SEPSO J Povidone iodine ointment
Active ingredients
- 100 mg povidone iodine
Excipients
- Water, purified
- Macrogol 400
Indication :
- This medicine is a germicidal agent (antiseptic) containing povidone-iodine for antimicrobial skin and wound treatment.
- It is used for repeated, time-limited use as an antiseptic for damaged skin, such as: B. Decubitus (pressure ulcer), leg ulcer (leg ulcer), superficial wounds and burns, infected and superinfected skin diseases.
Dosage :
- Always use the product exactly as directed. Please ask your doctor or pharmacist if you are not sure.
- The ointment is applied several times a day if necessary, depending on the size of the area to be treated.
- When starting treatment for severely inflamed or weeping wounds, the ointment should be reapplied every 4 - 6 hours to maintain optimal microbicidal effect.
- The ointment can remain on the wound for a long time and should be reapplied at the latest after it has been discolored.
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A notice:
- The brown color of the ointment is a property of the preparation.
- It indicates the presence of available iodine and thus the effectiveness. If the brown color decreases, the dosage should be reapplied, although the affected areas must be completely covered, as the ointment only has a local antiseptic effect.
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Duration of application
- The duration of use of the ointment depends on the indication in each case.
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If you have used more than you should
- this cannot harm the wound. Excess ointment outside the area to be treated should be removed with a clean cloth to avoid soiling clothing.
- This preparation should only be used externally.
- If you accidentally ingest large amounts of the ointment, seek medical advice immediately as serious thyroid dysfunction can occur.
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If you forget to use it
- continue treatment according to the indicated dosage.
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If you cancel the application
- the condition of the wound may worsen.
- If you have any further questions about using the medicine, ask your doctor or pharmacist.
Way :
- For external use
- The ointment is applied several times a day if necessary, depending on the size of the area to be treated.
- For local, antiseptic-therapeutic use, the affected areas are completely coated.
Side effects :
- Like all medicines, this can cause side effects, although not everyone gets them.
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When evaluating side effects, the following frequency information is used:
- Very common: more than 1 in 10 people treated
- Common: less than 1 in 10, but more than 1 in 100 people treated
- Uncommon: less than 1 in 100, but more than 1 in 1,000 people treated
- Rare: less than 1 in 1,000, but more than 1 in 10,000 people treated
- Very rare: less than 1 in 10,000 people treated, or unknown
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Significant side effects or signs to look out for and actions to take if affected:
- If you are affected by any of the side effects listed below, stop using the product and consult your doctor as soon as possible.
- With prolonged treatment, wound healing may be impaired and temporary pain, burning and a feeling of warmth may occur.
- Very rarely, hypersensitivity reactions to iodine (iodine allergy) can occur.
- Very rarely, acute reactions of the immune system (anaphylactic reactions) can occur involving other organs (e.g. skin, respiratory tract, circulatory system).
- After extensive use of povidone-iodine or e.g. B. in the treatment of large burns, disorders of the salt and acid-base balance (electrolyte and serum osmolarity disorders as well as metabolic acidosis) have very rarely been described. This can very rarely lead to kidney failure.
- In patients with thyroid disease, thyroid function should be monitored regularly if this ointment is used over large areas or frequently, especially on damaged skin.
- If you notice any side effects, contact your doctor or pharmacist. This also applies to side effects that are not specified.
Interactions :
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Use together with other medicines
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Please inform your doctor or pharmacist if you are taking/using or have recently taken/used any other medicines, even if they are non-prescription medicines.
- Iodine reacts with mercury compounds to form highly corrosive mercury iodide.
- Povidone-iodine must not be used with taurolidine and hydrogen peroxide.
- If you are being treated with lithium preparations, you should avoid regular use of this ointment, especially over large areas, as ingested iodine can promote the triggering of hypothyroidism, which may be caused by lithium.
- The povidone-iodine complex is effective at pH values between 2 and 7.
- The complex is expected to react with protein and certain other organic compounds, reducing its effectiveness.
- No enzymatic wound treatment products may be used at the same time as povidone-iodine, as the enzyme component becomes ineffective.
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Please inform your doctor or pharmacist if you are taking/using or have recently taken/used any other medicines, even if they are non-prescription medicines.
Contraindications :
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The medicine must not be used
- if you are hypersensitive (allergic) to povidone-iodine or any of the other ingredients.
- if you suffer from thyroid disease.
- if you suffer from dermatitis herpetiformis Duhring (rare skin disease with burning, itching and various skin symptoms, especially on the arms, legs, shoulders and buttocks).
- if you have had radiotherapy of the thyroid gland with iodine (radioiodine therapy) planned or carried out (until treatment is completed).
- in newborns and infants up to 6 months of age.
Pregnancy and breast feeding period :
- The medicine should only be used up to the 9th week of pregnancy after careful consideration of the benefits and risks by the treating doctor.
- The ointment must not be used after the 9th week of pregnancy or during breastfeeding, as iodine, including from povidone-iodine, crosses the placenta and passes into breast milk.
Patient information :
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Special care is required when using:
- Because of the risk of chemical burns caused by mercury iodide, povidone-iodine must not be used simultaneously or shortly afterwards with mercury derivatives.
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Notes on influencing diagnostic examinations:
- Because of the oxidizing effect of povidone-iodine, various diagnostic tests can lead to incorrect results (including o-toluidine and guaiac resin for determining hemoglobin or glucose).
- When given povidone-iodine, iodine uptake by the thyroid gland can be reduced. This can lead to disruptions in certain thyroid tests such as thyroid scintigraphy (nuclear medicine examination of the thyroid gland), PBI determination (indirect determination method for thyroid hormones) and radioiodine diagnostics (nuclear medicine examination of thyroid function), as well as planned radioiodine therapy (treatment with radioactive 131 iodine) impossible. A waiting period of at least 1 - 2 weeks after discontinuation of povidone-iodine treatment should be observed before a new scintigram is taken.
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Ability to drive and use machines
- There are no special precautions required.