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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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 Formulary Chapter 19: Wound Care Formulary - Full Chapter
19  Expand sub section  Wound care products
Actico
(Cohesive inelestic compression bandage)
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Formulary
Green
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)
     
  •    
    ActiFast (All varieties)
    (Protects the skin prior to further bandaging. )
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    Formulary
    Green
  • 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)


     
  •    
    Actiwrap
    (Cohesive retention bandage)
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    Formulary
    Green
    Indications - For difficult to dress areas for retention of dressings
    Size
    6cm x 4cm (1)
     
       
    Algivon
    (This product requires an exemption form. Prescribe for two weeks ONLY)
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    Restricted Drug Restricted
    Green
    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. 
       
    Aquacel Ag
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    Green
    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.


     
       
    Atrauman
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    Formulary
    Green
    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.

     
       
    Atrauman Ag
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    Restricted Drug Restricted
    Green
    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.
     
       
    Betadine Spray
    (This product will require an exemption form. Prescribe for two weeks ONLY)
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    Restricted Drug Restricted
    Green
    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. 
       
    C-View
    (A semi permeable sterile film dressing.)
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    Formulary
    Green
    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.
     
       
    C-View Post-Op Dressing
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    Formulary
    Green
    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. 
       
    Debrisoft
    (This product requires an exemption form. Prescribe for two weeks ONLY)
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    Restricted Drug Restricted
    Green
    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).


     
       
    Durafiber / Durafiber ribbon
    (Highly absorbent gelling fibre dressing)
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    Formulary
    Green
    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. 
       
    Flamazine Silver Sulphadiazine Cream
    (This is a cream containing 1%w/w silver sulfadiazine)
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    Formulary
    Green
    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.
     
       
    Flaminal Forte (absorbs) & Flaminal Hydro (hydrates)
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    Restricted Drug Restricted
    Green
    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.

     
       
    Flivasorb
    (Prescribed by Tissue Viability ONLY)
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    Red
    10 x 10cm (10)
    10 x 20cm (10)
    20 x 20cm (10)
    20 x 30cm (10)
     
       
    Flivasorb Adhesive
    (Prescribed by Tissue Viability ONLY)
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    Red
    12 x 12cm (10)
    15 x 15cm (10) 
       
    Hypafix
    (Surgical Tape)
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    Formulary
    Green
    Size
    10cm x 5m (1) 
       
    Iodoflex Paste
    (Cadexomer Iodine Paste)
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    Formulary
    Green
    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.
     
       
    Iodozyme
    (Prescribed by Tissue Viability ONLY)
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    Red
    6.5cm x 5cm (1)
    10cm x 10cm (1)
     
       
    Irripod
    (Normal saline for routine wound cleansing)
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    Formulary
    Green
    Size
    20ml (25) 
       
    Kerramax Dressing
    (Superabsorbent dressing)
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    Formulary
    Green

    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. 
       
    K-Lite
    (Retention bandage)
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    Formulary
    Green
    Size
    10cm x 4.5m (1)

    Indications - Part of the multi-layer compression

    Light support bandaging system
    Apply with spiral technique 
       
    Ko-Flex
    (Cohesive elestic compression bandage)
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    Formulary
    Green
    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 
       
    K-Plus
    (Elestic compression bandage, Light compression)
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    Formulary
    Green
    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
     
       
    K-Soft
    (Soft Wall Padding)
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    Formulary
    Green
    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
     
       
    K-Three C
    (High compression type 3c bandage providing the extra pressure necessary for ankles >25)
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    Formulary
    Green
    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 
       
    K-Two Bandage Kit
    (Two layer compression system, designed to ensure even distribution of pressure betwen two dynamic bandages)
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    Formulary
    Green
    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).
     
       
    K-Two Reduced
    (Two layer compression system, designed to ensure even distribution of pressure between two dynamic bandages)
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    Formulary
    Green
    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).
     
  •    
    Larvae Therapy
    (Prescribed by Tissue Viability ONLY)
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    Restricted Drug Restricted
    Red
     
       
    Non-Woven Fabric Swab
    (These are used for drying around the peri wound area)
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    Formulary
    Green
    (100 swabs per pack)
    10cm x 10cm (Non Sterile, 4 Ply, Spec 28

     
       
    Oxyzyme
    (Prescribed by Tissue Viability ONLY)
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    Restricted Drug Restricted
    Red
    6.5cm x 5cm (1)
    10cm x 10cm (1)
     
       
    Polymem
    (Prescribed by Tissue Viability ONLY)
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    Restricted Drug Restricted
    Red
    8cm x 8cm (5)
    10cm x 10cm (5) 
       
    Prontosan
    (Prescribed by Tissue Viability ONLY)
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    Restricted Drug Restricted
    Red
    Prontosan Wound Gel 30ml Ampoules (6)
    Prontosan Wound Irrigation Solution 40ml (1)
     
       
    Scanpor
    (Surgical Tape)
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    Formulary
    Green
    Size
    2.5cm x 5m (1) 
       
    Sorbsan Plus Carbon
    (Calcium alginate fibres of Sorbsan Plus Carbon swell and form a sodium-calcium alginate gel in contact with wound exudate)
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    Restricted Drug Restricted
    Green
    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.
     
       
    Stericlens
    (Normal saline for wound cleansing.)
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    Formulary
    Green
    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. 
       
    Steripaste
    (Paste bandages consisting of an open weave cloth impregnated with zinc oxide paste. Has a preservative free formulaiton)
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    Formulary
    Green
    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.

     
       
    Suprasorb X+PHMB
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    Restricted Drug Restricted
    Green
    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
     
  •    
    Topical Negative Pressure
    (Prescribed by Tissue Viability ONLY)
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    Restricted Drug Restricted
    Red
     
       
    Tricotex
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    Formulary
    Green
    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.
     
       
    Urgotul Contact
    (Prescribed by Tissue Viability ONLY)
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    Restricted Drug Restricted
    Red
    5cm x 7cm (1)
    11cm x 11cm (1) 
       
    Urgotul Start
    (Prescribed by Tissue Viability ONLY)
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    Restricted Drug Restricted
    Red
    6m x 6cm (1)
    10cm x 10cm (1) 
       
    Videne Povidone (iodine 10% aqueos solution)
    (Prescribed by Tissue Viability ONLY)
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    Restricted Drug Restricted
    Red
    500ml (1) 
       
    Zetuvit E - Sterile
    (Absorbent Dressing)
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    Formulary
    Green
    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. 
       
    Zetuvit Plus Dressing
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    Formulary
    Green
    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. 
       
    ZipZoc
    (Zinc Oxide impregnated stocking)
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    Formulary
    Green
    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 
       
    19.01  Expand sub section  Non-adherent dressings
    Softpore
    (For low exuding wounds)
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    Formulary
    Green

    Sizes
    6cm x 7cm (60)
    10cm x 10cm (50)
    10cm x 15cm (50)
    10cm x 25cm (30)

    Water repellent, soft and conforming, breathable adhesive surgical dressing 
       
    19.02  Expand sub section  Absorbent Low Adherent Face Dressing
    19.03  Expand sub section  Perforated Dressing with Adhesive Border
    19.04  Expand sub section  Vapour Permeable Adhesive Film Dressing to top
    19.05  Expand sub section  Barrier Film Preparation
    Sorbaderm
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    Formulary
    Green
    Sizes
    28ml (1)
    1ml (5)
    3ml (5)

    No sting barrier film, which is colourless and transparent to allow monitoring of the skin. It can provide up to 72 hours' protection and is available in a spray bottle or foam applicator.

    Mode of Action - Forms a long lasting waterproof barrier, which acts as a protective interface between the skin and bodily fluids.

    Indications - Helps to protect intact and damaged skin from irritation from wound exudate, urine/and or faecal incontinence, adhesives friction and shear.

    Method of Use - Skin should be clean prior to application. Foam applicator: Apply a uniform coating over the treatment area.
    Spay: Hold the applicator 10 to 15cm from the skin and apply a uniform coating while moving the spray in a sweeping motion. When used under adhesive tapes, allow to dry.

    Frequency of Dressing change - Re-application is necessary each time dressing is changed. Whe used as a protectant from bodily fluids it can last up to 48-72 hours. If desired, the film can be removed by using most medical adhesive removers as directed.

    Contra-Indications - Not to be used on infected area. 
       
    19.06  Expand sub section  Hydrocolloid Dressings
    19.07  Expand sub section  Hydrogel Dressings
    ActiFormCool
    (Non-adhesive ionic hydrogel sheet)
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    Formulary
    Green
    Sizes
    5cm x 6.5cm (5)
    10cm x 10cm (5)

    Mode of Action - It has the ability to donate or absorb while allowing the passage of water vapour and oxygen to the wound surface.

    Indicatons - Autolytic debribement can be used in sloughy, necrotic wounds. Suitable for painful wounds, burns, scalds, radiation burns, nociceptive pain. Can be used through the entire wound healing process. Moderate to highly exuding wounds.

    Method of Use - Use a film top liner if there is little or no exudate.

    Contra-Indicatons - Should not be used for deep, narrow cavities or sinuses. Wounds should be checked frequently as rapid absorption can lead to a drying out of the wound. Haemostasis should be achieved prior to dressing application.

    Frequency of Dressing change - ActiFormCool should be changed if it becomes discoloured or apaque and as often as the wound condition dictates. As with all absorptive dressings, frequent monitoring is required to ensure the dressing does not dry out and adhere to the wound. The dressing should be changed at the first sign of strikethrough. If infection is suspected, frequent changes and monitoring are advised. The wound should be checked frequently as the absorption process may be rapid and the wound may become drier than expected.
     
       
    Aquaform Hydrogel
    (Clear viscose sterile gel containing starch, glycol and water)
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    Formulary
    Green
    Size
    8g (1)

    Mode of Action - Keeps the wound bed moist, allowing hydration of necrotic tissue and assists in loosening and facilitating the removal of slough.

    Indicatons - Low exudate wounds, necrotic, sloughy, granulating, epithelialising wounds.

    Method of Use - Apply directly to the wound bed and apply a minimum depth of 5mm, can be used in cavity wounds. Requires secondary dressing. The gel is removed by irrigation with warmed sterile normal saline, warm water or during bathing.

    Frequency of Dressing change - Maximum wear time - 3 days. If applied to a necrotic wound, daily changes are required to optimise rehydration of the wound. The frequency of dressing change depends on the amount of exudate.

    Contra-Indicatons - Heavily exuding wounds. 
       
    19.08  Expand sub section  Alginate Dressings
    19.09  Expand sub section  Hydrocolloid Fibrous Dressings (Hydrofibre) to top
    Comfeel Plus
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    Size
    9cm x 11cm Contour (10)

    Mode of Action Dressing consists of moisture absorbing cellulose particles encapsulated in a synthetic, elastic and sticky mass.

    Indications - low/moderate exudate. Waterproof. Necrotic/sloughy/granulating/epithelialising wounds. Can act as a secondary dressing over a hydrogel.

    Method of Use - No secondary dressing required. Requires 1-2cm overlap around the wound. Smooth and mould the dressing into place.

    Frequency of Use - Maximum wear time - 7 days. The built-in colour guide will change colour to milky-white as the dressing absorbs exudate. When the colour change reaches the edge of the dressing, the dressing requires changing.

    Contra-Indications -
    DO NOT use on exposed muscle, tendon or bone.
    DO NOT use in cases known allergy or adverse reaction to one or most of the components.
    DO NOT use on deep partial thickness and full thickness burns. 
       
    Comfeel Plus Transparent
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    Sizes
    5cm x 7cm (10)

    Comfeel Plus Transparent Dressing consists of moisture absorbing, cellulose particles encapsulated in a synthetic, elastic and sticky mass. When the CMC particles come into contact with the wound exudate it forms a viscous gel that absorbs exudate and does not adhere to the wound.

    Indications - Treatment of low exuding chronic wounds and superficial acute wounds such as pressure ulcers, traumatic wounds, leg ulcers, post-operative wounds, superficial burns, skin abrasions and donor sites. The dressing can also be used as secondary dressing and to protect the skin in especially vulnerable areas, skin in the final stages of healing and skin in areas which are difficult to dress.

    Method of Use - No secondary dressing required. Requires 1-2cm overlap around wound. Smooth and mould the dressing into place.

    Frequency of Use - Maximum wear time - 7 days. The built-in colour guide will change colour to milky-white as the dressing absorbs exudate. When the colour change reaches the edge of the dressing, the dressing requires changing.

    Contra-indications
    DO NOT use on exposed muscle, tendon or bone
    DO NOT use in cases of known allergy or adverse reaction to one or more of the components.
    DO NOT use on deep partial thickness and full thickness burns.

     
       
    Comfeel Plus Ulcer Dressing
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    Size
    10cm x 10cm (10)

    This consists of moisture absorbing cellulose particles encapsulated in a synthetic, elestic and sticky mass. When the CMC articles come into contact with the wound exudate it forms a viscous gel that absorbs exudate and does not adhere to the wound. Calcium alginate has been added to the dressing to increase absorption.

    Indications - Comfeel Plus Dressing is uded for treatment of low to moderately exuding chronic wounds and superficial acute wounds such as Pressure ulcers, leg ulcers, superficial burns, donor sites, post-operative wounds and skin abrasions. It has a butterfly shape for difficult-to-dress areas such as elbows and knees. Comfeel Plus Pressure Relieving Dressing has a foam that disperses pressure from the wound bed. The dressing can also be used as secondary dressing and to protect the skin.

    Method of Use - Allow a minimum of 2-3cm overlay from the wound edge.

    Frequency of Use - The dressing can stay on for up to 7 days depending on the specific wound charactistics. The built-in colour guide will change colour to milky-white as the dressing absorbs exudates. When the coulour change reaches the edge of the dressing, the dressing requires changing.

    Contra-Indications
    DO NOT use on exposed muscle, tendon or bone
    DO NOT use in cases known allergy or adverse reaction to one or more of the components.
    DO NOT use on deep, partial thickness and full thickness burns.

     
       
    19.10  Expand sub section  Simple Foam Dressings
    19.11  Expand sub section  Absorbent Foam Dressings
    Advazorb and Advasorb Lite
    (An absorbent, breathable non-adherent hysophilic foam dressing with film backing.)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    Sizes
    7.5cm x 7.5cm (10)
    10cm x 10cm (10)
    10cm x 20cm (10)
    12.5cm x 12.5cm (10)
    15cm x 15cm (10)
    20cm x 20cm (10)

    An absorbent, breathable, non-adherent hydrophillic foam dressing with film backing. The film backing helps prevent wound exudate strikethrough and acts as a barrier to outside contamination.

    Mode of Action - The foam absorbs exudate and allows evaporation through the backing of the dressing.

    Indications - Low (Advazorb Lite) to heavily exuding wounds (Advazorb) such as pressure ulcers, skin tears, leg ulcers and abrasions, can be used as a secondary dressing.

    Method of Use - Primary or secondary layer. Dressing should overlap the wound by 2 to 3 cm.

    Frequency of Use - Dressing can be left in place for up to 7 days. Highly exuding wounds need changing when strikethrough appears and the exudate spreads to the edge of the dressing.

    Contra-Indications - Arterial bleeds, heavily bleeding wounds and vascular fungating wounds. 
       
    Biatain Adhesive
    (Absorbent foam dressing, vapour permeable film backing)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    Size
    12.5cm x 12.5cm (10)

    Absorbent foam dressing, vapour permeable film backing.

    Mode of Action - The foam absorbs exudate and allows evaporation through the backing of the dressing.

    Indications - Can be used under compression. Can be used on leg ulcers, pressure ulcers, donor sites and postoperative wounds. Low to moderately exuding wounds.

    Contra-Indications - Do not use with hydrogen peroxide. Biatain soft is a skin friendly adherent dressing. Biatain silicone for use in patients with fragile skin. 
       
    Biatain Adhesive - Sacral
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    Size
    23cm x 23cm (5)

     
       
    Biatain Non-Adhesive
    (Absorbent foam dressing, vapour permeable film backing)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    Sizes
    5cm x 7cm (10)
    10cm x 10cm (10)
    10cm x 20cm (5)
    15cm x 15cm (5)

    Mode of Actions - The foam absorbs exudate and allows evaporation thrugh the backing of the dressing.

    Indications - Can be used under compression. Can be used on leg ulcers, pressure ulcers, donor sites and postoperative wounds. Low to moderately exuding wounds.

    Contra-Indications - Do not use with hydrogen peroxide. 
       
    Biatain Soft Hold Dressing
    (A non adhesive dressing with a skin friendly adherent contact layer)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    Sizes
    5cm x 7cm (5)
    10cm x 10cm (5)

     
       
    19.12  Expand sub section  Silicone + Foam Dressings
    Advazorb Silfix and Advazorb Silfix Lite
    (An absorbent, breathable, adherent silicone hydrophilic foam dressing with film backing.)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    Sizes
    7.5cm x 7.5cm (10)
    10cm x 10cm (10)
    10cm x 20cm (10)
    12.5cm x 12.5cm (10)
    15cm x 15cm (10)
    20cm x 20cm (10)

    The film backing helps prevent wound exudate strikethrough and acts as a barrier to outside contamination.

    Mode of Action - The foam absorbs exudate and allows evaporation through the backing of the dressing.

    Indications - Low (Advazorb Silfix Lite) to heavily exuding wounds (Advazorb Silfix) such as presure ulcers, skin tears, leg ulcers and abrasions, can be used as a secondary dressing.
    For use in patients with fragile skin

    Method of Use - Primary or secondary layer. Dressing should overlap the wound by 2 to 3 cm.

    Frequency of Use - Dressing can be left in place for up to 7 days. Highly exuding wounds need changing when strikethrough appears and the exudate spreads to the edge of the dressing.

    Contra-Indications - Arterial bleeds, heavily bleeding wounds and vascular fungating wounds. 
       
    Biatain Silicone
    (For use in patients with fragile skin)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    Sizes
    7.5cm x 7.5cm (10)
    10cm x 10cm (10)
    12.5cm x 12.5cm (10)
    15cm x 15cm (5)
    17.5cm x 17.5cm (5) 
       
    19.13  Expand sub section  Absorbent Pad Dressings
    19.14  Expand sub section  Odour Absorbing Dressing to top
    19.15  Expand sub section  Antimicrobial Dressings
    19.16  Expand sub section  Zinc Paste Bandages
    19.17  Expand sub section  Antimicrobial dressings
    19.18  Expand sub section  Silicone and Absorbent Foam Dressings
    19.19  Expand sub section  Absorbent Capillary Dressings to top
    19.20  Expand sub section  James New Section
    19.21  Expand sub section  Ear lubricants
     ....
     Non Formulary Items
    Allevyn Adhesive (Rectangle) (Pad 10 x 20)

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    Non Formulary
     
    Acticoat 7 15 x 15

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Activon Tulle (Honey dressing) 10 x 10

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    Non Formulary
     
    Advadraw 10 x 15

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    Non Formulary
     
    Allevyn Adhesive (Rectangle) 12.5 x 22.5

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Allevyn Adhesive Square (Pad 10 x 10)

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    Non Formulary
     
    Allevyn Adhesive Square (Pad 15 x 15)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Allevyn Adhesive Square (Pad 7.5 x 7.5)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Allevyn Adhesive Square 10 x 10

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Allevyn Adhesive Square 12.5 x 12.5

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Allevyn Adhesive Square 17.5 x 17.5

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Allevyn Adhesive Square 7.5 x 7.5

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Aquacel (Rectangle) 4 x 20

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    Non Formulary
     
    Aquacel (Rectangle) 4 x 30

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Aquacel (square) 10 x 10

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Aquacel (square) 15 x 15

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Aquacel (square) 5 x 5

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Aquacel Ag 10 x 10

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Aquacel Ag 15 x 15

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Atrauman 10 x 20

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    Non Formulary
     
    Atrauman 7.5 x 10

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    Non Formulary
     
    C View 10 x 12

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    C View 15 x 20

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    C View 20 x 30

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Clinisorb 10 x 20

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    Non Formulary
     
    Hydrocolloid Pad 7 x 9

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    Non Formulary
     
    Hydrocolloid Pad 7 x 9

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Inadine 9.5 x 9.5

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    Non Formulary
     
    Iodoflex 10g

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    Non Formulary
     
    Iodoflex 17g

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Lyofoam 10 x 10

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    Non Formulary
     
    Mepilex 15 x 16

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    Non Formulary
     
    Mepilex Border 10 x 12.5

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    Non Formulary
     
    Mepilex Border lite 10 x 10

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Mepilex lite 15 x 15

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Mepitel 12 x 15

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Mepitel 5 x 7.5

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    Non Formulary
     
    Mesorb 10 x 15

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    Non Formulary
     
    Mesorb 10 x 20

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    Non Formulary
     
    Mesorb 15 x 20

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Mesorb 20 x 25

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Mesorb 20 x 30

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    N/A Ultra 19 x 9.5

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Non-Adhesive 10 x 20

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Oval Pad 10 x 12

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Oval Thin 13 x 15

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Oval Thin Pad 10 x 12

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Release 10 x 10

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Release 10 x 20

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Softpore 10 x 10

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Softpore 10 x 15

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Softpore 10 x 20

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Sorbsan Flat 10 x 20

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Sorbsan Flat 5 x 5

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Tegaderm 10 x 12

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Tegaderm 10 x 12

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Tegaderm IV 5 x 5.7 (for paeds)

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    Non Formulary
     
    Tegaderm IV 8.5 x 10.5

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Tegaderm with pad 9 x 10

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Tegaderm with pad 9 x 15

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Tegaderm with pad 9 x 20

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Tegaderm with pad 9 x 25

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Tegaderm with pad 9 x 35

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
      
    Key
    note Notes
    Section Title Section Title (top level)
    Section Title Section Title (sub level)
    First Choice Item First Choice item
    Non Formulary Item Non Formulary section
    Restricted Drug
    Restricted Drug
    Unlicensed Drug
    Unlicensed
    Track Changes
    Display tracking information
    click to search medicines.org.uk
    Link to adult BNF
    click to search medicines.org.uk
    Link to children's BNF
    click to search medicines.org.uk
    Link to SPCs
    SMC
    Scottish Medicines Consortium
    Cytotoxic Drug
    Cytotoxic Drug
    CD
    Controlled Drug
    High Cost Medicine
    High Cost Medicine
    Cancer Drugs Fund
    Cancer Drugs Fund
    NHSE
    NHS England
    Homecare
    Homecare
    CCG
    CCG

    Traffic Light Status Information

    Status Description

    Red

    Drugs which require special consideration. These are drugs for Consultant Prescribing ONLY. They should not be prescribed in Primary Care.  

    Amber

    Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care. For some drugs there may be a Ricad in place to aid the transition to primary care.  

    Amber E

    Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care but also require and ESCA (Shared Care Agreement)   

    Green

    Suitable first-line drugs for implementation in Primary Care  

    On Formulary

    South Staffs Formulary Choice  

    netFormulary