Depending on whether a 30-gram or 90-gram tube of SANTYL Ointment is used, the appropriate length of ointment needed for wound debridement will differ. The illustrations below represent 1 gram of ointment from a 30-gram and a 90-gram tube. The images below are provided as a reference and are not intended to supersede independent clinical judgment or institutional protocols.
A version of this video is also available for patients. Go to patient video.
» Remove as much loose debris from the wound as possible
» Gently cleanse the wound bed with sterile saline or an appropriate wound cleanser (optimal pH 6–8) followed by saline, each time a dressing is changed
» When necessary, crosshatch thick eschar with a #10 blade to ensure optimal surface contact
» Apply directly to the wound or to a sterile gauze pad, which is then applied to the wound and properly secured
» Apply SANTYL Ointment at 2 mm thickness (approximately nickel thickness)
» Apply SANTYL Ointment within the area of the wound
» Apply once daily (or more frequently if the dressing becomes soiled, as from incontinence)
» Wounds with sufficient exudate will naturally activate the collagenase enzyme, but a dry wound bed may require additional moisture
» Do not use dressings containing silver (Ag) or iodine (I2) with SANTYL Ointment, as these ions inactivate collagenase, the active enzyme in SANTYL Ointment
» You may apply a topical antibiotic powder before applying SANTYL Ointment
» If infection persists, discontinue use of SANTYL Ointment until the infection is resolved
Collagenase SANTYL Ointment is indicated for debriding chronic dermal ulcers and severely burned areas.
Occasional slight transient erythema has been noted in surrounding tissue when applied outside the wound. One case of systemic hypersensitivity has been reported after 1 year of treatment with collagenase and cortisone. Use of Collagenase SANTYL Ointment should be terminated when debridement is complete and granulation tissue is well established.
For more details, please see complete prescribing information.