Hydrogel Sheet Type of wound product is suitable for Necrotic or sloughy wounds that require hydration and cooling pain relief Can be used on dry wounds with the backing left in place Cut to shape of the wound Requires a secondary dressing Duration dressing remains on wound before changing 1-3 days if dressings become discoloured or opaque or at first signs of exudate strike through Frequency of dressing change If dressing becomes discoloured or opaque or at first signs of exudate strike through. Do not allow to dry out Caution/contraindications (when not to use the dressing, patient groups to avoid etc.) Should not be used as a covering for deep narrow cavities or sinuses. Do not use on infected wounds. Not suitable for heavily exuding wounds Known product or component sensitivity Not for application on ischaemic wounds Rationale for inclusion in formulary Dry necrotic, sloughy or painful wounds For ease of application - sheet gel rather than liquid Primary dressing Can be used prior to larval therapy to maintain moisture levels
Sodium hyaluronate dressings
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Prescribing in children
The APC notes that the informed use of unlicensed medicines or of licensed medicines for unlicensed applications (‘off-label’ use) is often necessary in paediatric practice.
The APC advises GPs to consider specialist prescribing recommendations for Green and Amber medicines that are not subject to ESCAs or RICaDs in combination with the information provided in the BNFC which goes beyond that of marketing authorisations. The BNFC has been designed for rapid reference and the information presented has been carefully selected to aid decisions on prescribing.
Medicines which are suitable for initiation and maintenance prescribing by primary and secondary care clinicians. These medicines should be initiated and prescribed within their licensed indications.
Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate, or initiation and maintenance of prescribing in Primary Care following recommendation from a Specialist.
Some amber medicines require agreement with the local (internal) medicines committee prior to initiation; others may require a framework to support safe transfer and maintenance of care such as a RICaD or ESCA. The Formulary will be annotated to reflect these requirements.
Medicines for initiation and maintenance prescribing by Specialists only
Non-formulary medicines- medicines not recommended for routine primary care prescribing.
Positive NICE TA and /or awaiting local clarification on place in therapy ; Please contact your Medicines Optimisation team for more information.