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Cetrimide, cetrimonium bromide and Cetrimonium Chloride are quaternary ammoniacal disinfectants, cationic surfactants, with antiseptic properties. It is bactericidal and has been used to clean skin, wounds and burns. They are used as a solution and creams. Cetrimide is frequently combined with chlorhexidine.
Since the last update we have not found published data on its excretion in breastmilk.
If ingested, cetrimide and other quaternary ammonium compounds cause nausea and vomiting; highly concentrated solutions are irritating and can cause oropharyngeal and esophageal burns.
Five newborns had oral burns after accidental ingestion of a solution of chlorhexidine and cetrimide. The damage was attributed to the caustic effect of cetrimide. (Mucklow 1988)
Do not apply on the breasts to prevent the infant from ingesting it; if necessary, apply after one feeding and clean well with water before the next.