No

Topical Skin Product

Clean exudative ulcers and wounds such as venous stasis ulcers, decubitus ulcers, and infected traumatic and surgical wounds; no controlled studies have found dextranomer to be more effective than conventional therapy

C

Deep fistulas, sinus tracts, hypersensitivity to any component

Do not use in deep fistulas or any area where complete removal is not assured; do not use on dry wounds (ineffective); avoid contact with eyes

1% to 10%:

Dermatologic: Maceration may occur, erythema

Hematologic: Bleeding

No data reported

Dextranomer is a network of dextran-sucrose beads possessing a great many exposed hydroxy groups; when this network is applied to an exudative wound surface, the exudate is drawn by capillary forces generated by the swelling of the beads, with vacuum forces producing an upward flow of exudate into the network

Debride and clean wound prior to application; apply to affected area once or twice daily in a 1/4 " layer; apply a dressing and seal on all four sides; removal should be done by irrigation

No information available to require special precautions

No effects or complications reported

Use exactly as directed; do not overuse. Clean wound as directed. Sprinkle beads into or apply paste to 1/4" thickness. Change dressing 1-4 times/day before dressing is completely dry to facilitate removal. Wash hands carefully following application. Avoid contact with eyes or other nonulcerous tissue. Report increased swelling, redness, rash, itching, signs of infection, worsening of condition, or lack of healing. Pregnancy precautions: Inform prescriber if you are or intend to be pregnant.

Sprinkle beads into ulcer (or apply paste) to 1/4 " thickness; change dressings 1-4 times/day depending on drainage; change dressing before it is completely dry to facilitate removal

Beads: 4 g, 25 g, 60 g, 120 g

Paste: 10 g foil packets

Chamberlain TM, Cali TJ, Cuzzell J, et al, "Assessment and Management of Pressure Sores in Long-Term Care Facilities," Consult Pharm, 1992, 7(12):1328-40.