Wound Care

WOUND CARE

WOUND CARE

Wound care

 

At SMCC, we offer wound care solutions to patients with difficult to heal wounds.

Wound care compounding involves several approaches and medications applied topically. Some of the medications are designed with the goal of stimulating new tissue growth, reducing pain, and discouraging bacterial overgrowth. While other medications are designed to increase blood flow to the wound and is applied to the skin that borders the wound.

 

We also recommend these medication for patients who do not have wounds, but who have very poor circulation to a toe, foot, or leg. If you have a wound that is difficult to heal or a limb with poor circulation, do not hesitate to contact us. We can provide you and your doctor with more information about our wound treatment protocols.

Medications which improve capillary blood flow can be added to a compounded medication to enhance circulation at the wound margins and promote healing of the injured area, and Decubitus ulcers, venous stasis and diabetic ulcers, traumatic wounds, and burns may heal more quickly if treated topically with phenytoin. topical anesthetics can be added to relieve pain.
Prescription Compounds
for Wound Care consist of the following components: Wound type, Medication, Base choices

Wound care formulations can be compounded to contain the proper combination of active ingredients, in the most apprope of wound. We customize medications to meet each individual’s specific needs.priate base, to treat a specific ty

The choice of cream, ointment, or gel can be clinically significant.Each time a wound needs to be cleaned, there is the potential for disruption of new tissue growth. Gels, which are more water soluble than creams or ointments, may be preferable for wound use because a gel can be rinsed from the wound by irrigation. Ointments may contain polyethylene glycol (PEG), which can be absorbed from open wounds and damaged skin. If the wound is quite large and too much PEG is absorbed, it can lead to renal toxicity.

Another useful dosage form is the “polyox bandage” – which can be puffed onto a wound and will adhere even if exudate is present. A polyox bandage can be compounded to contain the active ingredient(s) of your choice.

Compounding for wound care applications include:

  • Decubitus Ulcers
  • Venous Stasis and Diabetic Ulcers
  • Traumatic Wounds
  • Skin Autograft Donor Sites
  • Puncture wounds, lacerations, or a combination of both
  • Burns

Wound Care  Prescription Products

  • Decubitus Ulcer Cream
  • Decubitus Ulcers Topical Gel
  • Gentamicin Sulfate 0.2%, Misoprostol 0.0024% & Phenytoin 5%Topical Gel
  • Lidocaine, Misprostol, Phenytoin Topical Gel
  • Lidocaine HCl 2%, Misprostol 0.0024% and Phenytoin 2% Topical Wound Gel
  • Nifedipine Topical Gel

 Sunscreens
A sunscreen or sun block such as micronized zinc oxide can be added to topical formulations to decrease the potential for photosensitivity reactions.  This may be particularly important if a preparation also contains drugs that can cause photosensitivity.

                                                        Barrier creams
Barrier creams can be formulated to minimize development of contact dermatitis, as part of an incontinence skin care protocol, or to treat severe diaper rash. 

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