Nasal Packing Compounding by Noor Chemist

 250

  • Lignocaine 2% + chlorhexidine 0.5% in vaseline

  • Sterile nasal packing ointment

  • Reduces biofilm/pain during pack removal

  • For epistaxis/post-surgical care

  • AJK-licensed medical device

Description

Description

This sterile-compounded nasal packing ointment licensed by the Government of AJ&K (License No. 501/DHO/2020) combines vaseline-based occlusion with antimicrobial protection and rapid-onset anesthesia. Formulated for post-epistaxis packing, post-surgical nasal cavities, or septoplasty aftercare, it reduces biofilm formation on packing materials while providing immediate pain relief. The anhydrous base prevents microbial growth, and lignocaine’s mucosal penetration ensures comfort during pack removal.


Ingredients & Clinical Rationale

Component Concentration Role & Scientific Action
White Petrolatum (Vaseline) 92.5% Occlusive barrier: Prevents tissue adhesion, reduces crusting
Chlorhexidine Gluconate 0.5% Antimicrobial: Disrupts bacterial biofilms (S. aureusP. aeruginosa)
Lignocaine HCl 2% Anesthetic: Blocks sodium channels (onset: 90 sec; duration: 60-90 min)
Benzyl Alcohol 5% Preservative + solvent: Enhances lignocaine solubility

Note: Chlorhexidine is default antimicrobial; substitute with neomycin/polymyxin B upon request.


Primary Clinical Uses

  • Post-Epistaxis Control: Coats ribbon gauze/packs to prevent rebleeding

  • Post-Surgical Nasal Care: Applied to silicone splints post-septoplasty

  • Nasal Fracture Stabilization: Reduces pain during packing removal

  • Atrophic Rhinitis: Hydrates necrotic crusts in cocaine-induced damage

  • Nasal Vestibulitis: Suppresses S. aureus colonization in recurrent folliculitis


Key Advantages

✅ Sterile Preparation: Compounded in ISO Class 5 cleanroom (BP Appendix XVI)
✅ Mucoadhesive: Petrolatum adheres 3x longer than aqueous gels
✅ Dual-Action Relief: Lignocaine (immediate) + benzyl alcohol (prolonged)
✅ Non-Systemic Absorption: Lignocaine plasma levels <0.1 μg/mL (safe threshold: 5 μg/mL)
✅ Fresh Batches: 4-week expiry post-sterilization


Application Protocol

Scenario Method Frequency
Epistaxis Packing Coat 2.5 cm ribbon gauze with 1g ointment/cm Single use
Post-Septoplasty Apply 0.5g to each silicone splint surface Daily x 7 days
Pack Removal Instill 0.2g/nostril 5 mins pre-removal As needed
CRITICAL: Use only with medical-grade packing materials (not cotton).

Precautions

⚠️ Contraindications: Shellfish allergy (iodine-free), methemoglobinemia history
⚠️ Chlorhexidine Risk: Ototoxicity if enters middle ear (avoid in TM perforations)
⚠️ Vasovagal Response: Minimize posterior nasal application
⚠️ Pregnancy: Category B (avoid large mucosal areas)
✖️ Not for children <6 years

Disclaimer

All compounded preparations by Noor Chemist are freshly prepared upon receipt of your prescription or order to ensure maximum potency and therapeutic efficacy. Due to the meticulous quality control processes required for extemporaneous compounding, some formulations may experience a 1-day preparation delay to achieve optimal stability and performance. Product images depicting packaging and labeling are for illustrative reference only; actual containers, labels, and auxiliary materials may vary based on batch-specific pharmaceutical standards.

These formulations are designed for short-term use (typically 30-90 days), as extemporaneous compounds lack industrial preservatives. For specific storage instructions and shelf-life details pertaining to your formulation, please contact our pharmacists via our Contact Us portal.

Important Safety Notice: Skin sensitivity to active or inert ingredients may occur even with physician-recommended formulations. We strongly advise performing a patch test before full application: Apply a pea-sized amount to clean inner forearm skin, wait 24 hours, and discontinue use if redness, itching, or swelling develops. Individual reactions to ingredients like salicylic acid, essential oils, or penetration enhancers may vary. Consult your healthcare provider if you have known sensitivities.

Shipping & Delivery

All orders are securely shipped nationwide and internationally via our trusted courier partners, Leopards Courier or TCS Courier. Products are carefully packed to ensure safe transit, and we actively track every shipment until delivery. Domestic shipping charges are Rs. 250 for Leopards Courier and Rs. 330 for TCS Courier. For international orders, please contact our team before placing your order, as shipping rates vary by destination. We deliver globally with the same commitment to careful handling and real-time tracking.

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