Pharm

Occlusive Dressing

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Occlusive Dressing, Occlusion

  • Indications
  1. Increased potency of topical medication
  2. May be used in combination with all Topical Preparation Bases
  • Contraindications
  1. Avoid use on face
  2. Avoid use in intertriginous areas (risk of maceration and Superficial Folliculitis)
  • Adverse Effects
  1. Skin maceration
  2. Superficial Folliculitis
  3. Rapidly spreading infection
  • Mechanism
  1. Increases topical medication (e.g. Topical Corticosteroid) penetration into skin
    1. Increases potency of topical medication
  • Preparations
  1. Simple plastic wrap (from kitchen)
  2. Transparent Film Dressing
  3. Hydrocolloid Dressing
  4. Steroid impregnated dressing (ultra-high potency)
    1. Flurandrenolide (Cordran) 4 mcg/m2 impregnated dressing
      1. Used in difficult areas to treat (e.g. fingers)
      2. Due to ultra high potency - limit to short duration use