Condys compresses, baths Potassium permanganate crystals Dermatology

1. CONDY’S COMPRESSES

2. POTASSIUM PERMANGANATE

3. POTASSIUM PERMANGANATE
• It acts as an oxidizing agent (releases nascent
oxygen) with disinfectant , deodorizing and
astringent property
• Has antipruritic and anti inflammatory effect
• Available as dark purple / Black crystals at cost
of 50 Rs/20gm

4. POTASSIUM PERMANGANATE
CONDY’S COMPRESSES
• 1:10000 solution 2-3 times per day
• 400 mg to be diluted in 4 l to make 1:10,000 solution
• OR
• 1-2 specks of crystals to 2L of water
• Patients advised to dilute till the colour is light pink matching a normal
healthy nail bed
• Gauze soaked for 15min TDS ( after 15min get oxidized)
• Hastens removal of crusts

5. CONDY’S BATH
• 1 crystal added to water till color of nail bed
• 1:25, 000 solution BD bath for 2 days (2gm/50l)
CONDY’S GARGLES
• Concentration: 1:5000
• Antiseptic for periodontitis
Courtesy: Dr. Pankhuri Dudani (AIIMS)
Guidelines mention soaking in a bath

6. USES OF CONDY’S COMPRESSES
• Named after a chemist Henry Bollman Condy who patented and then
manufactured it
• Uses of Condy’s solution as a disinfectant
1. Washing of clothes of patients with infectious ds
2. Sterlization of instruments (1:1000)
3. Irigation of wounds (1:4000)
4. Gargles (1:5000)
5. 0.5% solution in gastric lavage in poisoning
1. Harman KE, Brown D, Exton LS, Groves RW, Hampton PJ, Mohd Mustapa MF, Setterfield JF, Yesudian PD, McHenry PM, Gibbon K, Buckley DA. British Association of Dermatologists’ guidelines for the management of pemphigus
vulgaris 2017. British Journal of Dermatology. 2017 Nov;177(5):1170-201.
2. Fakoya AO, Omenyi P, Anthony P, Anthony F, Etti P, Otohinoyi DA, Olunu E. Stevens-Johnson syndrome and toxic epidermal necrolysis; extensive review of reports of drug-induced etiologies, and possible therapeutic modalities.
Open access Macedonian journal of medical sciences. 2018 Apr 15;6(4):730.
4. Delgado-Enciso I, Madrigal-Perez VM, Lara-Esqueda A, Diaz-Sanchez MG, Guzman-Esquivel J, Rosas-Vizcaino LE, Virgen-Jimenez OO, Kleiman-Trujillo J, Lagarda-Canales MR, Ceja-Espiritu G, Rangel-Salgado V. Topical 5% potassium
permanganate solution accelerates the healing process in chronic diabetic foot ulcers. Biomedical reports. 2018 Feb 1;8(2):156-9.
5.Abed AR, Hussein IM. A comparative study between specific and non-specific antifungal agents to treat the Rhodotorula mucilaginosa athletes foot. Biomedical and Pharmacology Journal. 2017 Dec 21;10(4):2153-60.

7. USES
• Vesico-bullous disorders1
• Impetiginized lesions
• SJS/TEN2
• Venous Ulcers3
• Diabetic foot ulcers4
• Athlete foot
• Pustular psoriasis
• Tinea pedis- 1:100 dilution
1. Harman KE, Brown D, Exton LS, Groves RW, Hampton PJ, Mohd Mustapa MF, Setterfield JF, Yesudian PD, McHenry PM, Gibbon K, Buckley DA. British Association of Dermatologists’ guidelines for the management of pemphigus vulgaris 2017. British
Journal of Dermatology. 2017 Nov;177(5):1170-201.
2. Fakoya AO, Omenyi P, Anthony P, Anthony F, Etti P, Otohinoyi DA, Olunu E. Stevens-Johnson syndrome and toxic epidermal necrolysis; extensive review of reports of drug-induced etiologies, and possible therapeutic modalities. Open access Macedonian
journal of medical sciences. 2018 Apr 15;6(4):730.
4. Delgado-Enciso I, Madrigal-Perez VM, Lara-Esqueda A, Diaz-Sanchez MG, Guzman-Esquivel J, Rosas-Vizcaino LE, Virgen-Jimenez OO, Kleiman-Trujillo J, Lagarda-Canales MR, Ceja-Espiritu G, Rangel-Salgado V. Topical 5% potassium permanganate solution
accelerates the healing process in chronic diabetic foot ulcers. Biomedical reports. 2018 Feb 1;8(2):156-9.

8. Side effects
• Irritation
• Burning
• Brown Pigmentation
• Chemical Burns
• ( concentrated solution)

9. Rare Case of Anal and Perianal Chemical Burn in a Child due to
Potassium Permanganate Crystals
Download PD
Dash S, Bhojani J, Sharma S. A rare case of anal and perianal chemical burn in a child due to potassium permanganate crystals. Drug safety-case reports. 2018 Dec
1;5(1):10.
Chirapapaisan C, Prabhasawat P, Srivannaboon S, Roongpoovapatr V, Chitsuthipakorn P. Ocular injury due to potassium permanganate granules. Case reports in
ophthalmology. 2018;9(1):138-43
Granules of potassium
permanganate were trapped
in the lower fornix
Brownish stains remained on
the conjunctiva with fornix a
central corneal epithelial
defect
.

10. POTASSIUM PERMANGANATE
Do’s Don’ts
Physicians Use in oozy / infected wounds Don’t use in dry wounds
Attendants Wear gloves before preparing
Solution made in hot water
Let the crystal fully dissolve
Strain to look for residual solid particles
Color for bath- Match with pink nail bed
Never use concentrated
solution
Patient Used only for 15 minutes
If irritation occur contact your physician
Don’t overuse
Don’t use near eyes
Apply soft paraffin over nails to remove brown stains

11. • Concentration in which condy’s
compresses used in ?
a) 1:10,000
b) 1:5000
c) 1:100
d) 1:10
• Time for soaking?
a) 5mins
b) 30mins
c) 2mins
d) 15mins

12. • Which is not a Indication of using condy’s compresses?
a) Pemphigus vulgaris
b) SJS/TEN
c) Venous Ulcers
d) Snake bite