Physically disrupts the bacterial membrane; no enzyme or receptor target
Benzoyl peroxide releases free radicals that oxidize C. acnes membrane lipids; chlorhexidine is a cation that disrupts the membrane and precipitates cytoplasm
Resistance rare
Poor selectivity → topical only
Drugs with this mechanism (2)
Benzoyl peroxide — Topical antibacterial oxidant for acne; irritates skin and bleaches fabric.
Chlorhexidine — Broad topical antiseptic for skin and oral decontamination; persists on tissue.
Self-check
Does physical bacterial-membrane disruption require a receptor or enzyme target? No.
Why are the bacterial-membrane disruptors described here restricted to topical use? Poor selectivity.