FORMULARY DRESSINGS REFERENCE FORM – 2015 (updated September 2015)
http://www.somersetccg.nhs.uk/about-us/how-we-do-things/prescribing-and-medicines-management/wound-management/
Type of dressing
Formulary choice
Common sizes available
(cm)
Mechanical Wound
Debridement
DEBRISOFT
10x10cm
KERRAPRO
Sheet
10x10x0.3cm
10x10x1.2cm
Pressure
Relieving
Pad
Strip
30x5x0.3cm
50x2.5x0.3cm
Heel
Standard
Suggested
wear time
Non formulary equivalents
Physical Debridement Pad
UCS Debridement
Single patient use. Can
be reused for 3 months
provided washed in
soapy water and
allowed to dry. Only
for use on intact skin.
Low Friction Products
Devon Positioning Products- Foot and Heel Protector, utility pad.
Aderma Pad, Sacrum/Ankle,Heel,Sheet,Strip
Parafricta-Bootee,Undegarment
Sacrum/Ankle Wrap
Wound
Irrigation
Solution
FILM
to protect and cover
non-exuding wounds
or as secondary
dressing
FILM WITH PAD
to protect and cover
exuding wounds
NON-ADHERENT
primary contact dressing
SILICONE
can change Secondary
dressing more often
Irrigation Solutions
PRONTOSAN
350ml
HYDROFILM
6x7, 10x12.5, 10x15,
12x25, 15x20, 20x30
HYDROFILM
PLUS
ATRAUMAN
ADAPTIC
TOUCH
SORBSAN
5x7.2, 9x10, 10x25, 10x30
5x5, 7.5x10, 10x20, 20x30
5x7.6, 7.6x11, 12.7x15,
20x32
Octenilin
6d
FILM DRESSINGS VAPOUR PERMEABLE:
Askina Derm, Bioclusive, Central Gard, ClearFilm, C-View, Dressfilm, Episil, EasI-V, Hypafix, IV3000, Leukomed
T, Mepore Film, Mepore IV, Mepitel Film, Niko-Fix, Opsite Flexifix + Flexigrid, Pharmapore-PU IV, Polyskin II,
ProtectFilm, Suprasorb F, Tegaderm Film, Tegaderm IV, Tegaderm Diamond, Vacuskin, Vellafilm.
6d
FILM DRESSINGS with absorbent pad VAPOUR PERMEABLE:
Alldress, C-View Post Op, Clearpore, Episil Absorbent, Leukomed T Plus, Mepore Film & Pad, Mepore Ultra,
OpSite Plus, OpSitePost-Op, Pharmapore-PU, PremierPore VP, Tegaderm +Pad, Tegaderm Abs Pad.
7d
Up to 14
DAYS
ALGINATE: ActivHeal Alginate,Activheal Aquafiber, Algisite M, Algosteril, Curasorb, Curasorb Plus,
Curasorb Zn, Cutimed Alginate, Melgisorb, Seasorb, SeaSorb Soft, Sorbalgon, Sorbsan Plus, Suprasorb
A, Tegaderm Alginate, Trionic, Urgosorb Pad
NB Kaltostat has specific use as haemostat
5x5, 10x10, 10x20
ALGINATES
o
(require 2 dressing)
7d
SORBSAN Ribbon +
probe
2g/30 with plastic rope
KNITTED VISCOSE: (Similar to Atrauman but not impregnated): N-A, N-A Ultra, Profore wound contact Layer,
Tricotex.
SOFT POLYMER/SILICONE WOUND CONTACT +/- FOAM BACKING:
Advasorb Silifix, Advasorb Silifix Lite,Advasorb Siliflo, Advasorb Siliflo Lite, Askina Border, Askina Dressil,
Askina SilNet, Allevyn Gentle Border, Allevyn Life, Cutimed Siltec, Cutimed Siltec B, Cutimed Siltec L, Mepilex,
Mepilex Border, Mepilex Lite , Mepilex Transfer,Mepilex Border Lite, Mepitel, Mepitel One, Physiotulle,
Silflex, Silon-TSR.
CAVITY – ALGINATE: ActivHeal Alginate Rope, Activheal Aquafiber Rope, Algisite M Rope, Algosteril Rope,
Curasorb Rope, Curasorb + Zn Rope, Cutimed Alginate, Apinate Rope, Melgisorb Cavity, SeaSorb Soft Filler,
Seasorb Filler, Sorbalgon T, Suprasorb A Cavity, Tegaderm Alginate, Urgosorb Rope
NB Kaltostat has specific use as haemostat
FORMULARY DRESSINGS REFERENCE FORM – 2015 (updated September 2015)
http://www.somersetccg.nhs.uk/about-us/how-we-do-things/prescribing-and-medicines-management/wound-management/
Type of dressing
HYDROGEL
o
(requires 2 dressing)
HYDROGEL
HYDROCOLLOID
HYDROCOLLOID (thin)
HYDROCOLLOID
HYDROFIBRE/
PROTEASE MATRIX
o
(requires 2 dressing)
Wicking Dressing
2nd Choice Foam Dressing
for more frequent
change
1st Choice Foam Dressing
FOR LONGER WEAR
Formulary choice
ACTIVHEAL
HYDROGEL
Common sizes available
(cm)
2 - 3d
5X6.5cm, 10X10cm, 10X15cm
ACTIVHEAL
Hydrocolloid
ACTIVHEAL
Hydrocolloid
(Foam backed)
DUODERM extra
thin
5x7.5, 10x10, 15x15, 15x18
FLAMINAL HYDRO
FLAMINAL FORTE
AQUACEL EXTRA
ADVADRAW
ActivHeal FOAM
Adhesive & NonAdhesive
5x7.5, 10x10,15x15
7.5x7.5, 5x10, 9x15, 10x10, 15x15
5x7cm,10x10cm,15x15cm,9x14cm
15g (tube is self-sterilizing,
can be re-used on same patient
up to 2 years)
Flat Dressing
5x5, 10x10, 15x15,
Packing
1cm/45cm, 2cm/45cm
Flat
5x7.5cm,10x10cm,10x15cm
15x20cm
Spiral
0.5 x 40cm
5x5, 7.5x7.5, 10x10,
12.5x12.5,15x15,17.8x10 20x20
Change as often as
wound dictates.
5d
up to 7d
4d
7d
FOAM SILICONE DRESSING
HYDROCOLLOID THIN: Askina Biofilm Transparent, Flexigran Thin, Hydrocoll Thin Film, Hydrocolloid Thin
Film, Nu-Derm, Tegaderm Hydrocolloid Thin
PROTEASE MODULATING MATRIX: ActivHeal Aquafiber, Aquacel,Cadesorb, Catrix, Curea P1, Curea P2,
Cutisorb Ultra, Cutinova Hydra, DryMax Extra, Durafiber, Flivasorb, Iodozyme, Apinate, MelMax, Oxyzyme,
Promogran, Promogran Prisma Matrix, Sorbion Sachet Border, Sorbion Sachet S, Suprasorb C, Tegaderm
Matrix, UrgoClean Pad, Urgoclean Rope, Urgostat, Urgostat Contact, Xelma
Vacutex
7d
FOAM Dressings – POLYURETHANE Adhesive Border:
7d
BIATAIN
5X7, 10x10, , 12.5x12.5 15x15, 10x20,
ADHESIVE/BIATAIN
18x28,18x28,20x20
Non ADHESIVE
BIATAIN SILICONE 7.5x7.5,10x10,12.5x12.5,15x15,17.5x1
7.5
BIATAIN SILICONE
LITE
7.5x7.5cm, 10x10cm,12.5x12.5cm
HYDROGEL SHEET with adhesive border: Hydrosorb Comfort, Mesitran Border
HYDROGEL SHEET without adhesive border: , Aquaflo, Coolie, Cutimed Sorbact Gel, Gel FX, Geliperm,
Hydrosorb, Intrasite Conformable, Mesitran, Mesitran Mesh, Novogel, Vacunet
HYDROCOLLOID with border: Alione, Biatain Super, Comfeel Plus Contour, Comfeel Plus Pressure Relieving,
Granuflex Bordered,
Hydrocolloid Border (Bevelled edge), Tegaderm Hydrocolloid , Ultec Pro, Versiva XC
HYDROCOLLOID without border: Alione, Comfeel Plus Ulcer Dressing, DuoDerm Signal, Flexigran,
Hydrocoll Basic, Granuflex ,Hydrocoll Border, Nu-Derm, Tegaderm Hydrocolloid, Ultec Pro, Versiva XC
7d
7d
FOAM SILICONE DRESSING
Non formulary equivalents
GEL: AquaForm Hydrogel, Askina Gel, Cutimed Gel, Flamozil Hydrocolloid Gel, Flexigran Gel,
Granugel Hydrocolloid Gel, IntraSite Gel, Nu-Gel, Octenilin Wound Gel, Prontosan, Purilon Gel
15g
ACTIFORM COOL
COMFEEL PLUS
TRANSPARENT
Suggested
wear time
7d
Allevyn Adhesive, Allevyn Plus Adhesive, Copa Island, Kendal Foam Island, Kendal Foam Plus, Lyofoam Extra,
PermaFoam, PermaFoam Comfort, Polymem, Tegaderm Foam Adhesive, Tielle, Tielle Lite, Tielle Plus, Trufoam Border
FOAM Dressings – POLYURETHANE without Border:
Advasorb, Advasorb Lite, Allevyn Compression, Allevyn Non-Adhesive, Allevyn Lite, Allevyn Thin, Askina Foam,
Biatain Super,Biatain Soft-Hold, Copa, Copa Plus, Flexipore, Kendall AMD, Kerraboot, Kerraheel, Lyofoam,
Lyofoam Extra,Lyofoam Max, PermaFoam, PermaFoam Cavity, PolyMem, PolyMem Max, Tegaderm Foam,
Tielle Xtra,Transorbent, Trufoam Non Adhesive, Urgocell TLC.
Soft Silicone Dressing with polyurethane Foam Backing-sterile
Advazorb silfix,Advazorb Silifix Lite, Allevyn Lite Askina Dresil, Cilguard Overlap,Cilguard Standard, Cutimed
Siltec, Cutimed Siltec Heel, Cutimed Siltec L, Cutimed Siltec Plus, Mepilex,
FORMULARY DRESSINGS REFERENCE FORM – 2015 (updated September 2015)
http://www.somersetccg.nhs.uk/about-us/how-we-do-things/prescribing-and-medicines-management/wound-management/
Type of dressing
ODOUR ABSORBING
Formulary option/s
CLINISORB
WATERPROOF NO-STING
BARRIER FILM
SORBADERM
SKIN CLEANSER AND
BARRIER CREAM
SILVER (Ag)
10x10, 10x20, 15x25
Applicator
1ml and 3ml
Spray
28ml
Cream
28g and 92g
Spray
235ml
PROSHIELD
IODINE DRESSINGS
Common sizes available
(cm)
INADINE
IODOFLEX
URGOTUL Silver
ACTICOAT
Absorbent,
Flex 3 orExtra
Flex 7AG
AQUACEL
Gel
115g
5x5, 9.5x9.5
5g, 10g, 17g
10x12, 15x20
5x5, 10x10, 10x12.5, 15x15,
10x20,2.5x60,20x40, 2x30 rope
5x5, 10x10,15x15,20x30
,2x 45,1x45cm ribbon
25g
HONEY: Tube
ACTIVON Tube
Gel sheet
ALGIVION +
ALGIVON +
5x5,
10x10, 2.5x20+probe
2.5x20+probe
5x5, 10x10,
ACTILITE
ACTILITE
SUPRASORB PLUS
PHMB
5x5,10x10,10x20
5x5,10x10,10x20
Low adherent
ANISEPTIC
COMPRESSION
BANDAGES
K-soft/ K-lite/K Plus/
Ko Flex (4 layer)
K Two (2 layer)
K3C
Flat
5x5cm, 9x9cm 14x20cm
Rope
2x21cm
10cm x (4.5m, 5.25m,
10.25m or 7m)
Ankle: 18-25cm; 25-32cm
Suggested
wear time
Non formulary equivalents
7d
If become wet not effective. Use as Carbopad VC, Askina, Carbosorb, Carboflex, Sorbsan Plus Carbon, Lyofoam C, Legius, Odolock.
add in dressing as can adhere to
wounds.
Cavilon, Trio Silesse, LBF, Medi Derma-S, SkinSafe, OstoGuard, Pelican Protect Plus, ProSys
Independence,
Peri-Prep, Smith&Nephew No Sting Skin-Prep
Use Spary and Gel in conjunction. Barrier Cream, Gels, Paste and lotions
Spray-cleanser.
Gel-use on open superficial
Adapt Paste, Karaya Paste, Ilex paste, Medi Derma-S Barrier Cream, Sureprep no-sting Barrier Film
moisture lesions
Spray,LaVera Barrier Cream, OstoClenz, Asto Barrier Cream, Ostoguard, Paynes barrier
cream,Pelican Ultra Barrier Cream, Secura Cleanser.
7d or when white
3d
7d
3d or 7d
7d
7d
Hyiodine, Iodosorb Powder, Iodosorb Ointment, Povidem Dressing.
Equivalents all have silver or Ag in name except Urgotul SSD
SILVER DRESSINGS ARE VERY EXPENSIVE (UP TO £62 PER DRESSING). ONLY USE IF WOUND
CRITICALLY INFECTED
plus SIGNS/SYMPTOMS OF INFECTION AND FOR A MAX OF 2 WEEKS then seek specialist advice.
Activon Tulle, Actibalm,Algivon, MANUKApli, Medihoney, Melladerm Plus,Melmax, Mesitran,
Mesitran Mesh L-Mesitran Soft, Melloxy, Mesitran Ointment, Mesitran Ointment S
Change as required. Infected wound Bio-Cellulose Dressing
checked on regular basis
CelluDress-PHMB
7d
System 4, Ultra 4, Profore, ProGuide, Pro-Two, Jobst Comfripore, Coban 2
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.
Ankle>25cm(10x7.8m)stretched
Short stretch cohesive
HOSIERY KIT
ACTICO
6mx (4, 6, 8 or 10cm)
40mmHg leg ulcer treatment kit
ACTIVA HOSIERY KIT (various sizes and colours available)
Comprilon, Rosidal K, Silkolan
Altipress 40 Ulcer Kit, Comfipression Hosiery Kit, Mediven Ulcer Kit
FORMULARY DRESSINGS REFERENCE FORM – 2015 (updated September 2015)
http://www.somersetccg.nhs.uk/about-us/how-we-do-things/prescribing-and-medicines-management/wound-management/
Type of dressing
Formulary option/s
ACTIVA
COMPRESSION HOSIERY
ABSORBENT PAD
SUPER ABSORBENT
PAD
ACTIVA ACTILYMPH
ZETUVIT E
(sterile&non-s
sterilePLUS
ZETUVIT
TAPE
SCANPOR
Waterproof No-Sting
Barrier Film
SORBADERM
Tubular Bandage/
Stockinette
Retention Bandage
Common sizes available
(cm)
Class 1, 2 or 3 Various
colours & sizes(British)
6 Months
Class1,2,or 3 various
colours and sizes(European)
10x10, 10x20, 20x20, 20x40
10x10, 10x20, 15x20,
20x25, 20x40
Up to 7 days
10m x 2.5cm
1ml & 3ml applicators,
Pump Spray
COMFIFAST
5m Blue line, 5m Yellow line,
5m Beige line
COMFIGAUZE
20m size 1(finger)
20m size 12 (hand)
20m size 56 (adult limb)
20m size 78 (adult large limb)
K BAND
Suggested
wear time
Non formulary equivalents
Altipress, Altipress 40, Altipress made to measure, Carolon, Clini Duo 40, Comfi Pression, Jobst,
Mediven Ulcer
Kit, SurePress, Ulcertec, Ulcer X, Altiven, CareS, Haddenham FarrowWrap, Haddenham Veni,
Juxtafit, Juzo,
ReadyWrap Quick-Fit, Sigvaris, Venosan, Venotrain,
Compression hosiery should ONLY be used on patients who have been assessed and have had
Ankle Brachial
Pressure
Indices recorded.
This should
beDressing
repeatedPad,
before
everyEclypse
new prescription
Drisorb Dressing
Pad, PremierPad,
Xupad
Eclypse,
Adherent, of hosiery.
Eclypse Boot, Exu-dry, Kerramax, Mesorb, Telfa Max,
NOTE:
Class
1 European
to available
Class 2 British.
Zetuvit-E
non-sterile
are ~not
as singles so not generally suitable for ordering on FP10.
Very usefull when pt has leg ulcer and bandaging. Apply over the top and pt/career can change
as often as needed to help manage high exudate level.
Clinipore, Chemipore Leukofix, Leukopore, Mediplast, Micropore, Transpore
Cavilon, Trio Silesse, LBF, Medi Derma-S, SkinSafe, OstoGuard, Pelican Protect Plus, ProSys
Independence, PeriPrep, Smith&Nephew No Sting Skin-Prep
Acti-Fast, CliniFast, Comfifast MultiStretch, Coverflex, Easifast, Fortunafast, Tubifast 2 way stretch.
5cmx4m, 10cmx4m
Easifix K, Knit-Band, Knit fix
The following items are not part of the Wound Formulary but cost-effective options are included here for reference.
ABSORBENT
PERFORATED
Formulary alternative:
HYDROFILM PLUS
SOFTPORE
SWABS
General cleansing
NON-WOVEN
Non sterile
6x7, 10x10, 10x15, 10x20,
10x25, 10x30, 10x35
10x10 pack of 100
As short term protective layer
ABSORBENT PERFORATED DRESSING with border: Cosmopor E, Cuitplast Steril, DressPore,
Leukomed, Medipore
+ Pads, Medisafe, Mepore, PremierPore, Primapore, Sterifix, Telfa AMD Island, Telfa Island.
NICE CG74 recommends film dressings +/- absorbent pad on a surgical site.
PERFORATED PLASTIC FILM FACED DRESSING without border: Askina Pad, Cutisorb LA,
Interpose, Melolin, Release, Skintact, Solvaline N, Telfa, Telfa AMD. THIS CLASS NO
LONGER RECOMMENDED
Gauze swabs, filmated swabs, Regal, Topper 8, 7.5cm x 7.5cm sterile swabs – unless for aseptic
procedure