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Aug 04, 2015

Allergic to ostomy wafer adhesive. Need help!

This topic is about someone who has been living with an ostomy for 15 years and has recently developed an allergic reaction to the adhesives used in ostomy wafers. They are looking for alternative products and methods that are gentle on the skin, as they live far from a specialized nurse who could provide in-person assistance. Here are some helpful suggestions and insights shared by others:

1. Keep trying different products. Contact all manufacturers for free samples, as there are many options beyond the three brands already tried. The UOAA website can help you find brands and connect you with an online wound-care nurse for advice.

2. If your skin is irritated, treat it first. A healthy, dry surface can better tolerate adhesives.

3. Consider a skin-prep approach:
- Use Stomahesive Powder (ConvaTec) followed by a single coat of Smith & Nephew Skin Prep swab. This combination works for some people who react to other preps.
- Try "dual layering" by applying powder and prep twice for extra protection.
- Allow your skin to rest in warm air or sunlight between changes.

4. Explore tape-free or minimal-tape techniques:
- Trim the tape border from a Coloplast wafer and use only the hydrocolloid center. Keep the skin clean and dry.
- Use paper tape or "stretchy barrier strips" (elastic hydrocolloid arcs) instead of standard adhesive tape for added security.

5. Consider alternative wafers:
- Hollister CeraPlus wafers, which are ceramide-enhanced hydrocolloids, have been reported to not cause reactions and can last up to 14 days. You can request samples from Hollister.

6. For severe flare-ups, try a temporary "skin-breather" setup:
- Place a Hollister wafer with the plastic backing still on it, add half of a Hollister Barrier Ring, and secure everything with an ostomy belt so no adhesive touches the skin.

7. Apply medication on the wafer:
- A very thin, even layer of Cortizone-10 (1% hydrocortisone) on the adhesive can help suppress the allergic response while still allowing it to stick. Use this sparingly.

These suggestions aim to help manage the adhesive allergy and find a comfortable solution.
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