(BAL sam pe RUE & KAS tor oyl)
Wound management: Used to promote wound healing and the treatment of decubitus ulcers, varicose ulcers, and dehiscent wounds.
There are no contraindications listed in the manufacturer 's labeling.
Ulcer/wound management: Topical:
Aerosol spray: Apply 3 times daily
Ointment: Apply thin film twice daily or as often as necessary.
Refer to adult dosing.
There are no dosage adjustments provided in the manufacturers labeling. However, dosage adjustment unlikely due to low systemic absorption.
There are no dosage adjustments provided in the manufacturers labeling. However, dosage adjustment unlikely due to low systemic absorption.
Do not apply on fresh arterial clots.
Aerosol spray: Shake well; spray ~12 inches from area to be treated. Additional bandaging not required. May gently massage the area immediately surrounding the wound (by or under the direction of professionally trained personnel).
Ointment: Apply a thin film over the area being treated. May be used with appropriate dressing if needed or wound may be left unbandaged. To remove, wash gently with appropriate wound cleanser.
Aerosol spray: Do not store at temperatures above 48 ‚ °C (120 ‚ °F).
Ointment: Store at 20 ‚ ºC to 25 ‚ ºC (68 ‚ ºF to 77 ‚ ºF), excursions permitted between 15 ‚ ºC and 30 ‚ ºC (between 59 ‚ ºF and 86 ‚ ºF). Brief exposure to temperatures up to 40 ‚ ºC (104 ‚ ºF) may be tolerated provided the mean kinetic temperature does not exceed 25 ‚ ºC (77 ‚ ºF); however, such exposure should be minimized. Protect from freezing.
Excipient information presented when available (limited, particularly for generics); consult specific product labeling. [DSC] = Discontinued product
Aerosol, External:
Amberderm: Balsam peru 72.5 mg and castor oil 650 mg per 0.82 mL (113.4 g)
Proderm: Balsam peru 72.5 mg and castor oil 650 mg per 0.82 mL (113.4 g [DSC])
Ointment, External:
Venelex: Balsam peru 87 mg and castor oil 788 mg per gram (5 g, 30 g, 60 g)
There are no known significant interactions.
Disease-related concerns:
- Hemoglobin deficiency: Wound healing may be retarded in the presence of hemoglobin deficiency.
- Zinc deficiency: Wound healing may be retarded in the presence of zinc deficiency.
Dosage form specific issues:
- Aerosol: Flammable; do not expose to high temperatures or flame.
Other warnings/precautions:
- Appropriate use: For external use only; avoid contact with eyes. Do not apply to fresh arterial clots.
Balsam peru stimulates circulation at the wound site and may be mildly bactericidal; castor oil improves epithelialization, acts as a protectant covering and helps reduce pain
- Discuss specific use of drug and side effects with patient as it relates to treatment. (HCAHPS: During this hospital stay, were you given any medicine that you had not taken before? Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? How often did hospital staff describe possible side effects in a way you could understand?)
- Patient may experience stinging. Have patient report immediately to prescriber severe skin irritation (HCAHPS).
- Educate patient about signs of a significant reaction (eg, wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; or swelling of face, lips, tongue, or throat). Note: This is not a comprehensive list of all side effects. Patient should consult prescriber for additional questions.
Intended Use and Disclaimer: Should not be printed and given to patients. This information is intended to serve as a concise initial reference for health care professionals to use when discussing medications with a patient. You must ultimately rely on your own discretion, experience and judgment in diagnosing, treating, and advising patients.