New Medicines Committee Briefing May Emollients and Barrier preparations

Size: px
Start display at page:

Download "New Medicines Committee Briefing May Emollients and Barrier preparations"

Transcription

1 New Medicines Committee Briefing May 2013 Emollients and Barrier preparations Emollient and Barrier preparations are to be reviewed for use within: Primary Care Secondary Care Formulary application: Consultant submitting application: Clinical Director supporting application: Dr Nicholas Craven (Consultant Dermatologist) Gareth Rowland (Clinical Director) Dr Craven has requested that the whole skin section of the formulary be reviewed as this was last undertaken in The Area Prescribing Committee agreed for this to be done in sections hence starting with emollients and barrier preparations. Dr Craven noted that there is a large variety of brands available on the market which suggests that there is no correct product for all individuals. Emollients are tailored to individual preference in order to improve adherence and compliance in patients. There are no clinical trials that state that one emollient is better than the other; but they are different based on their oil content. This resulted in the proposal to produce an emollient ladder for the treatment of dry skin based on constituents of the preparations, while bearing in mind suitability to patient s lifestyle and choice. Relevance in therapy: Dry skin is a common symptom of a number of skin conditions, including atopic dermatitis/eczema, ichthyosis, irritant contact dermatitis, psoriasis and asteatotic eczema. 1 Skin conditions are one of the most common diseases among all age groups, ranging from atopic eczema in children to problems associated with ageing. 2 Atopic eczema usually begins in childhood and accounts for 10-20% of referrals to dermatologists, as well as about 30% of dermatological consultations in general practice. 3 Promoting good skin health 1

2 prevents skin breakdown and improves comfort and quality of life, and emollients have a crucial role in maintaining skin health and patient wellbeing. 4 Emollients are first line therapy for all dry skin conditions including eczema and psoriasis. 1 Patients skin conditions and emollient needs change during their lives and these changes need to be considered when choosing which emollient to use. 5,6 Emollient is generally defined as something that smoothens and softens the skin. The aim of using emollient therapy is to correct some of the factors that contribute to dry skin, to restore the skin barrier, and to reduce the likelihood of further damage. 5 The constituent products of emollients vary hugely though they all have some quantity of lipid in them. The consistency of an emollient is affected by ambient temperature, type of lipid within the emollient, proportion of lipid to water and other additives. 7 They can be thought of as a continuum with greasy, high lipid content products being at one end, and less greasy, high water content products being at the other. Ointments are the greasiest while creams are less greasy making them more cosmetically acceptable. Lotions have higher water content than creams which makes them easier to spread but less effective as emollients. 7 Hence, prescribing should be guided by clinical need and informed patient choice. Emollient wash products and bath emollients are recommended to be used in conjunction with leave-on emollient products. Some products can be used as bath additives, soap substitutes and as leave-on emollients (3:1). Moncrief et al produced a table on the different types of emollient products available, categorising them by their adjuvant properties (Table 1). 5 Emollients work to moisturise the skin by increasing the amount of water held in the stratum corneum. Depending on the constituents of the emollients, they work either by occlusion, trapping moisture into the skin or in an active way drawing moisture into the stratum corneum from the dermis. 8,9 Occlusion is most effectively achieved if greasy emollients such as petrolatum are used. It has been reported to reduce water loss by 98% whereas other oils only manage to reduce 20-30%. 9 The active movement of water from the dermis to the epidermis is achieved by emollients that contain humectants such as urea and glycerine. These have a low molecular weight and water-attracting properties and as they penetrate the epidermis they draw water in from the dermis and therefore compensate for the reduced levels of natural moisturizing factors and other natural humectants in diseased and older skin. 10 Some emollients can be exfoliative (especially when combined with products such as salicylic acid) and may have anti-inflammatory 11, antipruritic effects when combined with other excipients such as lauromacrogols. 12 Some also have physiologic lipids such as ceramides, cholesterol and fatty acids that are naturally found in the stratum corneum hence they help to replenish and restore the intercellular lipid matrix. 5 Aqueous cream contains 1% sodium lauryl sulphate (SLS), an anionic surfactant known to be profoundly irritant. 5 Its high water content makes it a less effective leave-on emollient for those with dry skin as it weakens the epidermal barrier and increases trans-epidermal water 2

3 loss. 13,14 In March 2013 the MHRA 15 published a safety alert stating that aqueous cream may be associated with skin reactions, particularly in children with atopic eczema. These reactions may be due to the presence of SLS or other ingredients. Following a UK review the MHRA now recommends aqueous cream labelling and information leaflet to be updated with a warning on the potential for local skin reactions, and SLS will be listed as an ingredient. NICE guidelines for managing eczema in children advise that aqueous cream is associated with stinging when used as a leave-on emollient but can be used as a wash product 16, and the National Eczema Society advises that if aqueous cream is used as a leave-on emollient it can irritate the skin of children with eczema and make it worse rather than better 17. Despite the irritant effects reported, in clinical practice aqueous cream has been useful in the treatment of eczema in a very large proportion of patients. Emollients and Barrier Preparations currently on the North Staffordshire Joint Formulary: 13.2 EMOLLIENT AND BARRIER PREPARATIONS Emollients Aqueous cream Emulsifying ointment Hydrous ointment (oily cream) Liquid and White Soft Paraffin Ointment (50:50) Diprobase E45 Contains hypoallergenic lanolin Aquadrate Contains urea Dermol 500 Lotion Emollient bath and shower preparations APC Review: December 2010 Dermalo Hydromol Oilatum 1 st Line 2 nd Line Restriction: For patients with sensitivity to acetylated wool alcohol Contains lanolin Barrier preparations Conotrane Sudocrem 3

4 EMOLLIENT GUIDE This guide is to aid in choice of product. The list is not exhaustive as there are other products which could be used when these have been tried first. 3:1 products can be used as bath additive, soap substitutes and as leave on emollients. Name Legal category Pack size Comments 50% liquid soft paraffin and 50% white soft paraffin (50:50) Hydromol ointment (3:1) Diprobase ointment Epaderm ointment (3:1) Very greasy 4 250g Greasy 125g 50g 125g Rich cream Doublebase Gel P Creamy Epaderm cream GSL 50g Diprobase cream GSL 50g Same formula as Hydromol but more expensive Preservative free Creamy with antimicrobial effect Dermol cream P Creamy with urea content Balneum (urea 5%) GSL 50g UHNS exc VAT Cost Primary Care exc VAT Aquadrate (urea 10%) P LIGHT E45 cream GSL 50g ZeroAQS GSL Light with antimicrobial effect Dermol 500 lotion P 500ml Emollient bath and shower preparations Aqueous cream (only as a soap GSL substitute) Dermol 600 bath emollient P 600ml

5 Dermalo bath emollient P 500ml Hydromol bath & shower P 350ml emollient additive 500ml Barrier preparation Conotrane P *Prices are from Drug Tariff April 2013 and C+D monthly pricelist February 2013 Items recommended to be removed from the Joint Formulary Emulsifying ointment Hydrous ointment Oilatum cream Oilatum Junior bath & shower emollient Oilatum emollient Sudocrem Paraffin white soft BP Paraffin yellow soft BP 5

6 Table 1: Emollient products 5 Leave-on Products Wash Products Bath emollients Class Definition Usage Priority Patient Groups Occlusive emollient cream Occlusive ointment Occlusive ointment no water Humectantcontaining emollients Antipruritic emollient Emollient products Antiseptic products Bath oil wash wash Antiseptic Bath oil Oil-in-water emulsion intended to prevent water evaporation from the skin by providing a film of lipid Water in oil emulsions intended to provide a thicker film of lipid on the skin, 100% lipid ointments are also included Examples include white soft paraffin, liquid paraffin, 50/50 WSP/LP Emollient products containing humectants such as urea and glycerine. Humectants attract and hold water in the stratum corneum. Emollient products containing antipruritic agents Emollient products containing emulsifiers, designed for washing usage. Do not contain harsh detergents such as SLS Emollient wash products containing topically active antibacterial agents Deposit a layer of oil on the surface of bathwater, which coats the patient on exit bath oil containing topical antiseptic agent Moderately dry skin conditions. Patient choice regarding the thickness of barrier, variable lipid content, severity of condition, body site Drier skin conditions requiring a thicker lipid film. May be limited in use because of patient acceptability Very dry skin Dry skin where other products are not acceptable or effective Pruritus All patients for washing. Some simple emollients may also be used for washing Useful in managing/preventing flares of eczema. Should be used according to instructions Protection of the skin barrier during bathing Antipruritic Bath oil Bath oil containing antipruritic agent Protection of the skin barrier during bathing when pruritus is a problem 6 First line emollient therapy for mild/moderate severity dry skin conditions e.g. atopic eczema in children First line emollient therapy for more severe dry skin conditions e.g. severe atopic eczema Very severe dry skin conditions e.g. very severe atopic eczema First line use where simple emollients are not effective or greasier products are unacceptable e.g. older persons skin and psoriasis First line treatment for pruritus. Adjuvant to other emollient products where itch is not controlled, all dry skin conditions and other pruritic dermatses e.g. uraemic pruritus Should be used in conjunction with leave on emollients Recurrent infections in atopic eczema Should be used in conjunction with leave on emollients Prevention of infections Atopic eczema with frequent infective exacerbations Should be used in conjunction with antipruritic emollient cream when pruritus is not controlled

7 Guidance: National Institute for Health and clinical Excellence (NICE) Clinical Guideline 57: Atopic eczema in children NICE recommend that healthcare professionals should offer children with atopic eczema a choice of unperfumed emollients to use every day for moisturising, washing and bathing. This should be suited to the child s needs and preferences, and may include a combination of products or one product for all purposes. Leave-on emollients should be prescribed in large quantities ( g weekly) and easily available to use at nursery, pre-school or school. They also recommended that healthcare professionals should offer an alternative emollient if a particular emollient causes irritation or is not acceptable to a child with atopic eczema. The guidelines also highlight that emollients and/or emollient wash products should be used instead of soaps and detergent-based wash products. The guidelines also reviewed the available evidence on aqueous cream emollients: an audit of children attending a paediatric dermatology clinic recorded the proportion of immediate cutaneous reactions to emollients (defined as one or more of burning, stinging, itching and redness developing within 20 minutes of application). Aqueous cream was the emollient used by most (71%), which was associated with an immediate cutaneous reaction in 56% of exposures, compared with 18% with other emollients used (details of the other emollients were not reported; n = 100). Based on the above evidence, NICE guidance concluded that Aqueous cream is associated with stinging when used as a leave-on emollient but can be used as a wash product. NICE also recommended that repeat prescriptions of individual products and combinations of products with children with atopic eczema and their parents or carers should be reviewed at least once a year to ensure that therapy remains optimal. Scottish Intercollegiate Guideline Network (SIGN) 125 March Management of atopic eczema in Primary Care SIGN recommends that patients with atopic eczema should have on-going treatment with emollients and to optimise adherence to emollient therapy, creams, lotions, ointments or a combination can be used depending on patient choice. Prescriptions should be reviewed regularly. 7

8 SIGN stated that although long-term emollient therapy is considered the mainstay of treating atopic eczema, a systematic review conducted in 2000 did not identify any high quality clinically relevant evidence in support of emollient monotherapy. Expert opinion supports the use of emollients in the treatment of atopic eczema to restore the defective skin barrier. SIGN recommends that healthcare professionals offer a range of emollients allowing selection of the most appropriate to the patient, and that prescription should be reviewed frequently. They also noted that emollients can become contaminated with bacteria and recommended the use of pump dispensers to minimise the risk of microbial contamination. If the emollient is in a pot the required amount should be removed with a clean spoon or spatula. Fingers should not be inserted into pots and emollients should not be shared with others. British Association of Dermatologists (BAD) & Primary Care Dermatology Society. Guidelines on the Management of Atopic Eczema 19 BAD recommended that emollients should be applied as liberally and frequently as possible. They are best applied when the skin is moist but they can and should be applied at other times as well. Ideally, emollients should be applied every 4 hours or at least 3 4 times per day. Continual treatment with complete emollient therapy (combinations of cream, ointment, bath oil and emollient soap substitute) will help provide maximal effect. Many patients underestimate the quantity needed and frequency of application to achieve maximal effect. They recommend that emollients should be prescribed in large quantities, with recommended quantities used in generalised eczema being 600g/week for an adult and 250g/week for a child. They also stated that intensive use of emollients will reduce the need for topical steroids. Best Practice in Emollient Therapy: A Statement for Healthcare Professionals 7 They stated that emollients have beneficial impact on barrier function, as it accelerates regeneration of skin barrier function following disruption, with the most lipid-rich emollients restoring the skin barrier more rapidly. They also stated that with a large variety of brands available on the market, there is no correct product for all individuals. They also said that using emollient effectively can make a significant improvement in chronic inflammatory skin conditions as well as positive impact on quality of life. 8

9 Costs Expenditure in Primary and Secondary Care for a 12-month period (January-December 2012): Product UHNS* Stoke-on-Trent CCG North Staffordshire CCG 50% liquid soft paraffin and 50% white soft paraffin , , Hydromol Ointment , , Diprobase Ointment , , Epaderm Ointment , , Doublebase Gel , , Epaderm cream , , Diprobase cream 1, , , Dermol cream , , Balneum cream (5% urea) Aquadrate Cream (10% urea) , , E45 cream 1, , , Dermol 500 Lotion 3, , , Conotrane cream 2, , , Aqueous cream) 1, , , Emulsifying ointment , , Hydrous ointment Oilatum cream Oilatum emollient , , Sudocrem , , Paraffin white soft BP Paraffin yellow soft BP *Expenditure for UHNS reflects items dispensed via UHNS dispensary (i.e. inpatients,) Lloyds pharmacy &FPHP10 prescriptions 9

10 Drug Estimated price comparison (based on 1000 patients) of switching from aqueous cream to either E45 or ZeroAQS (Primary Care) Pack size Cost (exc VAT) Usage per 1000 patients (Packs) Cost if using Aqueous Cream Cost if using E45 Cost if using ZeroAQS Aqueous , x 50g 1, x 1, Cream , x 4, x 3, Total 6, , , Alternative Treatment Costs E ZeroAQS E45-50g 1.61 ZeroAQS Price comparison of switching from aqueous cream to either E45 or ZeroAQS (Secondary Care) Drug Aqueous Cream Pack size Cost (inc VAT) Usage April 12 to March 13 (Packs) Actual Expenditure April 12 to March 13 Cost if using E45 Cost if using ZeroAQS , x 50g 2, x 3, g x 50g 1, x 1, x x Total 1, , , Alternative Treatment Costs E ZeroAQS E45-50g 1.02 ZeroAQS Points for consideration: There is a lack of data on the clinical effectiveness of emollients. There is currently no evidence that any emollient is better than another although there is wide inter-patient variability in response to treatments. Patient s preference is vital to enhance compliance and to engage patients in their treatment as well as reduce waste. Initial use of smaller pack is vital until patient satisfaction is gained to reduce waste Creams are easier to apply but ointments have a better emollient effect. Patients should be advised to keep away from fire and flames and not to smoke when using paraffin based emollients. 10

11 References 1 Proksch E, Lachapelle JM. The management of dry skin with topical emollients recent perspectives. J Dtsch Dermatol Ges 2005; 3: British Association of Dermatology Guidance for Commissioning Dermatology Services. BAD Clinical Advisory Unit.tinyUrl.com/dermatology-commissioning 3 McHenry PM, Williams HC, Bingham EA on behalf of a Joint Workshop of the British Association of Dermatologists and the Research Unit of the Royal College of Physicians of London. BMJ 1995; 310: Elson D. Use of emollients in dry skin conditions. Nursing Times 2011; 107: Moncrieff G, Cork M. et al. use of emollients in dry-skin conditions: consensus statement. Clinical and Experimental Dermatology December Dyble T, Ashton J. use of emollients in the treatment of dry skin conditions. Br J Community Nurs 2011; 16: 214,216, Best Practice Statement. Best practice in emollient therapy: a statement for healthcare professionals. Dermatological Nursing 2007; Flynn TC, Petros J. et al. Dry skin and moisturizers. Clin Dermatol 2001; 19: Rawlings AV, Canestrari DA. et al. Moisturizer technology versus clinical performance. Dermatol Therap 2004; 17: Loden M. Role of topical emollients and moisturizers in the treatment of dry skin barrier disorders. Am J Clin Dermatol 2003; 4(11): Cork M. The importance of skin barrier function. J Dermatol Treat 1997; 8: s Bettzueg-Pfaff B, Melze A. Treating dry skin and pruritus with a bath oil containing soya oil and lauromacragols. Curr Med Res Opin 2005; 21: Cork MJ, Timmins J et al. An Audit of adverse drug reactions to aqueous cream in children with atopic eczema. Pharmaceutical Journal 2003; 271: Danby S, Al Enezi, et al. The effect of Aqueous cream BP on the skin barrier in volunteers with a previous history of atopic dermatitis. British Journal of Dermatology Medicines and Healthcare products Regulatory Agency (MHRA) Drug Safety Update Volume 6, Issue 8, March Access via: drugsafetyupdate@mhra.gsi.gov.uk 16 National Institute for Health and Clinical Excellence (NICE): Atopic eczema in children: management of atopic eczema in children from birth up to the age of 12 years. London: National Collaborating Centre for Women s and Children s Health; National Eczema Society: Factsheet on Emollients Scottish Intercollegiate Guidelines Network (SIGN). Management of atopic eczema in primary care SIGN no March Available via: 19 British Association of Dermatologists & Primary Care Dermatology Society. Guidelines on the management of atopic eczema. 2006, reviewed Jan Accessed via: Produced by Sr. Maria Chidiamara Njoku Primary Care/Secondary Care Interface Pharmacist University Hospital of North Staffordshire Telephone: Maria.Njoku@uhns.nhs.uk Produced for use within the NHS. Not to be reproduced for commercial purposes. 11

12 Name 50% liquid soft paraffin and 50% white soft paraffin Appendix 1 (Initial ladder from which the recommended version came from) Legal category & Formulary status Yes EMOLLIENT LADDER Pack size VERY GREASY 250g GREASY Hydromol ointment Yes 125g 1kg Comments UHNS exc VAT Primary Care exc. VAT Epaderm ointment No 125g Same formula to hydromol Dermamist P/No 250ml Emollin (liquid paraffin50%, No 150ml Same formula with white paraffin 50% in 240ml 50: aerosol basis) RICH CREAM Unguentum M cream GSL/No 50g Doublebase Gel P/No GSL/No Neutrogena dermatological cream CREAMY Zerobase MD/No 50g Zerocream (same as E45) GSL/No MD/No 50g Epaderm cream GSL/No 50g Diprobase cream GSL/Yes 50g Cetraben cream GSL/No 50g 125g 150g Same formula as E

13 Name Legal category & Formulary status Pack size Aquamol MD/No 50g Oilatum cream GSL/Yes 40g 150g 500ml 1.05L Aveno cream ACBS/No 100ml 300ml Comments UHNS exc VAT Primary Care exc. VAT E45 cream GSL/Yes 50g 125g 350g Hydromol cream GSL/Yes 50g Creamy with antimicrobial effect Dermol cream P/Yes Eczmol GSL/No 250ml Creamy with urea content E45 itch GSL/No 50g Balneum (urea 5%) GSL/No 50g Hydromol intensive (urea P/No 30g 10%) Flexitol (urea 10% Not in BNF but in drug tariff as appliance) No 150g Aquadrate (urea 10%) P/Yes Calmurid (contains urea 10%) P/No Eucerin 5% cream GSL/No 75ml Eucerin intensive (urea 10%) GSL/No 100ml 250ml

14 Name Legal category & Formulary status Pack size LIGHT E45 lotion GSL/Yes 250ml 500ml Comments UHNS exc VAT Primary Care exc. VAT Aveeno lotion ACBS/No 500ml Keri lotion No 190ml 380ml Aqueous cream (only to GSL/Yes wash, not as cream) ZeroAQS Light with antimicrobial effect Dermol 500 lotion P/Yes 500ml Light with urea content Eucerin lotion (contains 10% urea) GSL/No 250ml Emollients not on the list but on our formulary Name Pack size UHNS exc VAT Primary Care exc VAT Diprobase ointment 50g Dermol 200 shower emollient 200ml Dermol 600 bath emollient 600ml Dermalo bath emollient 500ml E45 bath oil 250ml Emulsifying ointment BP Hydromol bath & shower emollient additive 350ml 500ml 3.78 Hydrous ointment 4.45 Conotrane 15 ml prepack Oilatum emollient Oilatum junior bath emollient additive 250ml 500ml 150ml 250ml 300ml Paraffin white soft BP 2.47 Paraffin yellow soft BP 2.81 Sudocrem 60g 400g Urea 20% oily cream (Manufacturing unit) N/A 14

Emollient Prescribing Guidelines

Emollient Prescribing Guidelines Key principles for prescribing Emollients are essential in the management of diagnosed dermatological conditions but are often underused. When used correctly, emollients can help maintain and/or restore

More information

EMOLLIENTS. These are available as lotions, creams, gels, sprays and ointments, and are applied directly to the skin.

EMOLLIENTS. These are available as lotions, creams, gels, sprays and ointments, and are applied directly to the skin. What are emollients? Emollients are medical moisturisers used to treat eczema. They are different from cosmetic moisturisers in that they should be unperfumed and do not have anti-ageing additives. Emollients

More information

Emollient Prescribing Guideline for Primary and Secondary Care April 2017

Emollient Prescribing Guideline for Primary and Secondary Care April 2017 Emollient Prescribing Guideline for Primary and Secondary Care April 07 This guideline has been developed for use in the management of patients with a diagnosed dermatological condition or where skin integrity

More information

EMOLLIENT FORMULARY AND PRESCRIBING GUIDELINES

EMOLLIENT FORMULARY AND PRESCRIBING GUIDELINES EMOLLIENT FORMULARY AND PRESCRIBING GUIDELINES What are emollients 1 Emollients soothe, smooth and hydrate the skin and are indicated for all dry or scaling disorders. Their effects are short lived and

More information

EMOLLIENTS. NEW 500g NEW. pump. Up to 37% Wider choice, greater savings! cost savings. without compromising on quality or patient care!

EMOLLIENTS. NEW 500g NEW. pump. Up to 37% Wider choice, greater savings! cost savings. without compromising on quality or patient care! CREAMS BATH ADDITIVES SOAP SUBSTITUTES OINTMENT GEL Up to 37% cost savings without compromising on quality or patient care! Wider choice, greater savings! emollients A wider choice with greater savings!

More information

Emollient packs: providing choice in dermatology

Emollient packs: providing choice in dermatology Emollient packs: providing choice in dermatology Barbara Dean BSc(Pharm) PgCert MRPharmS Drugs & Therapeutics Committee Secretary University Hospital North Tees Stockton-on-Tees Andrew J Carmichael MB

More information

CREAMS BATH SOAP SUBSTITUTES OINTMENT GEL ADDITIVES. NEW 500g. pump

CREAMS BATH SOAP SUBSTITUTES OINTMENT GEL ADDITIVES. NEW 500g. pump CREAMS BATH ADDITIVES SOAP SUBSTITUTES OINTMENT GEL NEW NEW 500g pump The Zeroderma range of emollients offers similar products to leading brands with no compromise on patient care and cost s of up to

More information

Atopic eczema and emollients: guidance for GPNs

Atopic eczema and emollients: guidance for GPNs Long-term conditions: atopic eczema Atopic eczema and emollients: guidance for GPNs Pe op le Lt d Atopic eczema is a common dry skin condition, and, as with any dry skin condition, emollients are a fundamental

More information

Self-care information on dry skin

Self-care information on dry skin Self-care information on dry skin 2 What is dry skin? Dry skin is a very common condition, which can appear at any age. It usually doesn t present a serious problem but can often be associated with other

More information

Skin care in patients with lymphoedema. Ian Pearson Consultant Dermatologist Christchurch hospital Royal Bournemouth and Christchurch Trust

Skin care in patients with lymphoedema. Ian Pearson Consultant Dermatologist Christchurch hospital Royal Bournemouth and Christchurch Trust Skin care in patients with lymphoedema Ian Pearson Consultant Dermatologist Christchurch hospital Royal Bournemouth and Christchurch Trust Skin care in lymphoedema Why required? Practicalities hints and

More information

Questions and answers on sodium laurilsulfate used as an excipient in medicinal products for human use

Questions and answers on sodium laurilsulfate used as an excipient in medicinal products for human use 9 October 2017 EMA/CHMP/606830/2014 Committee for Human Medicinal Products (CHMP) Questions and answers on sodium laurilsulfate used as an excipient in medicinal products for human use Draft agreed by

More information

pâáå fåíéöêáíó The Basics of Skincare qê~áåáåö pìééçêí m~åâ A Framework For Study Reflection

pâáå fåíéöêáíó The Basics of Skincare qê~áåáåö pìééçêí m~åâ A Framework For Study Reflection pâáå fåíéöêáíó The Basics of Skincare qê~áåáåö pìééçêí m~åâ A Framework For Study Reflection This resource has been accredited by the RCN Accreditation Unit until 20/05/2011 aéêã~íçäçöó iá~áëçå kìêëéë

More information

BNF 13: Skin. COMMENTS USAGE.? 1 Dry and Scaling Skin Disorders Barrier Preparations Zinc and castor oil FORMULARY CHOICE RESTRICTED

BNF 13: Skin. COMMENTS USAGE.? 1 Dry and Scaling Skin Disorders Barrier Preparations Zinc and castor oil FORMULARY CHOICE RESTRICTED Colchester Hospital University NHS Foundation Trust does not currently have a Dermatology Department, nor any Dermatology Consultants. Therefore, only those dermatology products that may be utilised and

More information

Eczema Education Pack

Eczema Education Pack Eczema Education Pack East Lancashire NHS Hospitals Trust Dermatology Department By Justine Ratcliffe ANP 1 Atopic eczema General Information Atopic eczema (AE) is a common chronic inflammatory skin disorder.

More information

medical conditions presenting with dry skin include psoriasis, ichthyosis and hyperkeratosis, but the most common is eczema.

medical conditions presenting with dry skin include psoriasis, ichthyosis and hyperkeratosis, but the most common is eczema. Keywords Atopic eczema Emollients Patient education Promoting concordance The importance of emollients in treating the increasing incidence of atopic eczema Emollients offer a safe and cost-effective means

More information

WOUND MANAGEMENT PRODUCT FORMULARY

WOUND MANAGEMENT PRODUCT FORMULARY WOUND MANAGEMENT PRODUCT FORMULARY 1 Appendix E Wound Management Formulary s; Advanced Nurse NOT wound management formulary products and NOT for use unless indicated under specialist instruction. Dressings

More information

Topical Steroid Therapy. Shireen Velangi Consultant Dermatology Queen Elizabeth Hospital Birmingham UK

Topical Steroid Therapy. Shireen Velangi Consultant Dermatology Queen Elizabeth Hospital Birmingham UK Topical Steroid Therapy Shireen Velangi Consultant Dermatology Queen Elizabeth Hospital Birmingham UK Aim of the Workshop Non Dermatologists (Dermatologists should go to the Professors panel now!) To increase

More information

HAND DERMATITIS - HOW TO CARE FOR YOUR HANDS

HAND DERMATITIS - HOW TO CARE FOR YOUR HANDS HAND DERMATITIS - HOW TO CARE FOR YOUR HANDS What are the aims of this leaflet? This leaflet has been written to help you understand more about the principles of good skin care for the hands. It tells

More information

Caring for. Sensitive Skin

Caring for. Sensitive Skin Caring for Sensitive Skin is your skin sensitive? Nearly half of people report having sensitive skin. 1 It s a common and growing phenomenon believed to be caused by increased exposure to pollution, stress

More information

Caring for Skin in the Older Person. The Importance of Emollients

Caring for Skin in the Older Person. The Importance of Emollients Caring for Skin in the Older Person The Importance of Emollients This booklet on caring for the older person s skin has been produced as an educational resource for healthcare practitioners. Recent NICE

More information

Standard Operating Procedure for Administering creams and ointments in care homes within NHS Sutton CCG

Standard Operating Procedure for Administering creams and ointments in care homes within NHS Sutton CCG Standard Operating Procedure for Administering creams and ointments in care homes within NHS Sutton CCG Introduction All health and social care organisations are accountable for ensuring the safe management

More information

Care of your skin. Introduction. What can you do to help? Step 1 - Hygiene. Patient Information

Care of your skin. Introduction. What can you do to help? Step 1 - Hygiene. Patient Information Page 1 of 9 Care of your skin Introduction You have been diagnosed with a skin condition. This leaflet explains how you can care for skin to stop it from becoming red and inflamed. Good care of your skin

More information

EpiCeram Topical therapeutic Skin Barrier Emulsion

EpiCeram Topical therapeutic Skin Barrier Emulsion EpiCeram Topical therapeutic Skin Barrier Emulsion PEDIAPHARM INC. Date of preparation: August 31, 2010 Summary Product Information: EpiCeram Skin Barrier Emulsion is a steroid-free, fragrance - free,

More information

For the use only of a Registered Medical Practitioner or a Hospital or a Laboratory OILATUM EMOLLIENT. Light Liquid Paraffin Emollient

For the use only of a Registered Medical Practitioner or a Hospital or a Laboratory OILATUM EMOLLIENT. Light Liquid Paraffin Emollient For the use only of a Registered Medical Practitioner or a Hospital or a Laboratory OILATUM EMOLLIENT Light Liquid Paraffin Emollient QUALITATIVE AND QUANTITATIVE COMPOSITION Light Liquid Paraffin IP Base

More information

PATIENT INFORMATION LEAFLET. Hydromol HC Intensive Hydrocortisone and urea

PATIENT INFORMATION LEAFLET. Hydromol HC Intensive Hydrocortisone and urea PATIENT INFORMATION LEAFLET Hydromol HC Intensive Hydrocortisone and urea Read all of this leaflet carefully before you start using this medicine Keep this leaflet. You may need to read it again. If you

More information

Living with ichthyosis. A guide to the condition and its management

Living with ichthyosis. A guide to the condition and its management Living with ichthyosis A guide to the condition and its management Ichthyosis Ichthyosis describes a group of long-term conditions in which the skin is dry and scaly. The word ichthyosis comes from the

More information

DRY SKIN SELF-DEFENCE FOR SKIN DRY SKIN CONDITIONS CONTACT DERMATITIS PSORIASIS ECZEMA REPAIR RESTORE REPLACE

DRY SKIN SELF-DEFENCE FOR SKIN DRY SKIN CONDITIONS CONTACT DERMATITIS PSORIASIS ECZEMA REPAIR RESTORE REPLACE SELF-DEFENCE FOR SKIN DRY SKIN Restore your skin s protective barrier function with SBR. 1,2 REPAIR RESTORE REPLACE VERY DRY SKIN DRY SKIN Emollients for repair of skin barrier function in: DRY SKIN CONDITIONS

More information

Procedure/ Care Plan for Domiciliary Care Workers/ Support Workers - Application of Prescribed Creams/ Ointments/ Lotions (Adult)

Procedure/ Care Plan for Domiciliary Care Workers/ Support Workers - Application of Prescribed Creams/ Ointments/ Lotions (Adult) Application of Prescribed Creams/ Ointments/ Lotions (Adult) CLINICAL GUIDELINES ID TAG Medicines Management Specific Title: Procedure: Application of prescribed Creams/ Ointments/ Lotions (Adult) Author:

More information

Atopic eczema is a distressing

Atopic eczema is a distressing The management of atopic eczema in the community setting Ann Joy Atopic eczema is a frustrating and complex skin condition that has no cure. However, with good support, education and the correct application

More information

Total Skin Electron Beam Therapy (TSEBT)

Total Skin Electron Beam Therapy (TSEBT) Total Skin Electron Beam Therapy (TSEBT) Radiotherapy A guide for patients and carers Contents When is total body electron radiotherapy used?... 1 Planning your treatment... 1 Treatment... 1 Radioactivity...

More information

English. Address: Exorex Skincare Centre St Thornhill, Ontario Canada L4J 3M8. Telephone: Fax:

English. Address: Exorex Skincare Centre St Thornhill, Ontario Canada L4J 3M8. Telephone: Fax: English Address: Exorex Skincare 158-1136 Centre St Thornhill, Ontario Canada L4J 3M8 Telephone: +1-888-551-6400 Fax: +1-905-856-9144 Website: www.exorexskincare.com Email: helpdesk@exorexskincare.com

More information

A novel daily moisturizing cream for effective management of mild to moderate Atopic Dermatitis in infants and children

A novel daily moisturizing cream for effective management of mild to moderate Atopic Dermatitis in infants and children TM Weber PhD 1, F Samarin MD 3, M Babcock MD 2, A Filbry PhD 4, C Arrowitz 1, F Rippke MD 4 1 Beiersdorf Inc., Wilton CT, USA 2 Mountaintop Dermatology, Colorado Springs CO, USA 3 Colorado Springs Dermatology

More information

PATIENT INFORMATION LEAFLET. Alphaderm 1% & 10% w/w Cream hydrocortisone and urea

PATIENT INFORMATION LEAFLET. Alphaderm 1% & 10% w/w Cream hydrocortisone and urea PATIENT INFORMATION LEAFLET Alphaderm 1% & 10% w/w Cream hydrocortisone and urea Read all of this leaflet carefully before you start using this medicine Keep this leaflet. You may need to read it again.

More information

Aged Care Skin Tear Prevention Program

Aged Care Skin Tear Prevention Program Aged Care Skin Tear Prevention Program egopharm.com/professionals Skin Tears The Economics A skin tear is a wound that results in the separation of skin layers due to shearing and friction forces or blunt

More information

regeneration of the skin barrier, helping your skin to heal and diminishing the urge to scratch.

regeneration of the skin barrier, helping your skin to heal and diminishing the urge to scratch. PROPRIETARY NAME AND DOSAGE FROM BEPANTHEN SENSIDERM CREAM Relief from the itching and redness of skin irritations Bepanthen Sensiderm is a cortisone-free formula which combines soothing of itch and regeneration

More information

Community Infection Prevention and Control Guidance for Health and Social Care

Community Infection Prevention and Control Guidance for Health and Social Care Community Infection Prevention and Control Guidance for Health and Social Care Scabies Version 1.01 May 2015 Harrogate and District NHS Foundation Trust Scabies May 2015 Version 1.01 Page 1 of 10 Please

More information

Eumovate Cream clobetasone butyrate

Eumovate Cream clobetasone butyrate Package leaflet: Information for the user Eumovate Cream clobetasone butyrate Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

More information

For the use only of Registered Medical Practitioners or a Hospital or a Laboratory DERMOCALM LOTION. Calamine and Light Liquid Paraffin Lotion

For the use only of Registered Medical Practitioners or a Hospital or a Laboratory DERMOCALM LOTION. Calamine and Light Liquid Paraffin Lotion For the use only of Registered Medical Practitioners or a Hospital or a Laboratory DERMOCALM LOTION and Light Liquid Paraffin Lotion QUALITATIVE AND QUANTITATIVE COMPOSITION * IP Light Liquid Paraffin

More information

You and your scalp. Helpful hints and advice on treating Dry Scaly Scalp Conditions

You and your scalp. Helpful hints and advice on treating Dry Scaly Scalp Conditions You and your scalp Helpful hints and advice on treating Dry Scaly Scalp Conditions Common dry, scaly scalp conditions Dandruff Dandruff (sometimes referred to as pityriasis capitis) occurs in many people

More information

Dermovate Scalp Application clobetasol propionate

Dermovate Scalp Application clobetasol propionate Dermovate Scalp Application clobetasol propionate Package Leaflet: Information for the user Read all of this leaflet carefully before you start using this medicine because it contains important information

More information

SIGMACORT cream and ointment

SIGMACORT cream and ointment SIGMACORT cream and ointment Hydrocortisone acetate Consumer Medicine Information What is in this leaflet? This leaflet answers some common questions about SIGMACORT. It does not contain all the available

More information

ClobaDerm 500 micrograms/g Cream & Ointment (clobetasol propionate)

ClobaDerm 500 micrograms/g Cream & Ointment (clobetasol propionate) ClobaDerm 500 micrograms/g Cream & Ointment (clobetasol propionate) PATIENT INFORMATION LEAFLET Read all of this leaflet carefully before you start using this medicine because it contains important information

More information

Atopic Dermatitis (Eczema) Allergy and Immunology Awareness Program

Atopic Dermatitis (Eczema) Allergy and Immunology Awareness Program Atopic Dermatitis (Eczema) Allergy and Immunology Awareness Program Atopic Dermatitis (Eczema) Eczema refers to a chronic inflammatory skin condition, characterized by dry skin, with patches that are red

More information

PATIENT INFORMATION LEAFLET PUVA TREATMENT. using. Puvasoralen 1.2% Bath Lotion (8-methoxypsoralen)

PATIENT INFORMATION LEAFLET PUVA TREATMENT. using. Puvasoralen 1.2% Bath Lotion (8-methoxypsoralen) Information supplied only on request from a healthcare professional by: CRAWFORD HEALTHCARE LTD Unit 1, Adams Court Adams Hill Knutsford Cheshire WA16 6BA PATIENT INFORMATION LEAFLET PUVA TREATMENT If

More information

Package Leaflet: Information for the User

Package Leaflet: Information for the User GSK Logo Package Leaflet: Information for the User Betnovate Lotion betamethasone valerate Read all of this leaflet carefully before you start using this medicine because it contains important information

More information

RISKS AND HEALTH EFFECTS FROM TATTOOS, BODY PIERCING AND RELATED PRACTICES

RISKS AND HEALTH EFFECTS FROM TATTOOS, BODY PIERCING AND RELATED PRACTICES THE SCIENTIFIC COMMITTEE ON COSMETIC PRODUCTS AND NON-FOOD PRODUCTS INTENDED FOR CONSUMERS CONSULTATION CONCERNING RISKS AND HEALTH EFFECTS FROM TATTOOS, BODY PIERCING AND RELATED PRACTICES adopted by

More information

HEAD LICE. The most up-to-date version of this policy can be viewed at the following website:

HEAD LICE. The most up-to-date version of this policy can be viewed at the following website: Page Page 1 of 9 Policy Objective To ensure that patients with head lice are cared for appropriately and actions are taken to minimise the risk of cross-infection. This policy applies to all staff employed

More information

Contents. February What s in shampoos? Active ingredients in shampoos. Indications and claims. Evidence on shampoos. Pruritus.

Contents. February What s in shampoos? Active ingredients in shampoos. Indications and claims. Evidence on shampoos. Pruritus. February 2015 veterinaryprescriber@gmail.com www.veterinaryprescriber.com Contents What s in shampoos? Active ingredients in shampoos Indications and claims Evidence on shampoos Pruritus Malassezia Bacterial

More information

The most up-to-date version of this policy can be viewed at the following website:

The most up-to-date version of this policy can be viewed at the following website: Page 1 of 9 Review SOP Objective To ensure that patients with head lice are cared for appropriately and actions are taken to minimise the risk of cross-infection. This SOP applies to all staff employed

More information

BABY HERBAL COSMETICS WITH NATURAL INGREDIENTS ST. JOHN S WORT HERBAL EXTRACT

BABY HERBAL COSMETICS WITH NATURAL INGREDIENTS ST. JOHN S WORT HERBAL EXTRACT BABY HERBAL COSMETICS WITH NATURAL INGREDIENTS www.bioboocosmetics.com BIOBOO Cosmetics Bioboo Baby body wash and shampoo 250ml washes and soothes An innovative cosmetic formula with natural ingredients

More information

IT S TIME TO... COMBAT OCCUPATIONAL SKIN DISEASE

IT S TIME TO... COMBAT OCCUPATIONAL SKIN DISEASE IT S TIME TO... COMBAT OCCUPATIONAL SKIN DISEASE The Deb Skin Care Programme OCCUPATIONAL SKIN DISEASE AN INVISIBLE THREAT to Efficiency, Health & Well-being Occupational skin disease is a serious health

More information

Dry skin. Support and advice for patients. Supportedby

Dry skin. Support and advice for patients. Supportedby Dry skin. Support and advice for patients. Supportedby What is dry skin? Dry skin isacommon condition usually caused byinsufficient oil production inthe skin, causing the top layer ofskin todry out. In

More information

Dermovate Scalp Application clobetasol propionate

Dermovate Scalp Application clobetasol propionate Dermovate Scalp Application clobetasol propionate Package Leaflet: Information for the User Read all of this leaflet carefully before you start using this medicine because it contains important information

More information

HOW TO MANAGE TREATMENT. Lydia Snell Paediatric Liaison Nurse March 15 th 2018 HEALTHY SKIN WORKSHOP

HOW TO MANAGE TREATMENT. Lydia Snell Paediatric Liaison Nurse March 15 th 2018 HEALTHY SKIN WORKSHOP HOW TO MANAGE TREATMENT Lydia Snell Paediatric Liaison Nurse March 15 th 2018 HEALTHY SKIN WORKSHOP The beauty of skin! It is all one organ Protects what is inside is a barrier Holds us all in We don t

More information

Pharmacy Coverage Guidelines are subject to change as new information becomes available.

Pharmacy Coverage Guidelines are subject to change as new information becomes available. TOPICAL RETINOID AND COMBINATION PRODUCTS: ATRALIN (tretinoin) gel AVITA (tretinoin) cream and gel DIFFERIN (adapalene) cream, gel, lotion (Over-the-Counter Differin is a plan exclusion) EPIDUO (adapalene-benzoyl

More information

Patients should be given information about skin reactions and self-care strategies. A recent UK survey found that:

Patients should be given information about skin reactions and self-care strategies. A recent UK survey found that: Summary of Interventions for Acute Radiotherapy-Induced Skin Reactions in Cancer Patients: A Clinical Guideline recommended for use by The Society and; College of Radiographers Responsible person: Rachel

More information

Scabies. Dr. Ghassan Salah

Scabies. Dr. Ghassan Salah Scabies Dr. Ghassan Salah Scabies Scabies is a skin infestation caused by a mite Causes: The female scabies mite (Sarcoptes scabei ) burrows through the stratum corneum of the skin and lays its eggs just

More information

WHERE HEALING HAPPENS TWO-STEP HOSPITAL-GRADE SYSTEM RADIATION SKIN CARE

WHERE HEALING HAPPENS TWO-STEP HOSPITAL-GRADE SYSTEM RADIATION SKIN CARE AT HOME WHERE HEALING HAPPENS TWO-STEP HOSPITAL-GRADE SYSTEM RADIATION SKIN CARE Cleanses, moisturizes and protects red, irritated skin Helps protect against redness, drying and peeling Radiation Dermatitis

More information

3M Hand Hygiene Solutions. Solutions that recognize what hands are up against.

3M Hand Hygiene Solutions. Solutions that recognize what hands are up against. 3M Hand Hygiene Solutions Solutions that recognize what hands are up against. Hand hygiene is recognized as the single most important factor in preventing healthcare-associated infections. But it s not

More information

Eumovate Ointment clobetasone butyrate

Eumovate Ointment clobetasone butyrate [GlaxoSmithKline Logo] Package Leaflet: Information for the User Eumovate Ointment clobetasone butyrate Read all of this leaflet carefully before you start using this medicine because it contains important

More information

Betnovate Scalp Application betamethasone valerate. 1 What Betnovate is and what it is used for. 2 What you need to know before you use Betnovate

Betnovate Scalp Application betamethasone valerate. 1 What Betnovate is and what it is used for. 2 What you need to know before you use Betnovate Package Leaflet: Information for the User Betnovate Scalp Application betamethasone valerate Read all of this leaflet carefully before you start using this medicine because it contains important information

More information

ClobaDerm 0.05% w/w Cream & Ointment (clobetasol propionate)

ClobaDerm 0.05% w/w Cream & Ointment (clobetasol propionate) Package leaflet: Information for the patient ClobaDerm 0.05% w/w Cream & Ointment (clobetasol propionate) Read all of this leaflet carefully before you start using this medicine because it contains important

More information

Embarrassing Foot Odor? Stop the Stink! For Up to 90 Days with New. Deodorizing Foot Cream. Foot Specialists Since 1885

Embarrassing Foot Odor? Stop the Stink! For Up to 90 Days with New. Deodorizing Foot Cream. Foot Specialists Since 1885 Embarrassing Foot Odor? Stop the Stink! For Up to 90 Days with New Deodorizing Foot Cream Foot Specialists Since 1885 Acetic Acid Butanoic Acid Why do feet 3-methylbutanoic Acid smell so bad? Bacteria,

More information

The Leeds Teaching Hospitals NHS Trust Whole body PUVA treatment with oral psoralen

The Leeds Teaching Hospitals NHS Trust Whole body PUVA treatment with oral psoralen n The Leeds Teaching Hospitals NHS Trust Whole body PUVA treatment with oral psoralen Information for patients Your doctor has referred you for a course of PUVA treatment for your skin condition. This

More information

Physiogel. Help your patients restore skin balance and well-being

Physiogel. Help your patients restore skin balance and well-being DAILY CARE FOR DRY, SENSITIVE AND IRRITATED SKIN Help your patients restore skin balance and well-being Hypoallergenic and non-comedogenic. No fragrances, preservatives, dyes or recognised irritants DMS

More information

WHY IS THE SKIN BARRIER SO ESSENTIAL?

WHY IS THE SKIN BARRIER SO ESSENTIAL? WHY IS THE SKIN BARRIER SO ESSENTIAL? Skin disorders. Not only are they uncomfortable for pets and a big annoyance for your clients, they pose a threat to the overall health of the animal. Even more importantly,

More information

Package leaflet: Information for the user. ZORAC 0.05% gel ZORAC 0.1% gel. Tazarotene

Package leaflet: Information for the user. ZORAC 0.05% gel ZORAC 0.1% gel. Tazarotene Package leaflet: Information for the user ZORAC 0.05% gel ZORAC 0.1% gel Tazarotene Read all of this leaflet carefully before you start using this medicine because it contains important information for

More information

FREQUENTLY ASKED QUESTIONS

FREQUENTLY ASKED QUESTIONS FREQUENTLY ASKED QUESTIONS & Does Epizone do international delivery? A It can be arranged however you will be responsible for the postage cost. Send an email to micheles@vandykpharma.co.za to help you

More information

Scalp Psoriasis. A positive approach. to psoriasis and. psoriatic arthritis

Scalp Psoriasis. A positive approach. to psoriasis and. psoriatic arthritis Scalp Psoriasis A positive approach to psoriasis and psoriatic arthritis What are the aims of this leaflet? This leaflet has been written to help you understand what scalp psoriasis is, what the symptoms

More information

Hydroform Cream 1% Hydrocortisone (microfine) 1% w/w and clioquinol 1% w/ w

Hydroform Cream 1% Hydrocortisone (microfine) 1% w/w and clioquinol 1% w/ w Hydroform Cream 1% Hydrocortisone (microfine) 1% w/w and clioquinol 1% w/ w Consumer Medicine Information What is in this leaflet? This leaflet answers some common questions about Hydroform Cream 1%. It

More information

ACETOCAUSTIN 0,5 ml, Cutaneous solution

ACETOCAUSTIN 0,5 ml, Cutaneous solution PACKAGE LEAFLET: INFORMATION FOR THE USER ACETOCAUSTIN 0,5 ml, Cutaneous solution MONOCHLOROACETIC ACID This leaflet is a copy of the Summary of Product Characteristics and Patient Information Leaflet

More information

Wrinkle/ Fine Lines. Acne/ Blemishes. Pigmentation. Skin Sensitivity/ Redness. The ROOT CAUSE of all Skin Problems is. LACK of MOISTURE!

Wrinkle/ Fine Lines. Acne/ Blemishes. Pigmentation. Skin Sensitivity/ Redness. The ROOT CAUSE of all Skin Problems is. LACK of MOISTURE! Wrinkle/ Fine Lines Acne/ Blemishes Pigmentation Skin Sensitivity/ Redness The ROOT CAUSE of all Skin Problems is LACK of MOISTURE! Treating your skin with just a simple face cleansing routine is not sufficient

More information

Management of acne requires proper application

Management of acne requires proper application DRUG THERAPY TOPICS A Qualitative and Quantitative Assessment of the Application and Use of Topical Acne Medication by Patients James Q. Del Rosso, DO Management of acne requires proper application of

More information

HOW TO USE. and make the most out of your CTCL treatment

HOW TO USE. and make the most out of your CTCL treatment HOW TO USE and make the most out of your CTCL treatment TARGRETIN Gel should not be used by women who are pregnant, believe they may be pregnant, or are planning to become pregnant. Please see Important

More information

scalp solution 5% w/v minoxidil cutaneous solution to be applied to the scalp

scalp solution 5% w/v minoxidil cutaneous solution to be applied to the scalp scalp solution 5% w/v minoxidil cutaneous solution to be applied to the scalp This medicine is used to treat hereditary hair loss in men aged 18 65 years. This product is for men only and should NOT be

More information

Dermovate Ointment clobetasol propionate

Dermovate Ointment clobetasol propionate Dermovate Ointment clobetasol propionate Package Leaflet: Information for the user Read all of this leaflet carefully before you start using this medicine because it contains important information for

More information

Skin Reactions from Radiation Treatments

Skin Reactions from Radiation Treatments Skin Reactions from Radiation Treatments Skin reactions are a common side effect of radiation treatments. They are caused when repeated doses of radiation pass through the skin. Skin reactions occur within

More information

Dermovate Ointment clobetasol propionate

Dermovate Ointment clobetasol propionate Dermovate Ointment clobetasol propionate Package Leaflet: Information for the User Read all of this leaflet carefully before you start using this medicine because it contains important information for

More information

HAND HYGIENE PROCEDURE ICPR010

HAND HYGIENE PROCEDURE ICPR010 HAND HYGIENE PROCEDURE ICPR010 Version No. Date Ratified/ Amended Date of Implementation Next Review Date Reason for Change (eg. full rewrite, amendment to reflect new legislation, updated flowchart, minor

More information

Just Clean Your Hands Hand Care Program

Just Clean Your Hands Hand Care Program Just Clean Your Hands Hand Care Program Contents Hand Care Protection Components For Health Care Providers 1 Components for an effective hand care program 2 1. Occupational Health support of healthy hands

More information

Contents Skin Facts Section One: Section Two: Section Three: Section Four: Section Five: Section Six: Emollient workshop Contents

Contents Skin Facts Section One: Section Two: Section Three: Section Four: Section Five: Section Six: Emollient workshop Contents Welcome 2 Contents Skin Facts 4 Section One: Skin changes in the older person 5 Section Two: Possible consequences of skin changes in the older person 11 Section Three: Skin tears 17 Section Four: Pressure

More information

skin smoothing cream powered by Active HydraMesh Technology

skin smoothing cream powered by Active HydraMesh Technology skin smoothing cream powered by Active HydraMesh Technology table of contents Introduction 2 Hydration and Optimal Skin Health 3 The Science of Skin Smoothing Cream 5 Skin Smoothing Cream at a Glance 9

More information

The Solution. ComfiFast Tubular. Bandages. ComfiFast Multistretch Tubular. ComfiPression Hosiery / Liner Kits. Bandages

The Solution. ComfiFast Tubular. Bandages. ComfiFast Multistretch Tubular. ComfiPression Hosiery / Liner Kits. Bandages The Problem Cost pressures are continually eroding product quality, with many people choosing to buy lower-cost, lower-quality products to care for their patients. The latest NICE guidelines highlight

More information

TL-01 phototherapy treatment. Information for patients Dermatology

TL-01 phototherapy treatment. Information for patients Dermatology TL-01 phototherapy treatment Information for patients Dermatology page 2 of 12 What is TL-01 phototherapy? TL-01 phototherapy is a procedure which uses ultraviolet light to treat some skin conditions.

More information

Creams and Lotions. Ointment/Special Creams. Soaps to be used With or Without Water

Creams and Lotions. Ointment/Special Creams. Soaps to be used With or Without Water Skin Care Creams and Lotions. Ointment/Special Creams. Soaps to be used With or Without Water 1 Skin Care Abena s skin care concept is based on our long experience within international health care sectors.

More information

Top Ten Winter Skin Care Tips

Top Ten Winter Skin Care Tips THE LONDON DERMATOLOGIST S: Top Ten Winter Skin Care Tips the london dermatologist 1 Contents 1 2 3 4 5 6 7 8 9 10 Moisturise More page 1 Look After Your Hands page 3 Foot Care page 5 Control Flushing

More information

Policy Document Control Page

Policy Document Control Page Policy Document Control Page Title Title: Management of Scabies Policy Version: 6 Reference Number: CL80 Supersedes Supersedes: Version 5 Alterations Specific treatment/medications removed Updated references

More information

HOW TO USE. and make the most out of your cutaneous T-cell lymphoma (CTCL) treatment

HOW TO USE. and make the most out of your cutaneous T-cell lymphoma (CTCL) treatment HOW TO USE and make the most out of your cutaneous T-cell lymphoma (CTCL) treatment TARGRETIN gel should not be used by women who are pregnant, believe they may be pregnant, or are planning to become pregnant.

More information

MANAGEMENT OF RADIATION INDUCED SKIN REACTIONS

MANAGEMENT OF RADIATION INDUCED SKIN REACTIONS Manchester Cancer MANAGEMENT OF RADIATION INDUCED SKIN REACTIONS One of the most common side effects of radiation is acute skin reaction which can range from mild erythema to confluent moist desquamation

More information

National Institute for Health and Clinical Excellence

National Institute for Health and Clinical Excellence 2. Please insert the section number (eg 3.2) in the 1 st column. If your to the as a whole, please put general in this column 3. Please insert the page number (ie in the 2 nd column. The expert papers

More information

Narrow Band (TL-01) Treatment. Under review

Narrow Band (TL-01) Treatment. Under review Narrow Band (TL-01) Treatment Narrow Band (TL-01) Treatment This information is intended to provide you with information about your treatment and should be read thoroughly so that you are aware of the

More information

Package leaflet: Information for the patient. Epiduo 0.3% / 2.5% gel adapalene / benzoyl peroxide

Package leaflet: Information for the patient. Epiduo 0.3% / 2.5% gel adapalene / benzoyl peroxide Package leaflet: Information for the patient Epiduo 0.3% / 2.5% gel adapalene / benzoyl peroxide Read all of this leaflet carefully before you start using this medicine because it contains important information

More information

100% Effective Natural Hormone Treatment Menopause, Andropause And Other Hormone Imbalances Impair Healthy Healing In People Over The Age Of 30!

100% Effective Natural Hormone Treatment Menopause, Andropause And Other Hormone Imbalances Impair Healthy Healing In People Over The Age Of 30! This Free E Book is brought to you by Natural Aging.com. 100% Effective Natural Hormone Treatment Menopause, Andropause And Other Hormone Imbalances Impair Healthy Healing In People Over The Age Of 30!

More information

Evaluation of Cosmeceutical Ingredients: What the Label May Not Reveal Patrick Bitter, MD. Regulation of Topical Skin Care Products.

Evaluation of Cosmeceutical Ingredients: What the Label May Not Reveal Patrick Bitter, MD. Regulation of Topical Skin Care Products. Evaluation of Cosmeceutical Ingredients: What the Label May Not Reveal Patrick Bitter, MD Regulation of Topical Skin Care Products US Food and Drug Administration (FDA) recognizes two categories of products

More information

Treatment Of Dry Skin Syndrome: The Art And Science Of Moisturizers

Treatment Of Dry Skin Syndrome: The Art And Science Of Moisturizers Treatment Of Dry Skin Syndrome: The Art And Science Of Moisturizers If you are searching for the book Treatment of Dry Skin Syndrome: The Art and Science of Moisturizers in pdf form, then you have come

More information

DERMATOLOGY EDUCATIONAL RESOURCE

DERMATOLOGY EDUCATIONAL RESOURCE DERMATOLOGY EDUCATIONAL RESOURCE Adjunctive Skincare for Acne ABSTRACT While topical therapy remains a key therapeutic approach in the clinical management of AV, it can be associated with side effects

More information

Specific Skin Conditions and how Kosmea can help

Specific Skin Conditions and how Kosmea can help Wrinkles & Ageing Skin What causes wrinkles? The skin s primary components are collagen and elastin. An interlacing of collagen fibres with a fine net of elastin gives skin its strength, elasticity, smoothness

More information

Infection prevention. Infection prevention. FoamING sanitizer Liquid sanitizer Foaming soap Lotion soap Lotion. EB LI, (Rev.

Infection prevention. Infection prevention. FoamING sanitizer Liquid sanitizer Foaming soap Lotion soap Lotion. EB LI, (Rev. Infection prevention. Infection prevention. FoamING sanitizer Liquid sanitizer Foaming soap Lotion soap Lotion EB-95720-LI, (Rev. 1-11-10) Now, it doesn t have to be, with NEW A complete line of hand hygiene

More information

2014 Wound Care People Ltd. ... Changing lives through better wound healing

2014 Wound Care People Ltd. ... Changing lives through better wound healing ... Changing lives through better wound healing The British Skin Foundation accreditation was awarded following an independent review by dermatologists, into the extensive clinical research carried out

More information

Always read the label. Use only as directed. If symptoms persist, see your Healthcare Professional. MUNDICARE, BURNAID and WOUNDAID are registered

Always read the label. Use only as directed. If symptoms persist, see your Healthcare Professional. MUNDICARE, BURNAID and WOUNDAID are registered MUNDICARE, BURNAID and WOUNDAID are registered trade marks. mundicare Melaleuca Oil 100% pure - we do not use blended oil Sourced from a single origin in Northern NSW utilising sustainable practices in

More information