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Question

Posted on: July 27 2017

How do I prepare sugar paste?

R/Sugar 500 g, PEG 400 250 g, Water dipped. 20 ml [How can I make an ointment without grain formation? What is the most appropriate method for this preparation?]

Answer

the preparation does not make so many problems. The sugar is mixed with the small amount of water and then the PEG 400 can be added.

comment (with advice from Apoth. B. Benraad, St Maartenskliniek, Nijmegen) For the grain formation and the consistency the sugar quality plays a role. But the commercially available powdered sugar (flour sugar) with a desiccant (starch) should be discouraged and granulated sugar should be used. After all, the absence of non-soluble particles (starch) is important so that no particles can be left in the wound. But also pulverized granulated sugar (powdered sugar) is usable! grinding (eg in a coffee grinder) of granulated sugar before making a paste of it is not necessary for the effect. But if you make a paste with pulverized granulated sugar, you will get a nicer thin paste with a thicdiable consistency in the direction of sugar syrup. It has less large "chunks" and is easier for example to put in a fistula using a catheter syringe. The thick paste can be made fine with granulated sugar but it is a paste, which should be with the spatula Be applied just like cement or chocolate paste. Nevertheless, the use of this thicker paste is easier than just sugar, which spreads too easily. After all, a number of patients (thoracic wounds) were treated with granulated sugar. Dirty smelly wounds are cleaned in this way but one finds sugar everywhere!