Birmingham, Sandwell, Solihull and environs APC Formulary
Maintained by Midlands and Lancashire Commissioning Support Unit
 
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26 A5 - Wound management products and elasticated garments

 Please note: silk garments are non-formulary

A5-03-02 Iodine

Inadine®
First Choice
Non-adherent dressing impregnated with povidone iodine (10%)

Type of wound product is suitable for
Mild local infection where there is low exudate levels, ischaemic wounds, dry, gangrenous digits with the aim to desiccate and auto-amputate.
Dry-manage fixator sites
Minor burns or skin trauma with local infection

Duration dressing remains on wound before changing
1-3 days depending on uptake of iodine from dressing

Frequency of dressing change
1-3 days depending on uptake of iodine from dressing
Look at colour change of dressing (orange initially to white when all used)

Caution/contraindications (when not to use the dressing, patient groups to avoid etc.)
Iodine allergy or sensitivity
Thyroid disorders
Renal impairment
Not suitable for children, pregnant or lactating women

Rationale for inclusion in formulary
Topical antimicrobial
Non-adherent/pain free use
No damage to granular or epithelial cells
Easy application and removal
Drying properties
Efficacy against bacteria, fungi and viruses
Cost effective.

Green View adult BNF  View SPC online  View childrens BNF
Iodoflex®
First Choice
Cadexomer dressing containing iodine

Type of wound product is suitable for
Iodine paste in mesh form for chronic infected, sloughy wounds with moderate exudate eg pressure ulcers, leg ulcers, diabetic foot ulcers
Can be used under compression bandaging

MAX Duration dressing remains on wound before changing
Up to 3 days

Frequency of dressing change
Daily for acute infection
Up to 3 days for chronic wounds and infection, depending on exudate levels

Caution/contraindications (when not to use the dressing, patient groups to avoid etc.)
Allergy or sensitivity to iodine
Precaution with large wounds due to absorption. Do not use more than 50g in a single application and no more than 150g in 7 days
Dry necrotic wounds
Thyroid disorders
Renal impairment
Not suitable for children, pregnant or lactating mothers
Concurrent Lithium therapy

Rationale for inclusion in formulary
Anti microbial, broad spectrum, long acting/high absorption capacity
Removes slough and debris to clean the wound bed
Can be moulded to shape of the wound
Alternative to honey products if allergy to bees

Green View adult BNF  View SPC online  View childrens BNF
Iodosorb®
First Choice
Cadexomer powder or ointment with iodine

Type of wound product is suitable for
Chronic exuding sloughy wounds eg leg ulcers, pressure ulcers, diabetic foot ulcers. Can be used under compression bandaging

Duration dressing remains on wound before changing
Up to 3 days

Frequency of dressing change
Daily for acute infection
Up to 3 days for chronic infection

Caution/contraindications (when not to use the dressing, patient groups to avoid etc.)
Allergy to iodine products
Dry necrotic tissue
Not suitable for Children, pregnant or lactating mothers
Thyroid disorders
Renal impairment
Needs at least twice weekly dressings for iodine to be effective

Rationale for inclusion in formulary
Antimicrobial, broad spectrum, long acting
De-slough and cleans wound debris
Non-adherant. Reduces trauma to wound and pain on dressing changes
Easy application. Can fill cavities or awkward shaped wounds
Alternative to honey based products if allergy to bees

Green View adult BNF  View SPC online  View childrens BNF