DrugindexOnline^{2nd edition}

Generic Name: balsam Peru, castor oil, and trypsin topical (BAL sum pe ROO, KAS tur oyl, and TRIP sin TOP ik al)
Brand Names: Dermuspray, Granulderm, Granulex, Granumed, Optase, TBC, Xenaderm

What is balsam Peru, castor oil, and trypsin?

Balsam Peru increases blood flow to a wound area, and also helps fight bacteria.

Castor oil prevents skin cells from breaking down, which aids in wound healing.

Trypsin helps shed damaged skin cells.

The combination of balsam Peru, castor oil, and trypsin is used to treat bed sores and other skin ulcers. This medication can help promote healing and relieve pain caused by these conditions.

Balsam Peru, castor oil, and trypsin may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about balsam Peru, castor oil, and trypsin?

Use this medication exactly as it was prescribed for you. Do not use it in larger amounts or for longer than recommended by your doctor.

There may be other drugs that can affect balsam Peru, castor oil, and trypsin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Stop using this medication and get emergency medical help if you think you have used too much medicine, or if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Less serious side effects are more likely, and you may have none at all. Talk to your doctor about any side effect that seems unusual or is especially bothersome.

What should I discuss with my health care provider before taking balsam Peru, castor oil, and trypsin?

Before using this medication, tell your doctor if you are pregnant or breast-feeding.

This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether balsam Peru, castor oil, and trypsin passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I use balsam Peru, castor oil, and trypsin?

Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor.

Apply a thin layer of medication to the wound. In most cases, this medicine is applied twice daily. Follow your doctor's instructions.

After applying the medication, you may cover the wound with a bandage dressing, or leave the wound open to the air. Your doctor will tell you whether you should cover the wound or not.

If you need to remove this medication, wash it off with water and mild soap.

It is important to use balsam Peru, castor oil, and trypsin regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Store this medication at room temperature away from moisture and heat. Do not allow the medicine to freeze.

What happens if I miss a dose?

Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and use the medicine at the next regularly scheduled time. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

An overdose of balsam Peru, castor oil, and trypsin applied to the skin is not expected to produce life-threatening symptoms.

What should I avoid while using balsam Peru, castor oil, and trypsin?

Avoid getting this medication in your eyes, mouth, and nose, or on your lips. If it does get into any of these areas, wash with water.

Avoid using skin products that can cause irritation, such as harsh soaps or shampoos or skin cleansers, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime. Do not use other medicated skin products unless your doctor has told you to.

Balsam Peru, castor oil, and trypsin side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Other less serious side effects are more likely to occur, such as:

• mild stinging or burning where the medicine is applied.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect balsam Peru, castor oil, and trypsin?

There may be other drugs that can affect balsam Peru, castor oil, and trypsin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

• Your pharmacist has more information about balsam Peru, castor oil, and trypsin written for health professionals that you may read.

What does my medication look like?

Balsam Peru, castor oil, and trypsin is available with a prescription under the brand names Dermuspray, Granulderm, Granumed, TBC, and Xenaderm. Other brand or generic forms may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2006 Cerner Multum, Inc. Version: 1.02. Revision Date: 7/25/06 10:57:08 AM.