• 100 mg povidone iod

• Sodium hydroxide for pH adjustment
• water, purified

Indication/ leg ulcers treatment at home Application

• The solution is an antiseptic.
• It will be applied
  • for single use:
    • Disinfection of the intact outer skin or antiseptics of the mucous membrane, e.g. B. before operations, biopsies, injections, punctures, blood sampling and bladder catheterization.
  • for repeated, temporary use:
    • Antiseptic treatment of wounds (e.g. pressure sores, leg ulcers), burns, infected and superinfected skin conditions.

leg ulcers treatment at home dosage

• Always use the solution exactly as directed. Please check with your doctor or pharmacist if you are not sure.
• The usual dose is:
  • The solution can be used once or several times a day.
  • The solution is intended for external use undiluted and in dilutions.
  • The solution should be applied to the area to be treated until it is completely wetted. The antiseptic film that forms when it dries can be easily washed off with water.
  • For skin disinfection or antiseptics of the mucous membrane, e.g. The solution is to be used undiluted before surgical interventions, biopsies, injections, punctures, blood sampling, bladder catheterization.
  • For skin disinfection of skin with few sebaceous glands, the exposure time is at least 1 minute, with skin rich in sebaceous glands at least 10 minutes. The skin must be kept moist with the undiluted product throughout the exposure time.
  • During the pre-operative skin disinfection, the formation of "puddles" under the patient should be avoided because of possible skin irritation.
  • For the antiseptic treatment of superficial wounds, the solution is applied undiluted to the areas to be treated.
  • In the antiseptic surface therapy of burn wounds, the solution is usually applied undiluted to the areas to be treated.
  • The solution can be diluted for antiseptic rinses, washes and baths. The following dilutions are recommended as guide values:
    • Rinsing as part of wound treatment (e.g. pressure sores, leg ulcers, burns) and perioperative infection prophylaxis 1:2 to 1:20
    • Antiseptic washes 1:2 to 1:25
    • Antiseptic partial baths approx. 1:25, antiseptic full baths approx. 1:100.
  • Normal tap water is suitable for dilution. If approximate isotonicity is desired, physiological saline or Ringer's solution can be used. The dilutions must always be freshly prepared and used up as soon as possible. To prepare full antiseptic baths, water should first be poured into the tub and then the required amount of solution to avoid discoloration of the tub due to the development of vapors containing iodine.
  • The brown color of the solution is a property of the preparation and indicates its effectiveness. Extensive discoloration indicates that the effectiveness of the preparation has been exhausted.

• duration of use
  • In the case of repeated use, the frequency and duration of use depends on the present indication.
  • Wound treatment should be continued as long as there are signs of infection or a clear risk of infection in the wound conditions. If your symptoms have not improved after several days (2 to 5 days) of regular use, or if symptoms recur after the end of the treatment, please consult your doctor.
• Please talk to your doctor or pharmacist if you have the impression that the effect of the solution is too strong or too weak.

• If you use more than you should:
  • You can continue treatment with the indicated dosage. In the case of a short-term overdose, no impairments are to be expected.

• If you forgot the application:
  • Do not apply a double dose to make up for a forgotten application.

• If you cancel the application:
  • You could jeopardize the success of the treatment. Please talk to your doctor or pharmacist before stopping treatment.

• If you have any further questions on the use of the medicine, ask your doctor or pharmacist.

leg ulcers treatment at home way

• For application on the skin

side effects

• Like all medicines, this can have side effects, although not everyone gets them. The evaluation of side effects is based on the following frequency information:
  • Very common: affects more than 1 in 10 people
  • Common: affects 1 to 10 users in 100
  • Uncommon: affects 1 to 10 users in 1,000
  • Rare: affects 1 to 10 users in 10,000
  • Very rare: affects less than 1 in 10,000 people
  • Not known: frequency cannot be estimated from the available data.
• possible side effects
  • Immune system disorders/skin disorders
    • Rarely
      • Hypersensitivity reactions of the skin, e.g. B. delayed-type contact allergic reactions, which can manifest themselves in the form of itching, reddening, blisters, burning or similar.
      • Skin irritation after skin disinfection before surgery in cases where there has been "puddling" under the patient.
    • Rarely
      • Acute general allergic reactions, possibly with drop in blood pressure and/or shortness of breath (anaphylactic reactions); Acute swelling of the skin or mucous membranes (angioedema or Quincke's edema).
  • endocrine diseases
    • Significant iodine uptake can occur with long-term use of the solution on extensive areas of skin, wounds or burns.
    • Rarely
      • Hyperthyroidism (iodine-induced hyperthyroidism), possibly with symptoms such as B. increased heart rate or anxiety in patients with thyroid disorders
  • Metabolic and nutritional disorders/diseases of the kidneys and urinary tract
    • Rarely
      • After the use of large amounts of medicines containing povidone-iodine (e.g. in the treatment of burns): electrolyte and serum osmolarity disorders, impairment of kidney function, acidification of the blood (metabolic acidosis).
• special instructions
  • If any of the above possible side effects occur, discontinue treatment and consult your doctor.
• If any of the side effects gets serious, or if you notice any side effects that are not listed, please tell your doctor or pharmacist.

leg ulcers treatment at home interactions

• When using the solution with other medicines:
  • Please inform your doctor or pharmacist if you are taking/using or have recently taken/used other medicines, even if they are non-prescription medicines.
  • It is to be expected that povidone iodine, the active ingredient in the solution, will combine with protein and various other organic substances such as e.g. B. reacts to blood and pus components, which can impair its effectiveness.
  • With the simultaneous use of the solution and enzymatic wound treatment agents, the enzyme component is oxidized by the iodine, thereby weakening the effect of both drugs. A mutual weakening of the effect also occurs when the solution is used at the same time as disinfectants containing silver, hydrogen peroxide or taurolidine.
  • The solution must not be used at the same time or for a short time afterwards with wound treatment or disinfectants containing mercury, as under certain circumstances a substance can form from iodine and mercury that damages the skin.
  • Patients who are treated with lithium preparations should avoid regular application of the solution, especially over large areas, since absorbed iodine can promote the possible triggering of hypothyroidism by lithium.

Contraindications

• The solution should not be used if
  • You suffer from an overactive thyroid gland (hyperthyroidism) or another existing (manifest) thyroid disease
  • you suffer from the very rare chronic skin inflammation dermatitis herpetiformis Duhring
  • you have planned or had radiation therapy of the thyroid gland with iodine (radioiodine therapy) (until the end of the treatment)
  • you have previously had a hypersensitivity reaction to iodine or any of the other ingredients of the medicine.

pregnancy and breast feeding period

• During pregnancy and lactation, the solution is to be used only on the express instructions of the doctor and in an extremely limited manner. In this case, it is necessary to check the thyroid function in the child. Care must be taken to avoid accidental ingestion of the solution by the infant's mouth on the nursing mother's breast.
• Ask your doctor or pharmacist for advice before taking/using any medicine.

patient leg ulcers treatment at home notes

• Particular caution is required when using:
  • After thyroid disease or in the case of a goiter, you should only use the solution over a long period of time and over large areas (e.g. over 10% of the body surface and longer than 14 days) if your doctor has expressly instructed you to. Even after the end of the therapy (up to 3 months) one should pay attention to early symptoms of a possible hyperthyroidism and, if necessary, monitor the thyroid function.
  • Regular use of the solution should be avoided during concomitant lithium therapy.
  • Because of the oxidizing effect of the active ingredient povidone-iodine, various diagnostic agents can deliver false-positive results during treatment with the solution (including toluidine and guaiac resin for determining hemoglobin or glucose in the stool or urine).
  • The uptake of iodine by the thyroid can be influenced by povidone-iodine; During treatment with the solution, this can lead to disruptions in diagnostic examinations of the thyroid gland (thyroid scintigraphy, PBI determination, radioiodine diagnostics) and make planned radioiodine therapy impossible. An interval of at least 1-2 weeks after stopping treatment with the solution should be observed before recording a new scintigram.
• children
  • In newborns and infants up to the age of 6 months, the solution should only be used on the doctor's express orders and should only be used in a very limited way. In this case, a check of the thyroid function is necessary. Care must be taken to avoid accidental ingestion of the solution by the infant.
• Elderly people
  • The risk of thyroid hyperfunction caused by iodine is increased in older people. You should therefore only use the solution after consulting your doctor. In older patients with goiter or a particular predisposition to thyroid dysfunction, the solution should only be used over a large area and over a longer period of time if the doctor has expressly instructed it to do so. If necessary, monitor thyroid function.

• Driving and using machines
  • There is no experience of impairment of the ability to drive and use machines.