Ichthopaste Bandage: Uses, Benefits, And How To Use
Effective topical treatment for eczema, leg ulcers, and itchy skin conditions using ichthammol and zinc oxide bandages.
About ichthammol
Ichthammol is a traditional skin preparation primarily used to treat inflammatory skin conditions such as lichenified eczema, dermatitis, and leg ulcers. Derived from shale oil, it possesses anti-inflammatory, anti-bacterial, and anti-pruriginous properties that help soothe irritated skin, reduce itching, and promote healing.
Also known as Ichthopaste bandage, this medicated product combines 6.32% zinc oxide and 2% ichthammol in an open-woven cloth bandage. Zinc oxide provides a protective barrier and mild astringent effects, while ichthammol draws out impurities, relieves irritation, and breaks the itch-scratch cycle common in chronic skin issues.
These bandages create a moist wound healing environment, prevent moisture evaporation, and hydrate the skin, making them suitable for sensitive areas around ulcers or eczematous skin.
Key ingredients and their benefits
- Zinc oxide (6.32%): Soothes, cools, and protects skin; anti-inflammatory and antibacterial.
- Ichthammol (2%): Reduces itching, inflammation; anti-bacterial, anti-fungal; aids in healing wet ulcers and eczema.
The combination makes Ichthopaste comfortable for extended wear, up to 7 days, without drying out, allowing trauma-free changes.
Types of medicine
| Type of medicine | Description |
|---|---|
| A skin preparation for eczema | Medicated bandages and ointments targeting lichenified (thickened) eczema, dermatitis, and related conditions. |
| Used for | Lichenified eczema, leg ulcers, varicose eczema, hyperkeratosis, psoriasis. |
| Also called | Ichthopaste® bandage (zinc oxide + ichthammol). |
| Available as | Bandages (7.5 cm x 6 m), ointments. |
Before using Ichthopaste bandage
Allergies
Preparations may contain wool fat (lanolin). Inform your doctor if allergic to lanolin, as it can cause reactions. Patch testing for 48 hours is recommended before full use, especially if zinc sensitivity is suspected.
Pregnancy and breastfeeding
Suitable for all ages, including pregnancy and breastfeeding, but consult a healthcare professional. No specific contraindications noted in primary uses.
Other medicines
Often used over corticosteroid creams to enhance penetration and reduce itching. Compatible with compression therapy for venous ulcers.
How to use ichthammol
Follow your doctor’s or manufacturer’s instructions precisely. Typically applied 1-3 times daily or left in place for up to 7 days.
- Clean and dry the affected area thoroughly.
- If prescribed, apply corticosteroid ointment first, then cover with ichthammol ointment or bandage.
- Unroll the Ichthopaste bandage and apply directly over the wound or skin condition, ensuring full coverage without stretching (non-elastic).
- Secure with a secondary bandage, occlusive dressing, or compression garment to keep in place and prevent mess.
- Change as directed: weekly or if exudate increases. Easy removal due to non-drying paste.
For arms, legs, or patches: Cut to size and layer if needed. Provides cooling relief immediately upon application.
Health conditions treated with Ichthopaste
Ichthopaste is indicated for:
- Leg ulcers: Venous ulcers, wet ulcers with sensitive surrounding skin; promotes healing and reduces inflammation.
- Eczema and dermatitis: Lichenified eczema, chronic eczema, varicose eczema; breaks itch-scratch cycle.
- Other conditions: Psoriasis, hyperkeratosis, cellulitis, red legs, furuncles.
By covering the skin, it prevents scratching, enhances topical treatments, and improves sleep by reducing nighttime itch.
Benefits of Ichthopaste bandage
- Soothing and cooling effect on application, quickly reducing pain and inflammation.
- Moist environment for optimal healing; does not dry out.[10]
- Cost-effective with extended wear time; easy to apply/remove.
- Breaks itch-scratch cycle via physical barrier and pharmacological actions.
- Versatile: primary dressing under compression or standalone.
Clinical feedback highlights comfort, reduced dressing changes, and improved outcomes for inflamed, weepy legs.
Side-effects
Generally well-tolerated. Possible issues:
- Skin irritation or allergic reaction (rare; discontinue if occurs).
- Messiness: Cover with outer bandage.
- Sensitivity to zinc or ichthammol: Patch test advised.
No systemic side effects reported due to topical nature. Monitor for increased exudate or infection signs (redness, pus, fever) and seek medical advice.
How to store ichthammol
Store in a cool, dry place away from direct sunlight. Keep out of reach of children. Shelf life typically 3 years unopened; check expiry. Do not use if paste separates or bandage discolors.
Frequently Asked Questions (FAQs)
Q: What is Ichthopaste used for?
A: Primarily for leg ulcers, eczema, dermatitis, and itchy skin conditions to soothe, protect, and aid healing.
Q: How long can Ichthopaste be worn?
A: Up to 7 days, or as directed; change if soiled or weekly maximum.
Q: Is it suitable for children?
A: Yes, for all ages under medical supervision.
Q: Can it be used under compression?
A: Yes, as a primary layer for venous insufficiency.
Q: Does it contain lanolin?
A: Some preparations may; check if allergic.
Ordering and specifications
| Code | Description | Size |
|---|---|---|
| 4959 | Ichthopaste Bandage (Box of 12) | 7.5 cm x 6 m |
Ichthopaste remains a cornerstone in dermatology for its proven efficacy in managing challenging skin conditions, supported by decades of use.
References
- Paste Bandages — Newcastle upon Tyne Hospitals NHS Foundation Trust. 2023. https://www.newcastle-hospitals.nhs.uk/services/dermatology/patient-dermatology-information-leaflets/paste-bandages/
- Ichthopaste Bandage — Gaia Medical. 2024. https://gaiamedical.com.au/ichthopaste/
- Ichthammol – Paste Bandages — Paste Bandage Evolan. 2023. https://pastebandagesevolan.com/ichthopaste/ichthammol/
- Ichthammol — Patient.info (NHS peer-reviewed). 2025-02-19. https://patient.info/medicine/ichthammol-ichthopaste-bandage
- Red Legs — Wounds UK. 2023-02. https://wounds-uk.com/wp-content/uploads/2023/02/c497d145609c7f249c5ae41eb88e1dcc.pdf
- Paste Bandages and Wet Wraps — National Eczema Society. 2018. https://eczema.org/wp-content/uploads/Paste-Bandages-and-Wet-Wraps-booklet-2018.pdf
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