Manuka honey FAQ's
Can your Manuka honey dressings be used on diabetic patients?
While there is no known case of honey influencing blood glucose levels adversely, it is recommended that the blood sugar levels of patients with diabetes are monitored when using honey.
Can the Activon Tulle be unfolded to apply?
Activon Tulle can be unfolded and applied, however this will reduce the level of honey at the wound bed. The triple layer of the gauze delivers the optimum amount of honey to the wound bed therefore unfolding the dressing would affect efficacy.
Can Activon honey be used under compression bandaging?
The Activon range can be used under compression bandaging. The amount of exudate would influence your choice of Algivon, Activon Tulle or Actilite with an appropriate absorbent secondary dressing such as Eclypse. As compression bandaging is ideally designed to be left in place for a full week Algivon may be appropriate due to the fact that, in the presence of exudate, the alginate fibres swell, forming a sodium-calcium gel on their surface which combines with the honey. The resulting honey-gel complex prolongs the retention of honey at the wound site, increasing effectiveness. The secondary dressing must be appropriate to the exudate level and will influence wear time.
Does the honey sting on application?
There have been reports of honey causing a stinging pain when applied to the wound. This appears to be due to the acidity of honey, as pain is not experienced when neutralised honey is used. The pain experienced does not seem to be indicative of damage being done to the wound, as wounds have healed rapidly in cases where patients have endured the pain to benefit from the stimulation of healing that they see, and in cases where analgesia has been used. There is evidence that honey stimulates nocioceptors (Al-Swayeh and Ali, 1998), nerve endings that create a pain sensation in response to heat, acidity and some organic chemicals. It may be that it is not a direct effect of the acidity of honey, as neutralising honey could affect the ionisation of some of its components and make them unable to fit in the nocioceptors. It is possible that in some patients these nerve endings are sensitised and are more responsive to the acidity and/or the component organic chemicals of honey.
What are the contra indications for your Manuka honey?
Known allergy to bee-venom. Although no known instance of increased levels of blood sugar in patients with diabetes. It is advisable to closely monitor the levels. Increased pain may be experienced due to acidification.
How long can the honey dressings be left on the wound for?
The dressings can be left in place for up to seven days, again this would depend on the exudate levels produced by the wound and the appearance of the dressing. As long as the dressing has maintained it’s original colour (the honey is present) it can remain in situ.
Can Activon Tulle or Algivon be folded and put into a cavity?
Both dressings could be put into a cavity wound, again dependant on exudate levels. If there is a possibility of sinus within the wound base then Activon Tube should be used to ensure that the honey reaches the entire wound bed.
What happens to the exudate when Algivon is being used?
Algivon contains calcium alginate which forms a gel when in contact with exudate however an appropriate secondary absorbent dressing will be required such as Eclypse or Eclypse Adherent.
How do you know whether to use Algivon or Activon Tulle?
This would be dependant on the grade of wound and the level of exudate. In a heavily exuding or necrotic wound your choice would be Algivon however if the wound is producing moderate exudate then Activon Tulle would be the dressing of choice.
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