castor oil/peru balsam

Action and Spectrum

Actions and Spectrum: 

Actions: 

Balsam Peru & Castor Oil Ointment reduces pain, deodorizes, and protects pressure wounds (ulcers). It creates a conducive, moist environment for wound healing and prevents cracking around sore edges with its moisturizing properties. 

Spectrum: 

It aids in wound healing by providing protective coverage and deodorizing for a range of acute or chronic wounds and dermal ulcers, including diabetic ulcers, pressure ulcers, surgical wounds, venous stasis ulcers, superficial wounds, ulcers from arterial insufficiency, first-degree/second-degree traumatic wounds, and ulcers from grafted donor/wound sites. 

Drug Interaction

Adverse Reaction

Frequency not defined 

Serious infection (chills/fever, fast heart beat, hyperventilation, weakness, warm skin) 

Serious allergic reactions (itching, burning, rash, swelling of lips, throat, mouth, tongue or face, trouble breathing, dizziness, hives, peeling skin) 

Unusual redness or bleeding or irritation of wound 

Stinging at area of application 

Very bad skin irritation 

Black Box Warning

Black Box Warning: 

 Do not use fresh arterial clots. Avoid eye contact. Keep out of children’s reach. Close tightly. Use as directed by a physician. Temporary stinging may occur when applied to sensitive areas. 

Contraindication / Caution

Contraindication/Caution: 

Contraindications 

• Hypersensitivity 

Cautions 

• Renal impairment 
• Hemoglobin deficiency 
• Hepatic impairment 
• Zinc deficiency 
• Drug interactions 
• Pregnancy  
• Breastfeeding 

Pregnancy / Lactation

Pregnancy consideration:  

No data is available regarding the administration of the drug during pregnancy. 

Breastfeeding warnings:  

No data is available regarding the excretion of drug in breast milk. 

Pregnancy category: 

Category A: well-controlled and satisfactory studies show no risk to the fetus in the first or later trimester. 

Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women. 

Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.    

Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.    

Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.    

Category N: No data is available for the drug under this category. 

Pharmacology

Pharmacology: 

The combination of castor oil and Peru balsam is formulated into various dosage forms, including ointments, creams, or topical solutions, to address specific therapeutic needs. When applying topically, the appropriate dosage is generally administered to the affected skin area, with the specific amount varying based on the medical condition being treated. These formulations capitalize on castor oil’s laxative properties, Peru balsam’s antiseptic and wound-healing qualities, and the synergistic effects of the combination. The application method involves covering the affected area with an appropriate amount of the formulation, ensuring that the active ingredients can exert their beneficial effects on the skin. Following healthcare provider instructions and adhering to the recommended dosage and administration guidelines for the specific product is essential. 

Pharmacodynamics: 

The combined pharmacodynamics of castor oil and Peru balsam, frequently formulated into topical solutions, creams, or ointments, provide a comprehensive approach to wound care and skin health. Castor oil, with its laxative properties attributed to ricinoleic acid, stimulates smooth muscle contractions, promoting bowel movements, softening stools, and aiding in epithelialization. Peru balsam, derived from the Myroxylon balsamum tree, contributes antiseptic and wound-healing properties while also stimulating circulation at the wound site with potential mild bactericidal effects. This synergistic combination addresses various therapeutic needs, encompassing tissue repair, circulation stimulation, and infection prevention. 

Pharmacokinetics: 

Limited data is available 

Adminstartion

Administration: 

The combination of castor oil and Peru balsam is commonly formulated into topical dosage forms like ointments or creams. The application involves applying an appropriate amount to the affected skin area, with the specific dosage varying based on the medical condition. These formulations leverage castor oil’s laxative properties and Peru balsam’s antiseptic and wound-healing qualities, synergistically promoting skin health. Applying the formulation to the affected area ensures the active ingredients effectively exert their beneficial effects. It’s crucial to follow healthcare provider instructions and adhere to the recommended dosage and administration guidelines for the specific product in use. 

Follow the instructions for using this medicine. Only apply it to your skin, and rinse it off immediately if it touches a cut or scrape. Avoid getting the medicine in your nose, eyes, or mouth. Don’t use it on blood clots. Use a bandage on the treated area only if your doctor advises. 

For use in children: Avoid oral administration. Apply only on your child’s skin, avoiding contact with mouth, nose, and eyes. Clean and dry the affected area before use. Apply a thin layer to the affected skin. Wash hands before and after application. A bandage or dressing may be necessary for the treated area. 

Patient Information Leaflet

Patient information leaflet 

Generic Name: castor oil/peru balsam 

Pronounced: kas-ter oil/puh-roo bawl-suhm 

Why do we use castor oil/peru balsam? 

The combination of castor oil and Peru balsam serves diverse therapeutic purposes, leveraging the synergistic properties of each component. Castor oil, known for its laxative effects, aids in relieving constipation and promotes bowel movements while supporting epithelialization and reducing pain. Peru balsam, derived from the Myroxylon tree, contributes antiseptic and wound-healing properties, stimulating circulation at the wound site and potentially preventing infections. Formulated to capitalize on these benefits, the combination provides a versatile solution for addressing various therapeutic needs, including wound care, skin health, and pain management.