather gently and work into the skin for at least 15–30 seconds
  4. Rinse thoroughly with clean water
  5. Pat dry with a clean towel or sterile gauze
  6. Repeat as directed by your healthcare professional or as stated on the label
Indication Age Group Dose Frequency
General skin antisepsis Adults Small amount, lather and rinse As required
Pre-operative skin preparation Adults As directed by clinician As per surgical protocol
MRSA decolonisation Adults As directed by GP or infection team Daily for specified period
Hand antisepsis Adults and older children Small amount, lather and rinse As required

 

What Are the Possible Side Effects of Hibiwash?

 

Like all medicines, Hibiwash can cause side effects, although not everyone will experience them. If you're also managing other skin concerns, you may find our creams and ointments range helpful for soothing any post-wash dryness.

Common side effects:

  • Skin dryness or tightness after use
  • Mild redness or irritation at the application site
  • Temporary stinging sensation, particularly on sensitive skin

Less common side effects:

  • Contact dermatitis (allergic skin reaction)
  • Skin peeling or flaking with prolonged use
  • Rare cases of anaphylaxis have been reported with chlorhexidine — seek emergency help immediately if you develop swelling, difficulty breathing, or a widespread rash

 

How Should You Store Hibiwash Safely?

 

Proper storage helps maintain the effectiveness of Hibiwash and keeps it safe for use. If you're building a home first aid kit, it's worth keeping Hibiwash alongside other first aid products in a cool, dry location.

  • Store below 25°C in a cool, dry place
  • Keep away from direct sunlight and heat sources
  • Keep the bottle tightly closed when not in use
  • Store out of reach and sight of children
  • Do not use after the expiry date printed on the bottle or packaging
  • Do not transfer to another container
  • Dispose of unused product responsibly — return to a pharmacy if possible

Written and reviewed by our qualified team

Your safety and success are our highest priorities. Our medical team rigorously evaluates every product and piece of advice we provide, ensuring you receive only the most effective, science-backed solutions available.

Frequently Asked Questions

Where can I buy Hibiwash online in the UK?

You can buy Hibiwash 4% chlorhexidine skin wash directly from Cured Pharmacy online for £7.99 with fast UK delivery. It is available without a prescription as an over-the-counter antiseptic cleanser. No GP visit is required — simply add it to your basket and check out securely.

Is Hibiwash the same as Hibiscrub Plus?

Yes, Hibiwash is the rebranded name for Hibiscrub Plus 4% Solution. The active ingredient — chlorhexidine gluconate 4% w/v — and the formulation remain identical. Only the product name has changed, so if you've used Hibiscrub Plus before, you can switch to Hibiwash with confidence.

How does chlorhexidine skin wash work in the body?

Chlorhexidine gluconate works by binding to and disrupting the outer cell membranes of bacteria and fungi, causing the cell contents to leak out and the organism to die. It is effective against a broad spectrum of Gram-positive and Gram-negative bacteria. Importantly, it also has a residual effect, continuing to suppress microbial growth on the skin for several hours after rinsing.

How do I use Hibiwash step by step?

Wet the skin with water, apply a small amount of Hibiwash, and lather gently for at least 15–30 seconds before rinsing thoroughly. Pat the area dry with a clean towel or sterile gauze. Always follow the instructions on the label or those given by your healthcare professional, as the method may vary slightly depending on the intended use.

What is the correct dose of Hibiwash to use?

There is no fixed measured dose for Hibiwash — you apply a small amount sufficient to lather and cleanse the target area. For pre-operative skin preparation or MRSA decolonisation, your GP or surgical team will give you specific instructions on how much to use and for how long. Do not use more than directed, as excessive use can increase the risk of skin irritation.

What are the side effects of Hibiwash?

The most common side effects are skin dryness, mild redness, and a temporary stinging sensation, particularly on sensitive skin. Less commonly, contact dermatitis or skin peeling may occur with prolonged use. In rare cases, chlorhexidine can cause a serious allergic reaction (anaphylaxis) — if you develop swelling, difficulty breathing, or a widespread rash, seek emergency medical help immediately.

How do I manage skin dryness caused by Hibiwash?

If you notice skin dryness after using Hibiwash, applying a fragrance-free, non-comedogenic moisturiser after the skin has dried can help restore the skin barrier. You might find suitable options in our skin care collection. If dryness persists or worsens, reduce the frequency of use and speak to your pharmacist or GP.

Who is eligible to use Hibiwash?

Hibiwash is suitable for adults and older children who need an antiseptic skin cleanser for general hygiene, wound care, or pre-operative preparation. It is not suitable for neonates or premature infants due to the risk of chlorhexidine absorption through immature skin. People with a known allergy to chlorhexidine should also avoid this product entirely.

Can I use Hibiwash on my face?

Hibiwash can be used on facial skin with caution, but you must keep it well away from the eyes, ears, and mouth. Chlorhexidine is ototoxic — meaning it can cause serious damage if it enters the ear canal — and it can also cause eye irritation or injury. If any product gets into your eyes, rinse immediately with plenty of clean water and seek medical advice.

Can children use Hibiwash?

Hibiwash is not recommended for use on neonates or premature infants, as chlorhexidine can be absorbed through their immature skin and may cause harm. For older children, it should only be used under the guidance of a GP or pharmacist. Always check with a healthcare professional before using any antiseptic product on a child's skin.

What happens if I accidentally swallow Hibiwash?

Hibiwash is for external use only and must not be swallowed. If accidental ingestion occurs, contact the NHS 111 service or your nearest A&E immediately and take the product packaging with you. Do not induce vomiting unless specifically instructed to do so by a medical professional.

What are the alternatives to Hibiwash?

Alternatives to Hibiwash include povidone-iodine-based scrubs (such as Betadine), which are also used for pre-operative skin preparation but lack the residual activity of chlorhexidine. For minor wound care, you might also consider products from our first aid range. The best choice depends on your specific clinical need, so speak to your pharmacist if you're unsure.

How long can you use Hibiwash for?

For general antiseptic skin cleansing, Hibiwash can be used as needed on a short-term basis. If you've been prescribed a specific decolonisation regimen — for example, before surgery or to treat MRSA — follow the duration specified by your healthcare team exactly. Prolonged unsupervised use is not recommended, as it may lead to skin sensitisation or irritation over time.

Is Hibiwash safe to use during pregnancy?

There is limited data on the safety of chlorhexidine gluconate during pregnancy, and systemic absorption from topical use is generally considered minimal. However, as a precaution, you should consult your GP or midwife before using Hibiwash if you are pregnant or breastfeeding. They can advise whether it is appropriate for your specific situation.

What are the latest guidelines on chlorhexidine use for MRSA decolonisation?

Current NHS guidance recommends chlorhexidine gluconate-based washes as part of MRSA decolonisation protocols, typically used alongside a nasal mupirocin ointment for a defined period before surgery. The specific regimen is determined by your surgical or infection control team. Always follow the protocol given to you by your healthcare provider rather than self-treating.

How Should You Use Hibiwash?

Hibiwash is for external use only and should never be swallowed, applied to the eyes, ears, or mucous membranes. Always read the label carefully before use and follow any specific instructions given by your GP, nurse, or pharmacist — particularly if you are using it as part of a pre-operative or MRSA decolonisation protocol.

If you are using Hibiwash for whole-body washing as part of a decolonisation regimen, start from the neck and work downwards, avoiding the face unless specifically instructed otherwise. Pay particular attention to skin folds, the groin, and underarm areas where bacteria tend to accumulate.

What Is the Correct Dose of Hibiwash?

There is no single fixed measured dose for Hibiwash — the amount used depends on the size of the area being cleansed. A small amount sufficient to produce a lather is generally adequate for hand or localised skin antisepsis. For whole-body washing, a larger amount will be needed, but always use the minimum required to cover the area effectively.

When Is the Best Time to Use Hibiwash?

The timing of Hibiwash use depends on why you're using it. For pre-operative preparation, your surgical team will give you a specific schedule — typically the night before and the morning of your procedure. For MRSA decolonisation, it is usually applied during your daily shower or bath for a set number of days as instructed by your GP or infection control nurse.

For general antiseptic skin cleansing, you can use Hibiwash at any time of day. However, using it in the morning means the residual antimicrobial activity of chlorhexidine gluconate will be working throughout the day, which may be particularly useful if you work in a healthcare or care setting.

How Long Can You Use Hibiwash For?

For short-term antiseptic cleansing, Hibiwash can be used as needed without a fixed time limit, provided you are not experiencing any adverse skin reactions. If you are following a prescribed decolonisation regimen, use it only for the duration specified by your healthcare team — typically five to seven days for MRSA decolonisation protocols.

Prolonged, unsupervised daily use is not recommended, as repeated exposure to chlorhexidine can lead to skin sensitisation, dryness, or contact dermatitis in some individuals. If you notice increasing skin irritation with continued use, stop and speak to your pharmacist or GP before resuming.

Do not exceed the recommended dose. If in doubt, speak to your pharmacist.

What Are the Most Common Side Effects of Hibiwash?

Most people tolerate Hibiwash well when used as directed. The most frequently reported side effects are related to the skin at the site of application, and they are generally mild and temporary.

  • Skin dryness or tightness after washing
  • Mild redness or erythema at the application site
  • Temporary stinging or burning sensation, particularly on sensitive or broken skin
  • Skin flaking with repeated use

These effects are more likely if you use Hibiwash frequently or leave it on the skin for longer than recommended. Applying a fragrance-free moisturiser after use can help manage dryness.

What Are the Less Common Side Effects of Hibiwash?

Less commonly, some people may experience a more pronounced skin reaction to chlorhexidine gluconate. These reactions are not typical but are worth being aware of before you start using the product.

  • Contact dermatitis — an allergic or irritant skin reaction causing redness, itching, and blistering
  • Skin peeling or desquamation with prolonged use
  • Photosensitivity — increased sensitivity of the skin to sunlight in rare cases
  • Discolouration of fabric or surfaces if the product is not rinsed away thoroughly

If you develop contact dermatitis or any worsening skin reaction, stop using Hibiwash immediately and consult your pharmacist or GP. They may recommend patch testing to confirm whether chlorhexidine is the cause.

What Are the Serious Side Effects of Hibiwash?

Serious side effects from topical chlorhexidine are rare but can occur. The most significant risk is anaphylaxis — a severe, potentially life-threatening allergic reaction. Although uncommon, cases have been reported in the medical literature, and healthcare professionals are advised to be aware of this risk, particularly in surgical settings where chlorhexidine is used extensively.

Signs of a serious allergic reaction include sudden swelling of the face, lips, or throat, difficulty breathing, a rapid or irregular heartbeat, dizziness, and a widespread skin rash or hives. If you or someone nearby experiences any of these symptoms after using Hibiwash, call 999 immediately.

What Should You Do If You Experience Side Effects?

For mild side effects such as dryness or redness, reduce the frequency of use and apply a gentle, fragrance-free moisturiser to the affected area. If symptoms persist beyond a few days or worsen, stop using the product and seek advice from your pharmacist or GP. Do not continue using Hibiwash if you suspect you are having an allergic reaction.

You can also report suspected side effects directly to the MHRA via the Yellow Card scheme at yellowcard.mhra.gov.uk. Reporting side effects helps improve the safety information available for all medicines and medical devices used in the UK.

Can Hibiwash Interact With Other Medicines or Products?

Because Hibiwash is applied topically and systemic absorption at normal use levels is minimal, significant drug interactions are unlikely. However, there are a few practical points to be aware of. Chlorhexidine gluconate can be inactivated by anionic surfactants found in some soaps and detergents — rinse the skin thoroughly before applying Hibiwash if you have used a regular soap. Avoid using other topical antiseptics on the same area at the same time unless directed by a healthcare professional, as this may increase the risk of skin irritation without providing additional benefit.

If you are concerned about any side effects, contact your pharmacist or GP immediately.

Patient Information Leaflet

Important - Before taking any medication, it is always important to read the Patient Information Leaflet (PIL)

Written and reviewed by our qualified team

GPhC Number: 2233073
Tarun Kumar

Reviewed by:

Tarun Kumar

Superintendent/ Clinical Lead

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Content last updated: 31 Mar 2025

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