ICHTHOPASTE^◊ Medicated Paste Bandage

• Open weave bandage
• Impregnated with a paste containing zinc oxide and Ichthammol
• Individually wrapped

Impregnated with a paste containing zinc oxide and Ichthammol

• ICHTHOPASTE^◊ bandages contain Ichthammol which soothes the skin.
• ICHTHOPASTE^◊ bandages relieves irritation and is designed for ulcers that are surrounded by sensitive skin.

Open weave bandage

• The softness of the ICHTHOPASTE^◊ bandages means they are simple to apply and easy to remove (soft and pliable after application).
• ICHTHOPASTE^◊ bandages will not dry out during wear time.
• ICHTHOPASTE^◊ bandages provide a moist wound healing environment over the ulcer.

Individually wrapped

• Easy identification
• Easy storage

ICHTHOPASTE^◊ is indicated in the management of leg ulcers where venous insufficiency exists, the paste bandage should be used under graduated, compression bandaging.

ICHTHOPASTE^◊ is also suitable for the treatment of chronic eczema/dermatitis, where occlusion is indicated.

Precautions
Where venous insufficiency exists, ICHTHOPASTE^◊ should be used under graduated, sustained compression bandaging, after first assessing the patient to exclude arterial disease.  The use of Doppler ultrasound is recommended for this purpose. 
Compression bandaging should not be used on patients who have arterial disease (ABPI<0.8) and is not recommended for use on diabetic patients with advanced small vessel disease.

Failure to detect reduced arterial flow can result in pressure necrosis, amputation, or even death.  The risk of a patient having arterial as well as venous disease rises with age.

ICHTHOPASTE^◊ should not be used in known cases of sensitivity or allergy to any of the ingredients.  The skin of leg ulcer patients is easily sensitised to topical medicaments, including preservatives.  Sensitisation should be suspected in patients particularly where there is deterioration of the surrounding skin.  Such patients should be referred for specialist diagnosis, including patch testing.

One of the functions of occlusive bandages is to increase absorption.  Care should be taken, therefore, if it is decided to apply topical steroid, anaesthetic or retinoid preparations under the bandage, as their absorption may be significantly increased.  This may lead to a shorter duration of effect of a topical anaesthetic product in addition to increasing the risk of sensitisation to these preparations.