Dosage of PIC Hot Water Bag (Two-Sided Ribbed)

PIC Hot Water Bag is an Over-the-Counter (OTC) device.

Apply heat for 15-20 minutes, 2 to 3 times a day, as needed for pain relief.

Proper Administration

• Route: Topical application.
• How to Fill:
  1. Boil water, then let it cool slightly (to about 50 degree C to 60 degree C).
  2. Hold the bag by the neck and slowly pour hot water (do not fill more than two-thirds full).
  3. Gently squeeze the bag to expel any remaining air before securing the stopper.
  4. Ensure the stopper is tightly sealed and check for leaks.
• How to Apply: Place the securely sealed bag, wrapped in its cover or a towel, directly onto the area of pain, stiffness, or cramps. You have the benefit of applying either of the two ribbed sides.
• Timing: Apply for a maximum of 20 minutes per session.

Contraindications of PIC Hot Water Bag (Two-Sided Ribbed)

Do NOT use the PIC Hot Water Bag if the patient:

• Has an acutely inflamed area or a recently injured area (within 48 hours), as heat will increase swelling and pain (use cold therapy instead).
• Has open wounds, dermatitis, or bleeding in the affected area.
• Has impaired skin sensation (e.g., due to diabetes or paralysis) or compromised circulation, as this significantly increases the risk of severe burns.
• Cannot reliably monitor the heat level (e.g., young children or the elderly, unless supervised).

Pregnancy & Breastfeeding Warnings

• General: Use is generally safe, but avoid applying excessive heat to the abdomen during pregnancy and always ensure a low, safe temperature.

Side Effects of PIC Hot Water Bag (Two-Sided Ribbed)

Side effects occur only due to improper use or excessive heat/duration.

• Common Side Effects (Mild and Expected): Temporary mild skin redness (hyperaemia) after the bag is removed.
• Serious but Rare Side Effects (that may require medical attention):
  • Severe Burns (Thermal Injury): Prolonged direct contact with skin with water above 60 degrees C can lead to severe burns.
  • Increased Swelling: Using heat on an acute injury (within 48 hours) will worsen swelling.

What to do if severe symptoms occur:

• If the skin turns a distinct, deep red, or if blistering occurs, remove the bag immediately and seek emergency medical treatment for burns.
• If dizziness or fainting occurs, remove the heat and rest.

Precautions and Warnings of PIC Hot Water Bag (Two-Sided Ribbed)

• NEVER USE BOILING WATER: Use hot, but not boiling water (recommended temperature is 40 degree C to 60 degree C). Boiling water can damage the bag and cause severe burns.
• Use a Cover/Barrier: Although both sides are ribbed, it is CRITICAL to always wrap the hot water bag in the provided fabric cover or a towel before applying it directly to the skin for prolonged periods.
• Check Seal: Before every use, check the stopper and the bag itself for any rips, cracks, or signs of wear, and replace immediately if damaged.
• Filling: Fill the bag to a maximum of two-thirds of its capacity (expel air before sealing). Do not overfill.
• Avoid Pressure: Do not sit or lie on the hot water bag, as this pressure can cause the bag to fail or burst.

The product is a reusable container for heat therapy with a ribbed surface on both sides. It is made of Natural Rubber or PVC, supplied in various capacities, and includes a reinforced screw cap. It is an Over-the-Counter (OTC) Medical Device.