A non adherent foam dressing impregnated with silver sulphadiazine that can be cut to suit the patient Type of wound product is suitable for For use around infected pin sites Duration dressing remains on wound before changing Daily or as directed Frequency of dressing change Daily Caution/contraindications (when not to use the dressing, patient groups to avoid etc.) Patients who have a known sensitivity to Silver Sulphadiazine or Sulphonamides Females who are at or near full term pregnancy or lactating Not for use on neonates or new born infants during the first month of life Rationale for inclusion in formulary Used around infected pin sites in patients with external metalwork to help reduce bacterial load HOSPITAL USE ONLY
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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.