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Benzalkonium chloride

Antiseptic · Topical Antiseptic

AntisepticTopical Antiseptic
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
none in our sources
PREGNANCY
Use with caution.
FDA category + note

Mechanism

Benzalkonium chloride, a quaternary ammonium compound, exerts its antiseptic action primarily by disrupting the microbial cell membrane. This compromise of membrane integrity leads to the inhibition of energy-producing enzymes and denaturation of essential proteins within the microorganism. Consequently, it demonstrates bactericidal effects against gram-positive and some gram-negative bacteria, along with fungistatic, sporistatic, and lipophilic virucidal activity.

Indications

sterile storage of instrumentsdouchesirrigation

Dosing

Adult
l INDICATIONS AND DOSE Fabry’s disease (specialist use only) ▶ BY INTRAVENOUS INFUSION 24-Apr-2020 Agalsidase alfa, an enzyme produced by recombinant DNA technology are licensed for long-term enzyme replacement therapy in Fabry’s disease (a lysosomal storage disorder caused by deficiency of alphagalactosidase A).…

Side effects

Serious
  • Paradoxical bronchoconstriction (when used as an antibacterial additive in nebulized ipratropium bromide)

Pregnancy & lactation

Pregnancy

Use with caution.

Drug interactions

Sodium Hyaluronate
Moderate
Database

Reduced efficacy of sodium hyaluronate, potential for increased irritation at the injection site, or formation of precipitates.

Avoid co-administration or ensure adequate flushing between applications if benzalkonium chloride-containing disinfectants are used prior to intra-articular sodium hyaluronate injection. Use alternative disinfectants (e.g., povidone-iodine).

1 additional low-confidence interaction hidden — those rows lack a documented mechanism or management plan in our sources.

Related guidelines

Other Antiseptic drugs

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Sources: KD Tripathi 7e, BNF·Verified: 2026-05-13 · House clinical team