Directions for Use
"Please read carefully before using!"
WARNING: Please read the following instructions through carefully before applying our Cansema® Salves. Do not, in any way, deviate from the following. If you have questions after a thorough reading, please call Alpha Omega for any clarification.
--- (1) PREPARATION ---
CAUTION: Healthy skin tissue may redden or become mildly irritated when our Cansema® Salves are applied. Continuation of use in such circumstances is entirely at the discretion of the user; as there are no known serious adverse events reported with this product. Use on one area of skin at a time.
PREPARING CANSEMA® SALVE: Few such salves, if any (and our Cansema® Salves are no exception), use emulsifying agents, so to get the best results from Cansema® Salves, you should spend a few seconds stirring the contents before applying. For the smaller (22 g.) container, this can be done with a toothpick; for the "clinical sized" jar, we find the best implement to be an ice cream stick. With less than a moment of rigorous stirring, you will notice that the appearance and consistency of the product will change from a black fluffy appearance on the surface to a smooth dark green cream. You will find the latter's consistency yields the best results.
--- (2) APPLICATION ---
Applying Cansema® Salves... Our Cansema® Salves come in a .8 oz. (22g.) container, with the exception of the Clinical Sizes. The product has the consistency of a thick, moist paste. It can easily be self-applied with the fingers and should be spread over a small area of the skin in a thin covering, almost lightly "caked." Wash hands thoroughly before and after applying Cansema® Salves.
The applied area will start to tingle shortly afterwards -- anywhere between 5 minutes to 6 hours after the initial application. (In fact, if you feel "nothing" after three to six hours, it is most likely that you will notice nothing at all. After 24 hours, remove the Cansema® Salve and reapply, repeating this process several times.) In some cases, there is a burning sensation with larger area of skin, so it is important to have ibuprofen, or other non-prescription pain killer, available during the process. Areas larger than a square centimeter (or bigger than a U.S. "dime") may require even stronger analgesics. Otherwise, observing good "pain management" may require that the application be done in stages. This involves applying a small amount to the edge of the skin area of concern, waiting for the sensations to die down as the process begins, and then repeating this process on an adjacent area of skin until the entire area has been covered. Observe this same procedure if you are targeting more than one area. Do one at a time. In this fashion, any discomfort is minimized because the entire process, which can at that point last several days, has been spread out over time. This bears repeating: never apply our Cansema® Salves to a large area.
It is also a good idea to place a bandage over the area, particularly if the forming eschar (scab) is on a place on the body that might be subject to being bumped or bruised in the course of daily activity. Another thing to consider is that Cansema® Salves can stain clothing, so for practical, aesthetic, and cleanliness issues, covering the site is a good idea.
"Deep Loufah Wash" - Many people use a loufah sponge to rigorously wash and prepare the skin before applying Cansema® Salves. This serves to remove some of the dead cells in the top layer of the epidermis (the stratum corneum).
--- (3) MANAGING THE ESCHAR ---
Cansema® Salve 'eschar' or scab formation - After 24 hours remove the bandage. Using hydrogen peroxide (H2O2 - 3%, available in most drug stores) and a Q-Tip, very lightly go over the skin, removing any excess Cansema® Salve and other organic debris (i.e. pus, serous fluid, etc.) If a full pus formation is not evident or is incomplete, repeat step 2 and leave the new application on for an additional 24 hours before proceeding. Normally one application is sufficient for small area (the size of a pencil eraser), but no more than three applications are required for larger areas. There are instances, however, when repeated applications of Cansema® Salve are required because of "accessibility" problems - although this can be limited using the techniques cited in the preceding section. In order to initiate the escharization process, however, it is vital that Cansema® Salve be able to penetrate and reach the subject site. This can take multiple (three or more) applications, though one to two applications is more common.
After the eschar has formed, keep it well protected. You can add Vitamin E or our Calcium Sulfate Concentrate (diluted with purified water at the 64:1 ratio) to accelerate healing - but know that this is better to use once you reach the decavitation stage. (Although recent reports have been submitted where Calcium Sulfate Concentrate was used throughout the entire process as a cleaning agent - acting to accelerate healing and minimize scaring.)
Normally the bandage can be left on for a period of 10 days: however, there is may be considerable "drainage," that is, a steady emission of pus; drainage should not be viewed as abnormal. The range of possible response is very little pus and only one bandage ever required, to a regular change of bandages required. You are likely to be somewhere in-between.
--- (4) REMOVING THE ESCHAR ---
The eschar itself represents the the opportunity for healthy tissue growth. Everything that follows from there is the body's own reparative responses. From here on out, the body knows exactly what to do and wastes no time doing it. However, to us the days and weeks that follow may seem lengthy.
The next stage is the removal of the eschar, or scab. This usually happens within 10 days after initial application. As with any scab, let it fall out when it is ready. Do not pull it out prematurely, although you may find that it will eventually be attached with a small thread of skin tissue which can be easily and safely severed. If you remove the eschar premature, you further risk developing scar tissue.
--- (5) DECAVITATION & "HEALING OVER" ---
The heal over process After the eschar comes out, the pit or "decavitation" can look raw and unsightly. Nonetheless, if kept covered and the everyday principles of good hygiene are followed, there will be no threat of secondary infection. If you work in area that is less than clean, however, you might want to have hydrogen peroxide (available in any good drug store) handy or Calcium Sulfate Concentrate, and apply it liberally to the site once a day to kill any invasive germs. Over a period of a few months, or in some cases two years, the entire area will be healed with only some "depigmentation" or scar tissue. The result is rarely unsightly or unaesthetic.
Some users elect to initiate a second, or even third, application after they get to the "heal over" stage. We take a dim view to doing this indiscriminately because the risk of scarring is increased with each new re-application. In other words, if you don't need more than one application, why do it.
The original Cansema® Salve formula (ingredients, percentages, and manufacturing methods) has evolved over time, largely to improve performance and minimize pain management issues. The current ingredients of the original formula are, listed in order by weight: zinc chloride (ZnCl2), chapparal (Larrea mexicata leaf [contains active principle: NDGA (nordihydrogauaretic acid, 17% by weight)]), glycerine (used as a humectant, to keep the product moist), graviola leaf extract (distilled water, Annona muricata), oleander leaf extract (distilled water, Nerium oleander), and sanguinaria root powder (Sanguinaria canadensis).