Bismuth+Iodoform paste

Bismuth Subnitrate and Iodoform Paste Impregnated Gauze.

A lemon yellow paste impregnated gauze with characteristic antiseptic odour.

The gauze is impregnated with a paste of composition.

A paste impregnated gauze.

a) Post ENT Surgical ProceduresAs an antiseptic gauze used to prevent infection and thus assist healing following ENT procedures.It is not recommended that the impregnated gauze be placed into open wounds.b) Acute EpistaxisTo pack the nasal cavity in order to reduce/stop the flow of blood.

a) In ENT surgical proceduresSufficient impregnated gauzes should be packed into the cavity to protect the operation site from bacterial challenge. The gauze is left in place until the wound has healed or graft taken.It is not recommended that the impregnated gauze be placed into open wounds.b) Acute epistaxisSufficient impregnated gauze(s) is packed up in the nose to stop the blood flow. The gauze is removed the following day or when clinical judgement dictates.

Known hypersensitivity to Iodoform, iodine and bismuth.

Use with caution with patients suffering from hyperthyroidism.

None known.

There is insufficient evidence of safety in pregnancy, as with all drugs it is not recommended the product is used in pregnancy.

Not applicable.

Hypersensitivity to iodine can result in an erythematous rash, which subsides on removal of the gauze.Although rare, there are reports within the published literature of the development of encephalopathy associated with the application of BIPP, however none of the cases reported have occurred following ENT procedures.

Severe iodine poisoning is characterised by headache, somnolence, delirium and rapid feeble pulses. General supportive procedures are required. Overdose is not usually a problem when gauzes are packed in small cavities associated with the middle ear and mastoid operations.

Iodoform:-Has a marked anaesthetic and antiseptic action due to the release of iodine.

Bismuth subnitrate:-Bismuth subnitrate action is both as an astringent and absorbent.

Pharmacokinetic particulars are not applicable since the active constituents are not systemically absorbed.

Not applicable

Paraffin Liquid BPX-Ray detectable Fast Edge Ribbon Gauze May also contain Purified water BP.

The paste is incompatible with oxidising agents - lead, silver and mercuric salt.

2 years

Store between 2-8°C. Protect from light.

An Aluminium laminated pouch of composition:

Discard any unused gauze at the end of a procedure or session. Do not use if the pouch is damaged.

Aurum Pharmaceuticals Limited Bampton RoadHarold Hill RomfordEssex RM3 8UG

PL 12064/0002

12th January 1995

June 2002