Important: Formulation and dosage details
Formulation:
Tablets for cutaneous solution 400mg (Prescribing restrictions, see below)
Dosage:
- BAD (British Association of Dermatology) guidance recommendations: https://cdn.bad.org.uk/uploads/2022/05/04163130/Guidance-for-safe-use-of-potassium-permanganate-soaks-FINAL-for-website.pdf
Notes:
In primary care:
- As per BAD recommendations: Potassium permanganate concentrate should always be prescribed for a named patient by a primary care prescriber experienced in the treatment of dermatological conditions and use of potassium permanganate.
- Ensure patients are NOT on repeat prescriptions for potassium permanganate
- Prescriptions to include clear instructions to dilute before use
- Dispensing label to include the warning ‘HARMFUL IF SWALLOWED’.
In secondary care:
- As per BAD recommendations: Potassium permanganate concentrate should always be prescribed for a named patient by a specialist in dermatology, a clinician working under the guidance of a dermatologist, or specialist tissue viability staff only.
- To be supplied on a named patient basis only
- To be prescribed as ‘potassium permanganate 0.01% topical solution’ and the dispensing label must include the warning ‘HARMFUL IF SWALLOWED’
- Potassium permanganate is not to be stored with medicines for oral/internal use, including the ward drug trolley; dilution should occur away from the patient, and neither the concentrated form or the diluted form, should be left near the patient.
All settings:
- Prescriptions are only to be issued by an appropriate prescriber as per BAD recommendations above. For full recommendations see: Guidance-for-safe-use-of-potassium-permanganate-soaks-amended-Nov-2022.pdf
- If potassium permanganate is to be used in a patient’s home, a risk assessment must be undertaken before prescribing
- All patients must be supplied with a patient information leaflet: https://cdn.bad.org.uk/uploads/2021/12/28095034/Potassium-Permanganate-Solution-Soaks-Apr-2022.pdf
