Flaminal® (Hydro) contains two enzymes, glucose oxidase and lactoperoxidase. Glucose oxidase converts the available glucose, oxygen and water into peroxide ions. Lactoperoxidase converts the peroxide ions into reactive oxygen species. Lactoperoxidase specifically binds to bacterial cell walls. The reactive oxygen species created destroys bacteria.
Flaminal® (Hydro) have been tested against Aspergillus niger (fungus) and against Candida albicans (yeast), but only mild activity was found. However, Flaminal® (Hydro) contains a conservation agent (potassium sorbate) to protect against fungal contamination.
The antimicrobial activity of Flaminal® (Hydro) is enzymatic. This is a different mechanism of action compared to antibiotics and no resistance has been seen. There is in-vitro evidence to show that Flaminal® (Hydro) kills MRSA strains quickly and effectively.
The type of secondary dressing will depend on the wound condition. On a wetter wound a more absorbent secondary dressing should be used to prevent maceration, e.g. Foam dressing or superabsorbent. On drier wounds a secondary dressing should be selected which will reduce evaporation and prevent the wound drying out e.g. Film or Hydrocolloid
Patients may report pain if the wound is allowed to dry out. With drier wounds, this can be prevented, by using Flaminal® Hydro instead of Flaminal® Forte.
Patients my also report pain caused by wound edges becoming macerated. With wetter wounds, this can be prevented, by using Flaminal® Forte instead of Flaminal Hydro. Maceration can also be reduced by using a more absorbent secondary dressing e.g. foam dressing.
Patients may report a reduction in pain as Flaminal® (Hydro) can be used to hydrate then remove slough and necrotic material.
Pain can be caused by infection; allergies and some ulcers can also be painful.
Epidermolysis bullosa is a very rare, congenital skin disease, where the slightest injury will provoke blisters, which are difficult to heal, often causing scarring and functional impediments. Flaminal® (Hydro) may be used, although it will not prevent injuries and blisters for which there is no treatment.
Flaminal can be used until the expiry date (seen on the tube). Two years from manufacture. Even after it is opened, Flaminal can be used until the expiry date shown, provided the cap is replaced securely after use.
Antiseptics are strong antimicrobials, but can harm the key cells involved in wound healing and cause an allergic reaction. Flaminal® (Hydro) will restore the bacterial balance in the wound without causing any allergic reactions or damaging key cells involved in wound healing. There is no need to apply antiseptics prior to using Flaminal
Flaminal® (Hydro) restores the bacterial balance in the wound and by continually removing necrotic material allows natural wound healing. Should the wound hyper granulate for reasons other than infection, stop using Flaminal® (Hydro) and keep the wound dry to reduce cell growth. Applying local pressure to the wound bed will also help reduce hypergranulation.
Flaminal® Hydro absorbs leaking wound fluid, protects against infection and keeps the wound moist thus avoiding the formation of scabs which may increase the risk of scarring. Flaminal® Hydro stays on the wound till the sutures are removed.
Yes. Flaminal can be stored in the refrigerator. In fact, if the room temperature where the Flaminal is stored is likely to exceed 25°C, it is preferable to keep Flaminal in the refrigerator. Flaminal should not be stored in the freezer.