Any other therapies or treatments applied directly to the wound surface may impact the pumping capacity of MPPT and should be avoided.
Examples of topical therapies to avoid: all hydro-gels, collagen (powder, cream and dressing), occlusive absorbent dressings (e.g. alginates), honey, silver, topical negative pressure therapy, and topical antibiotics (ointment, cream, paste and powder).
Some dressings are impregnated with substances such as paraffin, lipido-colloids, triglycerides (fatty acids), petrolatum, other ointments etc. These should be avoided.
Systemic antibiotics can be administered concomitantly with MPPT.
Standard clinical protocol should be followed for the treatment of any clinical infection.