INTRODUCTION

SILVEZ CREAM contains Silver sulphadiazine which belongs to the group of medicines called Sulfonamides. SILVEZ CREAM is used in the prophylaxis and treatment of infection in burn wounds, leg ulcers and/or pressure sores caused by sensitive micro-organisms in affected individuals.

SILVEZ CREAM is also indicated for use in the conservative management of finger-tip injuries (which involves pulp, nail loss and/or partial loss of the distal phalanx (finger bones) in affected individuals.

SILVEZ CREAM is not recommended for use in patients allergic (hypersensitive) to silver sulphadiazine/sulphonamide, cetyl alcohol, and/or propylene glycol.

Before applying SILVEZ CREAM, inform your doctor if you suffer from glucose-6-phosphate dehydrogenase-deficiency (genetic disorder that affects red blood cells), and/or have lung problems (such as respiratory impairment), kidney problems (such as renal impairment), and liver problems (such as hepatic impairment).

SILVEZ CREAM is advised to be used with caution in pregnant and breast feeding women only if it is clearly necessary.

SILVEZ CREAM is not recommended for use in premature infants/new-born infants (aged below 3 months) and is advised to be used with caution in elderly patients (aged 65 years/above) after consulting the doctor.

The most common side effects of applying SILVEZ CREAM are leukopenia (low white blood cell count), application site reaction (such as burning, skin rash), and/or pruritis (itching). Consult your doctor if any of these symptoms worsens.

USES OF SILVEZ CREAM

• Aids in the prophylaxis and treats infection associated with burn wounds, leg ulcers and/or pressure sores caused by sensitive micro-organisms
• Aids in the conservative management of finger-tip injuries (that involves pulp, nail loss and/or partial loss of the distal phalanx (finger bones) in affected individuals

HOW SILVEZ CREAM WORKS

SILVEZ CREAM works by inhibiting bacterial enzyme dihydropteroate synthetase (enzyme responsible for folic acid synthesis in bacteria) which leads to blockade of DNA synthesis in bacteria resulting in prevention and synthesis of bacterial growth in burn wounds, leg ulcers and/or pressure sores in affected individuals.  

DIRECTIONS FOR USE

Apply SILVEZ CREAM as advised by your physician. It is for external use only. Wash your hands before and after use. The burn wounds should be cleansed and debrided. While applying SILVEZ CREAM to burn wounds wear sterile disposable gloves. Apply required quantity of cream over the wound area and cover the applied site with a sterile dressing or leave the area uncovered. The cream may also be applied with a conventional finger dressing when used on the finger-tip injuries. Your doctor will decide the exact dose and duration of treatment for the child depending on child’s age, body weight and disease condition.

SIDE EFFECTS OF SILVEZ CREAM

HOW TO MANAGE SIDE EFFECTS

Itchy Skin:

Try to pat or tap your skin instead of scratching it. Hold a damp towel to cool your skin. Wear loose clothing and avoid tight clothes, or clothes made from wool or synthetic fabrics. Avoid using perfumed soaps, deodorants or moisturizers and use a skin softener regularly.

WARNING & PRECAUTIONS

INTERACTIONS

A. Drug-Drug interactions:

• enzymatic debriding agents (used to remove necrotic material from pressure ulcers, leg ulcers, wounds) Ex. trypsin, subtilisin
• oral-hypoglycaemic agents (medicines used to treat diabetes) Ex. metformin, glimepiride
• phenytoin (medicine used for fits)

Overdosage:

If you or anyone else accidentally apply too much of SILVEZ CREAM, consult your doctor immediately or visit the nearby hospital to manage overdose symptoms.

SYNOPSIS

MORE INFORMATION

• Keep SILVEZ CREAM out of the sight and reach of children
• Do not store SILVEZ CREAM above 25°C

FAQs ABOUT SILVEZ CREAM

What is SILVEZ CREAM used for?

SILVEZ CREAM is used in the prophylaxis and treatment of infection in burn wounds, leg ulcers and/or pressure sores caused by sensitive micro-organisms in affected individuals. It is also indicated for use in the conservative management of finger-tip injuries (which involves pulp, nail loss and/or partial loss of the distal phalanx (finger bones) in affected individuals.

What are the common side effects associated with the use of SILVEZ CREAM?

The most common side effects of applying SILVEZ CREAM are leukopenia (low white blood cell count), application site reaction (such as burning, skin rash), and/or pruritis (itching). Consult your doctor if any of these symptoms worsens.

How SILVEZ CREAM works?

SILVEZ CREAM works by inhibiting bacterial enzyme dihydropteroate synthetase (enzyme responsible for folic acid synthesis in bacteria) which leads to blockade of DNA synthesis in bacteria resulting in prevention and synthesis of bacterial growth in burn wounds, leg ulcers and/or pressure sores in affected individuals.

How SILVEZ CREAM should be applied?

Apply SILVEZ CREAM as advised by your physician. It is for external use only. Wash your hands before and after use. The burn wounds should be cleansed and debrided. While applying SILVEZ CREAM to burn wounds wear sterile disposable gloves. Apply required quantity of cream over the wound area and cover the applied site with a sterile dressing or leave the area uncovered. The cream may also be applied with a conventional finger dressing when used on the finger-tip injuries. Your doctor will decide the exact dose and duration of treatment for the child depending on child’s age, body weight and disease condition.

Can SILVEZ CREAM be applied in pregnant and breastfeeding women?

Yes, SILVEZ CREAM can be used but with caution in pregnant and breastfeeding women only if it is clearly necessary. Consult your doctor before applying the medicine.

REFERENCES

1. K.D. Tripathi. Sulfonamides, Cotrimoxazole and Quinolones. Essentials of Medical Pharmacology. Seventh Edition. 2013. Page - 706.

2. Rosemary J. Oaks; Renford Cindass.Silver Sulfadiazine. NIH National Library of Medicine. National Center for Biotechnology Information. StatPearls [Internet]. May 2022. [Accessed on 1st September 2022] https://www.ncbi.nlm.nih.gov/books/NBK556054/

3. King Pharmaceuticals, Inc. U.S. Food and Drug Administration (USFDA). [Revised in September 2012] [Accessed on 1st September 2022] https://www.accessdata.fda.gov/drugsatfda_docs/label/2013/017381s050lbl.pdf

4. Smith & Nephew GmbH. Health Products Regulatory Authority (HPRA). [Revised in July 2021] [Accessed on 1st September 2022] https://www.hpra.ie/img/uploaded/swedocuments/Licence_PA22696-002-001_19072021112637.pdf

USEFUL DIAGNOSTIC TESTS

• Kidney function test
• Complete blood count