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Cica-Care*

Adhesive Gel Sheet

Product Information

 
 
 
Adhesive Gel Sheet

This information is intended for Healthcare Professionals only.

 
Cica-Care*
 
Description
 


Cica-Care* is a soft, self-adhesive, silicone gel sheet for the treatment and prevention of scarring. It is clinically effective in flattening red and raised scars, both old and new, in 90% of cases.


 
Features
 

 

  • Self-adhesive silicone gel layer
  • Reusable
  • Non-adherent outer silicone membrane

 
Benefits
 


Improves the Appearance of Scars

  • Cica-Care has been medically proven in patient trials to be effective, flattening, softening and fading red and raised scars, both old and new in up to 90% of cases.
Easy to Use
  • The Cica-Care adhesive gel sheet is soft, comfortable and simple to apply. It can be cut to size to fit most scars. Durable and reusable, it can be used day or night.
Self Adhesive
  • The skin contact side of Cica-Care is self adhesive, while the upper side is a strengthening non-adhesive silicone membrane. Therefore secondary fixation may not be required, making the product more user friendly, and can lead to higher patient compliance.
Durable
  • The silicone membrane and gel combination make Cica-Care more durable and less likely to denature in comparison to other silicone gel sheets.
Conformable
  • Cica-Care is a very conformable silicone gel sheet. Because it is self-adhesive, Cica-Care can be easily used in many awkward anatomical locations, including earlobes and sternal areas.
Reusable
  • One piece of Cica-Care can be easily washed and reused. Once it becomes difficult to clean, a new piece should be used. This usually occurs after 14 to 28 day intervals.
Cost Effective
  • Cica-Care is durable and reusable. Each cut piece lasts up to 28 days in use, making it a cost effective regime.
 
Contraindications / Precautions
 


Cica-Care is contra-indicated for patients with complicating medical factors which would deem them unable to use the dressing as per instructions and in patients with dermatological conditions which disrupt the integrity of the skin in areas of coverage.

  • Do not use on open or infected wounds.
  • Do not use on skin currently affected by acne.
  • Follow instructions for use carefully.
  • Do not use unless skin surrounding the scar or closed wound is normal.
  • Do not use with ointments or creams under the gel sheet.
  • In some patients a rash has been observed on the scar and surrounding skin. Should a rash occur, reduce Cica-Care therapy time to 12 hours on, 12 hours off. If the rash persists discontinue use and consult your physician or medical advisor.
  • On surgical incisions, use Cica-Care only after sutures have been removed.

 
Availability
 


## Product comes in a Pharmacy presentation


 
CodeDescription Items per Unit Refer Availability
66250707 12cm x 15cm bx/10  
66250706 12cm x 15cm bx/1  
66250704 12cm x 6cm bx/1  
36361364 12cm x 6cm each ##

Evidence

 
 
 
Adhesive Gel Sheet

This information is intended for Healthcare Professionals only.

 
 
Clinical Support
 


Paper title: Cica-Care* gel sheeting in the management of hypertrophic scarring.
Author: Carney SA, Cason CG, Gowar JP, Stevenson JH, McNee J, Groves AR, Thomas SS, Hart NB, Auclair P.
Reference: Burns (1994); 20:163-167
Study abstract: A prospective, controlled clinical trial was undertaken to assess the efficacy and safety of two types of silicone gel, SILASTIC Gel Sheeting (SGS) and Cica-Care, in the management of hypertrophic scars. Forty-two patients were randomly assigned to SGS and Cica-Care groups and their hypertrophic scars were divided into treated and control areas. Extensometric measurements were made at monthly intervals for 6 months and significant improvement of the treated areas relative to the control areas was observed. The two gels were not significantly different in efficacy or safety, but Cica-Care, being more adhesive and more conformable than SGS, has advantages in ease of use and patient acceptability.

SILASTIC is a Trade Mark of Dow Corning

Paper title: Comparison of two types of silicone gel sheets
Author: Donald L
Reference: Australian/New Zealand Burns Association. Issue no. 16, 14 August 1995, page 10-11
Study abstract: To determine whether there is a difference in (a) durability, (b) complications, (c) effectiveness between traditionally used SPENCO silicone gel sheets compared with Cica-Care gel sheets in the treatment of hypertrophic and keloid scars.

SPENCO is a Trade Mark of Spenco Medical Corporation

Paper title: Silicone gel in scar treatment
Author: K J Quinn
Reference: Burns (1987) 13, S33-S40
Study abstract: The purpose of the study was to determine whether silicone gel (SILASTIC Gel Sheeting) reduces hypertrophic scarring, and to investigate its mode of action and any other possible applications. Silicone gel was applied to 125 patients with 129 hypertrophic keloid scars. Scar improvement was rated after two months on the basis of texture (measured by an extensometer), colour and thickness. There was an improvement in one or two of these criteria in 65 cases and in all three in 10 cases, while 37 patients did not return for follow-up. Adverse events noted were pruritis and rash, which could be eliminated with daily or more frequent washing of scar and gel. In three cases, tissue breakdown occurred, and it is recommended by the author that the gel should not be applied until epidermal healing is complete, and that the important of frequent washing of the scar and gel should be emphasised to patients.
The possible modes of action of silicone gel have been investigated, and it has been concluded that pressure, temperature, oxygen tension and occlusion are not involved. The possibility of formation of a water reservoir in the stratum corneum has been suggested, and it has been shown that a silicone liquid is leached from the gel, although whether this penetrates the stratum corneum is not known. The mechanical properties of silicone gel have also been investigated, and it was shown that the material has similar extensibility to skin, that it is inert and impermeable to the micro-organisms tested, and that it has a water vapour transmission rate approximately half that of skin.
The author describes her experience of the use of silicone gel in five patients with unhealed burn wounds. The results in this small series indicated that silicone gel is easy to apply and comfortable, and may be beneficial in partial thickness burn wounds.

 

Application Instructions

 
 
 
Adhesive Gel Sheet

This information is intended for Healthcare Professionals only.

 
 
 
Take a look at the following 8 simple steps to effective treatment and see just how easy it is to gently soften, flatten and fade red, dark or raised scars with
Cica-Care.


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Step 1
Wash your hands before use and then gently clean the scar and surrounding skin. Thoroughly dry the area before applying Cica-Care.

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Step 2
Peel the lid from the tray containing Cica-Care and remove the gel sheet.

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Step 3
With a pair of scissors, cut the sheet to the size of the scar - allowing a little overlap all the way round. Store the remaining gel sheet in a dry place, like the tray the gel came in.

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Step 4
Remove the printed plastic sheet to reveal the adhesive.

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Step 5
Apply Cica-Care, adhesive side down, to the scarred area without stretching the strip. If your scar is in an awkward position you may wish to use a light bandage or tape to keep Cica-Care in position. Do not hold the gel sheet too tightly to the skin as this may cause irritation of the scar and surrounding area.

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Step 6
Cica-Care should be applied to the scar for 4 hours on the first two days of use. The application time should then be increased by 2 hours a day to enable your skin to get used to the gel strip. See treatment time and the Cica-Care user diary for more details.

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Step 7
Clean Cica-Care twice daily with a mild soap. Once you've cleaned the gel strip, rinse it well.

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Step 8
Dry the Cica-Care strip with a non-fluffy towel before re-applying. Ensure the scar and surrounding area is washed too.
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