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Drug reference

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

2 additional unreviewed or low-confidence interactions hidden because their provenance or source detail is insufficient.

Related guidelines

Other Antiseptic drugs

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Textbook-sourced·Sources: KD Tripathi 7e, BNF·Updated: 2026-05-13