How do I remove IODOFLEX from the ulcer?
Remove the secondary dressing. If it is sticking to the IODOFLEX, soak with sterile saline or water. To remove IODOFLEX from the wound, simply flush it away with sterile saline or water. If there are any small remnants of IODOFLEX left in the wound, don't worry they will be naturally degraded without causing any delay to healing or systemic reaction.
How can I tell when the IODOFLEX needs changing?
IODOFLEX will change from a dark brown to off white which indicates that all the iodine has been released. This indicates that it is time to change the IODOFLEX. The number of dressing changes therefore depend on the levels of infection and exudate present in the wound.
Is there any risk of iodine absorption causing any problems for the patient?
Generally if you use IODOFLEX within the guidelines of the prescribing information (up to a maximum of 150g a week) it is unlikely that there will be any significant iodine absorption and therefore any systemic side effects. However, IODOFLEX should not be used in patients with severely impaired renal function or a past history of any thyroid disorder as they are more susceptible to alterations in thyroid metabolism with chronic IODOFLEX therapy. It has been observed occasionally that an adherent crust can form when IODOFLEX is not changed with sufficient frequency.
Can I use a secondary dressing to secure Iodoflex to the wound?
Yes, you can use any semi-permeable secondary dressing, or secure IODOFLEX with bandages over a non-adherent piece of padding or gauze.
Does IODOFLEX cause patient pain in what often is already a painful ulcer?
IODOFLEX desloughs by absorbing and drawing away slough and exudate from the wound surface. This is not harmful but indicates that the product is working. Sometimes patients feel a warm or smarting sensation and this may be due to the drawing effect of the slough and exudate.
Will IODOFLEX relieve ulcer pain?
Yes, it has been shown to. Often IODOFLEX will relieve pain whilst in the process of desloughing the wound and killing bacteria. In clinical trials, pain reduction has been a well observed benefit for patients.
What organisms is Iodoflex effective against?
Because IODOFLEX contains elemental iodine, it is effective against a wide range of pathogenic bacteria, fungi, yeasts which can delay wound healing. There have been no reports of acquired resistance with iodine.
For how long can I use Iodoflex on a slow healing ulcer?
IODOFLEX can be used for up to 3 months. At this stage if the ulcer still needs treatment a non-iodine containing product must be used for a minimum of one week before resuming treatment with IODOFLEX.
What is the largest amount of IODOFLEX I can use in a week?
150g of IODOFLEX can be applied per patient per week. A single application should not exceed 50g. If more is needed, refer to the warnings on the relevant data sheet and prescribing information.
Can IODOFLEX be used in patients who are sensitive to iodine?
No, this is not recommended.
Will Iodoflex delay wound healing as it contains an antiseptic?
There is a body of evidence showing that some antiseptic containing products delay wound healing. IODOFLEX has been also tested in-vivo and has been shown not to reduce fibroblast or macrophage activity 18. IODOFLEX has in fact been shown to accelerate healing in some studies 2.