Frequently asked questions
Please click on a questions below to reveal the answer
Q: How do I use Flaminal?
Clean and rinse the wound as you would normally
Dab dry carefully
Apply a thick layer (5mm) of Flaminal to the wound in a sterile manner. Flaminal does not need to spill over the wound edge.
Cover with a sterile dressing.
Q: What dressing should I use with Flaminal?
Dress according to the amount of exudate. Choose an absorbent dressing for wetter wounds. On drier wounds, use one that reduces evaporation and prevents the wound from drying out. The dressing should not have anything additional embedded in it such as silver or iodine.
Q: Can I use foam dressings with Flaminal?
Yes, foam dressings can be used. Use foam on more highly exuding wounds.
Q: When should the dressing be changed?
The dressing can stay in place for as long as the gel structure is intact: 1-4 days, depending upon the amount of exudate
For wounds treated with Flaminal Hydro, ie, lower exudate wounds, this generally means every 3-4 days. Flaminal Forte wounds, being higher in exudate, are usually changed every 1-2 days
Q: Is Flaminal difficult to remove from the wound?
No. Flaminal can be washed from a wound using either water or saline. Flaminal does not stick to a wound.
Q: Do I need a prescription to buy Flaminal?
No, Flaminal can be purchased without a prescription from any retail pharmacy.
Q: Can diabetics use Flaminal?
Yes, diabetic patients can use Flaminal on their wounds.
Q: Flaminal seems to have made the wound larger?
In the initial stage of treatment, this is normal. Flaminal is debriding the dead tissue around the wound edges.
Q: What is the difference between Flamigel and Flaminal?
Flamigel and Flaminal are differentiated on the basis of the wounds they treat. Flamigel is “family first aid” – recommended for superficial burns,cuts, grazes and sunburn. Flaminal is used to treat more serious wounds including leg and diabetic ulcers; pressure sores; complex grazes; 2nd degree burns (deep, superficial); oncology wounds and wounds from dermatosurgery.
Flamigel is an hydroactive colloid gel. Flaminal is a hydrated alginate with an embedded anti-bacterial enzyme system.
Q: I’ve noticed dry, whitish flakes on the edge of the wound?
This is normal. The whitish flakes are flakes of the alginate in Flaminal which deposit on the wound edge to prevent border maceration. Maceration can slow the healing process of the wound.
Q: I’ve noticed a faint odour when using Flaminal?
This is normal. Alginates have a faint odour, but this odour has no influence on the healing process. Should there be a sudden or distinct odour, consult your healthcare professional.
Q: I’ve noticed dry, white flakes in the wound?
If you have been using Flaminal Forte, change to Flaminal Hydro. The wound is too dry for the Forte.
Q: Do I have to keep the wound dry after applying Flaminal?
Yes, it is necessary to keep the wound dry. If you need to shower when the Flaminal and dressing is in place, protect the wound with a plastic bag or something similar that is waterproof. Should the wound and dressing get wet – remove the dressing, rinse the wound, reapply the Flaminal and then re-dress the wound.
Q: I’ve been using Flaminal Hydro, but the wound seems very runny?
The wound is too wet for Flaminal Hydro, change to Flaminal Forte.
Q: What should I do when there is no Flaminal Hydro left on the wound and alginate flakes can be observed?
The wound is very dry and even the low concentration of alginate in the Flaminal Hydro is drying out. Replace the Flaminal Hydro and cover with a dressing which will reduce evaporation, e.g. a film or hydrocolloid.
Q: Can Flaminal be used on wounds that have been rinsed with diluted vinegar?
Yes it can. Acetic acid (vinegar) is compatible with Flaminal.
Q: Can Flaminal be used where a wart has been removed?
Yes. Use Flaminal Hydro.
Q: Can pregnant women use Flaminal?
Yes, as there is no absorption of Flaminal into the body, pregnancy is not a contra-indication.
Q: Can Flaminal be used on the eyelids or in the eyes?
No, Flaminal should not be used in or around the eyes. If Flaminal does come into contact with the eyes, seek medical assistance.
Q: Can Flaminal be used on suture lines?
Yes, apply Flaminal Hydro. Should there be a lot of exudate, use Flaminal Forte.
Q: Is Flaminal hypo-allergenic?
Yes, Flaminal is hypo-allergenic.
Q: Is there bacterial resistance to Flaminal?
No, to date, there have not been any reports of bacterial resistance.
Q: Is Flaminal poisonous if ingested?
No, Flaminal is not poisonous. Many foods contain alginates.
Q: How should Flaminal be stored?
Flaminal should be kept in a cool dry place (<25°C) and in its original packaging.
Q: Can Flaminal be stored in the refrigerator?
No, Flaminal should be stored at room temperature. However, if Flaminal® is refrigerated, it should be taken out of the refrigerator and left to reach room temperature before reuse. Flaminal® should never be stored in the freezer.
Q: Once opened, does the Flaminal 15g tube and 50g tube need to be thrown away immediately?
No, even after it is opened, Flaminal is okay until the expiry date shown on the packaging, provided the cap is replaced securely after use and the tube stored below 25°C. Flaminalshould not be shared. It should only be used by one person.
Q: Once opened, for how long can I continue to use the Flaminal 500g tub?
Once the Flaminal 500g tub has been opened, any unused contents should be discarded after 7 days.
Q: Does Flaminal contain a preservative?
Yes, Flaminal is preserved with potassium sorbate.
Q: Can Flaminal be used on neonates?
Yes, it can.
Q: Can Flaminal be used on heel ulcers?
Yes, apply Flaminal and cover with a V-shaped gauze compress.
Q: How do I use Flaminal in fistulas and small deep cavities?
Inject Flaminal carefully into the cavity using a syringe or canula.
Q: How do I use Flaminal in an undermined wound?
Place sterile gauze tampons in the cavity as a support and then apply a sufficient amount of Flaminal in the cavity between the tampons.
Q: Does Flaminal reduce hypergranulation?
No. Flaminal restores the bacterial balance in the wound and by continually removing nectrotic material allows natural wound healing. It does not reverse the effects of hypergranulation.
Q: Can Flaminal be used on blisters associated with EB?
Yes. Flaminal can be applied directly to the blisters or it can be put on the dressing and then applied via the dressing to the blisters. The dressing should be changed daily. Flaminal will not prevent the eruption of further blisters, for which there is no cure.
Q: Can Flaminal be used on split skin grafts?
Yes, Flaminal Hydro is usually recommended.
Q: Can Flaminal be used with cellulitis?
If there is a wound, Flaminal can be used. Flaminal Forte should be used when the exudate levels are high. Change to Flaminal Hydro as exudate reduces.
Q: Can Flaminal be used together with Acticoat?
No. The combined use of Flaminal and Acticoat is contra-indicated.
Q: What common wound pathogens has Flaminal been shown to be active against?
Flaminal has been shown to be active against MRSA, VREF, E.coli and Pseudomonas.
Q: Can Flaminal be used with hyperbaric treatments?
Yes, it can.
Q: Is surgical or manual debridement necessary before the application of Flaminal?
No. One of the key actions of Flaminal is continuous autolytic debridement. Surgical or manual debridement prior to application is not necessary.
Q: Can Flaminal be used as a treatment against thrush?
Flaminal is effective against C. albicans, but the gel is not suited for thrush treatment, so it should not be used.
Q: Does Flaminal have any action on the inflammatory stage of wound healing?
Flaminal reduces bacterial load and reduces excess of some matrix metaloprotease (MMP) activity, namely MMP-1 and MMP-9. Flaminal does not stop MMP activity entirely and nor should it as a wound needs some inflammation to heal well. In the absence of inflammation, a wound will become atonous and stop healing.
Q: Is Flaminal haemostatic?
No. Flaminal does not contain sufficient calcium to be haemostatic.
Q: What is the purpose of guaiacol in Flaminal?
The guaiacol in Flaminal increases the lifespan of the oxygen and halogenide radicals. This substantially increase the effectiveness of the enzyme system without causing toxicity to skin cells.
Q: Is there any benefit to using Flaminal on suture lines?
Yes, Flaminal acts as a prophylactic against bacterial infection. It also creates the ideal wound healing environment so as to promote healing and minimise scarring. Apply Flaminal on the sutures and cover with a transparent film. The film should remain in place until the sutures are removed.
Q: Can Flaminal be applied directly onto bone and/or tendon?
Yes it can. Please click on the below link and refer to the second case.
Link: Treatment of four rare and difficult wounds requiring exceptional wound bed preparation
Q: Can Flaminal be used on infants who are glucose intolerant?
Yes, it can.
Q: Can Flaminal be used after laser facial ablation?
Yes, Flaminal can be applied, but it should be covered. Non adherent absorbent dressings or 1 to 2 layers of simple cotton gauze can be used. If transparency is sought, silicon sheets can be used or even light curtain nylon fabric. As the primary dressing is not adherent, it should be combined with a mesh in the form of a balaclava, particularly if the treated surface area is large.
Q: Can Flaminal be used on fungating facial tumours?
If bleeding is not an issue, then yes, Flaminal can be used. The Flaminal will create a moist wound healing environment. It will also debride the wound and help clear up any infection.