Hydrogen peroxide is an inexpensive disinfectant found on most pharmacy and grocery store shelves as a liquid or as sanitary wipes. People buy it for a variety of household, personal care, and first aid uses. Hydrogen peroxide can also be purchased without a prescription as a liquid, gel, or paste for more specialized uses such as tooth whitening, oral debridement, or mouth sores.
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Hydrogen peroxide
Used to disinfect surfaces and instruments. Commonly used as a topical disinfectant in first aid, acne, and skincare. It is also found in products to whiten teeth, protect gums, aid canker sore healing, or dye hair.
Disinfectant
Liquid, wipe, spray, toothpaste, mouth rinse, cloth
Topically on the skin, teeth, or inside the mouth
People use hydrogen peroxide for a wide variety of disinfectant needs around the home. It’s also commonly used to clean minor cuts and scrapes or treat acne, but healthcare professionals now discourage its use for these and other skincare purposes. Hydrogen peroxide also has dental uses, including tooth whitening, gum health, and treating canker sores, gum swelling, or minor injuries such as cheek bites.
Liquid, sprays, and wipes for home use, first aid, or personal care
3%
Toothpaste
2.14%
2.8%
Mouth rinse
1.5%
Oral gels
1.7%
For minor cuts or scrapes: Apply a small amount to the affected area.
For oral care: Apply two to four times per day.
Healthcare providers advise people not to put hydrogen peroxide on the skin because it can irritate or damage the skin.
Healthcare providers discourage the use of hydrogen peroxide to disinfect wounds because it damages healthy skin tissues inside the cut and could interfere with the healing process.
Topical or first aid use:
Follow the instructions carefully and do not use too much.
Clean and dry the skin area before applying hydrogen peroxide.
Apply the solution with a clean cloth or wipe to the affected area only.
Give the affected area time to dry before applying a bandage or dressing.
Oral care use:
Read and follow the instructions.
Use low-concentration products.
Products are applied two to four times a day to the teeth, gums, or mouth surfaces.
Based on safety research, it may be best to limit doses to no more than twice per day.
Always spit out the rinse, gel, or toothpaste. Never swallow it.
Store hydrogen peroxide solution or products at room temperature in a light-resistant and tightly closed container.
For most uses, hydrogen peroxide isn’t dosed on a regular schedule.
If disinfecting a surface has been forgotten, do it at any time it’s remembered.
For first aid, healthcare providers discourage the use of hydrogen peroxide.
For disinfecting the skin, apply a missed application when remembered.
For cuts or scrapes, there are no guidelines for missed applications of a disinfectant.
Do not use extra hydrogen peroxide on the skin to make up for a missed application.
For oral products, take the missed dose when remembered. Do not exceed the number of daily applications advised in the product’s instructions.
This medicine is generally considered safe for most people if used at low concentrations.
However, healthcare professionals discourage its use on the skin or to clean cuts or scrapes.
Healthcare professionals do not consider hydrogen peroxide to be an appropriate treatment for cuts, scrapes, or acne. Before using hydrogen peroxide for these or other topical purposes, talk to a doctor or other healthcare professional.
Topical hydrogen peroxide warnings:
If using hydrogen peroxide for first aid, do not use it on deep wounds, puncture wounds, animal bites, or serious burns unless approved by a doctor.
Do not apply hydrogen peroxide over large areas of the skin.
After applying hydrogen peroxide to a surface or the skin, do not touch your eyes, mouth, or nose until you’ve washed your hands.
Do not use topical hydrogen peroxide for longer than seven days.
Stop using topical hydrogen peroxide if the skin gets red or irritated or if the wound or condition worsens.
Oral care hydrogen peroxide warnings:
For oral care, products that contain concentrations of 0.1% hydrogen peroxide or less are considered safe. Products with hydrogen peroxide concentrations between 0.1% and 6% may be risky. Products with hydrogen peroxide concentrations higher than 6% are not considered safe.
Do not use hydrogen peroxide oral care products in young children. For older children, consult a dentist or doctor first.
Do not use hydrogen peroxide oral care products for longer than seven days except when instructed to by a doctor or dentist.
Stop using hydrogen peroxide oral care products and call a doctor if you experience swelling, rash, or fever while using the product.
Hydrogen peroxide is very toxic. Do not swallow it or inhale its fumes.
Do not get any hydrogen peroxide on the eyes.
If any hydrogen peroxide gets in the eyes, rinse the eye with cold water.
Never use hydrogen peroxide in an enema. Hydrogen peroxide enemas can cause harsh side effects and, in high enough amounts, significant injury.
Topical hydrogen peroxide has no major drug interactions.
When using hydrogen peroxide to disinfect surfaces, do not mix it with vinegar. The combination produces a poisonous and corrosive chemical and fumes.
Serious side effects
Hydrogen peroxide can cause severe side effects if overused, inhaled, swallowed, or accidentally applied to the eye. Get emergency medical care if you experience severe symptoms such as:
Eye irritation, eye pain, eye burning, blindness
Skin burns, blisters
Vomiting, diarrhea, pain in the esophagus
Nasal swelling, upper airway irritation, shortness of breath, chest tightness
Less serious side effects
Skin irritation, redness, burning, cracking, or peeling
Mouth irritation, redness, or pain (oral use)
CVS Health Hydrogen Peroxide Wipes hydrogen peroxide cloth drug information, DailyMed (NIH National Library of Medicine)
Medical management guidelines for hydrogen peroxide, U.S. Agency for Toxic Substances and Diseases
Oral B Mouth Sore Special Care Oral Rinse drug information, DailyMed (NIH National Library of Medicine)
Perio Daily Defense hydrogen peroxide gel drug information, DailyMed (NIH National Library of Medicine)
Should you put hydrogen peroxide on a cut or scrape?, Houston Methodist
Tooth whiteners and oral hygiene products containing hydrogen peroxide, Scientific Committee on Consumer Products
What is hydrogen peroxide good for?, Cleveland Clinic
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