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Feb 12, 2011

Allergic to adhesive, need alternative wafer

This topic is about finding a suitable adhesive wafer for someone who is experiencing skin allergies due to their current wafer. While their doctor has prescribed a steroid cream to help heal the skin, they are having trouble keeping the pouch in place and are seeking alternatives that won't cause an allergic reaction. Here are some suggestions and insights that might help:

1. Try different manufacturers and specific models:
- Some users have had success with the Hollister flange 14202.
- The Coloplast wafer 3210 has been effective for those with very sensitive skin, offering a wear time of 7–10 days.
- Alternating between Convatec Durahesive and Convatec Stomahesive wafers might help. Keep both the white-taped and flesh-colored versions available in case the tape is the irritant.

2. Conduct a formal patch test:
- Ask an ostomy nurse to place small pieces of at least 15 different adhesives on your abdomen for a week to identify which ones are safe for you.

3. Obtain free samples:
- Contact customer-care or ostomy-nurse lines at manufacturers like Hollister, Coloplast, and Convatec to request trial wafers cut to your stoma size.

4. Use skin-protective barriers and powders:
- Apply Karaya Powder beneath the wafer, possibly “sandwiched” with a skin-prep wipe in several layers.
- Nystatin Topical Powder followed by 3M No-Sting Barrier Spray #3346 can be helpful.
- Benzoin Tincture, when painted on and allowed to dry, forms a strong barrier and improves adhesion, though it may sting initially.

5. Consider lotions and topical aids:
- Calamine lotion, when applied and allowed to dry, can calm irritation for some users.
- Aloe gel has provided partial relief for one user.

6. Medications for itching/allergy:
- A 25 mg dose of Benadryl every third evening helped one person manage the rash, taken at night to avoid daytime drowsiness.

7. Practical tips:
- Avoid leaving irritated skin uncovered; using powder, barrier film, or a wafer can promote faster healing.
- If the reaction is to the outer tape only, try changing to a different tape color or type within the same wafer line.
- Be cautious with prescription creams, including steroids, as they can interfere with adhesion. Powders and no-sting barrier films are less likely to affect wear time.
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