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Flaminal® Hydro/Forte

Flaminal®
Hydro/Forte

What is Flaminal®?

Flaminal® is a primary wound dressing for the treatment of acute and chronic wounds, ​infected wounds*​ or wounds at risk of infection.

Flaminal® has two formulations to manage exudate levels effectively​: 

  • Flaminal® Hydro for slightly to moderately exuding wounds

  • Flaminal® Forte for moderately to highly exuding wounds

* Under medical supervision only

How does Flaminal® work?

Debriding action

Flaminal® dissolves necrotic tissue and fibrinous slough leading to continuous debridement. 1,4

Absorbent alginate

Flaminal® absorbs excess exudate. 5

Antimicrobial enzyme system

Flaminal® offers antimicrobial protection, and reduces bacteria released from a biofilms. 1,4

Advanced wound care dressing

Flaminal® contains a unique antimicrobial enzyme system that supports the natural wound-healing process without impeding healthy cell growth.

It effectively destroys microbes within Flaminal®'s matrix and reduces bacterias released from biofilms, with no evidence of antimicrobial resistance to date. The alginate absorbs excess exudate, maintaining the ideal moisture balance for moist-wound healing.

Flaminal® continuously debrides the wound.5

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Benefits of Flaminal® 

Why use Flaminal®?

  • Versatile: suitable for a wide range of wound types and shapes.

  • Time-saving: replaces the need for multiple products, saving time for healthcare professionals.

  • Comprehensive: addresses all aspects of the TIMES wound assessment, including infection treatment and prevention.*

  • Promotes healing: supports faster wound healing.

  • All age groups: suitable for all age groups.

  • Atraumatic: enables painless dressing changes.

  • Safe: non-toxic to healthy skin cells and wound tissue.

  • Easy to use: easy to apply and suitable for self-management of certain wounds.

* Under medical supervision only

What makes Flaminal® different?

  • Flaminal® combines an absorbent alginate with an antimicrobial enzyme system. 1,3

  • The antimicrobial action of Flaminal® only takes place in the gel matrix, not on the wound bed. The enzyme system “kills” the bacteria that are absorbed in the gel matrix. 1

  • Flaminal® ensures optimal wound conditions and supports wound healing from the start of treatment. 2

Discover the versatility of Flaminal® in wound care

Flaminal® is a versatile treatment for various wound types, sizes, shapes, and conditions, effective across all healing phases.

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Learn about Flaminal®'s antimicrobial protection

Flaminal® is an advanced, non-cytotoxic wound dressing that provides antimicrobial protection for wound healing with no recorded cases of AMR to date.

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Learn about Flaminal®'s easy application

Flaminal® provides continuous, effective care without product changes, with easy application and suitability for shared care to ensure uninterrupted healing.

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How to apply

Step 1

Clean the wound following local protocols.

Choose which Flaminal® to start with according to exudate levels.

Use Flaminal® Hydro on slightly to moderately exuding wounds, Flaminal® Forte on moderately to highly exuding wounds.

Step 2

Apply Flaminal® covering the entire wound bed with a sufficiently thick layer (e.g. 4-5mm). 

Step 3

Cover Flaminal® with the appropriate secondary dressing according to exudate levels.

Frequency of dressing change
The dressing with Flaminal® can remain in place as long as the gel structure is intact (1 to 4 days, depending on the amount of exudate).

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Discover the difference between Flaminal® Hydro and Flaminal® Forte

Flaminal® comes in 2 formulations and different sizes

Flaminal® is a primary wound dressing, available in a variety of sizes and in two different formulations: Flaminal® Hydro and Flaminal® Forte.

This is to ensure Flaminal® can be adapted to patient needs with regards to exudate levels, and the amount of product required for treatment.

Flaminal® Hydro

Lower Alginate Content
For slightly to moderately exuding wounds

Size
10x10g
25g
40g

Flaminal® Forte

Higher Alginate Content
For moderately to highly exuding wounds

Size
10x10g
25g
40g

Additional resources

Flaminal® in real world examples

FAQ

When should Flaminal® (Hydro & Forte) be used?
  • Flaminal® Forte and Flaminal® Hydro should be used for moist wound healing, to treat acute or chronic wounds which have breached the dermis.
  • Flaminal® Forte contains a larger amount of alginate and should be used on moderately to highly exuding wounds
  • Flaminal® Hydro contains less alginate and should be used on slightly to moderately exuding wounds"
How should Flaminal® (Hydro & Forte) be used?
  • Irrigate and clean the wound and the surrounding area thoroughly.
  • Apply a thick layer (e.g. 4-5mm) of Flaminal®(Hydro or Forte).
  • Cover with a secondary dressing.
  • Renew Flaminal® (Hydro & Forte) whenever the gel structure is no longer intact (1-4 days, depending on the amount of exudate).
  • Initially the wound may appear larger; this is a normal consequence of the debriding action of Flaminal®(Hydro & Forte) which causes dead tissue to be absorbed.
  • The colour of the alginates (gel) may change slightly due to their natural origin. Colour changes have no effect on the quality of Flaminal® (Hydro or Forte). • Dry wax-like flakes (flakes of alginates) may be seen. This is OK if they are found on the wound borders as they will protect the wound from maceration.
  • If the flakes appear in the wound itself, particularly with Flaminal® Forte, it might be because the wound is not producing enough exudate and you should change to Flaminal® Hydro.
What if Flaminal® Hydro becomes too liquid?

The wound is too wet for Flaminal® Hydro and should be replaced with Flaminal® Forte, which is more absorbent. Ensure the secondary dressing is absorbent.

Does Flaminal® (Hydro & Forte) contain an antimicrobial compound?

Yes. Flaminal® contains two enzymes, glucose oxidase and lactoperoxidase. Glucose oxidase converts the available glucose, oxygen and water into peroxide ions. Lactoperoxidase converts the peroxide ions into reactive oxygen species. The reactive oxygen species created will destroy bacteria that are absorbed within the Flaminal® matrix. The antimicrobial mode of action of Flaminal only takes place in the matrix.

Does Flaminal® (Hydro & Forte) reduce overgranulation/hypergranulation?

Flaminal® (Hydro & Forte) restores the bacterial balance in the wound and by continually removing necrotic material, it allows natural wound healing. Should the wound overgranulate for reasons other than infection or friction, stop using Flaminal® (Hydro & Forte) and keep the wound dry to reduce cell growth. Applying local pressure to the wound bed will also help reduce overgranulation.

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We believe in the unique benefit of a biotechnological approach, preserving what is good in the wound and eliminating what is bad, thus providing the ideal environment for a wound to heal.

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Sources

  1. De Smet, K. et al. Pre-clinical evaluation of a new antimicrobial enzyme for the control of wound bioburden. Wounds. 2009, 21(3): 65 - 73.
  2. Jones, J. et al. TIME to assess wounds - a clinical evaluation of FLAMINAL® (ZEIT für die Bewertung von Wunden - eine klinische Evaluierung von FLAMINAL®) Wounds UK. 2018, 14(3): 63 - 69.
  3. White, R, Linssen, E: Wundbettvorbereitung, T.I.M.E. und ein Enzym-Alginogel: Literaturübersicht und die klinische Praxis. Wund Management 2016, 10(2), 87 - 90. 
  4. Cooper RA (2013) Inhibition of biofilms by glucose oxidase, lactoperoxidase and guaiacol: the active antibacterial component in an enzyme alginogel. Int Wound J 10(6): 630–7.
  5. Flenhealth.co.uk. 2021. Instruction For Use.