Flaminal is a trade mark of Flen Pharma | © Copyright Flen Pharma, 2014. KerraMax Care is a trade mark of Crawford Woundcare Ltd | © Copyright Crawford Healthcare Ltd, 2014.

Crawford Healthcare Ltd | King Edward Court | King Edward Road | Knutsford Cheshire | WA16 0BE | UK | Tel +44 (0)1565 654920 | Email info@crawfordpharma.com www.crawfordhealthcare.com

For more specific product information and advice, or to place an order,

talk to your local Territory Business Manager or call 01565 654 920.

For more specific product information

and advice, or to place an order,

talk to your local Territory Business

Manager or call 01565 654 920.

Flaminal is available on prescription in 4 convenient sizes and can be ordered through your

pharmacy; or contact Script-easy on Freephone 0800 0121 699 or Fax 01903 875 085.Flaminal is available on prescription

in 4 convenient sizes and can be ordered

through your pharmacy; or contact

Script-easy on Freephone 0800 0121 699

or Fax 01903 875 085.

Enzyme Alginogel®

1 ASSESS Assess the wound against the T.I.M.E. framework (see page 2) and select

the right Flaminal product to use on the wound:

Select Flaminal Hydro for wounds that have mild to moderate

amounts of exudate.

Select Flaminal Forte for wounds that have moderate to

heavy amounts of exudate.

2 APPLY

• Clean and irrigate the wound according to your local guidelines.

• Apply a thick layer (5mm) of either Flaminal Hydro or Flaminal Forte

to the wound.

3 DRESS

• Assess the amount of exudate and select the appropriate dressing.

• Choose an absorbent dressing for wetter wounds (e.g. KerraMax Care™).

• On drier wounds, use a dressing that reduces evaporation to prevent

the wound from drying out.

4 CHANGE

• The dressing can stay in place for as long as the gel structure is

intact: 1—4 days, depending on the amount of exudate.

• It is important to assess the wound at regular intervals.

How to apply Flaminal in 4 easy steps

Order Information

TOP TIPS• When using Flaminal Hydro, if the gel becomes too liquid too quickly, the wound

is too wet — so switch to Flaminal Forte instead.

• When using Flaminal Forte, if dry flakes of alginate appear in the wound, the wound is too dry — so switch to Flaminal Hydro.

• During Flaminal treatment, dry whitish alginate flakes may appear on the wound edges. They should not be removed. The flakes will protect the wound edges and prevent maceration, which can slow the healing process.

• When using Flaminal Forte for highly exuding wounds (e.g. leg ulcers), apply the gel to the secondary dressing for ease of application.

PACK SIZE PIP CODE NHS CAT NO.

5 x 15g tubes 324-2971 ELG021

1 x 50g tube 344-9600 ELG025

Contains a lower amount of alginatePACK SIZE PIP CODE NHS CAT NO.

5 x 15g tubes 324-2971 ELG021

1 x 50g tube 344-9600 ELG025

Contains a lower amount of alginate

PACK SIZE PIP CODE NHS CAT NO.

5 x 15g tubes 324-2963 ELG022

1 x 50g tube 344-9592 ELG023

Contains a higher amount of alginate

PACK SIZE PIP CODE NHS CAT NO.

5 x 15g tubes 324-2963 ELG022

1 x 50g tube 344-9592 ELG023

Contains a higher amount of alginate References1. Data on file. Crawford Healthcare 2014. 2. Churchill, J. Earning the patient’s trust to facilitate healing. Wounds UK Poster Presentation 2009. 3. Wormald, H. Management of pseudmonas infected bilateral leg ulcers with Flaminal. Wounds UK Poster Presentation 2013. 4. Brereton, A. Treating a Diabetic Neuropathic Wound. Wounds UK Poster Presentation 2011. 5. Bloomer, L., et al. Treatment of a Diabetic Foot Ulcer with Flaminal and KerraMax. Wounds UK Poster Presentation 2011. 6. de la Brassinne M, Thirion L and Laenen Horvat L-I. A novel method of comparing the healing properties of two hydrogels in chronic leg ulcers. JEADV 2006;20:131–135. 7. Vandenbulcke K, Laenen Horvat L-I, De Mil M, Segers G and Beele H. Evaluation of the antibacterial activity and toxicity of 2 new hydrogels: a pilot study. The International Journal of Lower Extremity Wounds 2006;5:109–114. 8. De Smet K, Van den Plas D, Lens D and Sollie P. Susceptibility of antibiotic-resistant bacterial strains to a naturally occurring antimicrobial enzyme system. Presented at EWMA 2007 (Glasgow, UK), EBA 2007 (Budapest, Hungary) and CPC 2008 (Paris, France). 9. De Smet K, Van den Plas D, Lens D and Sollie P. Pre-Clinical Evaluation of a New Antimicrobial Enzyme for the Control of Wound Bioburden. Wounds 2009;21(3):65–73. 10. Beele H, Durante C, Kerihuel S, Rice S, Rondas A, White R. Expert consensus on a new enzyme alginogel. Wounds International 2012;3.

A total approach to wound bed preparation

Enzyme Alginogel®

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Moisture Balance — The different stages of wound healing

Wet

MoistDebride

Absorb

Debride

Protect and Hydrate

Dry

Wound progression over time

Enzyme Alginogels — works at several levels simultaneously

T = Tissue management Removal of necrotic tissue

• Continuous wound debridement6

• Eliminates necrotic, dead tissue – helping to prepare the wound bed

I = InflammationandInfectioncontrol Keeping inflammation and infection under control

• Antimicrobial: 7,8,9,10 glucose oxidase and lactoperoxidase combine to restore and maintain the bacterial balance

M = Moisture balance Wound moisture management

• Provides a moist wound environment6

• Absorbs excessive exudate• Intimate contact with the wound surface

E = Edge/epithelial advancement Wound edge protection

• Protects the wound edges7,8,9

• Not cytotoxic = not toxic to healthy skin cells

Flaminal contains:

1 Alginate — hydrated alginate polymers

2 Enzymes — antimicrobial enzymatic

complex; glucose oxidase and

lactoperoxidase

Flaminal is available in 2 variants:

— for low to moderately

exuding wounds (3.5% alginate).

— for moderate to heavy

exuding wounds (5.5% alginate).

Flaminal — Enzyme Alginogel

From dry and necrotic, infected and painful,

to wet and exuding, all wounds have different

needs at different stages to encourage healing.

Taking a holistic approach to wound assessment

enables the right products to be prescribed

for your patients. Treatment of the wound

at every stage of the established T.I.M.E.

framework (See table below) based on

intervention in the 4 clinical areas of T.I.M.E.

enables development of an optimal, well

vascularised and prepared wound bed.1

What is Flaminal?

T = Tissue management Removal of necrotic tissue2 B

EFO

RE

AF

TER

I = InflammationandInfection control Keeping inflammation and infection under control3

BEF

OR

E

AF

TER

M = Moisture balance Wound moisture management4

BEF

OR

E

AF

TER

E = Edge/epithelial advancement Wound edge protection5 B

EFO

RE

AF

TER

Cost-effectiveFlaminal is self-sterilising. So, once

opened, it can be recapped and reused

on the same patient until the expiry

date on the pack.

How Flaminal works

It is known that the chronic wound healing

differs from that seen in acute wounds in that

the normal process is disrupted or ‘in stasis’.

In order for the normal healing to resume, the

barriers to healing must be removed. Eschar

and slough, while providing a focus for

infection, can also delay healing. Removal

of these, along with proper wound bed

preparation, will aid the healing process.

Flaminal’s action on either dry or wet wounds

enables these products to be used across a

wide variety of challenging indications that

require debridement, maintenance of

optimum moisture balance and controlling

bioburden, in order to prevent or reduce

topical infection.

• Leg ulcers

• Pressure ulcers

• Diabetic foot ulcers

• Fungating wounds

• Radiotherapy wounds

• Skin tears

• Donor sites

A total approach for Chronic Wounds

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