Allergies & Precautions

DermaWound ORIGINAL Formula should be used for most general conditions (exceptions noted below):
Pressure / Bed Sores; Diabetic Leg & Foot Ulcers; Decubitus Ulcers; Surgical Wound Dehiscence; Indwelling Catheters & Ostomy Sites; External Fixations; Arteriosclerotic Ulcers; Ischaemic Ulcers; Non-Healing Lacerations; Traumatic Ulcers; Spider Bite Ulcers (Brown Recluse); Amputee Stumps; Chronic or Re-occurring Wounds.

Exceptions – Special Conditions Need The Venous Stasis (VS) Formula:

A. Painful Venous Stasis Type Ulcers;

B. Ankle Ulcers;

C. Sickle Cell Ulcers;

D. Scleroderma Ulcers;

E. Auto-Immune Ulcers;

F. Post-Burn Ulcers (not for Acute Burns);

G. Radiation Burn Ulcers.

Allergy Precautions:
DermaWound Original contains Iodine.
The Venous Stasis Formula contains 75% less Iodine than the Original and also contains a small amount of Benzocaine.
Please follow the time tested algorithm below if you have any questions:

  1. General Conditions with Allergy to Iodine:
    Try DermaWound Venous Stasis Formula. You have a 95% chance of not being sensitive.
  2. Conditions that require DermaWound VS with Allergy to Iodine:
    Try DermaWound Venous Stasis Formula. You have a 90% chance of not being sensitive.
  3. Conditions that require DermaWound VS with Allergy to Benzocaine:
    Try DermaWound Venous Stasis Formula. You have a 67% chance of not being sensitive.

 
In General: People usually think they have an Iodine allergy because of an allergic reaction to a x-ray contrast study in the past. We have found that virtually all of these people can use our products without issues as documented in our FDA Allergy and Sensitivity Studies. If you have a KNOWN allergy to topical iodine, we only recommend using our Venous Stasis Formula on a test area to see if you can tolerate it. Most people have no negative reactions and can use the product safely.

Side Effects / Precautions

  1. Transient smarting or stinging sensations will fade after 15-30 minutes, if it occurs at all.  If it continues and the patient is uncomfortable, simply remove product by rinsing/irrigating with cool water (normal saline, distilled or filtered). Pat Dry. Symptoms will subside within 30 to 60 minutes.
  2. Local Iodine Allergy 2-5% – Persons who are allergic or sensitive to Iodine should be aware there may be a sensitivity to the DermaWound Original Formula and DermaWound Venous Stasis Formulas.
  3. Local Allergy 1-2% – Persons allergic or sensitive to “caine” based products (Novocaine, Benzocaine, etc.), should be aware of the possibility of an allergy and should use DermaWound Original Formula in these instances.
  4. Do not use in a situation where continuous / pulsatile bleeding is present (i.e. after a sharp debridement – which is usually not necessary due to the natural debriding properties of these products). Bleeding should be controlled for at least 12-24 hours – before the use of any DermaWound Brand Formulas.  One of the many ways DermaWound works is by naturally increasing circulation to the damaged area which promotes new blood vessel formation. With that in mind, spotting of blood is normal and expected during dressing changes as new capillaries break and reform during the normal healing process.
  5. DermaWound may become a bit harder in nature as it dries out. If the wound or ulcer is on the bottom or side of the leg, ankle, foot or toe and is weight bearing during the day because of job or household activity, DermaWound Brand Products should be applied at night when “down” for the evening and rinsed off in the morning to avoid excessive irritation from ambulatory movement. During the day we recommend a non-irritating cream or ointment of your choice, however we do recommend AVOIDING Silvadene and Neosporin altogether (generic Neosporin or generic triple or double antibiotic ointment seems to be less irritating as well as does Bacitracin or Bactroban).

    Again, DermaWound Brand Products should be avoided if the wound area is affected by daily activities such as working, actively exercising, cleaning the house, etc., and should only be applied after the cessation of these activities (when one is relatively non-ambulatory or confined to a bed). Believe it or not, one will heal faster if they only use DermaWound when “down” for the evening; rather than trying to “push it” by using the product 24/7 while performing daily activities.

Ambulatory / Active Patient Precaution

If the patient is ambulatory during the day and the wound is directly impacted by any activity, the product should be removed and the wound covered with Bacitracin, Polysporin, Bactroban or Generic Triple Antibiotic and non-stick gauze (Telfa) to maintain a moist environment until the DermaWound can be reapplied – when activity has ceased.  Getting up and going to the bathroom is perfectly acceptable; walking the dog or gardening is not.

Avoid name brand Neosporin (irritates) and Silvadene (stops the healing) as a daytime or activity salve/ointment – unless there is no other option at the moment.  

Again – In regards to the legs, feet, ankles or toes – even if the wound area does feel comfortable and you are finally out of pain, we still strongly suggest DermaWound be removed while active or working.

If active or sitting for extended periods of time with Venous Stasis Ulcers, Men and Women, please wear a mild knee-high compression stocking (15-18 mmHg) during the day or working hours, always (even after you are completely healed to help avoid future breakdown). They should be comfortable… make sure they are not so tight that they actually restrict blood flow or are so uncomfortable and tight you do not want to wear them.

The higher pressure stockings are simply not as comfortable, are more restrictive and cost a whole lot more; therefore in our opinion, we do not see a difference in effectiveness to justify their use and recommend a pressure gradient of 15-18mmhg in every situation.

As everyone knows in this situation and has been told by every doctor and nurse in the world, ideally one should be non-weight bearing (crutches or scooter) if they have wounds on their feet. However,  many people still have to work or are alone; so you have to do what you have to do and we realize that.

 

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