Formulary

17.8.9 Multi-layer compression bandaging

First Line
Second Line
Specialist
Hospital Only

Four-layer systems

K-Four

(Multi-layer compression bandaging kit, four-layer system)

  • Bandage kit <18cm ankle circumference (£7.73)
  • Bandage kit 18cm-25cm ankle circumference (£7.40)
  • Bandage kit 25cm-30cm ankle circumference (£7.40)
  • Bandage kit >30cm ankle circumference (£10.19)
  • Reduced Compression multi-layer compression bandage kit 18cm+ ankle circumference (£4.84)

Indications

  • For the treatment and management of venous leg ulcers and associated conditions

Notes

  1. Compression bandage systems are not recommended for patients with arterial disease (ABPI <0.8)
  2. Contains natural latex

Two-layer systems

Actico 2C

(A two-component, latex-free leg ulcer kit)

  • 18–25cm kit (£8.71)
  • 25–32cm kit (£9.80)
  • Comfort layer 10cm x 3.5m (£4.71)
  • Compression layer 10cm x 6m (£4.33)

Indications

  • Management of venous leg ulcers, with and without mild uncomplicated chronic oedema in both mobile and immobile patients

Notes

  1. Suitable for patients with an ABPI >0.8–1.3. An ABPI of >1.3 requires further investigation before use
  2. Not recommended for: patients with ankle circumference, when protected with padding <18cm; patients with diabetes or rheumatoid arthritis, unless after specialist referral and under supervision