South Staffordshire Joint Formulary
Cannock Chase Clinical Commissioning Group
East Staffordshire Clinical Commissioning Group
South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group
Stafford and Surrounds Clinical Commissioning Group

 
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19 Wound Care Formulary
19 Wound care products

Actico
Formulary
Sizes
8cm x 6m (1)
10cm x 6m (1)
12cm x 6m (1)

Indications - For venous leg ulcers with OR without oedema, chronic oedema and lymphoedema
  • Apply at 100% full stretch, close to the limb with 50% overlap
  • Suitable for mobile and immobile patients
  • Apply a padding bandage (e.g. K soft prior to Actico application)
  • Refer to Leg Ulcer Guidelines for further guidance

    Contra-Indications - High-level compression is contra-indicated in patients suffering from an arterial condition (arterial or predominantly arterial ulcer; known or suspected arterial disease)

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    ActiFast (All varieties)
    Formulary
  • Helps keep dressings in situ and provides light support
  • 2-way stretch for reduced wastage
  • Cut-to-fit for easy measurement

    Actifast Red
    3.5cm x 1m (1)
    3.5cm x 10m (1)
    Actifast Green
    5cm x 1m (1)
    5cm x 3m (1)
    5cm x 5m (1)
    5cm x 10m (1)
    Actifast Blue
    7.5cm x 1m (1)
    7.5cm x 3m (1)
    7.5cm x 5m (1)
    7.5cm x 10m (1)
    Actifast Yellow
    10.75cm x 1m (1)
    10.75cm x 3m (1)
    10.75cm x 5m (1)
    10.75cm x 10m (1)
    Actifast Beige
    17.5cm x 1m (1)
    17.5cm x 10m (1)
    Actifast Purple
    20cm x 1m (1)
    20cm x 5m (1)
    20cm x 10cm (1)



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    Actiwrap
    Formulary
    Indications - For difficult to dress areas for retention of dressings
    Size
    6cm x 4cm (1)

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    Algivon
    Restricted
    Tissue Viability Nurse approval needed
    This product requires and exemption form. Prescribe for two weeks ONLY

    Sizes
    5cm x 5cm (5)
    10cm x 10cm (5)

    An alginate dressing impregnated with active honey. An absorbent sterile, non adherent wound contact layer which comprises of calcium alginate and medical grade Munuka honey.
    Mode of Action- This provides a moist environment which can absorb exudate, it can aid de-sloughing and has antibacterial protection. The exudate allows the fibres to swell and forms a gel, which prolongs the action of the honey at the wound site.
    Indications - For colonised/infected wounds with low to moderate levels of exudate, can be used in malodourous wounds
    Method of Use - A primary dressing which needs to be cut to size and placed directly over the wound.
    Secondary dressing is required.
    Frequency of Dressing change - Can be left in situ for 3 to 4 days. Requires changing when strikethrough appears.
    Contra-Indications - In diabetic patients monitor blood glucose levels. Known allergy to bee venom or calcium alginate. Stinging sensation on application. Heavily bleeding wounds.

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    Aquacel Ag
    Restricted
    Tissue Viability Nurse approval needed.
    This product requires and exemption form. Prescribe for two weeks ONLY


    Sizes
    2cm x 45cm (5)
    10cm x 10cm (5)

    A non woven pad or ribbon dressing composed of hydrocolloid fibres
    Mode of Action- It is highly absorbebt and converts the exudate into a soft gel. It contains silver ions which exert a sustained antimicrobial effect.

    Indications - Primary dressing for moderate to heavily exuding infected wounds. Facilitates the control of minor bleeding.

    Method of Use - Should be placed directly onto the wound surface overlapping the skin by 1cm. Cavity wounds shold be loosely packed allowing a tail of 2.5cm to facilitate removal. Secondary dressings needs to be applied. Irrigation with saline or water to remove.

    Frequency of Dressing change - Depends on the wound characteristics and the absorbency of the secondary dressing. Can be left in situ for up to 7 days.

    Contra-Indications - Known sensitivity to product or silver. Should not be used on dry wounds or those covered with hard, black necrosis.



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    Atrauman
    Formulary
    Sizes
    5cm x 5cm (10)
    7.5cm x 10cm (10)
    10cm x 20cm (10)

    Mode of Action - Low adherent non-medicated knitted polyester dressing, impregnated with neutral triglycerides which prevent adherance to the wound bed and coated with metallic silver. It does not contain Vaseline or paraffins. Primary dressing for use on dry or lightly exuding wounds, superficial wounds such as lacerations or abraisons.

    Method of Use - Apply directly to the wound surface with a secondary dressing.

    Frequency of Dressing change - Effective for up to 7 days, changed due to the nature and conditions of the wound. Can be removed with saline or water.


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    Atrauman Ag
    Restricted
    Tissue Nurse approval needed
    This product requires and exemption form. Prescribe for two weeks ONLY


    Sizes
    5cm x 5cm (10)
    10cm x 10cm (10)
    10cm x 20cm (10)

    Mode of Action - A low adherent non-medicated kinitted polyester dressing, impregnated with neutral triglycerides which prevent adherence to the wound bed and coated with metalic silver. It does not contain Vaseline or paraffins.

    Indications - Primary dressing for use on dry or lightly exuding infected or colonised wounds, superficial wounds such as lacerations or abrasions.

    Method of Use - Apply directly to the wound surface with a secondary dressing.

    Frequency of Dressing change - Effective for up to 7 days, changed due to nature and conditions of the wound. Can be removed with saline or water.

    Contra-Indications - Known allergy to ingrediants and silver.

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    Betadine Spray
    Restricted
    Tissue Nurse approval needed
    This product requires and exemption form. Prescribe for two weeks ONLY


    Size
    150g unit (1)

    Povidone iodine is known as an antiseptic preparation. It exerts its antiseptic effect by slowly releasing iodine.

    Indications - Betadine dry powder spray can be used for the treatment and prevention of infection in wounds including ulcers, burns, cuts and other minor injuries.

    Precautions - Decreased kidney function

    Contra-Indications - Allergy to iodine
    Deep wounds which are weeping. Children under two years of age.

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    C-View
    Formulary
    Sizes
    6cm x 7cm (10)
    12cm x 12cm (10)

    Mode of ActionPrevention of friction, i.e. pressure ulcer prevention. Water proof/Bacteria proof.

    Indications - Low exuding, superficial, clean, granulating, epithelialising wounds. Used on abraisions, lacerations and donor sites.

    Method of Use - Position on skin without stretching, gently smooth over the skin. Remove by stretch - release. Can be cut. Can be used as a primary or secondary dressing. All adhesive dressings should be removed with care to prevent skin stripping/trauma, particularly when used on fragile oedematous skin.

    Frequency of Use - Maximum wear time 7 days.

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    C-View Post-Op Dressing
    Formulary
    Sizes
    6cm x 7cm (10)
    10cm x 12cm (10)
    10cm x 25cm (10)

    As with C-View but has a pad within the dressing so will take up to low exuding wounds. Suitable for low exuding wounds and post op sites.

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    Debrisoft
    Restricted
    Tissue Nurse approval needed
    This product requires and exemption form. Prescribe for two weeks ONLY

    Size
    10cm x 10cm (5)

    A rapid, highly effective, safe and easy method of debridement for wounds containing loose slough, debris and hyperkeratosis.

    Indications - This includes leg ulcers, pressure ulcers, diabetic foot ulcers, trauma wounds and post operative wounds healing by secondary intention. Debrisoft is also very effective in the removal of hyperkeratosis from the skin.

    Method of Use - Monofilament fibres, single use only. Ensure the pad is fully moistened with tap water or saline, always use the soft fibre side, not the knitted. Gently, with light pressure using a circular moistened Debrisoft. Use a new piece of Debrisoft for each separate wound/area of skin.

    Contra-Indications - Should not be used as wound dressing, shoud not be used if there is a known sensitivity to any components of the product (100% polyester).



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    Durafiber / Durafiber ribbon
    Formulary
    Sizes
    10cm x 10cm (10)
    2cm x 45cm (5)

    Mode of Action - forms a cohesive gel when in contact with exudate. It maintains its integrity and does not disintegrate during handling, allowing easy, atraumatic removal. Facilitates the control of minor bleeding and debriding of slough.

    Indications - Primary dressing for moderate to heavily exuding wounds, suitable for leg ulcers, burns, pressure ulcers and lacerations. The ribbon is suitable for cavities, sinus tracts and fistulae.

    Method of Use - Should be placed directly onto the wound surface; cavity wounds should be loosely packed allowing a tail of at least 2.5cm to facilitate removal. Cover with a secondary dressing. Irrigation with saline or water may be required to facilitate easy removal of the dressing.

    Frequency of Dressing change - Dressings may be left in situ for 7 days, but requires more frequent changes id exudate is heavy.

    Contra-Indications - Not to be used for eschar or dry wounds.

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    Flamazine Silver Sulphadiazine Cream
    Formulary
    Sizes
    20g (1)

    Mode of Action - It is an antibacterial cream used to treat bacterial infections in burns and other wounds. (for burns or two week use, or as indicated by TVS).

    Indications - infected/colonised wounds, prophylactically for burns, effective againist all strains of MRSA.

    Method of Use - Should be applied 3.5mm in depth, a secondary dressing should be applied. Each container is for single patient use only.

    Contra-Indications - pregnancy, children in first month of life.

    Caution - significant hepatic or renal impairment, known sensitivities to sulphonamide.

    Frequency of Dressing change - the dressing should be changed every 2 to 3 days. Once opened pots should be disposed of after 24 hours, tubes can be used for up to 7 days. In burns replace dressing after 24 hours.

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    Flaminal Forte (absorbs) & Flaminal Hydro (hydrates)
    Restricted
    Tissue Nurse approval needed
    This product requires and exemption form. Prescribe for two weeks ONLY

    Size 15g (5)

    This product requires an exemption form. Prescribe for two weeks ONLY

    Alginate gel containing two antimicrobial enzymes, glucose oxidase and lactoperoxidase.Provides antimicrobial activity without damaging healing cells.

    Mode of Action - Debrides and maintains moisture balance. Provides a biodegradeable, soft and soothing wound interface reducing pain and trauma.

    Indications - Moderate to heavily exuding wounds. Can be used on a wide range of wound types and at every stage of healing.

    Method of Use - Apply a thick layer (5mm) of either Flaminal Hydro or Flaminal Forte to the wound, do not allow to spill over the wound edge. Flaminal can be re-capped & re-used on the same patient.

    Frequency of Dressing change - Choose Flaminal Hydro for wounds that are dry or have a mild to moderateamounts of exudate. This generally means wounds in which the dressing can stay in place for 3-4 days. Choose Flaminal Forte for wounds that have moderate to heavy amounts of exudate. Flaminal Forte wounds are generally changed every 1-2 days.

    Contra-Indications - Known sensitivity to aliginate dressing of poyethylene glycol. Should not be uded on full thickness burns.


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    Flivasorb
    Restricted
    10 x 10cm (10)
    10 x 20cm (10)
    20 x 20cm (10)
    20 x 30cm (10)

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    Flivasorb Adhesive
    Restricted
    12 x 12cm (10)
    15 x 15cm (10)

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    Hypafix
    Formulary
    Size
    10cm x 5m (1)

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    Iodoflex Paste
    Formulary
    Size
    5g (5)

    Mode of Action - This is a product that releases slow release iodine into a wound and its cadexomer precludes bacterial proliferation particularly in staph aureous or MRSA and can also aid granulation.

    Indications - Moderate/highly exuding, sloughy/infected wounds. Secondary dressing required.

    Method of Use - Apply directly onto wound bed.

    Contra-Indications - Thyroid disease without close monitoring i.e. blood test

    Frequency of Dressing change - Dressing needs to be changed 2 to 3 times a week. Needs at least one week break after 3 months' use. Use up to 50gm per application (max of 150gm per week)
    Loss of brown colour indicates iodine used.

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    Iodozyme
    Restricted
    6.5cm x 5cm (1)
    10cm x 10cm (1)

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    Irripod
    Formulary
    Size
    20ml (25)

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    Kerramax Dressing
    Formulary

    10cm x 10cm Pack Size 10
    10cm x 22cm Pack Size 5
    20cm x 22cm Pack Size 5
    30cm x 20cm Pack Size 5


    Mode of Action - absorbs exudate and MMP's are absorbed and bound inside the dressing

    Indications - Moderate to heavily exuding wounds. May be used under moderate compression bandaging

    Frequency of Dressing change - requires changing when strikethrough appears.

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    K-Lite
    Formulary
    Size
    10cm x 4.5m (1)

    Indications - Part of the multi-layer compression

    Light support bandaging system
    Apply with spiral technique

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    Ko-Flex
    Formulary
    Sizes
    10cm x 6m (1)

    Indications - Conditions relating to venous hypertension

    Cohesive compression bandage, spply with spiral technique, 50% overlap, 50% stretch

    Refer to Leg Ulcer Guidelines for further guidance

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    K-Plus
    Formulary
    Size
    10cm x 8.7m (1)

    Indications - Apply with Figure of 8 technique - 50% stretch, 50% overlap Conditions relating to venous hypertension
    Refer to Leg Ulcer Guidelines for further guidance

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    K-Soft
    Formulary
    Size
    10cm x 3.5m (1)

    Mode of Action - Conditions relating to venous hypertension, provides an absorptive layer and assists with shaping to provide graduated compression therapy.
    Apply with spiral technique
    Refer to Leg Ulcer Guidelines for further guidance

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    K-Three C
    Formulary
    Size
    10cm x 3m (1)

    Indications - K-Three C is indicated in the treatment of leg ulcers as part of the K-Four multi-layer compression system for ankles 25-30cm and greater than 30cm

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    K-Two Bandage Kit
    Formulary
    Sizes
    10cm width (for ankle circumference 18cm - 25cm) (1)
    10cm width (for ankle circumberence 25cm - 32cm) (1

    Mode of Action - Irrespective of leg shape, K-Two provides the correct level of pressure due to its specific pressure indicator system.

    Indications - conditions relating to venous hypertension
    Provides grduated, sustained compression
    Both layers are capable of providing 40mmHg together
    Apply both layers using spiral technique
    Has extension indicators
    Refer to Leg Ulcer Guidelines for further guidance

    Contra-Indications - High-level compression is contra-indicated in patients suffering from an arterial conditon (arterial or predominantly arterial ulcer; known or suspected arterial disease)

    K-Two is not recommended when the ankle-brachial pressure index (ABPI), measured by Doppler ultrasound, is below 0.8.
    Patients potentially allergic to any of the components (especially to latex).

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    K-Two Reduced
    Formulary
    Sizes
    10cm width (for ankle circumference 18 - 25cm) (1)
    10cm width (for ankle circumference 25 - 32cm) (1)

    Mode of Action - Irrespective of leg shape, K-two provides the correct level of pressure due to its specific pressure indicator system

    Indications - Conditions relating to venous/mixed artiology disease
  • Provides mild, graduated, sustained compression
  • Both layers are capable of providing 20mmHg together
  • Apply both layers using spiral technique
  • Has extension indicators
  • Refer to Leg Ulcer Guidelines for further guidance

    Contra-Indications - High-level compression is contra-inicated in patients suffering from an arterial condition (arterial or predominantly arterial ulcer; known or suspected arterial disease).
    K-Two is not recommended when the ankle-brachial pressure index (ABPI), measured by Doppler ultrasound, is below 0.8, unless assessed by Tissue Viability Service. Patients potentially allergic to any of the components (especially to latex).

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    Larvae Therapy
    Restricted

    Restricted Drug Red View adult BNF  View SPC online  View childrens BNF
    Non-Woven Fabric Swab
    Formulary
    (100 swabs per pack)
    10cm x 10cm (Non Sterile, 4 Ply, Spec 28


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    Oxyzyme
    Restricted
    6.5cm x 5cm (1)
    10cm x 10cm (1)

    Restricted Drug Red View adult BNF  View SPC online  View childrens BNF
    Polymem
    Restricted
    8cm x 8cm (5)
    10cm x 10cm (5)

    Restricted Drug Red View adult BNF  View SPC online  View childrens BNF
    Prontosan
    Restricted
    Prontosan Wound Gel 30ml Ampoules (6)
    Prontosan Wound Irrigation Solution 40ml (1)

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    Scanpor
    Formulary
    Size
    2.5cm x 5m (1)

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    Sorbsan Plus Carbon
    Restricted
    Tissue Nurse approval needed
    This product requires and exemption form. Prescribe for two weeks ONLY

    Sizes
    7.5cm x 10cm (1)
    10cm x 15cm (1)

    The calcium alginate fibres of Sorbsan Plus Carbon swell and form a sodium-calcium alginate gel in contact with wound exudate.

    Mode of Action - Absorbs excess exudate wicks 'laterally', allowing greater abosorption capacity. Holds the exudate away from the wound, to minimise maceration. Negates the need for a separate, absorbant secondary dressing. The carbon within the dressing absorbs odour from the wound/wound exudate.

    Indications - Sorbasan Plus Carbon may be used on wounds where there is a high level of exudate, suitable for the management of: partial thickness and full thickness wounds, arterial, venous and diabetic leg ulcers, pressure sores, post-operative wounds, fungating lesions.

    Method of Use - Ensure a 5mm overlap around the wound edge to allow for the dressing gelling and conforming. do not cut.
    Position Sorbsan Plus Carbon with the alginate layer facing downwards, and the blue side facing away from the wound.

    Frequency of Use - Change Sorbsan Plus Carbon when clinically indicated. If exudate strikethrough is visible at the edge of the dressing, or if odour is no longer being absorbed, the dressing has reached saturation and should be changed.

    Contra-Indications - Do not use on patients with a known sensitivity, or who exhibit sensitivity to Sorbsan Plus Carbon dressing or any of its components.

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    Stericlens
    Formulary
    Sizes
    240ml spray
    110ml spray

    Its norrow spray is designed to help remove debris and bacterial matter without touching the wound. Unique spraying technology allows it to spray when held in any position - even upside down.

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    Steripaste
    Formulary
    Size
    7.5cm x 6m (1)

    Mode of Action - Paste bandages act as a buffer between fragile, inflammed skin and the turns of a compression bandage. They provide a moist healing environment and can absorb exudate.

    Indications - Skin conditions associated with leg ulceration, venous dermatitis and weeping atopic eczema.

    Contra-Indications - Does not provide compression. Contra-indicated in acute eczematous lesions/grossly macerated skin.

    Method of Use - Apply from base of toes to knee with foot at right angles. Bandage should be pleated and never completely encircling the leg; allows for expansion should the leg swell. It should be applied without tension. Ensure patient is aware to report any signs of irritation or skin reaction.

    Frequency of Dressing change - wear time 7 days, or changed every 2 to 3 days in the treatment of skin conditions.


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    Suprasorb X+PHMB
    Restricted
    Tissue Nurse approval needed
    This product requires and exemption form. Prescribe for two weeks ONLY

    Sizes
    5cm x 5cm (5)
    9cm x 9cm (5)

    Suprasorb X+PHMB is a biocellulose dressing which combines a broad spectrum of antimicrobial activity and low cytotoxicity.

    Mode of Action - The dressing absorbs and releases moisture to maintain an optimum, moist wound healing environment. It can reduce wound pain during treatment and provides an alternative option to silver or honey when treating patients with an infected wound or patients who are at risk of infection.

    Indications - Light to moderately exuding wounds
  • Critically colonised and infected wounds
  • Suitable for long term use
  • Useful in patients who have pain with other antimicrobials

    Method of Use - Can be cut and folded to size. Film is recommended as a secondary dressing. When removing Suprasorb X+PHMB sheet dressing, lift one edge and gently peel the dressing from the wound. Should the dressing dry out, rehydrate the dressing with saline 30 minutes before removal.

    Frequency of Use - Can remain in situ for up to 2 to 7 days

    Contra-Indications - 3rd degree burns and fistulae

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    Topical Negative Pressure
    Restricted

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    Tricotex
    Formulary
    Size
    9.5cm x 9.5cm (10)

    Mode of Action - Sterile, knitted viscose low adherent wound contact layer.

    Indications - For granulating/epithelialising wounds which are dry or lightly exuding.

    Method of Use - Apply directly to the wound surface with a secondary dressing.

    Frequency of Use - Effective for up to 7 days, changed due to the nature and conditions of the wound. Can be removed with saline or water.

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    Urgotul Contact
    Restricted
    5cm x 7cm (1)
    11cm x 11cm (1)

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    Urgotul Start
    Restricted
    6m x 6cm (1)
    10cm x 10cm (1)

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    Videne Povidone (iodine 10% aqueos solution)
    Restricted
    500ml (1)

    Restricted Drug Red View adult BNF  View SPC online  View childrens BNF
    Zetuvit E - Sterile
    Formulary
    Size
    10cm x 10cm (25)
    10cm x 20cm (25)
    20cm x 20cm (15)

    Indications - Low to moderately exuding wounds. Also for cushioning and protecting wounds.

    Frequency of Dressing change - requires changing when strikethrough appears.

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    Zetuvit Plus Dressing
    Formulary
    Sizes
    10cm x 10cm (10)
    10cm x 20cm (10)

    Mode of Action - Superabsorbent dressing which is water repellent, air premeable and has a non-woven layer which protects against contamination. It also has a cushioning effect.

    Indications - Superficial, heavily exuding acute and chronic wounds

    Frequency of Dressing change - requires changing when strikethrough appears.

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    ZipZoc
    Formulary
    Size
    7.5cm x 6m (1)

    Indications - Treatment of chronic leg ulcers and venous insufficiency. Can be used as a primary contact layer

    Contra-Indications - hypersensitivity to ingrediants, arterial leg ulcers

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