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Povidone Iodine dry powder spray

Discussion in 'United Kingdom' started by DTT, Aug 12, 2013.

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  1. DTT

    DTT Well-Known Member


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    Hi All

    Why is the above no longer available :confused:

    I have had 2 Betadine dry powder spray on back order for several moths with supplier who informs me "there is a problem in manufacture".

    I spoke today with my local friendly pharmacist who informs me it is no longer available and there is no substitute to replace it.

    I and I'm sure many use Betadine dry powder for post op dressing after nail surgery and am coming to the end of my stock.

    Anyone know if it is a temporary glitch in supply or if permanent any idea of a "dry " substitute ?
    Cheers
    D;)
     
  2. Deborah Ferguson

    Deborah Ferguson Active Member

    Hi

    Yes I've noticed liquid betadine pre-operative skin prep no longer seems to be available either.

    Deborah
     
  3. Lorcan

    Lorcan Active Member

    Try Savlon Dry Powder Spray. Works fine and widely available.
     
  4. DTT

    DTT Well-Known Member

    Nope not according to the pharmacist that's been withdrawn as well. I have told patients to get that as a substitute all came back as unable to get it. Hence my post here
    Cheers
    D;)
     
  5. DTT

    DTT Well-Known Member

    The pharmacist said there are lots of iodine products that are being withdrawn with no explanation of why or any alternative is substituted so I think we may all be looking for guidance in the not too distant future.
    Cheers
    D;)
     
  6. gaz_marshall

    gaz_marshall Member

    We're in the same position. I can't see anything online to indicate a reason why it has been removed.?!
     
  7. twirly

    twirly Well-Known Member

    Same here. Checked all usual suppliers.

    Took me ages to source preferred dressings (Melolite 5 x 7) which also went off radar then found a source. Not, however for this dry spray.
     
  8. DTT

    DTT Well-Known Member

    I have had a nurse in that informs me " the reason betadine has been withdrawn is , it was being used in the Tx of ulcers and was being applied without removing the previous application which had a detrimental effect on healing"

    That is just an aside and opinion from an outside source whether that is actually the reason for withdrawal I don't know .
    Cheers
    D;)
     
  9. blinda

    blinda MVP

  10. Deborah Ferguson

    Deborah Ferguson Active Member

    Hi Again

    Betadine skin prep isn't available from my usual supplier but is available from Amazon ! Confused
    Deborah
     
  11. Tim VS

    Tim VS Active Member

    Yes, same here. It does seem to be a national issue and very puzzling.

    Regards

    Tim
     
  12. DTT

    DTT Well-Known Member

    Just checked Amazon, only betadine solution not dry powder available :confused:

    Cheers
    D;)
     
  13. blinda

    blinda MVP

    There does not appear to be a public explanation for the sudden disappearance of some iodine-based products. But, I reckon the bad press that these have been receiving in association with perceived `allergy` of iodine (discussed here; http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=84822&highlight=iodine) amongst pts (and perpetuated by some health care workers), could likely have lead to a reduction in demand and subsequent withdrawal as there just aint the money in it as there once was for Big Pharma.

    The attached article, which addresses the confusion regarding allergic reactions, is of interest. In part, it reads;

    Just my thoughts...or `Guess work`;)

    Cheers,
    Bel
     

    Attached Files:

  14. horseman

    horseman Active Member

    I would suspect that as with Phenol it is a license issue, Phenol is now a problem because it costs (£120000+) manufacturers too much to obtain the correct paperwork, while we as a profession use betadine/videne/inadine I wonder how much is used by other professions. Look at some of the wound care forums at what else is now available (at a cost). The way the phenol issue was resolved was to license the applicator not the pharmaceutical. BTW some small suppliers still do have either betadine or savlon dry. When it's gone I don't expect it will be back, think of Ponoxilin.
     
    Last edited: Aug 14, 2013
  15. DTT

    DTT Well-Known Member

    Polynoxylin= Anaflex which I thought was also withdrawn some time ago ( I may be wrong on that ) but I found it made wounds soggy and inappropriate for post op dressings.

    Betadine dry powder has been around as long as I can remember and I have never had a problem with it nor have I ever heard of any other pod / practitioner having one either.

    If these products are going to be withdrawn / suspended then at least give a similar alternative that does what we want not something that generally retards healing :bash:

    horseman, can you tell me these suppliers you mention that still have betadine /savlon dry powder please. My supplies are very low :empathy:
    Thanks
    D;)
     
  16. rosherville

    rosherville Active Member

    'i don't think it will be back, think of Ponoxilin'

    Ponoxilin was not the same as 'Polynoxylin= Anaflex. It was withdrawn/licence issue at least 25 years ago. A wonderful product, certainly no soggy issue. It was a white cream that almost liquified on application, soaked in, then dried. Excellent on wounds, I've never found anything as efficient to replace it. I'm inclined to think that it was it's base that contributed to it's efficacy.
     
  17. DTT

    DTT Well-Known Member

    Thanks for jogging my memory on that :drinks

    That would appear to be the problem, many medications being withdrawn but nothing to replace them and it looks like iodine products are going the same way.

    I have not seen an official N.I.C.E explanation as to why ? These products have been around as long as I can remember and I have never heard of any problems as such with them. Somewhere I smell an EU directive involved and time will tell if that is the case :wacko: In the meantime I suppose we shall all have to search for a viable alternative.
    Cheers
    D;)
     
  18. chocolatey

    chocolatey Welcome New Poster

    Hey all,

    This issue with savlon spray was brought to my attention by a pt at the beginning of July - his pharmacist told him that his suppliers had rung him to say item had been removed from his standing order. Update from him is a new savlon dry spray describing its self as a plaster antiseptic??? Almost tempted to contact manufacturers to get an answer although the allergy/misuse route is probably going to be the reponse. Shame because it was brilliant for pts to treat inbetween appts for those nasties that crop up!
     
  19. blinda

    blinda MVP

    Yep, as I said; money for nuffin`.

    For those that don`t know, the singer of the original tune which Knopfler used in "Money for Nothing" is described as a real ignoramus, hard hat mentality – somebody who sees everything in financial terms.

    The perceived `iodine allergy` epidemic just adds justification to the introduction of the `new and improved`. IMVHO, of course.
     
  20. indiesagar

    indiesagar Welcome New Poster

    Hi , I've used betadine dry powder spray for over 15 years in private practice
    I have had no problems at all, I've used it on ulcer patients, and nail surgery patients.
    And had no probs ! Why has it been removed ?
     
  21. DTT

    DTT Well-Known Member

    __________________

    I days gone by when I qualified there were two types of iodine in general use, Iodine Fortis ( strong) and iodine mitis (weak) solutions. The fortis was withdrawn followed by mitis the reason being "iodine allergy".

    Povidone (" tamed" as it was known) iodine came out to counteract the allergy problems and as far as I am aware has never been a problem until now.
    I have tried to contact the manufacturer to find out the truth about betadine and if it is permanently gone or just a glitch.

    The guy I want is on holiday till the end of august apparently so ,watch this space....
    Cheers
    D;)
     
  22. Deborah Ferguson

    Deborah Ferguson Active Member

    Hi

    Spoke to my local pharmacist today. He didn't know the reason for the problem but checked his data sheets.

    There appears to be a supply problem with the manufacturer. The product is back on stream at the end of September ( hopefully!).

    Regards

    Deborah
     
  23. horseman

    horseman Active Member

    Sorry for the late reply, I've just had a quick break in St Georges...
    Last supply of Betadine was from Chiropody Express, I know DLT has none nor Patersons, CPL or any of the big suppliers. Your best bet is a small supplier.
     
  24. DTT

    DTT Well-Known Member

    Hmmmm, It would appear from the replies, pharmacies don't have / cant get any so I guess unless your very lucky and find someone with remaining stock we aint gonna get any.

    As I said in an earlier post, I have tried to contact the manufacturer but the guy I need to speak to is on holiday till the end of August so I will get to the bottom of it then and post a reply here.
    Cheers
    D;)
     
  25. DTT

    DTT Well-Known Member

    Well efficient the company are :drinks
    My email was passed up and I have spoken to a very helpful respondent who informs me " Betadine dry powder spray is definitely NOT being withdrawn and should be available again within the next 4 weeks"

    Apparently there has been a problem with the actual manufacture which is now sorted and waiting for approval from the relevant bodies.

    So we can all breath easy again :D

    Cheers
    D;)
     
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