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 Formulary Chapter 26: A5 - Wound management products and elasticated garments - Full Chapter
Notes:

 Please note: silk garments are non-formulary

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A5.08.07  Expand sub section  Compression bandages
A5.08.07  Expand sub section  High compression bandage
A5.08.07  Expand sub section  Short stretch compression bandage
Actico
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Formulary
Green
Cohesive inelastic high compression bandage. Short stretch bandage

Type of wound product is suitable for
Venous leg ulceration
Lymphoedema
Management of chronic oedema

Duration dressing remains on wound before changing
Daily to 7 days

Frequency of dressing change
Dependant on exudate levels if wound present or oedema management.

Caution/contraindications (when not to use the dressing, patient groups to avoid etc.)
Not recommended on those patients with an ABPI lower than 0.8. Caution in diabetic patients
Caution when cardiac overload or renal failure present or suspected.

Rationale for inclusion in formulary
Only cohesive short stretch bandage. Nurses competent in its usage.
 
   
Comprilan
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Formulary
Amber
100 % cotton short stretch compression bandage

Type of wound product is suitable for
Venous leg ulceration
Varicosis
Management of chronic oedema
Management of primary and secondary lymphoedema
Deep venous thrombosis
Thrombophlebitis

Duration dressing remains on wound before changing
1 to 7 days

Frequency of dressing change
Dependant on exudate levels if wound present or oedema management.

Caution/contraindications (when not to use the dressing, patient groups to avoid etc.)
Advanced Peripheral arterial occlusive disease
Decompensated cardiac insufficiency
Septic phlebitis
Phlegmasia coerula doleris

Rationale for inclusion in formulary
Cotton short stretch bandage. Used by lymphoedema nurse specialists
 
   
A5.08.07  Expand sub section  Sub-compression wadding bandage
 ....
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Section Title Section Title (sub level)
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Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
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Traffic Light Status Information

Status Description

Green

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.  

Amber

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.   

Red

Medicines for initiation and maintenance prescribing by Specialists only  

Black

Non-formulary medicines- medicines not recommended for routine primary care prescribing.  

Grey

Positive NICE TA and /or awaiting local clarification on place in therapy ; Please contact your Medicines Optimisation team for more information.  

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