# Minor Burn (superficial, outpatient) - Category: acute - Review status: reviewed (every claim checked against a document named on this page) - Sources: ISBI Guidelines for Burn Care 2016 · NICE Clinical Knowledge Summaries: Burns and scalds 2021 · Egyptian National Drug Formulary 2026 · MSF Essential Drugs 2024 - paracetamol (oral) · No labelled dose - a procedure, not a medicine - Verified date: 2026-08 ## Verified against - No labelled dose - a procedure, not a medicine - Egyptian National Drug Formulary 2026 - MSF Essential Drugs 2024 - paracetamol (oral) - Minor Burn (superficial, outpatient) - disease-level clinical article (minor-burn-clinical.txt) ## Treatment metadata - Cooling, Cleansing, and Dressing - Referral & safety-netting (no drug therapy) - Beta-sitosterol — topical - Paracetamol — 500 mg — oral.solid ## Complete treatment card ```text MINOR BURN (SUPERFICIAL, OUTPATIENT) Sources: ISBI Guidelines for Burn Care 2016 · NICE Clinical Knowledge Summaries: Burns and scalds 2021 · Egyptian National Drug Formulary 2026 · MSF Essential Drugs 2024 - paracetamol (oral) · No labelled dose - a procedure, not a medicine Review status: REVIEWED against No labelled dose - a procedure, not a medicine, Egyptian National Drug Formulary 2026, MSF Essential Drugs 2024 - paracetamol (oral), Minor Burn (superficial, outpatient) - disease-level clinical article (minor-burn-clinical.txt) (2026-08) IS IT THIS? - reference only, to read alongside your own examination SYMPTOMS - what the patient reports (1) - A first-degree burn causes increased sensitivity to touch at the site SIGNS - what you find (3) - A first-degree burn shows redness, with skin peeling depending on how long after the injury it is examined [redness] - Total burn surface area is worked out using the rule of nines - A first-degree burn has no airway symptoms, so a full history and exam should still be done IF NOT THIS - what else fits (1) - Cellulitis, an insect bite, or an allergic reaction are also on the differential, with no stated discriminator Source StatPearls "First Degree Burn" - disease-level clinical article Status traced to the source above Rx: Main treatment | Wound care | Pain MAIN TREATMENT - choose one 1. COOLING, CLEANSING, AND DRESSING [1st line] Adult Immediately cool burn with cool running tap water (10-20°C) for 20 minutes (within 3 hours of injury). Gently cleanse with mild soap or sterile saline, leave small intact blisters unruptured, apply sterile non-adherent dressing. - First-aid immediately; change dressing every 2-3 days until healed (7-14 days) Peds Cool burn with cool running tap water for 20 minutes. Keep child warm during and after cooling to prevent hypothermia, especially in infants. Source No labelled dose - a procedure, not a medicine Why Immediate tap water cooling for 20 minutes limits thermal tissue necrosis, reduces pain, and speeds wound healing; essential first-line intervention Caution Do NOT apply ice, ice water, butter, toothpaste, or home remedies; ice induces microvascular vasoconstriction and worsens tissue necrosis. Refer urgently to a burn center if burn involves face, hands, feet, perineum, major joints, circumferential burns, chemical/electrical injuries, or >10% total body surface area (TBSA) in adults (>5% in children). 2. REFERRAL & SAFETY-NETTING (NO DRUG THERAPY) [1st line] Adult Source Minor Burn (superficial, outpatient) - disease-level clinical article (minor-burn- clinical.txt) Why Carries the referral criteria and warning signs for this condition, which apply whichever treatment is chosen. Caution RED FLAG - Referral criteria: moderate burns require a hospital setting and severe burns require a burn center. WOUND CARE - give alongside 3. BETA-SITOSTEROL [add-on - not a substitute] Adult Apply a thin layer (approx 1 mm) of 0.25% ointment to burn wound every 4-6 hours; maintain moist wound environment x 7-14 days until re-epithelialization Peds Apply a thin layer to clean burn area 3-4 times daily in infants and children Source Egyptian National Drug Formulary 2026 Why Standard moist exposed burn ointment widely prescribed and registered in Egypt (MEBO 0.25% ointment) for superficial partial-thickness burns Caution Contains sesame oil base; use caution in patients with known sesame allergy. Gently cleanse residual ointment before re-application to prevent accumulation of wound exudates. Egypt FEATHERLITE 0.25% CREAM 30 GM SPECTRA PHARMA 35.00 EGP FEATHERLITE 0.25% OINT. 30 GM SPECTRA PHARMA 45.00 EGP PENTABURN 0.25% TOP. OINT. 15 GM EVA PHARMA > ... 64.00 EGP BURNASORES 0.25% OINT. 15 GM GLOBAL NAPI P... 110.00 EGP MEBO 0.25% HERBAL AND NATURAL OINT. 75 GM JULPHAR 145.50 EGP BURNASORES 0.25% OINT. 30 GM GLOBAL NAPI P... 150.00 EGP MELO OINT. 30 GM MELANO PHARMA 80.00 EGP MIBOCOUCHE 30 GM OINTMENT UNITED GROUP ... 109.00 EGP PAIN - give alongside 4. PARACETAMOL [add-on - not a substitute] Adult 500-1000 mg orally three or four times a day PRN for burn wound pain (max 4000 mg/day) x 3-7 days PRN Peds 10-15 mg/kg/dose [child max 500 mg] (Every 4-6 hours PRN (max 60 mg/kg/day) Under 1 month: 10 mg/kg 3 or 4 times daily, maximum 40 mg/kg/day (MSF Essential Drugs 2024).) 3kg -> 30-45 mg/dose 4kg -> 40-60 mg/dose 5kg -> 50-75 mg/dose 6kg -> 60-90 mg/dose 7kg -> 70-105 mg/dose 8kg -> 80-120 mg/dose 9kg -> 90-135 mg/dose 10kg -> 100-150 mg/dose 11kg -> 110-165 mg/dose 12kg -> 120-180 mg/dose 13kg -> 130-195 mg/dose 14kg -> 140-210 mg/dose 15kg -> 150-225 mg/dose 16kg -> 160-240 mg/dose 17kg -> 170-255 mg/dose 18kg -> 180-270 mg/dose 19kg -> 190-285 mg/dose 20kg -> 200-300 mg/dose 21kg -> 210-315 mg/dose 22kg -> 220-330 mg/dose 23kg -> 230-345 mg/dose 24kg -> 240-360 mg/dose 25kg -> 250-375 mg/dose 26kg -> 260-390 mg/dose 27kg -> 270-405 mg/dose 28kg -> 280-420 mg/dose 29kg -> 290-435 mg/dose 30kg -> 300-450 mg/dose 31kg -> 310-465 mg/dose 32kg -> 320-480 mg/dose 33kg -> 330-495 mg/dose 34kg -> 340-500 mg/dose (upper capped) 35kg -> 350-500 mg/dose (upper capped) 36kg -> 360-500 mg/dose (upper capped) 37kg -> 370-500 mg/dose (upper capped) 38kg -> 380-500 mg/dose (upper capped) 39kg -> 390-500 mg/dose (upper capped) 40kg -> 400-500 mg/dose (upper capped) 41kg -> 410-500 mg/dose (upper capped) 42kg -> 420-500 mg/dose (upper capped) 43kg -> 430-500 mg/dose (upper capped) 44kg -> 440-500 mg/dose (upper capped) 45kg -> 450-500 mg/dose (upper capped) 46kg -> 460-500 mg/dose (upper capped) 47kg -> 470-500 mg/dose (upper capped) 48kg -> 480-500 mg/dose (upper capped) 49kg -> 490-500 mg/dose (upper capped) 50kg -> 500 mg/dose (capped) Source MSF Essential Drugs 2024 - paracetamol (oral) Why Simple analgesic added to burn wound care and dressings, not a treatment for the burn itself; controls the pain of a mild superficial burn. Caution Paracetamol is the first-line oral analgesic for mild-to-moderate burn pain relief. Do not exceed maximum daily recommended dosage (4 g/day in adults) to avoid liver injury. 500 mg is the per-dose ceiling used here for a child. 1000 mg is the adult dose and does not belong in a weight calculation - the daily 60 mg/kg limit is the one that binds first in any case. Egypt FEBRIMOL 500 MG 20 TAB. PHARCO 3.50 EGP (0.17/unit) CETAMOL 500 MG 20 TABS. MEMPHIS 8.00 EGP (0.40/unit) PARACETAMOL-MUP 500MG B.P. 20 TABS. MUP 13.00 EGP (0.65/unit) CETAL 500 MG 20 TABS. EIPICO 24.00 EGP (1.20/unit) ARKADOLOW 500 MG 30 F.C. TABS. UTOPIA 42.00 EGP (1.40/unit) PARAMOL 500MG 20 TAB. MISR 38.00 EGP (1.90/unit) ADOL 500MG 24 CAPLETS JULPHAR 32.00 EGP AUGICETAMIDE 500 MG 20 SACHETS AUG PHARMA 50.00 EGP FEBRIMOL ORAL DROPS 20 ML PHARCO 4.00 EGP -> ? strength differs, ? different route - not oral solid THERA-LO 3.2G/100ML ORAL SUSP. 100 ML PHAROPHARMA 5.00 EGP -> ? strength differs, ? different route - not oral solid Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy. ``` --- Dawaa Reference is a reference for prescribers, not a medical device, and does not replace clinical judgement. [Privacy policy](/privacy)