CALMOSEPTINE OINTMENT IS AVAILABLE WITHOUT A PRESCRIPTION.

EASY TO APPLY - ONE-STEP PROTECTION - COST EFFECTIVE - TIME SAVING

Protects and helps heal skin irritations from:
Incontinence of urine or feces
Feeding tube leakage
Minor burns, scrapes
Fecal or vaginal fistulas
Wound drainage
Diaper rash
Moisture, such as perspiration

HOW TO APPLY

1. Describe how to properly apply Calmoseptine on different body sites.

a. Cleanse the skin prior to application with mild skin cleanser or water. Pat dry or allow to air dry.
b. Apply a thin layer 2-4 times daily to affected area or as necessary to promote comfort and protection.
c. Calmoseptine can be applied to intact or irritated skin around an ostomy site, however, use only a small amount and rub it in completely. Hold barrier under the pouch in place for about one minute. This will increase adhesion of standard adhesive. Pouches with a clear adhesion, such as Cymed, will not stick to peristomal skin when Calmoseptine Ointment is applied.

2. Describe proper removal techniques to prevent dermal injury.

a. Incontinent cleansers with a surfactant work well to remove Calmoseptine Ointment. A few are listed below:

Peri Wash II-Sween/Coloplast.
Elta Cleanse Foam-Swiss America.
Aloe Vesta Perineal Wash-Convatec/Calgon Vestal .
Carrington Foam.
Hygiene I Foam-Bard .
Proshield Foam and Spray-Healthpoint .

Restore-Hollister (mineral oil or baby oil also easily remove Calmoseptine) .

b. Wound Cleansers such as Biolex or Cara-Clens.

(Note: It may not be necessary to completely remove Calmoseptine Ointment from irritated skin that you are treating. Especially if it is being used to protect peri-rectal area from diarrhea. In this instance you may want to cleanse and remove waste material leaving a base layer of the ointment behind until the skin has improved).

3. State some indications for using Calmoseptine.

a. To prevent or protect any area of the body from urine, feces, or moisture.
b. To protect and help heal already irritated skin from urine, feces, or any type of moisture.
c. To relieve the discomfort and itching from rashes or caustic waste materials.
Examples for use: Incontinence of urine or feces, feeding tube leakage, fecal or vaginal fistulas, skin surrounding draining wounds, diaper rash, perspiration.

4. State in general the mode of action of the product.

a. Provides a physical moisture barrier.
b. Has a shrinking or drying effect on moist skin, also decreasing perspiration in moist areas.
c. Stimulates the nerve endings, thus temporarily relieves discomfort and itching.
d. Mild antiseptic ingredients also help to prevent secondary bacterial and fungal infections of the skin. .

5. Discuss possible adverse reactions and how to manage.

a. There is always the possibility for an allergic reaction due to sensitivity to one of the ingredients, however, this is rare.
This would be manifested by severe itching after product has been applied, or a development of a rash when one was not present to start with, or an increased area of a rash compared to what was present previously.
Remove the Calmoseptine Ointment if you suspect patient is allergic by one of the methods described above.

b. Slight burning on application. This is normal in some instances if some nerve endings are exposed due to denuded skin. However, it frequently goes away within 2-3 minutes and the patient should report a cooling sensation.
If the patient cannot tolerate the discomfort, remove Calmoseptine by one of the methods described above.

6. Explain the method of using Stomahesive Powder or Hollister Premium Powder with Calmoseptine to treat weepy denuded skin.

a. Cleanse the area by one of the methods described in #2. Normal Saline or wound cleanser should be used to cleanse initially if denuded skin is present. Pat or air dry.
b. Apply a light dusting of Hollister Premium Powder or Stomahesive Powder to denuded area that is weepy. (This is to create a dry surface for the Ointment to stick). Gently dust off excess. Apply a thin layer of Calmoseptine Ointment carefully over the powder. Apply another light dusting of one of the above powders over the ointment to create a dry non-stick surface.

c. In this application, it is best to gently remove with a soft cloth and mineral oil in between applications when necessary.

IF SKIN DOES NOT IMPROVE IN 7 DAYS, NOTIFY ET NURSE OR PHYSICIAN AS THERE MAY BE ANOTHER UNDERLYING PROBLEM WITH THE SKIN SUCH AS A BACTERIAL OR FUNGAL CONDITION. THIS MAY REQUIRE THE USE OF A PRESCRIPTION ANTIFUNGAL PREPARATION.