Why you can not use hormonal ointments with. Creams and ointments for dermatitis for children and adults, hormonal and non-hormonal

Hormonal ointments come to the rescue when an allergic reaction develops, the itching becomes unbearable. However, other skin diseases can cause similar unpleasant sensations. Especially for the purpose of treating this kind of pathologies, ointments with hormones included in their composition were created.

Before you start using hormone ointments, it is important to know what they are, when they can be used, and what contraindications exist.

Hormonal creams quickly help prevent the release of histamine from immune cells, eliminate the inflammatory process resulting from an allergic reaction.

Hormonal ointments (more precisely, their use) are justified in the case of long-term inflammatory processes on the skin (both acute and chronic). It is important to consider:

• age;
• specifics of the skin;
• the presence of comorbidities.

The disadvantage of preparations containing hormones is the presence of side effects, which can be as diverse as useful results. The more active the hormonal ointment has, the higher the risk of an undesirable effect.

The most dangerous consequences of the action of hormonal ointments:

• children may have growth retardation;
• the occurrence of hypertension;
• suppression of the activity of the adrenal glands.

They occur after glucocorticoids enter the bloodstream as a result of uncontrolled use of the drug in an increased dose. To prevent such complications, you should strictly follow the doctor's recommendations (optimal dose, course duration).

Exists great amount hormonal ointments, which allows the doctor, when choosing a drug, to individually approach each patient, take into account his needs.

Such drugs are classified depending on the action, the depth of penetration into groups:

• I - the action is weak, they penetrate into the epidermis slowly, the result from their use is short (Hydrocortisone cream, Diperzolon);
• II - have a moderate effect (Lorinden, Prednisolone, Dexamethasone, etc.);
• III - act quickly (Celestoderm, Sinaflan, Polcortolon, Celederm);
• IV - penetrate into the deep layers of the epidermis, they should not be used without a doctor's recommendation, since various undesirable effects are possible. In some cases, such drugs can be harmful (Dermovate, Galcinonide).

When an infection joins the existing inflammation and irritation (sometimes it can be caused by it), apply combined means, in its composition containing antimicrobial or antimycotic substances.

List of the most popular funds from this group:

• Sinalar;
• Vipsogal;
• Diprosalic;
• Lorinden;
• Aurobin;
• Triderm;
• Oxycort.

What is unusual about these drugs and why can't they be used on their own? They can oppress local immunity. It is for this reason that they are not allowed to be used without a doctor's prescription.

What are dangerous hormonal ointments? Using them inappropriately increases the risk of complications. For example, when a patient develops itching as a result of a fungal infection, it is important to identify the cause and treat the irritation. If you immediately start using an ointment with glucocorticosteroids, the problem will not be solved.

Hormonal creams and ointments are prescribed to stabilize the activity of cells responsible for inflammatory processes. Therefore, such drugs show the desired result when they are used during prolonged, chronic, as well as sluggish or acute inflammatory phenomena on the skin.

At the time of appointment, the doctor is guided by:

• skin features;
• the presence of concomitant diseases;
• the age of the patient.

It is important to consider that the skin of children is highly susceptible to externally prescribed agents (since the epidermis is delicate, the vessels are close to the surface of the skin). Hormonal cream is recommended for use in childhood allergies only when there is no desired result from treatment with other means.

The main indications are:

• an acute inflammatory process on the skin resulting from an allergy;
• negative result when using hormonal drugs for the treatment of recurrent rashes;
• the threat of acute eczema;
• atopic dermatitis;
• photodermatitis;
• allergy-induced neurodermatitis;
• multiform as a result of allergy complications;
• drug allergy complicated by erythematous rash.

With the help of preparations containing hormones, they often try to quickly cope with itching, burning, inflammation and prevent development.

However, hormonal drugs There is absolute contraindications associated with their effect on the body:

• , herpes;
• post-vaccination allergy;
• helminthiases;
• skin lesions of bacterial etiology;
• mycoses;
• acne
• venereal diseases;
• tuberculosis;

Pregnancy is considered a relative contraindication, drugs are carefully prescribed to children under 7 years of age. It is not allowed to use hormonal ointments for children with:

• "diaper" dermatitis;
• high sensitivity of the agent after determination with a skin test;
• chickenpox.

To prevent possible complications, you can not use hormonal ointments on your own. Even if the drug is prescribed by a doctor, it is recommended to pre-apply a little on the wrist and leave for 15 minutes. Only after a skin test, if there are no changes at the site of application, can it be used.

Even a drug that treats an allergic disease can have unwanted action. More often this happens when independent application(without a doctor's recommendation). But the group of the drug is of no small importance: group IV drugs can cause more undesirable consequences.

With prolonged use of glucocorticoids, local immunity is suppressed, as a result, an infection develops at the location of the rash as a complication.

Prolonged use of hormonal agents can cause increased pigmentation of skin areas, the appearance of irritation, acne. This condition occurs as a result of the rapid penetration of corticosteroids into the bloodstream with subsequent systemic effects on the body.

But such actions can develop only as a result of an increase in recommended doses or improper use of drugs. In most cases, after discontinuation of the drug, complications disappear, the consequences are reversible.

Currently, non-hormonal and hormonal ointments for dermatitis can be used to get rid of external symptoms. Many experts disagree about the benefits of these medicinal groups. Some consider non-hormonal drugs to be the most effective, while others are sure that it is hormone therapy able to provide the most positive impact on the patient.

The most effective hormonal ointments

The list of hormonal drugs is quite extensive and includes many drugs, the most used are:

ADVANTAN (ointment, cream, emulsion). This drug is prescribed to relieve symptoms in atopic, allergic, and contact dermatitis. The main active ingredient is methylprednisolone aceponate, which gently affects the skin. The average price of a drug is 300-400 rubles.

Reviews: existing reviews of the action of Advantan are very contradictory. Some consider it a salvation from allergic and inflammatory symptoms, especially in young children. For another category of patients, it does not have sufficient effect and, on the contrary, aggravates the course of the disease.

FLUCINAR (gel, ointment). The drug is prescribed for seborrheic and atopic dermatitis. In addition, it is prescribed for erythema, psoriasis, etc. for adult patients and children older than 2 years. The active ingredient is fluocinolone acetonide. The average price category varies between 175-200 rubles.

Reviews: due to minimal side effects, especially in children, for the most part, the ointment received a large amount positive feedback. There are far fewer negative statements, but this is mainly due to wrong reception medicinal product.

FUCIKORT (ointment, cream). The ointment is actively used for dermatological diseases that are complicated by bacterial infections. Most often, Fucicort is prescribed for atopic, seborrheic and contact dermatitis, as well as lupus erythematosus, eczema and lichen. With caution, the ointment is used for perianal and genital itching, with occlusive dressings, significant skin lesions and diaper rash. The cost of the ointment is 400-450 rubles.

Reviews: indicate the effectiveness of an external agent that relieves allergic symptoms for a long time. Minimum side effects allow it to be used for short-term treatment of children.

Locoid (cream, ointment). Lokoid includes hydrocortisone butyrate, which quickly relieves the process of inflammation, swelling and itching. The drug is prescribed for the treatment of superficial skin diseases. And also in the following cases:

• eczematous rashes;
• psoriasis;
• with atopic, seborrheic and contact dermatitis.

As a rule, the effect after treatment persists for quite a long time, providing anti-edematous, antipruritic and anti-inflammatory effects. The course of treatment is selected individually and depends on the severity of the manifestation of the disease and the general condition of the patient. The average price of Lokoid is 260-300 rubles.

Reviews: patients note that this drug helps better than others in treatment, but it should be used with caution, since in some people prolonged use of ointment and cream, on the contrary, provokes the occurrence of a hormonal form of dermatitis.

CELESTODERM (cream, ointment). This ointment belongs to corticosteroids and is prescribed for the treatment of seborrheic, contact, radiation, atopic and other types of dermatitis. Perfectly eliminates itching and moisturizes the skin. The ointment is applied in a thin layer and is approved for use in children from 6 months, since the children's body is more susceptible to hormonal agents. The price of the drug is 230-370 rubles.

Reviews: patients highly appreciate the effectiveness of the drug, but note that in order to obtain a stable result, it is required regular use. As a rule, side effects are quite rare.

PREDNISOLONE (ointment, tablets, solutions for injections). Prednisolone is characterized by a fairly low activity with minimal side effects. Prescribed for allergic diseases inflammatory nature with non-microbial etiology.

In addition, indications for the use of ointment are:

• limited neurodermatitis;
• prescribed for atopic, contact and allergic dermatitis;
• with discoid lupus erythematosus;
• psoriasis, eczema, erythroderma;
• toxicoderma, urticaria.

The drug should be discontinued gradually with a gradual decrease in dosage. It is important to note enough low price Prednisolone ointment, which is 15-20 rubles per tube.

Reviews: The opinion of patients determines positive effect after applying the ointment, however, patients note that after stabilization of the general condition, it is advisable to conduct alternative therapy.

ELOKOM (ointment, lotion, cream). This is a synthetic hormonal drug that effectively relieves inflammation, painful itching, reducing liquid exudate (in the blood, pus and serous fluid). Not recommended when wet. At local use Elocom is practically not absorbed into the blood, preventing a negative effect on the body. The average price is 550 rubles.

Reviews: opinions about the action of the ointment are quite different. It did not help some, while others (especially young mothers) note its positive impact. In various forums, patients share their opinions about Elocom, emphasizing that during the treatment it is necessary to follow a diet, which causes some inconvenience.

FLUOROCORT (ointment). The drug is prescribed for use in the following cases:

• neurodermatitis, psoriasis;
• acute and chronic eczema;
• contact dermatitis;
• Leiner's disease;
• exfoliative erythroderma;
• the bite of a stinging insect;
• non-infectious otitis externa.

Together with occlusive dressings, a systemic effect of the drug is likely, therefore, it is required increased caution especially when treating children. The cost ranges from 160 to 200 rubles.

Reviews: patients claim that Fluorocort is quite effective and easily tolerated, without side effects.

LORINDEN. It has antipruritic, antimicrobial, anti-inflammatory and antiallergic effects. The ointment is prescribed for dermatophytes, mycoses and bacterial infection. Treatment course approximately 10-14 days. The price of Lorinden is 250-320 rubles.

Reviews: according to patients, this drug is most in demand and best relieves negative symptoms. However, there are a small number of people who consider the positive impact of Lorinden to be rather short-lived.

AKRYDERM (ointment). Hormonal ointment is prescribed for allergic, solar, seborrheic, atopic and contact dermatitis. Appointed for removal external symptoms diseases. The price is 550-700 rubles.

Reviews: the drug quickly relieves external symptoms, very economical and with the minimum amount side effects. The disadvantages include a high price category, which makes Akriderm inaccessible for some categories of sick people.

Non-hormonal ointments

Comparative characteristics of hormonal and non-hormonal indicates that with the help of non-hormonal drugs the positive effect is achieved over a longer period of time. At the same time, they practically do not cause side effects, with the exception of the individual sensitivity of a person to the components of the ointment.

The list of the most common non-hormonal drugs includes:

EPLAN (cream). This drug is used to treat various forms of eczematous dermatitis, insect bites, psoriasis, herpes, burns and microbial eczema. It actively removes puffiness, relieves itching and is able to provide preventive effect to chemical irritation. The cost of Eplan is 180 rubles.

Reviews: the ointment is safe and often used to treat skin lesions in children (abrasions, cuts, etc.). Eplan is equally good as for infected wounds, and to get rid of dermatitis.

BEPANTEN (cream, lotions, ointment). Bepanten is prescribed for dermatitis of a different nature to neutralize dry skin, itching, and get rid of erythema. Quite often, the drug is used as prophylactic with diaper rash in babies, as it creates a protective film on the skin and quickly regenerates skin tissues. The cost of the medicine is 570 rubles.

Reviews: user opinion about the ointment is mostly positive. Many confirm the complete elimination of negative external symptoms within 1 week of using Bepanten. Especially good feedback come from young mothers whom Bepanten allows to get rid of cracked nipples. They often appear when breastfeeding a baby.

SKIN-CAP (cream, gel, shampoo, aerosol)

Skin-Cap forms a whole series of antimicrobial, antiproliferative and anti-inflammatory agents. This drug has been experimentally recognized as the most effective and safe for patients.

Skin cap is prescribed to get rid of atopic, seborrheic and diaper dermatitis. In addition, the ointment and cream is used for eczema, seborrhea, psoriasis and increased dryness of the skin. The average cost of an external remedy is 800 -1450 rubles.

Reviews: numerous reviews indicate a positive trend when using a series of these drugs. In addition, patients indicate the effectiveness of Skin-Cap anti-seborrheic shampoo and aerosol. Negative reviews are caused by the price category of the drug.

EXODERIL (ointment, cream). This drug is an effective antifungal agent and is most often prescribed for an unexplained cause. inflammatory process on the skin. This drug is used for skin candidiasis, pityriasis versicolor and with the development of inflammatory dermatomycosis. The average price is 380 rubles.

Reviews: patients claim that this drug has the best effect when complex treatment. Allergic reactions were not revealed.

RADEVIT (ointment, cream). Radevit is prescribed in the treatment of contact, atopic and allergic dermatitis to relieve negative symptoms on the surface of the skin. It eliminates itching, inflammation and has a softening effect on the skin of the face and hands, especially in children. Cream and ointment have a good regenerating and reparative effect. Price - 370 rubles.

Reviews: numerous opinions of patients confirm the good tolerance of the ointment. Women claim that, in addition to medicinal effects in skin diseases, long-term use of Radevit helps to get rid of wrinkles and acne on the face.

GISTAN-N (ointment, cream). This drug is intended for external use and refers to dietary supplements that are prescribed for atopic and allergic dermatitis. In addition, Gistan-N perfectly relieves itching, including after insect bites. However, this should never be confused non-hormonal remedy with the same (Gistan-N with the addition of hormones), so you should carefully study the composition of the drug before use. The average price is 150 -190 rubles.

Reviews: a positive effect is observed in the treatment of children. Patients report that Gistan-N therapy is highly effective, but for this it should be used correctly and regularly. negative feedback when using ointment and cream is not noted.

Analogues of expensive ointments and creams

• Advantan - Metipred (190 rubles), Atoxil (150 rubles);
• Fucicort - Akriderm Genta (140 rub.);
• Lokoid - Hydrocortisone (25-30 r);
• Celestoderm - cream Betaderm (135 rubles), Belogent (90 rubles);
• Elokom - ointment Avekort (162 rubles), Momat (130 rubles);
• Lorinden - Flumethasone + Clioquinol (160 rubles);
• Akriderm - Betamethasone (176 rubles);
• Bepanten - Dexpanthenol (129 rubles);
• Skin-Cap - Pyrithione zinc (600 rub.),
• Exoderil - Salicylic ointment (27 rubles), Fungoterbin cream (348 rubles);

In the modern industrialized world, even the body of adults does not always cope with the attack of numerous allergens, what can we say about children? In personal medical card each child has a column for information about allergies on the first page, and few have it empty.

Every day children face adverse factors external environment:

Industrial emissions in the atmosphere;

Clothing made of artificial fibers dyed with harmful dyes;

Food full of chemical additives - preservatives, baking powder, emulsifiers and others;

Vegetables, fruits and meat products, in the production and cultivation of which antibiotics and pesticides were involved;

Personal care products, cosmetics and household chemicals, the composition of which is far from environmentally friendly.

The child's body cannot resist allergens for a long time, especially if there are a lot of them, and the negative impact is long-lasting. The most common reaction is skin, it is urticaria or a rash that is the main symptom of an allergy in children. If this happens, it is necessary to identify the allergen and eliminate it from the child's daily routine, as well as temporarily adjust the diet so that spicy, irritating food does not provoke new allergic reactions.

Sometimes it is difficult to determine the exact cause of the disease: refusal to contact with dust, animal hair, plant pollen, citrus fruits and other known allergens does not give any effect. Then the child must be shown to an allergist who will conduct special skin tests and establish the "culprit" of the allergy.

The treatment of allergic skin rash in children should be approached very carefully, because not all creams and ointments for allergies are approved for use in children. As paradoxical as it may sound, sometimes even allergy medications cause allergies. In addition, there are ointments and creams that, in principle, are contraindicated for children due to the active ingredients that they contain.

Creams and ointments for allergies are divided into two large groups:

Hormonal;

Non-hormonal.

Non-hormonal creams and ointments for allergies in children

It is non-hormonal anti-inflammatory drugs that are most preferably used for the treatment of allergic dermatitis and urticaria in children. Most creams and ointments in this group are harmless, and are approved for use from birth or from the age of two.

Fenistil - gel

Active substance: dimethindene maleate

Price range: 200-250 rubles

Indications: itching from sunburn and insect bites, eczema, urticaria, allergic dermatitis

Side effects: very rarely - increased itching, rash, burning, swelling and dryness of the skin

special instructions: Cannot be used to treat babies under the age of one month. In children under six years of age, use with caution, do not lubricate more than one third of the body surface, do not apply to heavily combed, bleeding areas, do not leave the child after applying the gel under open sunlight.

Gistan

Active ingredients: dimethicone, betulin, lily of the valley oil, extracts of lupine, birch buds, milkweed, string, veronica spiky, calendula and violet.

Price range: 120-180 rubles

Indications: urticaria, blistering rash, itching after insect bites, eczema, neurodermatitis, atopic dermatitis

Side effects: individual allergic reactions in case of intolerance to the components of the ointment

special instructions: Gistan cream is sometimes confused with Gistan N ointment, which contains corticosteroid hormones and is contraindicated in children.

Skin Cap

Active substance: pyrithione (activated zinc)

Price range: 600-700 rubles

Indications: seborrhea, psoriasis, atopic dermatitis, dry and flaky skin, itching due to insect bites or fungal infection skin

Side effects: very rarely - local allergic reactions

special instructions: there is unverified information that this cream contains clobetasol propionate, a synthetic corticosteroid, therefore, it cannot be recommended to children. But the Skin Cap is very effective, and there is no mention of hormones in the official summary, so the decision is up to you.

Creams and ointments for the treatment of severe dermatitis in children

Elidel cream

Active substance: pimecrolimus

Price range: 900-1000 rubles

Indications: eczema, atopic dermatitis

Side effects: possible redness, swelling, burning and itching at the site of application of the cream, especially at the beginning of treatment. Rarely, folliculitis and skin hyperpigmentation reactions occur.

special instructions: Do not use for the treatment of babies under the age of three months. Treated skin is not recommended to be exposed to ultraviolet radiation. There is a hypothesis that long-term use of Elidel cream reduces local immunity and leads to the development of oncological diseases - lymphoma and melanoma. The drug is relatively new, and its effect on the body is not fully understood, but in the treatment of dermatitis in children, Elidel demonstrates very high efficiency.

Desitin

Active ingredients: zinc oxide, petroleum jelly, lanolin, cod liver oil

Price range: 150-250 rubles

Indications: prickly heat, diaper rash and maceration of the skin in infants, sunburn, eczema, atopic dermatitis, blistering rashes and weeping ulcers

Side effects: not registered

special instructions: the ointment should not be applied to infected, suppurating skin areas, it is first necessary to heal the inflammation with an antibiotic

Protopic

Active substance: tacrolimus

Price range: 1500-1600 rubles

Indications: atopic dermatitis

Side effects: not registered

special instructions: treatment of dermatitis in children is carried out only from the age of two and only with Protopic ointment with a 0.03% content active substance. The drug is very effective in severe dermatitis, has a pronounced anti-inflammatory effect, and, unlike hormonal ointments, does not cause atrophy of the epidermis even with prolonged use.

Wundehill cream

Active ingredients: cardophilene, propolis, sophora, cinquefoil and yarrow extracts

Price range: 120-150 rubles

Indications: sunburn, psoriasis, allergic dermatitis, neurodermatitis, trophic ulcers

Side effects: Allergic reactions to bee products possible

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Children's ointments and creams with a healing and regenerating effect

If allergic rashes on the child's skin became infected due to scratching, you have to start treatment with antibiotic therapy. Ointments such as Sulfargin or Dioxidin, as well as old, time-tested drugs, zinc or ichthyol ointment, will help to cope with microbes.

When acute symptoms inflammations have been removed, and the allergic rash has almost disappeared, you can fix the effect with the help of creams that accelerate the cellular regeneration of the skin. Solcoseryl and Actovegin, preparations based on calf blood, have proven themselves well.

Radevit, Videstim, Curiosin and methyluracil ointment will also help to increase local immunity and accelerate skin healing. And below you will find information about regenerating creams that give the best effect in the final healing of allergic rashes in children.

Bepanthen

Active substance: dexpanthenol

Price range: 250-270 rubles

Indications: diaper dermatitis, dryness and flaking of the skin with allergic dermatitis and eczema, irritation from coarse clothing, cracking from frost

Side effects: very rarely - itching and urticaria

special instructions: there are several analogues of Bepanten, created on the basis of the same active ingredient: D-panthenol, Bepanten Plus. All of these creams are great for treating allergies and skin irritations in children.

La Cree

Active ingredients: panthenol, bisabolol, avocado oil and walnut, extracts of string and licorice

Price range: 150-170 rubles

Indications: irritation and peeling of the skin of any etiology, allergic dermatitis, urticaria, itching from insect bites

Side effects: individual allergic reactions in case of intolerance to herbal ingredients

special instructions: La Cree cream is more of a good moisturizing baby cream than a serious one medicine. It will not cure severe dermatitis, but it will cope with minor skin irritation perfectly.

Mustela Stelatopia

Active substance: bioceramides, fatty acids, sugars, procholesterol, sunflower oil

Price range: 1000-1200 rubles

Indications: care for infant skin prone to diaper rash and atopic dermatitis

Side effects: not registered

special instructions: Mustella Stelatopia is a gentle emulsion specially formulated for baby skin care from birth to one year old. It is not a therapeutic ointment, but rather a prophylactic agent that prevents the appearance of diaper rash and dermatitis.

Hormonal ointments for allergies in children

Sometimes even long-term allergy treatment with non-hormonal ointments does not lead to success. Only in this case, you can think about the appointment of hormonal drugs, because they are extremely undesirable for a fragile child's body. Synthetic glucocorticoids quickly and effectively relieve inflammation in atopic dermatitis and eczema, as they interrupt the chain itself chemical reactions leading to the development of an inflammatory process on the skin. But hormonal ointments with prolonged use can cause adrenal disorders or even cause Cushing's syndrome in a child.

The most undesirable are such hormonal ointments that are well absorbed through the skin and enter the bloodstream, creating dangerous concentrations of hormones there. These drugs suppress the child's immunity and make his body defenseless against possible threats. Relieving acute symptoms now, corticosteroids lead to undesirable consequences in the future, so they should be prescribed only for severe forms dermatitis, when on the skin of a child, as they say, there is no living place. It is also important to complete the hormonal treatment correctly: the therapeutic ointment is canceled gradually, mixing it with baby cream and applying smaller and smaller doses until the body weans, otherwise a painful withdrawal reaction may occur.

Active substance: synthetic glucocorticosteroid

Price range: 350-380 rubles

Indications: allergic dermatoses

Side effects: contact dermatitis, prickly heat, itching, dryness, burning, rarely - the development of perioral dermatitis

special instructions: the ointment can be used to treat allergies only in children over six months of age, and only as directed by a doctor. Do not apply Elokom to skin areas larger than one eighth of the body surface. Treatment is carried out in courses not longer than one week in a row, with the gradual withdrawal of the drug by mixing with baby cream.

Advantan

Active substance: methylprednisolone

Price range: 330-350 rubles

Indications: contact and atopic dermatitis, eczema, neurodermatitis, allergic dermatosis

Side effects: redness, itching, rash, burning, swelling of the skin

special instructions: the ointment can be used to treat allergic rashes in children older than four months, only as directed by a doctor. Prolonged use of Advantan causes atrophy of the upper layer of the epidermis.

Parents need to know which hormonal ointments and creams for allergies are strictly contraindicated for children, which are undesirable, and which are allowed for use:

Do not use - Hydrocortisone ointment and any other hydrocortisone-based ointments: Fluorocort, Fucidin, Oxycort, Cortef, Dactacort, Locoid, Sulfodecortem, Hyoxysone, Sibicort, Corteid, Laticort, Kenacort, Nazacort, Sopolcort, Kenalog, Phtoderm, Polcortolon, Triacort, Berlicort , Betameson;

The use is undesirable - Lorinden, Ultralan, Flucinar, Locasalen, Sinalar, Locacorten, Sinaflan, Flucort, Flunolon, Celestoderm, Daivobet, Diprogent, Belogent, Flosteron, Betazon, Celeston, Akriderm, Vipsogal, Fucicort, Kuterid, Diprosalik, Betacortal, Diprospan, Belosalik , Triderm, Betasalin, Mometasone;

Can be used as prescribed by a doctor - Elocom, Silkaren, Gistan N, Uniderm, Avekort, Momederm, Advantan, Powercourt, Momat, Dermovate, Cloveit, Monovo, Clobetasol, Skin-Cap, Skinlight.

How to protect your child from allergies?

Regardless of whether your child has allergies or not, you should try to minimize the presence of potential allergens in his everyday life, because the dosage and duration are of decisive importance in the development of allergies.

A few simple steps will help you insure your children against allergic reactions and serious illnesses, which subsequently risks turning into a banal dermatitis ( bronchial asthma, psoriasis):

When buying household chemicals, shampoos, shower gels and other cosmetics, pay attention to their composition. If on the label you see names such as propylene glycol, methyl acrylate, sodium laureth sulfate, formaldehyde, you should know that it is better to choose another product;

Don't wash your child's clothes with the same detergent you wash yours. Ordinary washing powder contains up to 40% surfactant, while for children's skin the maximum allowable concentration is 5% surfactant;

Going to the supermarket for groceries, do not rush to dump in the basket familiar products, first read what is written on bright jars, bags and bottles. If it is possible to choose between two yogurts one that does not contain artificial flavors and colors, do so. And instead of carbonated drinks with sodium benzoate, take natural juice or milkshake;

Be careful when introducing new foods and exotic foods into the diet of a child prone to allergic reactions. Children are often allergic to rare types of nuts, outlandish seafood and overseas fruits, so let the child try a spoonful of a new delicacy, and the next day, in the absence of negative reactions, you can offer him more.

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Mechanism of action

General principle The actions of hormonal ointments can be classified as follows:

• prevent further manifestation of allergies on the skin;
• keep skin hydrated
• provide nutrition to the skin;
• relieve itching and redness, fight peeling;
• in the shortest possible time to help eliminate inflammation;
• the possibility of use for prophylactic purposes, to prevent the appearance of allergies.

Main cast

The active substance of hormonal drugs are usually synthetic corticosteroids. They are the ones who contribute prompt elimination all unwanted skin manifestations.

They are combined with additional synthetic and natural ingredients, resulting in:

• the strength of the drug used;
• depth of penetration directly into irritated tissues.

With their help, the level of activity of the main active substance is also determined.

Kinds

Drugs that are used for external treatment of allergies can be divided into the following groups:

• hormonal;
• non-hormonal. The main focus is moisturizing and nourishing the skin, restoring its balance after the use of hormonal drugs;
• combined ointments. They may include anti-inflammatory (they are also called non-steroidal), antibacterial or antifungal components;

Hormonal drugs can be divided into classes, according to the degree of exposure and activity of the main active substance:

Indications

Depending on the type of allergen, individual features organism, the stability of the human immune system, all external manifestations of allergic reactions can act in various forms.

Most often everything skin rashes accompanied unpleasant sensations, which have a significant impact on general well-being sick person.

The action of external hormone-based agents is aimed at quickly counteracting the release of histamine.

Corticosteroids suppress the activity of the cellular structure by stopping the inflammatory process caused by the allergen.

The use of ointments is allowed if available external manifestations, such as:

• Redness ( scientific name Erythema). They can appear both as local spots and redness on a large surface of the body;
• Swelling. It mainly manifests itself in the nose, lips and eyelids, but other parts of the body can be affected;
• Peeling. Basically, any redness is accompanied by peeling. In some cases, it is peeling that is the first sign of an allergy that manifests itself. This manifestation may be accompanied by fever, redness;
• Itching. It depends on each individual case. Sometimes these are only small specific sensations, and in some cases you can directly observe the scratching itself;
• Rash. It can spread throughout the body, or be local, forming some kind of pattern, or a random arrangement. When a secondary infection enters, it often develops into pustular inflammation.
• Moist areas with lesions. They appear after opening the vesicles containing serous fluid. These manifestations can be called secondary. However, they are the most difficult ones. They often leave scars behind.

Rashes are of several types:

• points;
• vesicles, which may be empty or with serous fluid;
• crusts.

Treatment with hormonal drugs is aimed at eliminating the above problems.

However, it should be remembered that the manifestation of only one symptom is a very rare case.

Therefore, when choosing a drug, one should proceed from many factors.

And be sure to remember that it is not recommended to purchase and prescribe treatment on your own.

Contraindications

The main contraindications for the use of hormonal ointments include:

• long-term use. It is not recommended to use the drug for more than twelve weeks for adults, and one month for children;
• the presence of such diseases in adults as:

1. tuberculosis;
2. perioral dermatitis;
3. acne
4. scabies;
5. venereal diseases;
6. fungal and viral skin lesions;

• diseases in children such as- diaper dermatitis, chicken pox;
• with individual intolerance.

Mode of application

Application, method, determination of the duration of the course is the task of the attending physician.

It is based not only on indications for the use of a particular hormonal ointment, but also assesses the general condition of the patient.

The basic rules for applying drugs are as follows:

• apply to cleanly washed and pre-treated, if necessary, skin;
• Apply a thin layer, do not rub, but let it soak in on its own.

Side effects

Like any medicinal product, hormonal ointments can cause side effects.

Physicians and scientists observed the following side effects:

• with prolonged use, addiction to the selected drug occurs, the body, in particular, the adrenal glands, cease to produce their own hormones in the right amount;
• after discontinuation of the drug, a repeated exacerbation of allergic manifestations is possible;
• may manifest overgrowth body hair;
• skin pigmentation;
• various inflammations on the skin.

List of popular hormonal ointments for skin allergies

In the instructions in the contraindications for each ointment, all of the above diseases are indicated.

The following list of hormonal ointments for allergies has received the greatest distribution and popularity:

• Advantan. The active substance is methylprednisolone aceponate. It is used for various forms of dermatitis in adults and children, eczema, sunburn. Not allowed for use in children under the age of four months. The cost is about 400 rubles for a tube of 15 grams. Hormonal ointment for allergies Advantan perfectly copes with the tasks, is not addictive. In the case of its use by lactating women, it is forbidden to get it on the mammary glands;
• The active substance is mometasone furoate. It is used as an antipruritic and anti-inflammatory agent. It is recommended to use this ointment once a day. The effect of this drug during pregnancy and lactation has not been studied. It is forbidden to use in children under the age of two years, careful use in the face. The price is about 350 rubles;
• Akriderm. The active substance is Betamethasone. Due to its cost and high efficiency received wide application this drug. Available in two forms - ointment and cream. That allows you to use it not only on the affected areas of the body, but also on the face. It is used for various forms of dermatitis, eczema. Also used for psoriasis. It is recommended to use with caution during pregnancy and lactation. Use by children under one year is prohibited. The cost is about 100 rubles per tube of 30 grams;
• Sinaflan. The active substance is fluocinolone acetonide. It has anti-inflammatory and antipruritic action. Allowed for use by children from two years. This drug apply 2-4 times a day, rubbing until completely absorbed. When local lesion skin can be applied under an occlusive dressing. Contraindicated during pregnancy and lactation. The cost, depending on the manufacturer, varies from 15 to 50 rubles;
• Dermovate. The active substance is Clobetasol. Recommended for psoriasis, various eczema, dermatitis, lichen planus and lupus erythematosus. One of the most popular drugs. It is used in cases where other ointments can not cope. Do not use in children under the age of one year. Apply once or twice a day, the duration of the course is up to four weeks. The cost is about 410 rubles per 25 grams.

What can be used on the face?

For the treatment of allergic reactions on the face, doctors recommend using a hormonal cream or emulsion.

They have a light texture, are able to pass air, which means there is no swelling on the delicate skin of the face, they are quickly absorbed.

Is it possible to self-medicate

No practitioner is allowed to make a decision on treatment with the chosen drug on his own.

Incorrectly chosen remedy for treatment can worsen the state of health.

As a result, instead of blocking allergic rashes at an early stage, the patient receives a long and protracted treatment.

How to choose an allergy cream? Read the article.

allergycentr.ru

Allergy is a disease that many people in the world suffer from. It is dangerous that small children are also susceptible to this disease. Doctors often prescribe hormonal ointments to relieve an allergic reaction. Many parents are afraid of such treatment. They refuse it or reduce the dose of the drug. But there are cases when it is better to use hormonal allergy ointments for a baby now than to deal with the effects of itching later. These tools have become indispensable, they help in urgently improve the condition skin with a number of diseases - dermatitis, red lichen, focal alopecia, localized scleroderma, etc.

Should they be afraid?

Hormone-based products have been used for treatment for over 40 years. Previously, they were not very effective, had many side effects. To reduce their number, such hormonal ointments had to be mixed with a cream before being applied to the skin. Modern analogues Absolutely nothing to dilute. They only penetrate upper layer skin and stop the development pathological processes- itching, redness, rashes. Such drugs are effective in delayed and acute allergic reactions.

Precautionary measures

Any hormonal ointments should not be used for a long time (more than 3 weeks of daily application), appoint yourself on your own, without consulting a doctor. Such treatment should be prescribed only by a specialist after a thorough examination. Typically, this plan is used when other treatments have failed. Apply the cream only on the affected surface, without affecting healthy skin. Use the latest, modern drugs to minimize the risk of possible complications.

Contraindications:

• individual intolerance;
• viral infection;
• pregnancy - after all, the effect that such drugs have on the development of the fetus has not been fully established. Potent means can cause placental insufficiency, lack of weight in the newborn.

Side effects:

• striae - purple-red flats, similar to stretch marks;
• skin atrophy;
• acne - especially often appear on the face, in the chin area, around the mouth;
• discoloration of the skin or dilation of blood vessels.

Why are hormonal ointments dangerous?

Side effects from the use of such drugs are unpleasant, but they develop rarely and are not life threatening. Be sure to consult a doctor if, after applying the drug, the skin becomes painful, reddened, abscesses appear on it. Increased hair growth on the face, chest and arms should also cause concern. After the examination, the doctor will determine whether these disorders are related to the intake of hormones and adjust their dosage.

To reach best effect when treated with this type of drug, doctors may recommend extra care behind the skin. Emollient and moisturizing cosmetics containing vitamin D will be useful. Do not abruptly stop applying hormonal ointments on your own, so as not to reduce the effect of the treatment.

www.syl.ru

What are the indications for the use of hormonal ointments

The composition of hormonal ointments includes adrenal hormones - glucocorticosteroids. Using them, you can quickly deal with various inflammatory lesions skin in cases where other local remedies are ineffective.

Indications for the appointment of hormonal ointments are the following diseases:

• neurodermatitis;
• atopic dermatitis;
• scleroderma;
• allergic dermatological diseases;
• psoriasis;
• dermatomyositis;
• lichen planus;
• varicose eczema, etc.

Hormonal agents for topical use - ointments, lotions, creams, sprays - are not recommended for more than 3 weeks. Their selection and appointment should be performed only by a doctor who can determine the appropriateness of their use.

Hormonal ointments in pediatrics

For the treatment of children, drugs with glucocorticoids are more often prescribed in the treatment allergic diseases and are used for a short time. Despite their rapid therapeutic effect, they are able to provide a number of negative impacts on the child's body. Absorbed into the general circulation, hormonal drugs can affect the work of the adrenal glands, cause a rise blood pressure and the development of side effects (eg, growth retardation).

When using such ointments in pediatric practice, preference should be given to agents with a weak or moderate potency. They are available in the form of sprays or lotions and are not able to penetrate into the deeper layers of the skin (i.e., they have fewer adverse reactions). These drugs include: Ftoderm, Lokoid, Tsinakort, Afloderm. Their use should take place using moderate doses, with which the doctor introduces the parents of a small patient.

Hormonal ointments for the face

For the treatment of diseases that are accompanied by damage to the skin of the face or neck, it is recommended to use products in the form of a cream or lotion, since the ointment forms of such drugs have a stronger activity and have large quantity side effects. For such purposes, the following hormonal preparations can be used: Advantan, Elokom or Afloderm.

When used to treat the skin of the face and neck, hormonal ointments can cause such negative reactions:

• violation of pigmentation;
• acne development;
• decrease in collagen production, leading to thinning and hypersensitivity of the skin;
• the appearance of areas of atrophy and stretch marks;
• skin discoloration.

Contraindications for hormonal ointments

Only a doctor can determine the presence of all contraindications to the use of a particular drug - they are different for each remedy and clinical case.

General contraindications for the appointment of hormonal ointments are such diseases and conditions:

• viral infection;
• hypersensitivity to components;
• period of pregnancy.

The benefits of hormonal ointments

When used, hormonal ointments stop signs of inflammation after several applications. The patient is eliminated anxiety-provoking itching, redness and rashes. The healing process with the use of these funds is faster.

Disadvantages of hormonal ointments

Despite the undeniable advantages, the use of hormonal ointments has many disadvantages. Their self-appointment, improper or prolonged use can bring more harm for health than good.

The consequences of treatment with hormonal ointments can be as follows:

• acne
• striae;
• hyperpigmentation;
• skin atrophy (subsequently, the development of malignant tumors in the atrophied area);
• slow healing of the skin with cuts or wounds;
• telangiectasia;
• subcutaneous hemorrhages;
• the development of bacterial or fungal infections in the area of ​​​​application of drugs;
• hypertrichosis (increased hair growth) at the site of application of drugs;
• alopecia (reduction of hair growth) at the site of application of drugs;
• cataract or glaucoma when used in the eye area;
• withdrawal syndrome (with a sharp withdrawal of the drug, the skin condition at the site of application of the drugs deteriorates sharply).

Classification of hormonal ointments according to activity

Group I - with low activity

• Prednisolone - ointment 0.5%;
• Hydrocortisone (or Lokoid) - cream.

Preparations of this group can be used to treat diseases in the face, neck and skin folds. They can be used with caution in children under 2 years of age and pregnant women.

Group II - with moderate activity

• Afloderm - cream or ointment;
• Lorinden + salicylic acid (Lorinden A) - ointment;
• Clobetasone Butyrate 0.05% - cream or ointment;
• Belosalik - cream;
• Tsinakort (or Fluoroderm, Fluorocort) - cream and ointment;
• Betamethasone valerate 0.025% - cream or ointment;
• Desoxymethasone 0.05% - oily cream.

Drugs from this group are prescribed in cases where the funds from group I were ineffective.

Group III - active

• Advantan (or methylprednisolone aceponate 0.1%) - cream;
• Cutiveite - cream;
• Akriderm, Celederm, Kuterid - ointment and cream;
• Sinalar (or Flucort, Sinaflan, Flucinar, Synoderm);
• Triamcinolone acetonide 0.1% - cream or ointment;
• Apulein - cream or ointment;
• Elokom - lotion, cream or ointment;
• Betamethasone valerate 0.1% - lotion, cream or ointment;
• Fluorcinoid 0.05% - cream or ointment;
• Fluororolone acetonide 0.025% - cream or ointment;
• Hydrocortisone butyrate 0.1% - lotion, cream or ointment.

Preparations from this group are prescribed for chronic dermatitis and, if necessary, a quick effect on the skin lesion. They should not be used for a long time, because they quickly begin to cause side effects.

Group IV - highly active

• Galcinonide - cream;
• Dermovate - cream or ointment;
• Diflucortolone valerate 0.3% - fatty cream or ointment.

Preparations from this group can only be used under the constant supervision of a doctor! They call maximum amount adverse reactions, because they are able to penetrate into the deeper layers of the skin and blood.

The use of hormonal ointments for dermatological diseases is necessary and it is not always possible to refuse their appointment. With the appearance of redness, soreness of the skin, enhanced growth or hair loss and other unusual symptoms on the part of the skin, be sure to consult a doctor. It should also be remembered that self-medication with hormonal ointments or their improper use is harmful not only to the skin, but can also affect the state of general health.

Which doctor to contact

For the appointment of hormonal drugs and the appearance of their side effects, you should contact a dermatologist. If prolonged use of hormones caused an increase in pressure, excessive hair growth, frequent infectious diseases and other systemic side effects, you need to consult an endocrinologist and check the function of the adrenal glands.

The specialist talks about the rules for using hormonal ointments for atopic dermatitis:

myfamilydoctor.com

When are hormonal ointments prescribed?

• With a long-term, recurrent inflammatory or allergic process of the skin.
• In the absence of the effect of treatment.
• In acute, excessively violent course of an inflammatory or allergic skin process.

The most commonly used hormonal ointment for eczema, neurodermatitis, atopic dermatitis and psoriasis. Hormonal ointments during pregnancy are used only in exceptional cases, when a woman previously used them and an exacerbation occurred when canceled, or in very acute inflammatory processes, when other drugs do not have the expected therapeutic effect.

Classification of hormonal ointments

Class 1(weak action) - these are hormonal ointments during pregnancy and for children under 2 years old, as well as those that are used for minor inflammatory processes, especially on the neck and face, in the area of ​​​​skin folds:

• 0.5% prednisolone ointment;
• « Locoid"(hydrocortisone cream);
• 0.0025% fluocinolone acetonide.

Class 2(moderate action) - are used for severe inflammatory processes or the absence of a therapeutic effect from first-class hormonal drugs:

• « Afloderm"(ointment and cream 0.05% ogoclomethasone dipropionate);
• « Cynacort" or " Phtoderm"(triamcinolone acetonide);
• 0.025% ointment or cream betamethasone valerate;
• cream 0.5% deoxymethasone;
• ointment or cream 0.05% clobetasone butyrate.

Class 3(strong action) - used for stubbornly ongoing chronic dermatoses and / or with an urgent need to stop a pronounced inflammatory process. Hormonal ointments for eczema are often prescribed from this class. They are used a short time and under close supervision, as there is a risk of side effects.

• "(lotion, ointment and cream 0.1% mometasone furoate);
• « Advantan"(0.1% methylprednisolone aceponate);
• « cutiwait"(fluticasone propionate);
• « Sinalar», « Flucinar», « Sinaflan», « Synoderm" or " Flucourt"(0.025% fluorocinolone acetonide);
• ointment and cream 0.05% fluorocinoid;
• « Apulein"(ointment and cream 0.025% budesonide);
• « Akriderm», « Celederm», « Kuterid"(0.05% and 0.025% betamethasone);
• cream, ointment and lotion 0.1% betamethasonavalerate;
• ointment and cream 0.1% triamcinolone acetonide.

Class 4 (highest action) - ointments that have both maximum depth penetration and strongest action as well as side effects. They are used only in exceptional cases, when none of the above classes helped and the patient has a pronounced clinical picture.

• Ointment and fat cream 0.3% diflucortolone valerate;
• cream 0.1% halcinonide;
• dermovate (ointment and cream 0.05% clobetasol propionate).

Ointment, cream or lotion?

The therapeutic effect of any local preparations largely depends on the depth of penetration of the active substance. This is very important to know when choosing a hormonal ointment during pregnancy and for young children.

Ointments have the greatest penetration depth, then creams, and only after them are lotions. Macerated, damaged and moisturized with cream bases, the skin has a higher permeability than dry skin. Therefore, hormonal ointment for eczema is used only when the process is accompanied by dryness, lichenification and peeling. And in the presence of weeping, vesiculation and edema, as well as dermatitis on the face, head, neck and in skin folds sprays, lotions, creams and aerosols are preferred.

If you need to increase the degree of permeability of the active substance, you can use hormonal creams in the form of a compress. To do this, after applying the cream on the surface of the skin, an occlusive dressing is applied from above.

It should also be taken into account that the penetration of the hormone deep into the dermis depends on the bioavailability of the steroid, fat solubility and the distribution coefficient of the drug. However, keep in mind that you can not cover more than 30% of the skin of the body with hormonal ointments.

Possible side effects

• acne
• skin atrophy, especially common when using hormonal ointments of the third and fourth class on the face;
• perioral dermatitis;
• striae;
• hypertrichosis;
• hypopigmentation;
• erythema and telangiectasia;
• strengthening an existing or joining a fungal or bacterial infection.

How to cancel hormonal ointments

When a therapeutic effect is achieved, hormonal ointments should be canceled, but gradually, reducing the frequency of applications, increasing the interval between them, as well as the amount of the drug used at a time.

www.happy-giraffe.ru Cetrin or cetirizine

Hormonal ointments – the most powerful tool from inflammatory and allergic processes on the skin. The main active ingredient is topical glucocorticoids, however, in pharmacies you can find combined ointments with several active ingredients.

The principle of action of hormonal drugs is based on the suppression of the enzyme phospholipases A2, which leads to blocking of the synthesis arachidonic acid. As a result, the production of inflammatory mediators (substances that cause inflammation) - prostaglandins, leukotrienes, thromboxane and others - is inhibited.

Glucocorticoids also stabilize cell membranes mast cells, which causes antiallergic action. Hormonal drugs are widely used in dermatology.

Pharmaceutical companies have developed several forms of the drug:

1. Ointment.
2. Cream.
3. Gel.
4. Emulsion.
5. Lotion.

Due to the fact that ointments have the greatest depth of penetration into the skin, they are most often prescribed by dermatovenereologists.

In what cases are hormonal ointments prescribed for the skin?

Based on the mechanism of action, we can name the main indications for the appointment of a hormonal ointment:

1. Itching of the skin of various etiologies.
2. Skin rash of allergic origin.
3. Psoriasis.

Hormonal ointments for itching

Itching can be caused by many reasons:

1. allergic reactions
2. Fungal and infectious skin lesions (pediculosis, lichen)
3. Pathology of the gallbladder and liver (hepatitis, cholecystitis)
4. Diabetes
5. Neuro-psychological overstrain (stress, depression)

Hormonal ointments are used only for localized itching. As a rule, the cause of this condition is an allergy. With generalized itching, it is required to use an antiallergic ointment or local anesthetic.

Allergy

Allergic reaction on the skin occurs due to the release of histamine from mast cells under the influence of the antigen (allergen) + antibody complex. The mechanism of the antiallergic action of the hormonal ointment is to stabilize the membranes of mast cells. Topical corticosteroids also suppress the development of inflammation.

These two properties make hormonal ointments indispensable in the practice of dermatologists in the treatment of the following allergic manifestations:

• Photodermatitis
• Atopic dermatitis
• Neurodermatitis of allergic etiology
• Acute skin allergic reaction
• Chronic recurrent rash that does not respond to non-hormonal drug therapy
• Erythema caused by drugs

Psoriasis

Psoriasis- a pathology with a chronic course, which manifests itself in the form of rashes that have a different shape. The etiology is not fully understood. Scientists suggest an autoimmune mechanism for the development of psoriasis. The course of the disease is accompanied by exacerbations and remissions.

Treatment is complex and includes:

1. Photochemotherapy
2. The use of immunosuppressants
3. Topical treatment, which includes the application of a hormonal ointment

Topical corticosteroids give a quick effect. Modern drugs they act exclusively locally, without having a systemic effect, therefore they are widely used for the treatment of psoriasis.

Dermatitis is a rash in the form of bubbles, peeling, discomfort, itching, burning, and so on. The reasons may be different, depending on which several varieties of dermatitis are distinguished, for example, infectious, allergic, atopic, food, etc.

The cream contains only natural ingredients, including bee products and plant extracts. High efficiency, practically no contraindications and minimal risks of side effects. The amazing results of treatment with this drug appear already in the first weeks of use. I recommend.

List of hormonal ointments

Pharmacies offer a huge selection of glucocorticosteroids for local impact. According to the strength of the effect, they are divided into weak, medium activity and strong.

Hydrocortisone ointment

The concentration of the active substance is 1%.

Indications for use:

1. Inflammatory and allergic skin reactions of non-infectious etiology.
2. contact dermatitis.
3. Eczema.
4. Neurodermatitis.

Mode of application: Apply the ointment to the affected area of ​​the skin 2-3 times a day. The duration of treatment is set by the doctor.

Contraindications:

1. Lupus.
2. Pyoderma (infectious pustular inflammation surface layers skin).
3. Fungal infections.
4. Ulcers and wounds on the skin surface.

Elokom

The main component is mometasone furoate, topical corticosteroid. It has anti-inflammatory, anti-exudative action.

Indications for use:

1. Allergic rash.
2. Psoriasis, seborrhea.
3. Lichen planus.

Mode of application: apply once a day in a thin layer.

Contraindications:

Celestoderm

Contains beclamethasone valerate, which reduces signs of inflammation, reduces the feeling of itching, and also has a vasoconstrictive effect.

Indications for use:

1. Eczema.
2. radiation dermatitis.
3. Neurodermatitis
4. Solar dermatitis
5. contact dermatitis
6. Exfoliative dermatitis
7. Psoriasis.

Mode of application: apply to the affected areas of the skin 1-3 times a day, taking into account the severity of the pathological process

Contraindications:

1. Viral infections, post-vaccination reactions and chickenpox.
2. Rosacea.
3. Perioral dermatitis.
4. Fungal diseases.
5. Ophthalmic pathology.

Glucocorticosteroid used in dermatology. According to the data obtained in the course of studies, the systemic effect of the drug in topical application very weakly expressed.

Indications for use:

1. Simple contact dermatitis.
2. Atopic dermatitis.
3. Seborrheic dermatitis.
4. Dyshidrotic eczema.
5. Simple contact dermatitis.

How to use: Apply to the skin with a thin layer 2-3 times a day.

Contraindications:

1. Allergy to the components of the drug.
2. The presence of skin manifestations of syphilis or tuberculosis.
3. Chicken pox, shingles or.
4. atrophic dermatitis.
5. Perioral dermatitis.
6. Common acne.

Sinaflan

The active ingredient is flucinolone acetonide.

Indications:

1. Eczema of various origins.
2. Psoriasis.
3. Neurodermatitis.
4. Allergic skin diseases leading to its dryness.

Mode of application: applied topically.

Contraindications

1. Individual intolerance to the components of the drug.
2. Phlebeurysm.
3. Anogenital itching.
4. Herpes.

Dermovate

The drug, thanks to vasoconstrictor action, has an anti-inflammatory effect and reduces the production of collagen.

Indications:

1. Psoriasis.
2. Persistent eczema.
3. Discoid lupus erythematosus.

Mode of application: Apply the ointment on surfaces subject to exudation 1-2 times a day, in a thin layer.

Contraindications:

1. Hypersensitivity to any component of the drug.
2. Acne vulgaris.
3. Itching without inflammation.
4. Perianal and genital itching.
5. Perioral dermatitis.

Locoid

Main active ingredient this is hydrocortisone. It is allowed to use children older than 3 months.

Indications for use:

1. Psoriasis.
2. Dermatitis.
3. Eczema.

Mode of application: It is easy to apply on the skin with circular movements up to 3 times a day. An occlusive dressing may be used.

Contraindications:

1. Individual hypersensitivity to hydrocortisone.
2. infectious inflammation.
3. Acne, ichthyosis.

As part of aclomethasone dipropionate - a corticosteroid synthetic origin. May be used in children from 6 months.

Indications for use:

Mode of application: applications with ointment 2-3 times a day.

Contraindications:

1. Excessive sensitivity to formula components.
2. Lupus.
3. Acne disease.
4. post-vaccination reactions.

Combined ointments with hormones

There are cases when the hormonal ointment does not cope with the disease, then they come to the rescue combined preparations. Such ointments may contain a glucocorticosteroid, an antibiotic, antihistamine, antifungal drug.

In the article about a similar question was considered.

Diprosalik

The drug, which in its composition contains betamethasone dipropionate and salicylic acid. Joins the main effects of hormones antimicrobial action acids. In addition, it favors the most effective absorption of betamethasone deep into the skin.

Indications:

1. Psoriasis.
2. Neurodermatitis.
3. Seborrheic dermatitis.
4. 4. Common ichthyosis.

Mode of application: ointment is applied twice a day. Rub with care

Contraindications:

1. Mycosis of the skin.
2. Lupus.
3. Hypersensitivity to the components of the drug.

Triderm

The composition of the drug includes:

1. Betamethasone dipropionate.
2. Gentamicin (antibiotic).
3. Clotrimazole (antifungal drug).

Indications:

1. Eczema caused by bacterial flora.
2. Dermatophytosis of the feet.

Mode of application: the pathological area is treated twice a day for 2-4 weeks.

Contraindications:

1. Skin manifestations of syphilis.
2. Lupus.
3. Allergy to the drug.

Oxycort

The medicine contains:

1. Hydrocortisone.
2. Oxytetracycline (antibiotic).

Indications for use:

1. Chronic purulent diseases skin covers.
2. Furuncles.
3. Folliculitis.
4. contact dermatoses.
5. Insect bites.

Mode of application: treat the affected area with ointment up to three times a day. The terms of treatment are determined by the attending physician.

Aurobin

A drug consisting of prednisolone, lidocaine and dexpanthenol.

Indications for use:

1. Haemorrhoids.
2. Fissure of the rectum, anal ring.
3. Eczema.
4. Itching and dermatitis of the perianal region.

Mode of application: The ointment must be applied to the skin and mucous membranes of the perianal zone.

Contraindications:

1. fungal, bacterial and viral defeat perianal zone.

Lorinden A, Lorinden C

Constituent components:

1. A: flumethasone pivalate, salicylic acid.
2. WITH: flumethasone pivalate, clioquinol.

Indications for use:

Mode of application: the ointment is applied up to three times a day, do not rub. Apply for 2 weeks.

Contraindications:

1. Lupus.
2. Trophic ulcers.
3. Skin manifestations of syphilis.
4. Pregnancy and lactation.
5. Hypersensitivity to the components of the remedy.

Ointment with a composition of fluocinolone acetonide (glucocorticoid) and clioquinol (broad-spectrum antibiotic).

Indications for use:

Mode of application: Apply a thin layer of ointment to the affected area up to three times a day, gently rub into the skin, it is allowed to use an occlusive dressing.

Contraindications:

1. Rosacea.
2. Acne.
3. Peroral dermatitis.
4. Itching of the perianal region.
5. Diaper dermatitis.
6. Pregnancy, lactation.
7. Hypersensitivity to the drug.

IT IS IMPORTANT TO KNOW!

In the treatment of severe dermatological diseases, emulsions, creams and ointments based on corticosteroids, occupy a leading position. This is due to the fact that hormonal drugs are highly effective, quickly remove all the unpleasant symptoms of diseases. They eliminate itching, inflammation, swelling of the affected skin, even out skin tone, relieve roughness, stop peeling, and return the patient to normal life. After all, the presence dermatological problems in addition to physical suffering, provides a person increased nervousness and a bunch of psychological complexes.

The disadvantage of this treatment is the large number of contraindications for use and side effects that hormonal ointments have, therefore, treatment usually combines the alternation of hormone-containing agents with non-hormonal creams, gels and other external agents.

Hormonal ointments are created on the basis of various corticosteroids, synthetic hormones that are identical to the hormones produced by the human adrenal cortex. Substances differ in strength of impact and are the main components in the composition of ointments for eczema, psoriasis, neurodermatitis, atopic dermatitis and others. skin pathologies. Sometimes, these preparations contain several active ingredients and are prescribed for a complicated course of the disease, for example, in case of accession to an allergy, bacterial or fungal infection.

In any case, such ointments are used by patients solely on the prescription of the attending physician in strict accordance with the treatment regimen selected by the specialist.

Most often, drugs with corticosteroids are prescribed to relieve acute phase the course of the disease, after the symptoms of the disease become less pronounced, the inflammation subsides, they are replaced by other means that do not have so many "side effects" and are suitable for long-term use.

Hormonal ointments are preparations of a fairly dense texture, produced in small aluminum tubes (usually 15 grams). The tubes are packed in a cardboard box to protect against external influence and supplemented detailed instruction by application.

They are dispensed in pharmacies by prescription.

Operating principle

The action of corticosteroid ointments is due to the ability of the hormones they contain to prevent the development of the inflammatory process, due to the ability to disrupt the formation of arachnoidonic acid and its synthesis products.

The antiallergic effect of drugs is achieved by inhibiting the ability of mast cells to release allergy mediators.

That is why a side effect of all hormonal drugs is the ability to suppress the immune system. Ointments in this regard are the safest, because with correct application practically do not penetrate into the systemic circulation.

At the same time, getting into the deep layers of the skin, they very quickly reduce or completely remove inflammation and provide a powerful anti-allergic effect.

Indications for use

Corticosteroid ointments are used in the treatment of manifestations of allergies, diathesis, various kinds dermatitis (including solar), help in the treatment of chronic dermatological diseases: psoriasis, eczema, neurodermatitis. They relieve inflammation and pruritus, relieve rashes of non-infectious origin, heal swelling and redness, eliminate peeling and smooth the affected skin, making them less noticeable. In most cases of allergic dermatitis, the remedies completely relieve its manifestations.

Such drugs make it possible to avoid relapses of chronic skin diseases for a long time and eliminate unpleasant symptoms, almost from the first day of use.

Children's skin is much thinner than adult skin, hormonal ointments penetrate through it to a greater extent. The existing side effects of such drugs are therefore much more dangerous for babies. However, with the development of medicine and pharmaceutical industry, new hormonal drugs have appeared, the risk of using which in children is now much lower than before.

With the high effectiveness of such ointments and short term their use, the use of new generation hormonal agents, is considered quite justified. Some of the drugs are approved for use by crumbs from 6 months of age.

Of course, only a specialist should prescribe hormonal ointments to a child, taking into account the age, condition of the baby and the presence comorbidities. The frequency and duration of use is also selected by the attending physician.

What are the dangers of hormonal ointments for children

For children, GCS ointments of weak or moderate action are selected. Uncontrolled use of hormonal drugs and their incorrect selection can provoke:

• growth retardation in a baby;
• exposure colds and accession of secondary infections due to suppression of immunity;
• development of hypertension;
• inhibition of the activity of the adrenal cortex.

It is not allowed to apply funds for external use on large areas of the child's skin, they are not used in babies under a bandage or diaper. Do not apply funds for damage to the skin.

If the drug is chosen correctly and used in strict accordance with the recommendations of a specialist, the threat of problems in a child from using the drug is minimal, when prescribing hormonal ointments to a baby, the doctor takes into account the risks and the ratio of harm and benefit to the patient.

Before using ointments and creams based on corticosteroids, you should definitely visit a specialist and carefully study the instructions for use of the prescribed drug.

It should be borne in mind that the use of such funds should be stopped gradually, since they are characterized by a "withdrawal syndrome" when, after abrupt rejection from the use of the drug, the symptoms of the disease appear with a vengeance.

The medicine is used with extreme caution for the face, as it can provoke:

1. the appearance of rosacea;
2. changes in skin pigmentation (appearance of dark or light spots);
3. growth of unwanted hair.

With prolonged uncontrolled use of the drug, the development of atrophy of the skin, their thinning and drying is possible. It is possible to restore the previous state of the skin after discontinuation of the drug, but this will require a lot of time and effort of the patient.

The use of hormonal agents can cause alopecia (hair loss).

At age categories In patients, the use of corticosteroid ointment in the eyelids and face can lead to an increase in intraocular pressure, the appearance of cataracts and glaucoma. Sometimes, against the background of the use of hormonal drugs, osteoporosis develops, when the bones become brittle and the risk of fractures increases significantly.

Contraindications to the use of drugs are:

1. Allergic reaction to any of the components.
2. The presence of viral diseases.
3. period after vaccination.
4. The presence of benign and malignant neoplasms.
5. Skin manifestations of tuberculosis and syphilis.
6. Acne.
7. Violation of the integrity of the skin (burns, scratches, abrasions, open wounds).

Such ointments are not prescribed for pregnant and lactating women. In case of emergency, the doctor may prescribe drugs in the II or III trimester. Use with caution when available hormonal disorders, diabetes mellitus, severe liver and kidney damage, in old age.

What diseases are hormonal ointments prescribed for?

Means for external use containing corticosteroids are prescribed during an exacerbation:

• atopic dermatitis;
• eczema;
• neurodermatitis;
• lupus erythematosus;
• psoriasis;
• lichen planus;
• scleroderma.

It can be used for various forms of allergic dermatitis, severe diathesis and some other pathologies.

The period of use and frequency of application is selected by the attending physician individually for each patient. The ointment is applied to dry clean skin thin layer no more than 2 times a day. The duration of treatment is up to 14 days. For children, hormonal ointments are applied no more than 1 time per day, the duration of use is not more than a week. In exceptional cases, and only for adult patients, the use of an ointment under the bandage is allowed to enhance effectiveness.

Classification of corticosteroid ointments

Conventionally, all hormonal ointments are usually divided into 4 groups. The first includes drugs with the weakest effect, the last, the most powerful drugs:

1. It includes ointments of weak action, usually it is with them that treatment begins. Examples of such drugs are: Hydrocortisone. Prednisolone.
2. Group of moderate efficiency. With increased action and penetration, for example: Dexamethasone, Lorinden A and C.
3. Strong hormonal ointments. Advantan. Elokom.
4. The drugs are very powerful. Dermovate, Galcinonide.

Treatment starts with weak drugs, which are replaced by stronger ones in the absence of efficiency. For children, drugs of group 4 are not used.

List of the most popular

Due to the low price and high efficiency, the most popular drugs include: Hydrocortisone, Sinaflan.

Lorinden A and C, Advantan, Flucinar, Elok, Akriderm are often prescribed.

Akriderm GK is a complex hormonal drug that, in addition to glucocorticosteroid, contains an antibiotic and an antimycotic (antifungal) agent. It is prescribed when secondary infections join the allergic manifestations of the disease.

Scope of corticosteroid ointments

Hormonal ointments are used for all types of dermatitis. Used for allergic, atopic solar and many other types skin lesions. They are used for insect bites, in this case, a single application is sufficient.

They are used for acute forms of eczema and psoriasis, it is prescribed for urticaria and lupus erythematosus.

Important: if within 10 days after application, relief has not come, you should consult a doctor to adjust the treatment regimen

With alleviation of the symptoms of the disease, reduction of inflammation, itching, removal of edema, hormonal ointments are gradually replaced by drugs that do not contain corticosteroids.

Impact principle

After applying the ointment, almost immediately, itching and burning disappear, swelling, inflammation and hyperemia of the skin are reduced.

In a few applications, you can curb sharp shape diseases, with allergic dermatitis or diathesis, to achieve complete disappearance unpleasant symptoms. When chronic course diseases, return to mild symptoms, or to a state of remission.

Many patients are afraid of prescribing hormonal drugs, due to a large number side effects. However, it should be borne in mind that, due to their high efficiency, these drugs can return a person to normal life much faster than other drugs. The main thing is not to self-medicate, but to find a highly qualified specialist who can be completely trusted and carry out therapy in strict accordance with the prescriptions.

To forget about allergies forever, you need to take tests and find out which substance caused it. In this case, you often have to give up your favorite foods, change your profession, and sometimes completely your lifestyle, but this allows you to avoid the transition of the disease to a chronic form and again feel like an absolutely healthy person.