Formulary

17.3.1 Honey

First Line
Second Line
Specialist
Hospital Only

Practitioners should check that patients are not allergic to bee stings as the use of honey can cause an anaphylactic reaction.

In the event of an anaphylactic reaction, staff must take immediate steps to reduce harm to the patient in accordance with the Anaphylaxis Policy and Protocol. Once the initial emergency is over staff should report to the MHRA using the yellow reporting card and identify in patient's records and inform the medical practitioner of the reaction.

The honey products in this section all have similar anti-microbial and debriding properties and clinical judgment should be used to determine the correct product for the wound. Suitable wounds include:

  • Low to medium exudating wounds
  • High exudating wounds which need packing when there is a colonization or critical colonization wound
  • Not to be used as a normal packing or prophylactically for possible wound infection
  • Mainly used on crater type wounds with large amounts of slough and can be left in place for 3 – 4 days

Honey-based topical application

These products will help in autolytic debridement, reduce odour and facilitate good wound bed preparation.

Activon Tube
  • 100% Medical Grade Manuka Honey 25g (£2.87)

Notes

  1. Activon Tube is a single patient use only product, once opened use within 90 days
  2. Do not use on patients with extreme sensitivity to honey, bee stings or bee products
  3. Change frequency/ wear time = up to 7 days

Sheet dressing

Actilite
  • Gauze 5cm x 5cm (£0.74), 10cm x 10cm (£1.28), 10cm x 20cm (£2.47)
  • Change frequency / wear time = daily up to 7 days
Medihoney Antibacterial Honey Apinate
  • 5cm x 5cm (£2.09), 10cm x 10cm (£3.55), 1.9cm x 30cm (£4.38)
  • Change frequency / wear time = up to 7 days
Medihoney Antibacterial Honey Tulle
  • 10cm x 10cm (£3.11)
  • Change frequency / wear time = up to 7 days
Medihoney Gel Sheet
  • 5cm x 5cm (£1.83), 10cm x 10cm (£4.38)
  • Change frequency / wear time = up to 7 days
Medihoney HCS (Hydrogel Colloidal Sheet)
  • 6cm x 6cm (£2.34), 11cm x 11cm (£4.67)
  • With adhesive border 11cm x 11cm (£3.19), 15cm x 15cm (£6.04)
  • Change frequency / wear time = up to 7 days