FORMULARY DRESSINGS REFERENCE FORM - 2011 http://nww.somerset.nhs.uk/welcome/directorates/primary-care-development/prescribing-and-medicines-management/wound-management/ Formulary choice Common sizes available (cm) Suggested wear time Non formulary equivalents FILM to protect and cover non-exuding wounds or as secondary dressing HYDROFILM 6x7, 10x12.5, 10x15, 10x25, 12x25, 15x20, 20x30 6d FILM DRESSINGS VAPOUR PERMEABLE: ActivHeal Film, Askina Derm, Bioclusive, C-View, Central Gard, Episil, Hypafix Transparent, IV 3000, Leukomed T, Mepore Film, Mepore IV, Opsite Flexifix, Pharmapore-PU IV, Polyskin II, ProtectFilm, Suprasorb F, Tegaderm, Tegaderm IV, Vacuskin FILM WITH PAD to protect and cover exuding wounds HYDROFILM PLUS 5x7.2, 9x10, 9x15, 10x20, 10x25, 10x30 6d FILM DRESSINGS with absorbent pad VAPOUR PERMEABLE: Alldress, Clearpore, Leukomed T Plus, Mepore Film & Pad, Mepore Ultra, OpSite Plus, OpSite Post-Op, Pharmapore-PU, PremierPore VP, Tegaderm +Pad LOW ADHERENT primary contact layer ATRAUMAN 7d KNITTED VISCOSE: ( Similar to Atrauman but not impregnated): N-A, N-A Ultra, Tricotex. Type of dressing SILICONE can change Secondary dressing more often 5x5, 7.5x10, 10x20, 20x30 MEPITEL ONE 6x7, 9x10, 13x15, 24x27.5 SORBSAN 5x5, 10x10, 10x20 ALGINATES o (require 2 dressing) SOFT POLYMER/SILICONE WOUND CONTACT +/- FOAM BACKING: Adaptic Touch, Allevyn Gentle, Askina SilNet, Cutimed Siltec, Episil Absorbent, Mepilex, Mepilex Border, Mepilex Lite , Mepilex Transfer, Mepitel, Physiotulle, Silflex, Silon-TSR, Tegaderm Contact, Urgotul, UrgotulDuo, UrgotulDuo Border, UrgoSTART, UrgoCell TLC ALGINATE: ActivHeal Alginate, Algisite M, Algivon, Algosteril, Curasorb, Curasorb Plus, Curasorb Zn, Medihoney Gel sheet, Melgisorb, Sorbalgon, Sorbsan Plus, Suprasorb A, Tegaderm Alginate, Trionic, Urgosorb NB Kaltostat has specific use as haemostat 7d SORBSAN Ribbon + probe HYDROGEL o (requires 2 dressing) Up to 14 DAYS CAVITY – ALGINATE: ActivHeal Alginate Rope, Activheal Aquafiber Rope, Algisite M Rope, Algosteril Rope, Aquacel Ribbon, Curasorb Rope, Melgisorb Cavity, Sorbalgon T, Suprasorb A, Tegaderm Alginate, Urgosorb NB Kaltostat has specific use as haemostat 2g/30 GEL: AquaForm Hydrogel, Askina Gel, Cutimed Gel, Flexigran Gel, Granugel Hydrocolloid Gel, IntraSite Gel, NuGel, Octenilin Wound Gel, Prontosan, Purilon Gel ACTIVHEAL HYDROGEL 15g 2 - 3d All hydrogel sheets are non-formulary HYDROGEL SHEET with adhesive border: Hydrosorb Comfort, Mesitran Border HYDROGEL SHEET without adhesive border: Actiform Cool, Aquaflo, Coolie, Cutimed Sorbact Gel, Gel FX, Geliperm, Hydrosorb, Intrasite Conformable, Mesitran, Mesitran Mesh, Novogel, Vacunet HYDROCOLLOID with border: Alione, Comfeel Plus Contour, Comfeel Plus Pressure Relieving, Granuflex Bordered, Hydrocolloid Border (Bevelled edge), Tegaderm Hydrocolloid , Ultec Pro, Versiva XC HYDROCOLLOID ACTIVHEAL Hydrocolloid (Foam backed) 5x7.5, 10x10, 15x15, 15x18 5d HYDROCOLLOID (thin) DUODERM extra thin 7.5x7.5, 10x10, 15x15 up to 7d HYDROCOLLOID THIN without border:Askina Biofilm Transparent, Comfeel Plus Transparent, Flexigran Thin, Hydrocolloid Thin Film, Nu-Derm, Tegaderm Hydrocolloid Thin HYDROFIBRE/ Protease Matrix o (requires 2 dressing) FLAMINAL HYDRO FLAMINAL FORTE 15g (tube is self-sterilizing, can be re-used on same patient up to 2 years) 4d PROTEASE MODULATING MATRIX: ActivHeal Aquafiber, Aquacel, Cadesorb, Catrix, Curea P1, Cutisorb Ultra, DryMax Extra, Flivasorb, Iodozyme, MelMax, Oxyzyme, Sorbion Sachet S, Suprasorb C, Tegaderm Matrix For use after specialist advice only: Promogran, Promogran Prisma: HYDROCOLLOID without border: ActivHeal hydrocolloid Foam Backed, Alione, Comfeel Plus Ulcer Dressing, DuoDerm Signal, Flexigran, Hydrocoll Basic, Granuflex, Nu-Derm, Tegaderm Hydrocolloid, Ultec Pro, Versiva XC Type of dressing Formulary option/s Common sizes available (cm) Suggested wear time FOAM for more frequent change ActivHeal FOAM 5x5, 7.5x7.5, 10x10, 12.5x12.5,15x15, 20x20 7d BIATAIN for Longer Wear BIATAIN ADHESIVE For Deep Cavity o (requires 2 dressing) ODOUR ABSORBING ALLEVYN CAVITY ALLEVYN PLUS CAVITY CLINISORB (needs wound contact layer) INADINE 5X7, 10x10, 15x15, 10x20, 20x20 10x10, 12.5x12.5, 18x18, 18x28 Circular: 5cm, 10cm Tubular: 9x2.5, 12x4 10x10, 10x20, 15x25 5x5, 9.5x9.5 7d up to 7d up to 7d or until wet Non formulary equivalents FOAM Dressings – POLYURETHANE Adhesive Border: Advasorb Border, Allevyn Adhesive, Allevyn Plus Adhesive, Biatain Silicone, Copa Island, Lyofoam Extra, PermaFoam, PermaFoam Comfort, Polymem, Tegaderm Foam Adhesive, Tielle, Tielle Lite, Tielle Plus, Trufoam FOAM Dressings – POLYURETHANE without Border: Advasorb Plus, Allevyn Compression, Allevyn Non-Adhesive, Allevyn Lite, Allevyn Thin, Askina Foam, Biatain-Ibu, Biatain Soft-Hold, Copa, Copa Plus, Flexipore, Kendall AMD, Kerraboot, Kerraheel, Lyofoam, Lyofoam Extra, PermaFoam, PolyMem, PolyMem Max, Tegaderm Foam, Tielle Xtra,Transorbent, Trufoam NA Askina Foam Cavity, Permafoam Cavity, Polymem WIC, Tielle Packing, Urgosorb Rope Carbopad VC Askina Carbosorb, Carboflex, Lyofoam C, Sorbsan Plus Carbon IODOFLEX URGOTUL Silver 5g, 10g, 17g 10x12, 15x20 7d or when white 3d 7d ACTICOAT 3 or 7 5x5, 10x10, 15x15, 10x20 3d or 7d AQUACEL AG ACTIVON ALGIVON ACTILITE K-soft/ K-lite/K Plus/ Ko Flex (4 layer) K Two (2 layer) 5x5, 10x10, 2x 30cm ribbon 25g 5x5, 10x10 10x10, 10x20 10cm x (4.5m, 5.25m, 10.25m or 7m) Ankle: 18-25cm; 25-32cm 7d Short stretch cohesive ACTICO 6mx (4, 6, 8 or 10cm) COMPRESSION HOSIERY ACTIVA ACTILYMPH Class 1, 2 or 3 Various colours & sizes ABSORBENT PAD ZETUVIT E (sterile) 10x10, 10x20, 20x20, 20x40 TAPE CLINIPORE 1.25, 2.5, 5, 7.5cm Waterproof No-Sting Barrier Film Sorbaderm 1ml & 3ml Cavilon 1m, 3m,5m Comfifast 2 way stretch, Coverflex, Easifast, Tubifast 2 way stretch IODINE DRESSINGS SILVER (Ag) HONEY: Tube Gel sheet Low adherent COMPRESSION BANDAGES Stockinette Retention Bandage ACTIFAST/CLINIFAST or COMFIFAST K BAND 5m x 5, 7, 10, 15cm Hyiodine Equivalents all have silver or Ag in name except Contreet Hydrocolloid, Urgotul SSD SILVER DRESSINGS ARE VERY EXPENSIVE (UP TO £43 PER DRESSING). ONLY USE IF WOUND CRITICALLY INFECTED plus SIGNS/SYMPTOMS OF INFECTION AND FOR A MAX OF 2 WEEKS then seek specialist advice. 7d Actibalm, MANUKApli, Medihoney, Melladerm Plus, Mesitran 7d System 4, Ultra 4, Profore Multi layer compression bandaging can ONLY be used after full patient assessment and measurement of Ankle Brachial Pressure Indices. Only trained individuals should apply this system. Actiban, Comprilon, Rosidal K, Silkolan 6 Months Compression hosiery should ONLY be used on patients who have been assessed and have had Ankle Brachial Pressure Indices recorded. This should be repeated before every new prescription of hosiery. Eclypse, Eclypse Adherent, Eclypse Boot, Exu-dry, Kerramax, Mesorb, Telfa Max Zetuvit-E non-sterile are not available as singles so not generally suitable for ordering on FP10 Leukofix, Leukopore, Mediplast, Micropore, Scanpor, Transpore Easifix K, Knit fix The following items are not part of the Wound Formulary but cost-effective options are included here for reference. ABSORBENT PERFORATED DRESSING with border: Cosmopor E, Cuitplast Steril, Leukomed, Medipore + Pads, ABSORBENT As short term Medisafe, Mepore, PremierPore, Primapore, St Georges, Sterifix, Telfa AMD Island, Telfa Island. PERFORATED 6x7, 10x10, 10x15, 10x20, SOFTPORE protective NICE CG74 recommends film dressings +/- absorbent pad on a surgical site. Formulary alternative: 10x25, 10x30, 10x35 layer PERFORATED PLASTIC FILM FACED DRESSING without border: Askina Pad, Cutisorb LA, Interpose, Melolin, HYDROFILM PLUS Release, Skintact, Solvaline N, Telfa, Telfa AMD. THIS CLASS NO LONGER RECOMMENDED SWABS NON-WOVEN 10x10 pack of 100 Gauze swabs, filmated swabs, Regal, Topper 8, 7.5cm x 7.5cm sterile swabs – unless for aseptic procedure General cleansing Non sterile TUBULAR ELASTIC COMFIGRIP 6.25, 6.75, 7.5, 8.75, 10, 12 easiGRIP, Easiban ESTS, Tubigrip
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