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 Formulary Chapter 26: A5 - Wound Managment Formulary (Dressings/Elastic Hoisery) - Full Chapter
Notes:

This chapter of the formulary is populated with formulary dressings only. If a dressing is not listed it should be considered non-formulary.

The roll-out of a non-prescription dressings supply service is complete in Crawley, Horsham and Mid-Sussex. (excluding some of the nursing homes)

 Details...
A5.01  Expand sub section  Basic wound contact dressings
A5.01.01  Expand sub section  Low adherence dressings
N-A Ultra®
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First Choice
Green

Low/Non Adherence
A primary contact layer for a wide range of wounds, including infected wounds

  • 9.5cm x 9.5cm
  • 19cm x 9.5cm

  • Non-Formulary equivalents
  • Similar to Atrauman but NOT impregnated
  • Tricotex
  • Profore

     
  • Atrauman®
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    Formulary
    Green

    Low/Non Adherence
    A primary contact layer for a wide range of wounds, including infected wounds

  • 5cmx5cm
  • 7.5cmx10cm
  • 10cmx20cm
  • 20cmx30cm

  • Non-Formulary equivalents
  • Similar to Atrauman but NOT impregnated
  • Tricotex
  • Profore
     
  •    
    A5.01.02  Expand sub section  Absorbent dressings
    A5.01.02  Expand sub section  For lightly exuding wounds
    Cosmopor E®
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    Formulary
    Green

    Wound Contact Pad
  • 5cm x 7.2cm
  • 8cm x 10cm
  • 8cm x 15cm
  • 10cm x 20cm
  • 10cm x 25cm
  • 10cm x 35cm
  •  
       
    A5.01.02  Expand sub section  For moderately to heavily exuding wounds to top
    Zetuvit E®(non-sterile)
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    Formulary
    Green

    Absorbent cellulose dressing.
    Only for padding outside primary and secondary

  • 20cmx40cm
  •  
       
    Zetuvit E®(sterile)
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    Formulary
    Green

    Absorbent cellulose dressing (sterile)
    Primary or secondary dressing for medium to heavily exuding wounds

  • 10cmx10cm
  • 10cmx20cm
  • 20cmx20cm
  • 20cmx40cm

  • Non-Formulary equivalents
  • Mesorb dressing
  • Eclypse dressing
  • Exu-Dry dressing
  • CelluDress dressing
     
  •    
    A5.01.02  Expand sub section  For heavily exuding wounds
    Kliniderm®superabsorbent
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    Formulary
    Green

    Heavy Exudate
  • 10cmx10cm
  • 10cmx15cm
  • 20cmx20cm
  • 20cmx30cm
  •  
       
    A5.02  Expand sub section  Advanced wound dressings
    A5.02.01  Expand sub section  Hydrogel dressings
    Intrasite®Conformable
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    Formulary
    Green

    Hydrogels
    Not recommended for heavily exudating wounds. Contra-indicated in anaerobic infection. Not to be used in ischaemic feet

  • 10cmx10cm (7.5g)
  •  
       
    A5.02.01  Expand sub section  Hydrogel application (amorphous)
    Intrasite®Gel
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    Formulary
    Green

    Hydrogels
    Not recommended for heavily exudating wounds. Contra-indicated in anaerobic infection. Not to be used in ischaemic feet

  • 8g
  •  
       
    A5.02.01  Expand sub section  Hydrogel sheet dressings to top
    A5.02.01.01  Expand sub section  Sodium hyaluronate dressings
    A5.02.02  Expand sub section  Vapour-permeable films and membranes
    A5.02.02  Expand sub section  Vapour-permeable Adhesive Film Dressing (Semi-permeable Adhesive Dressing)
    Tegaderm®Film
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    First Choice
    Green

    Films
    Stretch film parallel to skin to release adhesive and prevent trauma to skin on removal

  • 6cmx7cm
  • 12cmx12cm
  • 15cmx20cm
  •  
    A5.02.02  Expand sub section  Vapour-permeable Adhesive Film Dressing with absorbent pad
    Opsite®Plus (with absorbent pad)
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    Formulary
    Green

    Films
    Stretch film parallel to skin to release adhesive and prevent trauma to skin on removal

  • 6.5cmx5cm (wound contact pad 4cmx2.5cm + border 1.25cm-2.5cm
  • 10cmx12cm (wound contact pad 5cmx7.5cm + border 2.5cm-2.25cm)
  • 10cmx20cm (wound contact pad 5.5cmx15cm + border 2.25cm-2.5cm)
  •  
       
    A5.02.02  Expand sub section  For intravenous and subcutaneous catheter sites to top
    A5.02.03  Expand sub section  Soft polymer dressings
    A5.02.03  Expand sub section  Without absorbent pad
    A5.02.03  Expand sub section  With absorbent pad
    Allevyn®Gentle Border
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    Formulary
    Green

    Foam with silicone adhesive border. Change when lateral strike through occurs. Can be left in place for up to 7 days
  • 7.5cmx7.5cm
  • 10cmx10cm
  • 12.5cmx12.5cm
  •  
       
    Mepitel®One
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    Restricted Drug Restricted
    Blue

    Soft Silicone Wound Contact Dressing (Sterile)
  • 6cm x 7cm
  • 9cm x 10cm
  • Specialist use only (TVN).  
  •    
    A5.02.03  Expand sub section  Bio-cellulose dressings
    A5.02.04  Expand sub section  Hydrocolloid dressings to top
    A5.02.04  Expand sub section  Without adhesive border
    DuoDERM® Extra Thin
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    Formulary
    Green

    Hydrocolloids Occlusive dressing. Overlap wound by at least 2cm. Can be left in place for up to 7 days. Avoid in wounds with anaerobic infection and diabetic feet unless under specialist advice. Not to be used in ischaemic feet. Minimal exudate
  • 7.5cmx7.5cm
  • 10cmx10cm
  •  
       
    A5.02.04  Expand sub section  With adhesive border
    A5.02.04  Expand sub section  Hydrocolloid-fibrous dressings
    Aquacel Extra
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    Formulary
    Green

    Hydrofibre/cellulose dressings. For highly exuding wounds only. No lateral wicking. Overlap wound by 1cm. Can be left in place for up to 7 days
  • 5cmx5cm
  • 10cmx10cm
  • 15cmx15cm
  •  
       
    Aquacel Ribbon
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    Formulary
    Green

    Hydrofibre/cellulose dressings. For highly exuding wounds only. No lateral wicking. Overlap wound by 1cm. Can be left in place for up to 7 days
  • 1cmx45cm
  • 2cmx45cm
  •  
       
    A5.02.04  Expand sub section  Polyurethane matrix dressing
    A5.02.05  Expand sub section  Foam dressings to top
    A5.02.05  Expand sub section  For lightly exuding wounds
    A5.02.05  Expand sub section  For lightly to moderately exuding wounds
    A5.02.05  Expand sub section  For moderately to heavily exuding wounds
    Allevyn®Gentle Border Multisite
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    Formulary
    Green

    Foams: Change when lateral strike through occurs. Can be left in place for up to 7 days
  • 17.1cmx17.9cm
  •  
       
    Allevyn®Gentle Border Sacrum
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    Formulary
    Green

    Foam with silicone adhesive border: Change when lateral strike through occurs. Can be left in place for up to 7 days
  • 16.8cmx17.1cm
  • 21.6cmx23cm
  •  
       
    Biatain®Silicone
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    Formulary
    Green

    Foams & Silicones: Soft silicone wound contact dressing with polyurethane foam film backing (Sterile). Precautions: Dressing should be used with care in heavily bleeding wounds. Change when lateral strike through occurs. Can be left in place for upto 7 days
  • 7.5cmx7.5cm
  • 10cmx10cm
  • 12.5cmx12.5cm
  • 15cmx15cm
  • 17.5cmx17.5cm
  •  
       
    KerraPro®Heel
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    Formulary
    Green

    Low friction products Kerra Pro: These products should be washed in warm soapy water, dried and re-used. Do not use on broken skin
  • One Size
  •  
       
    KerraPro®Sacrum/Ankle
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    Formulary
    Green

    Low friction products Kerra Pro: These products should be washed in warm soapy water, dried and re-used. Do not use on broken skin
  • Standard
  •  
       
    KerraPro®Sheet
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    Formulary
    Green

    Low friction products Kerra Pro: These products should be washed in warm soapy water, dried and re-used. Do not use on broken skin
  • 10cmx10cmx0.03cm
  • 10cmx10cmx1.2cm
  •  
       
    KerraPro®Strips
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    Formulary
    Green

    Low friction products Kerra Pro: These products should be washed in warm soapy water, dried and re-used. Do not use on broken skin
  • 50cmx2.5cmx0.3cm
  •  
       
    Tegaderm®Foam Adhesive
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    Formulary
    Green

    Foams: Change when lateral strike through occurs. Can be left in place for up to 7 days
  • OVAL 6.9cmx7.6cm(wound contact pad 3.1cmx3.8cm + border 0.35cm)
  • OVAL 14.3cmx15.6cm (wound contact pad 10cmx11cm + border 2cm)
  • HEEL 13.9cmx13.9cm (wound contact pad 7.6cmx7.6cm + border 3.2cm)
  •  
       
    A5.02.06  Expand sub section  Alginate dressings
    Kaltostat
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    Formulary
    Green

    Alginate: Kaltostat has haemostatic properties – reduces bleeding in 10 minutes. Cut to size of wound. Irrigate wound to remove
  • 5cmx5cm
  • 7.5cmx12cm
  • 10cmx20cm
  •  
       
    A5.02.07  Expand sub section  Capillary-action dressings to top
    A5.02.08  Expand sub section  Odour absorbent dressings
    Clinisorb®Odour Control Dressings
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    Formulary
    Green

    Odour absorbing - charcoal dressing: change daily in clinically infected wounds. Change when malodour is noted. Consider daily application of Meteronidazole Gel for malodourous fungating tumours.
  • 10cmx10cm
  • 10cmx20cm
  • 15cmx25cm
  •  
       
    A5.03  Expand sub section  Antimicrobial dressings
    Atrauman® Ag
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    Restricted Drug Restricted
    Blue

    Antimicrobial - Silver: To be used for a maximum of 14 days with review. If longer application is required, discuss with TVN before ordering.
  • 5cmx5cm
  • 10cmx10cm
  • 10cmx20cm
  • Specialist use only (TVN). 
  •    
    Cutimed Sorbact®
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    Restricted Drug Restricted
    Blue
    Specialist Use Only - TVN Alternative cost-effective antimicrobial.Order via dressing scheme CCOMS only.
  • Cutimed Sorbact dressing pad 7cm x 9cm
  • Cutimed Sorbact dressing pad 10cm x 10cm
  • Cutimed Sorbact dressing pad 10cm x 20cm
  • Cutimed Sorbact swab 4cm x 6cm
  • Cutimed Sorbact swab 7cm x 9cm
  • Cutimed Sorbact Round swab 3cm
  • Cutimed Sorbact Ribbon dressing 2cm x 50cm
  • Cutimed Sorbact Ribbon dressing 5cm x 200cm
     
  •    
    A5.03.01  Expand sub section  Honey
    A5.03.01  Expand sub section  Sheet dressing
    L-Mesitran®Hydro
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    Restricted Drug Restricted
    Blue

    Antimicrobial - Honey
  • 10cmx10cm
  • 15cmx20cm
  • Specialist use only (TVN).  
  •    
    L-Mesitran®Net
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    Restricted Drug Restricted
    Blue

    Antimicrobial - Honey
  • 10cmx10cm
  • Specialist use only (TVN).  
  •    
    A5.03.01  Expand sub section  Honey-based topical application to top
    Activon® (Honey) 25g
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    Restricted Drug Restricted
    Blue

    Antimicrobial - Honey
  • 25g
  • Specialist use only (TVN).  
  •    
    A5.03.02  Expand sub section  Iodine
    Inadine®
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    Restricted Drug Restricted
    Blue

    Only to be used by Podiatry See notes in infection section.
    N.B. Inadine dressings – the antimicrobial effect from one dressing may not last long enough and may require up to four layers of dressings.

  • 5cmx5cm
  • 9.5cmx9.5cm
  •  
       
    Iodoflex®Paste Dressing
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    Formulary
    Green

    5g, 10g, 17g 
       
    Iodosorb®Ointment Dressing
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    Formulary
    Green

    10g, 20g
     
       
    Iodosorb®Powder Dressing Sachets
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    Formulary
    Green

    3g sachets
     
       
    A5.03.03  Expand sub section  Silver
    A5.03.03  Expand sub section  Low adherence dressings
    A5.03.03  Expand sub section  With charcoal
    A5.03.03  Expand sub section  Soft polymer dressings to top
    A5.03.03  Expand sub section  Hydrocolloid dressings
    Aquacel Ag+ Ribbon®
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    Restricted Drug Restricted
    Blue

    Antimicrobial - Silver: To be used for a maximum of 14 days with review. If longer application is required discuss with TVN before ordering
  • 1cmx45cm
  • 2cmx45cm
  • Specialist use only (TVN).
     
  •    
    A5.03.03  Expand sub section  Foam dressings
    A5.03.03  Expand sub section  Alginate dressings
    A5.03.04  Expand sub section  Other antimicrobials
    Aquacel Ag®+ Extra
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    Restricted Drug Restricted
    Blue

    Antimicrobial - Silver: To be used for a maximum of 14 days with review. If longer application is required, discuss with TVN before ordering
  • 5cmx5cm
  • 10cmx10cm
  • 15cmx15cm
  • Specialist use only (TVN).
     
  •    
    DebriSoft®
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    Formulary
    Green

    Cleansing agent
    For irrigating ulcers or wounds, but warm tap water is often appropriate(BNF)

  • 10cmx10cm
  • Lolly 23.5cmx10cm
  •  
       
    Prontosan®Irrigation Solution
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    Formulary
    Green

    Cleansing agent
    For irrigating ulcers or wounds, but warm tap water is often appropriate(BNF)

  • 350ml bottle
  •  
       
    Prontosan®Pod Irrigation Solution
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    Formulary
    Green

    Cleansing agent
    For irrigating ulcers or wounds, but warm tap water is often appropriate(BNF)

  • 40ml Pod
  •  
       
    Prontosan®Wound Gel
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    Formulary
    Green

    Cleansing agent
    For irrigating ulcers or wounds, but warm tap water is often appropriate(BNF)

  • 30ml
  •  
       
    A5.04  Expand sub section  Specialised dressings to top
    A5.04.01  Expand sub section  Protease-modulating matrix dressings
    A5.04.02  Expand sub section  Silicone keloid dressings
    A5.04.02  Expand sub section  Silicone sheets
    A5.04.02  Expand sub section  Silicone gel
    A5.05  Expand sub section  Adjunct dressings and appliances to top
    A5.05.01  Expand sub section  Gauze and tissue
    A5.05.01  Expand sub section  Surgical absorbents
    A5.05.01  Expand sub section  Cotton
    A5.05.01  Expand sub section  Lint
    A5.05.01  Expand sub section  Pads to top
    A5.05.02  Expand sub section  Wound drainage pouches
    A5.06  Expand sub section  Complex adjunct therapies
    A5.06.01  Expand sub section  Topical negative pressure therapy
    A5.06.01  Expand sub section  Vacuum assisted closure products
    PICO®
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    Restricted Drug Restricted
    Blue

    A disposable and portable TNP system designed to kick start wound healing

    • NB: PICO is a 7 day device. Each kit contains 1 PICO system and 2 PICO dressings
    • Topical Negative Pressure Products
    • 10cmx20cm
    • 10cmx30cm
    • 15cmx15cm
    • 15cmx20cm

    • Please note: Specialist use only - patients to be referred through TVN service. Supply via CCOMS
     
    Link  PCN 215 - 2016 updated March 2018 Negative Pressure Wound Therapy (NPWT)
       
    Renasys®F Foam Dressing Kit with Soft Port
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    Restricted Drug Restricted
    Blue

    Topical Negative Pressure Products

    • Small
    • Medium
    • Large


    Please note: Specialist use only - patients to be referred through TVN service. Supply via CCOMS.

     
    Link  PCN 215-2016 updated March 2018 - Negative Pressure Wound Therapy (NPWT)
       
    Renasys®G Gauze Dressing Kit with Soft Port
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    Restricted Drug Restricted
    Blue

    Topical Negative Pressure Products

    • Small
    • Medium
    • Large


    Please note: Specialist use only - patients to be referred through TVN service. Supply via CCOMS

     
    Link  PCN 215-2016 updated March 2018 Negative Pressure Wound Therapy
       
    Renasys®Go Canister Kit
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    Restricted Drug Restricted
    Blue

    Topical Negative Pressure Products

    • 300ml with Solidifier

    Please note: Specialist use only - patients to be referred through TVN service. Supply via CCOMS.

     
    Link  PCN 215-2016 updated March 2016 - Negative Pressure Wound Therapy
       
    A5.06.01  Expand sub section  Wound drainage collection devices to top
    A5.06.01  Expand sub section  Accessories
    A5.07  Expand sub section  Wound care accessories
    A5.07.01  Expand sub section  Dressing packs
    Nurse It®
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    Formulary
    Black

    Dressing Pack (sterile)Please note that discussions are currently taking place to repatriate to community provider
  • Used to provide a clean sterile working surface. Contains apron and gauze

  • Nurse It
    Sterile Pack containing: 7 Non-Woven Swabs 4 ply 10cm x 10cm
    1 Compartment Tray 12cm x 11cm
    1 Disposable Forceps 11cm
    2 Laminated Paper Sterile Fields 40cm x 40cm
    1 Large Apron 80cm x 130cm
    1 Paper Towel 35cm x 40cm
    1 White Polythene Disposable Bag 46cm x 26cm, 1 Paper Measuring Tape
    1 pair latex free powder free nitrile gloves small/med, med/large 
       
    A5.07.02  Expand sub section  Woven and fabric swabs
    A5.07.03  Expand sub section  Surgical adhesive tapes to top
    A5.07.03  Expand sub section  Permeable adhesive tapes
    Clinipore®
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    Formulary
    Green

    Tape
  • 2.5cmx5m
  • 5cmx5m

  • Permeable Non-Woven Synthetic Adhesive Tape BP 1988
    (Syn: Permeable Non-Woven Surgical Synthetic adhesive Tape)
    For securing dressings together. Mefix should be reserved for use when direct application to skin is needed for patients whose skin is frail/likely to tear easily. Good for securing padding to pressure ulcers. The apertured structure allows it to be more extensible and conform to the body. 
       
    Mefix®
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    Formulary
    Green

    Tape
  • 2.5cmx5m
  • 5cmx5m

  • For securing dressings together. Mefix should be reserved for use when direct application to skin is needed for patients whose skin is frail/likely to tear easily. Good for securing padding to pressure ulcers. The apertured structure allows it to be more extensible and conform to the body. 
       
    A5.07.03  Expand sub section  Occlusive adhesive tapes
    A5.07.04  Expand sub section  Adhesive dressings
    A5.07.04  Expand sub section  Vapour permeable adhesive dressings
    A5.07.05  Expand sub section  Skin closure dressings to top
    A5.07.05  Expand sub section  Skin closure strips, sterile
    A5.08  Expand sub section  Bandages
    A5.08.01  Expand sub section  Non-extensible bandages
    A5.08.02  Expand sub section  Light-weight conforming bandages
    K-Band®
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    Formulary
    Green

    Securing bandages. For dressing retention.
  • 5cmx4m
  • 7cmx4m
  • 10cmx4m
  • 15cmx4m
  •  
       
    A5.08.03  Expand sub section  Tubular bandages and garments to top
    A5.08.03  Expand sub section  Elasticated
    Comfifast®(blue line)
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    Formulary
    Green

    Lightweight plain-knitted elasticated tubular bandage
  • 7.5cmx1m
  • 7.5cmx5m
  •  
       
    Comfifast®(yellow line) large limb
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    Formulary
    Green

    Lightweight plain-knitted elasticated tubular bandage
  • 10.75cmx1m
  • 10.75cmx5m
  •  
       
    A5.08.03  Expand sub section  Non-elasticated
    A5.08.03  Expand sub section  Silk Clothing
    A5.08.04  Expand sub section  Support bandages
    K-Lite®
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    Formulary
    Green

    K-Lite is a type 2 support bandage.
    (2nd layer of K-Four multilayer bandage system)

  • 10cmx4.5m
  • 15cmx4.5m

  • Bandages – Only Health Care Staff who have undergone specific training should apply compression bandaging 
       
    K-Lite®long
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    Formulary
    Green

    Type 2 support bandage. Longer size for longer legs.
    (2nd layer of K-Four multilayer bandage system)

  • 10cmx5.25m

  • Bandages – Only Health Care Staff who have undergone specific training should apply compression bandaging 
       
    K-Plus®
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    Formulary
    Green

    K-Plus is a type 3a light compression bandage(3rd layer of K-Four multilayer bandage system)
  • 10cmx8.7m

  • Bandages – Only Health Care Staff who have undergone specific training should apply compression bandaging 
       
    K-Plus®Long
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    Formulary
    Green

    Type 3a light compression bandage. Longer size for longer legs. 3rd layer of K-Four multilayer bandage system
  • 10cmx10x25m

  • Bandages – Only Health Care Staff who have undergone specific training should apply compression bandaging 
       
    A5.08.05  Expand sub section  Adhesive bandages to top
    A5.08.06  Expand sub section  Cohesive bandages
    A5.08.06  Expand sub section  Cohesive extensible bandages
    A5.08.07  Expand sub section  Compression bandages
     note  COMPRESSION (only health care staff who have undergone the specific training should apply compression bandaging.)
    A5.08.07  Expand sub section  High compression bandage
    K-ThreeC®
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    Formulary
    Green

    For larger limbs
  • 10cmx3m  
  •    
    A5.08.07  Expand sub section  Short stretch compression bandage to top
    Actico®(Cohesive) Short Stretch Compression Bandage
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    Formulary
    Green

    Short Stretch Compression Bandage
  • 10cmx6m
  •  
       
    Flexi-Ban®
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    Formulary
    Green

    Unstretched 10cm x 3.5m
     
       
    A5.08.07  Expand sub section  Sub-compression wadding bandage
    K-Soft®
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    K-Soft is a soft-absorbent sub compression bandage(1st layer of K-Four multilayer bandage system)
  • 10cmx3.5m

  • Bandages – Only Health Care Staff who have undergone specific training should apply compression bandaging 
       
    K-Soft®long
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Soft-absorbent sub compression bandage.Longer size for longer legs.1st layer of K-Four multilayer bandage system
  • 10cmx4.5m

  • Bandages – Only Health Care Staff who have undergone specific training should apply compression bandaging 
       
    A5.08.08  Expand sub section  Multi-layer compression bandaging
    A5.08.08  Expand sub section  Four layer systems
    K-Four®multi-layer compression bandage kit
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Less than 18cm, 18-25cm, 25cm-30cm,Greater than 30cm

    K-Four kits contain a combination of the following components:

    K-Soft (layer #1)10cm x 3.5m (unstretched)
    K-Lite (layer #2)10cm x 4.5m (stretched)
    K-Plus (layer #3)10cm x 8.7m (stretched)
    Ko-Flex (layer #4) 10cm x 6m (stretched)
    K-ThreeC 10cm x 3m unstretched
    K-Soft Long (layer #1)10cm x 4.5m (unstretched)
    K-Lite Long (layer #2)10cm x 5.25m (stretched)
    K-Plus Long (layer #3)10cm x 10.25m (stretched)
    Ko-Flex Long (layer #4)10cm x 7m (stretched) 
       
    Ko-Flex®
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Ko-Flex is a Type 3a cohesive bandage. 4th layer of K-Four multilayer bandage system
  • 10cmx6m

  • Bandages – Only Health Care Staff who have undergone specific training should apply compression bandaging 
       
    Ko-Flex®Long
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Type 3a cohesive bandage. Longer size for longer legs. 4th layer of K-Four multilayer bandage system
  • 10cmx7m

  • Bandages – Only Health Care Staff who have undergone specific training should apply compression bandaging 
       
    A5.08.08  Expand sub section  Two layer systems
    Coban 2 Lite®multi-layer compression bandage kit
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Compression bandages
  • One size
  • Training required
  •  
       
    Coban 2®multi-layer compression bandage kit
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Compression bandages
  • One size
  • Training required
  •  
       
    UrgoKTwo Reduced latex free Multi-Layer Compression Bandage Kit®
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    (latex free available)

    • 18-25cm, 25-32cm ankle circumference
     
       
    UrgoKTwo Reduced Multi-Layer Compression Bandage Kit®
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    2 layer system

    • 18-25cm, 25-32cm ankle circumference
     
       
    A5.08.09  Expand sub section  Medicated bandages to top
    Viscopaste PB7®10%
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Impregnated woven bandage
  • 7.5cmx6m 
  •    
    A5.08.09  Expand sub section  Medicated stocking
    A5.09  Expand sub section  Compression hosiery and garments
    Healogics Hosiery Care Formulary
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Blue

    The addition of the hosiery care formulary enables the delivery of the commissioned Healogics enhanced service

    • Healogics request only
     
    Link  Healogics Hosiery Care Formulary
       
    A5.09.01  Expand sub section  Graduated compression hosiery
    Acti-glide® Hosiery Applicator
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    One Size (for open & closed toe)

     
       
    Activa® Leg Ulcer Hosiery Kit
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Compression Liner Pack Closed Toe - Pack contains: 3 liners (10mmHg, Small, Medium, Large, Extra Large, Extra Extra Large
  • Venous ulcer compression systems treatment stockings
    N.B. Made-to-measure hosiery should be obtained through your usual route

  •  
       
    Activa® Leg Ulcer Hosiery Kit
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Medical Stocking & Compression Liner - Pack contains: 1 stocking and 2 liners (40mmHg, Small, Medium, Large, Extra Large, Extra Extra Large
  • Venous ulcer compression systems treatment stockings
    N.B. Made-to-measure hosiery should be obtained through your usual route

  • Please note: SystmOne will not allow this product to be DM+D Mapped. This product unable to be sent via EPS. Prescription needs to be printed
     
       
    Activa®Class 1 (Elastic Hosiery)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Below knee

     
       
    Activa®Class 2 (Elastic Hosiery)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Below knee - (open or closed toe)

     
       
    Easy-Slide®
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Application aid for open toe stockings.
    Small, Medium, Large, X Large


     
       
    Jobst UlcerCARE®Compression Liner
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Compression Liner Pack - Pack contains 3 liners 10mmHg (Small, Medium, Large, X Large, XX Large, XXX Large)
  • 3 pieces £18.86
  •  
       
    Jobst UlcerCARE®Medical Stocking & Compression Liner
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Pack contains 1 stocking and 2 liners (Small, Medium, Large, X Large, XX Large, XXX Large)
  • 1 pack £31.23

  •  
       
    A5.09.01  Expand sub section  Accessories
    A5.09.01  Expand sub section  Suspender to top
    A5.09.01  Expand sub section  Anklets
    A5.09.01  Expand sub section  Knee caps
    A5.09.02  Expand sub section  Lymphoedema garments
    A5.10  Expand sub section  Skin Protection
    Dermol 200®
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Emollient 200ml
     
       
    Dermol 500®
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Emollient 500ml
     
       
    Dermol 600®
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Emollient 600ml
     
       
    Medi Derma-S®
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Medical Barrier Cream

    • 2g sachets x 20 (pip code 60338)
    • 90g
    • Alternative to Cavilon Barrier Cream
     
       
    Medi Derma-S®
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Medical Barrier Film non-sting

    • Wipes x 30 (pip code 60307)
    • Aerosol 50ml (60819)
    • Foam applicator 1ml x 5 (pip code 61076)
    • Foam applicator 3ml x 5 (pip code 61090)
     
       
    Pro Shield Plus®
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Skin Protective

    • 115g (pip code 8213030004)
     
       
    Pro Shield®
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Foam & Spray

    • 235ml (pip code 8213015008)
     
       
    Sodium Chloride 0.9% irrigation solution 20ml Irripod® (Sodium Chloride 0.9% irrigation solution 20ml Irripod unit dose )
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    25 x 20ml

    • Cleansing agent
      For irrigating ulcers or wounds, but warm tap water is often appropriate(BNF).
     
       
    Zerobase cream
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    50g and 500g Wound Care Formulary Only

    • For dry skin conditions
    • Excipients: include cetostearyl alcohol, chlorocresol
    • Similar to Diprobase
     
       
    Zeroderm ointment
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    125g tub and 500g

    • Excipients: cetostearyl alcohol polysorbate 60
    • Similar to Epaderm, Hydromol
     
       
    A5.11  Expand sub section  Appliances to top
    Devon® Convoluted Foot and Heel Protector
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Blue

    Available to order through CCOMs restricted Formulary - TVN approval only
     
       
     ....
     Non Formulary Items
    Allevyn®Gentle

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary

    Soft polymer wound contact dressing with polyurethane foam film backing - Sterile Foam with silicone adhesive border. Change when lateral strike through occurs. Can be left in place for up to 7 days

    • 5cmx5cm
    • 10cmx10cm
    • 10cmx20cm
    • 15cmx15cm

    *ALL SIZES OF ALLEVYN GENTLE HAVE BEEN DISCONTINUED* (No longer in DT)

     
    DermaSilk®

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary
    Black
    Two small studies have evaluated specialised silk clothing for children with eczema. No clear positive findings were shown and both studies had significant flaws.
    Link  ’Not to be prescribed’ list
     
    DreamSkin

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary
    Black
    Two small studies have evaluated specialised silk clothing for children with eczema. No clear positive findings were shown and both studies had significant flaws.
    Link  ’Not to be prescribed’ list
     
    Silicone gel products
    (e.g. Dermatix)

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary Dermatix®

    Dermatix®, a silicone gel put on scars to help prevent contraction. Patients have not been supplied by the hospital as it is not on the formulary but have been told that their GP will prescribe it. If it is not on the Trust Formulary then prescribers must not request GPs to initiate. If Consultants want to use it a formal application to MMC for approval is required.
    (Excerpt taken from QVH minutes 9th October 2014)
     
    Silk Garments

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary
    Black

    Poor evidence base – not appropriate to use NHS resources to prescribe these products

    Link  Brighton Joint Formulary Not for routine prescribing (BLACK list)
     
      
    Key
    note Notes
    Section Title Section Title (top level)
    Section Title Section Title (sub level)
    First Choice Item First Choice item
    Non Formulary Item Non Formulary section
    Restricted Drug
    Restricted Drug
    Unlicensed Drug
    Unlicensed
    Track Changes
    Display tracking information
    click to search medicines.org.uk
    Link to adult BNF
    click to search medicines.org.uk
    Link to children's BNF
    click to search medicines.org.uk
    Link to SPCs
    Cytotoxic Drug
    Cytotoxic Drug
    CD
    Controlled Drug
    High Cost Medicine
    High Cost Medicine
    Cancer Drugs Fund
    Cancer Drugs Fund
    NHSE
    NHS England
    Homecare
    Homecare
    CCG
    CCG

    Traffic Light Status Information

    Status Description

    Black

    Comment : Not to be routinely commissioned (prescribed) in any care setting (primary or secondary care). This may be due to a lack of good clinical evidence, cost effectiveness, concerns over safety or due to the availability of more suitable alternatives. As such, drugs classified as Black should be considered as non-formulary.   

    Red

    Initiation : Specialist only
    Repeat Prescribing : Specialist
    Monitoring : Specialist
    Comment : Prescribing must be in line with any specific treatment criteria outlined. In exceptional circumstances a GP may be asked to prescribe – the specialist must provide adequate information and support.   

    Amber

    Initiation : Specialist only
    Repeat Prescribing : Primary care OR specialist
    Monitoring : Primary care OR specialist
    Comment : Monitoring according to Effective Shared Care Agreement (ESCA) for stabilised patients only. GP agreement should be requested by specialist and confirmed/declined by GP on a patient-by-patient basis.   

    Blue

    Initiation/Recommendation : Specialist only
    Repeat Prescribing : Primary care
    Monitoring : Primary care
    Comment : Should be initiated or recommended by a specialist. Monitoring of either medicine or disease does not require specialist skills or equipment   

    Green

    Initiation : Primary care or specialist
    Repeat Prescribing : Primary care
    Monitoring : Primary care
    Comment : Suitable for non specialist initiation   

    OTC

    Patients should be advised to purchase if approriate.  

    netFormulary