Coloplast Brava® Ostomy Powder 25g | [1907]

Product Overview

Coloplast Brava Ostomy Powder (REF 1907) is a medical-grade absorbent powder formulated specifically for peristomal skin care in ostomy management. Manufactured by Coloplast A/S (Denmark), the powder contains sodium carboxymethyl cellulose (CMC) and guar gum — two hydrocolloid-based polymers that attract and absorb moisture on contact, converting denuded or weeping peristomal skin into a dry, adhesive-ready surface. This moisture management function is critical for maintaining the integrity of the skin-barrier interface and preventing the cycle of leakage, skin irritation, and further barrier failure.

The 25g puff bottle delivers a fine, controlled layer of powder directly to the peristomal area. Clinical application involves dusting a thin layer onto moist or excoriated skin surrounding the stoma, brushing away excess, and then applying the adhesive skin barrier or baseplate. The powder-skin interface creates a protective layer that shields damaged epithelium from further exposure to stomal effluent while simultaneously improving baseplate adhesion. Brava Powder is an essential component of the crusting technique (stoma powder combined with skin barrier spray) widely recommended by wound, ostomy, and continence (WOC) nurses for managing peristomal skin complications.

Specifications

Clinical Indications

• Moisture absorption on denuded, weeping, or macerated peristomal skin to restore a dry adhesive surface prior to baseplate application
• Component of the crusting technique (powder + skin barrier spray) for managing peristomal moisture-associated skin damage (MASD) as recommended by WOC nursing guidelines
• Protection of excoriated peristomal skin from further chemical irritation by stomal effluent, particularly in ileostomy patients with alkaline output
• Improvement of adhesive baseplate seal on irregular or moist peristomal skin surfaces to reduce leakage frequency
• Peristomal skin preparation in tropical and high-humidity environments where perspiration compromises baseplate adhesion

Frequently Asked Questions

How is Brava Powder used in the crusting technique?

The crusting technique involves applying a thin layer of Brava Powder to denuded peristomal skin, gently brushing away excess, then spraying a thin coat of skin barrier spray (such as Coloplast Brava Skin Barrier Spray or 3M Cavilon) over the powder. This process is repeated 2-3 times to build up a protective crust that seals the damaged skin and provides a dry, adherent surface for the baseplate. This technique is widely recommended by the Wound, Ostomy and Continence Nurses Society (WOCN) for managing peristomal skin excoriation.

Can Brava Powder be used on intact peristomal skin?

Brava Powder is primarily indicated for moist, denuded, or excoriated peristomal skin. On intact, healthy skin, the powder may interfere with baseplate adhesion by creating an unnecessary barrier layer. If peristomal skin is intact but perspiration in tropical climates (such as Singapore) is causing adhesion difficulties, a thin dusting followed by brushing away excess may be appropriate. Consult a stomal therapy nurse for individualised skin care protocols.

What is the difference between Brava Powder and regular talcum powder?

Brava Powder contains medical-grade sodium carboxymethyl cellulose and guar gum — hydrocolloid polymers specifically formulated to absorb moisture and create a skin-protective barrier compatible with ostomy adhesive systems. Talcum powder (talc) is not suitable for peristomal use as it does not absorb moisture effectively, may contain contaminants, and actively interferes with adhesive baseplate bonding. Only medical-grade ostomy powders should be used in peristomal skin care, as per WOCN clinical practice guidelines.

Is this product available without prescription in Singapore?

Yes. Coloplast Brava Ostomy Powder is classified as a Class I medical device accessory under EU MDR 2017/745 and is available for direct purchase in Singapore through EMIS+ without a prescription. The product is CE marked, FDA listed, and manufactured in ISO 13485-certified facilities. It is a notified product with the Health Sciences Authority (HSA) Singapore for retail sale as an ostomy care accessory.

How long does one 25g bottle typically last?

Usage duration varies based on the extent of peristomal skin involvement and frequency of pouch changes. For patients using the crusting technique at each pouch change (typically every 2-3 days for colostomy, daily for ileostomy), one 25g bottle generally lasts 4-8 weeks. Patients with extensive peristomal excoriation requiring heavier application may consume product more rapidly. The puff bottle design minimises waste by delivering a controlled, fine layer with each application.