Silvederma Dosage/Direction for Use

The size of a burn is determined by the body-surface area affected. Measurement is performed in multiples of nine. (See table.)

Click on icon to see table/diagram/image

For children below 8 years old: Measure the burn size by assuming the palm of the child's hand is approximately 1 percent of their body surface area, then estimate the number of "hands" needed to cover the burn.
Dosage: Adults & Children 2 months of age and older: After cleaning and debridement of wound, apply the cream with a sterile gloved hand, to the burned surface with a thickness of 1 to 3 mm, assuring that all crevices of the irregular burn surface are treated.
The cream is usually applied once or twice daily to a thickness of approximately 1/16 inch (1.5 mm). However, Silver sulfadiazine (SILVEDERMA) cream should be applied more frequently to burn areas in which the cream might be removed through involuntary movement of the patient.
Treatment must be continued until satisfactory healing is achieved or until the burn site is ready for grafting. Do not miss any doses. If a dose is missed, apply it as soon as possible. However, if it is almost time for the next dose, skip the missed dose and go back to the regular dosing schedule. Do not use two doses at once.
Dressings are unnecessary but covering with fine mesh gauze and bandage will be more comfortable to most patients. It is recommended to apply hydrotherapy and mechanical debridement in patients with third-degree burns. Reapply immediately after hydrotherapy.
The drug should not be withdrawn from the therapeutic regimen as long as the possibility of infection exists, except when a significant adverse reaction occurs.
Premature and newborn infants up to 2 months of age: Use and dose must be determined by the physician.