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Akriderm: instructions for use and reviews
Akriderm is a combined preparation for external use that has antiallergic, anti-inflammatory and antibacterial effects.
Akriderm is produced in the form of 0.064% cream and ointment for external use in aluminum tubes of 15 g and 30 g.
1 g of the drug contains 640 mcg of betamethasone dipropionate. Excipients: vaseline oil, paraffin, emulsifying wax, petroleum jelly, propylene glycol, Trilon B, sodium sulfite, purified water, nipagin.
Betamethasone is a glucocorticosteroid used externally. It has anti-inflammatory, antiproliferative, antipruritic, antiallergic, vasoconstrictive and antiexudative effects. The drug inhibits the accumulation of leukocytes in the body, and also slows down the release of pro-inflammatory mediators and lysosomal enzymes in the inflammatory focus, suppresses phagocytosis, reduces vascular tissue permeability, and prevents the formation of inflammatory edema.
When applied to the skin, the drug quickly and intensively acts on the site of inflammation, reducing the severity of subjective sensations (pain, irritation, itching) and objective symptoms (lichenification, swelling, erythema).
When betamethasone is administered cutaneously in recommended doses, its transdermal absorption into the blood is considered to be very insignificant. The use of occlusive dressings for inflammation and skin diseases increases transdermal absorption of the active component, which can provoke the development of systemic side effects.
The active ingredient of the drug has antipruritic, antibacterial and vasoconstrictor effects. Akriderm reduces vascular tissue permeability and prevents the formation of inflammatory edema; does not show activity against anaerobic microorganisms, fungi and viruses.
According to the instructions, Akriderm is used to treat:
The use of Akriderm has the following contraindications:
The safety of using Akriderm during pregnancy has not been established, so the drug can be used during this period only according to strict indications and in small doses.
The duration of treatment depends on the course of the disease and the therapeutic effect, but should not exceed three weeks. If there is no improvement within two weeks of using the drug, you should inform your doctor about this.
The drug may cause the following side effects:
If undesirable effects occur, you should consult a doctor.
In case of overdose, Akriderm can inhibit the function of the pituitary-adrenal system, thereby causing the development of secondary adrenal insufficiency, as well as the appearance of symptoms of hypercortisolism, including Cushing's syndrome.
Acute overdose of Akriderm is rare, however, when using the drug in high doses or long-term therapy, in some cases symptoms of hypercortisolism develop: signs of Ishchenko-Cushing syndrome, hyperglycemia, reversible suppression of adrenal cortex function, glucosuria. In this case, Akriderm is gradually discontinued and, if necessary, symptomatic treatment is prescribed.
For children under 12 years of age, the drug is used only according to strict indications and under the supervision of a physician.
To avoid the development of fungal infection, glaucoma, cataracts and exacerbation of herpes infection, the drug should not be applied to the eye area.
Akriderm does not affect the ability to drive vehicles or perform complex types of work that require increased concentration and quick psychomotor reactions.
The safety of topical use of glucocorticosteroids (GCS) in pregnant patients has not been established. Therefore, prescribing Akriderm during pregnancy is advisable only if the potential benefits of treatment for the mother significantly outweigh the possible risks for the fetus and its psychophysiological development. Pregnant women should not use the drug in high doses or for a long period of time.
If it is necessary to use Akriderm during lactation, nursing mothers should avoid breastfeeding.
Children may demonstrate a higher susceptibility to the use of betamethasone, which contributes to the suppression of the hypothalamic-pituitary-adrenal (HPA) axis, compared to older patients due to increased absorption of Akriderm, due to their large surface area to body weight ratio. In children treated with betamethasone, adverse reactions such as increased intracranial pressure, suppression of HPA system function, poor weight gain, and Cushing's syndrome were observed.
Inhibition of the function of the adrenal cortex in pediatric patients is expressed in a decrease in the level of cortisol in the blood plasma and a lack of response to stimulation of ACTH (adrenocorticotropic hormone). Symptoms of increased intracranial pressure are bilateral papilledema, headache, and bulging fontanel.
There is no information on the interaction of Akriderm with other drugs.
Structural analogues of Akriderm include the following drugs: Celestoderm-B, Beloderm, Betliben. Before replacing the drug with analogues, you should consult your doctor.
Store at a temperature of 15 – 25 °C out of the reach of children.
Shelf life – 4 years.
The composition of the drug includes the main component: betamethasone dipropionate .
Additional ingredients: nipagin, paraffin, propylene glycol, petroleum jelly, alcohol, emulsifying wax, disodium salt, sodium sulfite and purified water.
Akriderm is produced in the form of a cream or ointment, packaged in tubes of 15 or 30 g.
The drug exhibits anti-inflammatory, anti-allergic, anti-exudative, anti-edematous And antipruritic Effect.
This product is glucocorticosteroid local application. Its main substance, betamethasone dipropionate, is capable of inhibiting the accumulation and release of lysosomal , as well as anti-inflammatory mediators at the site of inflammation. In addition, phagocytosis is inhibited, vascular-tissue permeability is reduced, preventing the occurrence of inflammatory swelling.
Main indications for the use of Akriderm ointment and cream:
External use of GCS may be accompanied by burning, irritation, dry skin, folliculitis, hypertrichosis , the appearance of acne, hypopigmentation , . Prolonged application, especially under occlusive dressings, can cause the development purpura, skin maceration, secondary infection , prickly heat, atrophy of the skin surface and so on.
Akriderm ointment, the instructions for use of which recommend applying it to the affected surface of the skin, is used twice daily. A different therapeutic regimen may also be prescribed, taking into account the severity of the disease.
When treating mild cases, Akriderm cream, instructions for use, allows for application once, and for more severe lesions - up to several times a day.
The duration of treatment may depend on various factors: the effectiveness and tolerability of the drug, the severity of the disease and the characteristics of the patient’s body. On average, the therapeutic course is 2-4 weeks.
When improvement does not occur for a long time, urgent clarification of the diagnosis is necessary.
When using Akriderm ointment or cream, it is difficult to get an overdose, but with prolonged application in large quantities it is quite possible. Symptoms of chronic overdose can manifest themselves as: hyperglycemia, glucosuria, suppression of the functions of the adrenal cortex, Cushing's syndrome.
In this case, symptomatic treatment is carried out. The appearance of chronic toxic effects requires gradual withdrawal of the drug.
This external agent does not interact with other drugs.
The appearance of signs of hypersensitivity and skin irritation during the treatment period requires stopping the use of this remedy and choosing a more suitable treatment for the patient.
Long-term therapy, application of the drug in large quantities to a large surface of the skin, the use of occlusive dressings and treatment of children can cause systemic absorption of GCS.
Treatment of children must be carried out strictly according to the indications and prescription of the doctor, which will allow monitoring the possible development of systemic undesirable effects. It is possible that the full functioning of the hypothalamic-pituitary-adrenal system is suppressed, symptoms of hypercortisolism appear, growth excretion decreases, and intracranial pressure increases.
The development of side effects occurs especially often when the drug is applied to the skin of the face. Therefore, the therapeutic course should not be longer than 5 days.
The use of Akriderm in ophthalmology is not allowed. It is necessary to avoid getting it into the eyes and mucous membranes.
If treatment with the drug has been carried out for a long time, gradual withdrawal of therapy is recommended.
On prescription.
A suitable place for storage is at room temperature, out of reach of children.
How safe is it to use this product? at , not installed. Therefore, the use of drugs in this group during this period is allowed when the potential benefit significantly outweighs the likely risk. It is important not to use the product for a long time in high dosages.
The price of analogues is approximately 470-550 rubles.
It should be noted that various skin problems bother many people who use this particular product to solve them. As reviews of Akriderm cream show, they prefer to apply it when mild lesions appear on the skin: slight itching, redness and irritation.
At the same time, reviews of Akriderm ointment show that this form of the drug is usually used by people who know the exact diagnosis. However, even in this case, treatment does not always occur without complications. The main reason for this is long-term use of the drug, which can lead to loss of effectiveness, development of addiction and side effects.
Also, some users report that when they used this remedy for the first time, it helped to eliminate the symptoms of the disease quite quickly. The next time the drug was used, longer treatment was required and the effect was less durable.
Sometimes Akriderm is used for acne and a similar situation is noted. At first, the rashes go away quickly, but then they come back again and this happens much more often. Moreover, the appearance of pigmented and light areas and deterioration of the skin structure are noted. Although such users do not even know exactly how to use Akriderm ointment, what it helps with and how long to apply it.
By the way, such cases are described quite often. This happens because this drug is not able to influence the causes of the development of dermatitis, relieving the manifestations of the disease. Therefore, the use of Akriderm can only bring temporary relief, and then the development of complications.
However, this particular drug helps many patients alleviate the acute period of dermatitis. Of course, at the same time the causes of the disease are corrected: various , reducing drugs, adsorbents, medicinal decoctions. To remove external damage to the skin, use ointment or cream.
In addition, users are often interested in whether Akriderm ointment is hormonal or not? The fact is that some patients are afraid to use hormonal drugs. But in fact, you just need to strictly follow the application regimen and adhere to the prescribed dosage. Therefore, experts do not recommend using any medications without a prescription from a competent doctor.
The price of Akriderm ointment is from 85 rubles.
The price of Akriderm cream varies between 100-300 rubles.
You can buy any form in any Russian pharmacy, as well as outside the country.
For example, the price in Ukraine is 80-385 UAH depending on the volume of packaging.
Akriderm Genta ointment 0.05%+0.1% 30g
Akriderm Genta ointment 0.05%+0.1% 15g JSC Akrikhin
Akriderm GK ointment 15g JSC Akrikhin
Akriderm GK cream 30g JSC Akrikhin
Akriderm cream 0.05% 30g JSC Akrikhin
Akriderm SK ointment (tube 15g) Akrikhin OJSC
Instructions for use
Cream for external use 0.05% white or almost white.
Betamethasone dipropionate 64 mg, which corresponds to the content of betamethasone 50 mg
Excipients: methyl parahydroxybenzoate - 0.2 g, solid paraffin - 9 g, petroleum jelly - 3 g, propylene glycol - 5 g, liquid paraffin - 18 g, emulsion wax - 7 g, disodium edetate - 0.1 g, sodium sulfite - 0.05 g, purified water - up to 100 g.
With local use of glucocorticosteroids, the following may be observed: burning, irritation, dry skin, folliculitis, hypertrichosis, acne-like rashes, itching, stretch marks, miliaria, hypopigmentation, perioral dermatitis. With long-term use, as well as the use of occlusive dressings, skin maceration, secondary infection, skin atrophy, prickly heat, purpura, local hirsutism, telangiectasia. When applied to large surfaces of the body, mainly in children, systemic side effects of glucocorticosteroids may occur (gastritis, ulceration of the gastrointestinal mucosa, hyperglycemia, glycosuria, reversible inhibition of adrenal function, manifestation of Cushing's syndrome).
If you experience any side effects not described in the instructions, you should consult a doctor.
Available without a prescription
The corticosteroid betamethasone dipropionate has anti-inflammatory, antiallergic, antiexudative, decongestant and antipruritic effects. Inhibits the accumulation of leukocytes, the release of lysosomal enzymes and anti-inflammatory mediators at the site of inflammation, inhibits phagocytosis, reduces vascular tissue permeability, and prevents the formation of inflammatory edema.
allergic skin diseases (including acute, subacute and chronic contact dermatitis, occupational dermatitis, seborrheic dermatitis, atopic dermatitis, solar dermatitis, neurodermatitis, pruritus, dyshidrotic dermatitis, eczema);
Acute and chronic forms of non-allergic dermatitis;
Psoriasis.
Hypersensitivity to any of the components of the drug, bacterial, fungal skin diseases, skin tuberculosis, skin manifestations of syphilis, chicken pox, herpes simplex, skin post-vaccination reactions, open wounds, trophic leg ulcers, rosacea, acne vulgaris, skin cancer, nevus, atheroma, melanoma, hemangioma, xanthoma, sarcoma, lactation period and children under 1 year of age.
No interaction of the drug with other drugs has been identified.
Prices for Akriderm in other cities
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The duration of treatment depends on the effectiveness and tolerability of therapy and is 2-4 weeks.
If clinical improvement does not occur, it is necessary to clarify the diagnosis.
Excipients: methyl parahydroxybenzoate - 0.2 g, solid paraffin - 9 g, - 3 g, propylene glycol - 5 g, liquid paraffin - 18 g, emulsion wax - 7 g, disodium edetate - 0.1 g, sodium sulfite - 0.05 g, purified water - up to 100 g
50 g - aluminum tubes (1) - cardboard packs.
◊ Ointment for external use 0.05% from white to white with a yellowish tint, translucent.
100 g | |
betamethasone dipropionate | 64 mg, |
which corresponds to the content of betamethasone | 50 mg |
Excipients: propyl parahydroxybenzoate - 0.05 g, liquid paraffin () - 4 g, isopropyl myristate - 1 g, petroleum jelly - up to 100 g.
15 g - aluminum tubes (1) - cardboard packs.
30 g - aluminum tubes (1) - cardboard packs.
Akriderm should be applied in a thin layer to the affected areas 1-3 times a day, lightly rubbing. The duration of treatment should be no more than 3 weeks.
Use of the drug Akriderm in children under 12 years of age carried out under the supervision of a doctor.
Possible: burning, irritation and dry skin, folliculitis, hypertrichosis, hypopigmentation, allergic contact dermatitis, skin atrophy, stretch marks and miliaria. In case of side effects, you should consult a doctor.
Symptoms: excessive or prolonged use of local corticosteroids can cause inhibition of the function of the pituitary-adrenal system, which can cause the development of secondary and symptoms of hypercortisolism, including Cushing's syndrome.
Treatment: appropriate symptomatic treatment is indicated. Acute symptoms of hypercortisolism are usually reversible. If necessary, correction of electrolyte imbalance is indicated. In case of chronic toxic effects, gradual withdrawal of GCS is recommended.
There are no clinically significant interactions with other drugs.
If there is no effect of treatment within two weeks, it is recommended to consult your doctor for a possible clarification of the diagnosis. If irritation or hypersensitivity reaction is observed when using the drug, treatment should be stopped and consult your doctor. For secondary fungal or bacterial infections, appropriate medications must be used. If there is no immediate positive effect, the use of Akriderm should be discontinued until all signs of infection are eliminated.
Long-term use of the drug on the skin of the face is not recommended. Akriderm should not be used in the eye area, because... in this case, the development of cataracts, glaucoma, fungal infection and exacerbation of herpetic infection is possible.
Use in pediatrics
Children may be more susceptible to the use of topical corticosteroids that cause hypothalamic-pituitary-adrenal (HPA) axis suppression than older patients due to increased drug absorption associated with their larger surface area to body weight ratio. The following side effects were observed in children taking local corticosteroids: suppression of the HPA system function, Cushing's syndrome, linear growth retardation, delayed weight gain, increased intracranial pressure. Symptoms of adrenal suppression in children include decreased cortisol levels and lack of response to ACTH stimulation. Increased intracranial pressure is manifested by bulging of the fontanel, headache, and bilateral papilledema.
Due to the fact that the safety of the use of local corticosteroids in pregnant women has not been established, the use of drugs of this class during pregnancy is justified only if the benefit to the mother clearly outweighs the possible harm to the fetus. Drugs in this group should not be used by pregnant women in large doses for a long time.
Since it has not yet been established whether glucocorticosterones, when applied topically and systemically absorbed, can penetrate into breast milk, a decision should be made to stop breastfeeding or discontinue the drug, taking into account how necessary its use is for the mother.
Children may be more susceptible to the use of topical corticosteroids that cause hypothalamic-pituitary-adrenal (HPA) axis suppression than older patients due to increased drug absorption associated with their larger surface area to body weight ratio. The following side effects were observed in children taking local corticosteroids: suppression of the HPA system function, Cushing's syndrome, linear growth retardation, delayed weight gain, increased intracranial pressure. Symptoms of adrenal suppression in children include decreased plasma cortisol levels and lack of response to ACTH stimulation. Increased intracranial pressure is manifested by bulging of the fontanel, headache, and bilateral papilledema.
The drug is approved for use as a means of OTC.
The drug should be stored out of the reach of children at a temperature of 15 to 25°C. Shelf life - 2 years.
Cream for external use 0.05% - 100 g:
30 g - aluminum tubes (1) - cardboard packs.
Cream for external use 0.05% white or almost white.
GCS has anti-inflammatory, antipruritic and vasoconstrictor effects.
The corticosteroid betamethasone dipropionate inhibits the accumulation of leukocytes, the release of lysosomal enzymes and pro-inflammatory mediators at the site of inflammation, inhibits phagocytosis, reduces vascular tissue permeability, and prevents the formation of inflammatory edema.
Gentamicin is a broad-spectrum antibiotic from the aminoglycoside group. Has a bactericidal effect against pathogens of primary and secondary bacterial skin infections. Active against gram-negative bacteria: Pseudomonas aeruginosa, Aerobacter aerogenes, Escherichia coli, Proteus vulgaris, Klebsiella pneumoniae; ;Gram-positive bacteria: ;Streptococcus spp. ;(susceptible strains of group A beta- and alpha-hemolytic streptococcus), ;Staphytococcus spp. ;(coagulase-positive, coagulase-negative and some penicillinase-producing strains). Inactive against anaerobes, fungi and viruses.
Clotrimazole has an antifungal effect by disrupting the synthesis of ergosterol, which is an integral part of the cell membrane of fungi. Active against: Trichophyton rubrum, Trichophyton mentagrophytes, Epidermophyton floccosum, Microsporum canis, Candida albicans, Malassezia furtur (Pityrosporum orbiculare).
Salicylic acid provides a keratolytic, antimicrobial effect, eliminates horny layers and promotes deeper penetration of GCS.
GCS for local use.
Due to the fact that the safety of the use of local corticosteroids in pregnant women has not been established, the use of drugs of this class during pregnancy is justified only if the benefit to the mother clearly outweighs the possible harm to the fetus. Drugs in this group should not be used by pregnant women in large doses for a long time.
Since it has not yet been established whether glucocorticosterones, when applied topically and systemically absorbed, can penetrate into breast milk, a decision should be made to stop breastfeeding or discontinue the drug, taking into account how necessary its use is for the mother.
Use in children
Possible: burning, irritation and dry skin, folliculitis, hypertrichosis, hypopigmentation, allergic contact dermatitis, skin atrophy, stretch marks and miliaria. In case of side effects, you should consult a doctor.
There are no clinically significant interactions with other drugs.
Akriderm should be applied in a thin layer to the affected areas 1-3 times a day, lightly rubbing. The duration of treatment should be no more than 3 weeks.
The use of Akriderm in children under 12 years of age is carried out under the supervision of a physician.
Symptoms: excessive or prolonged use of local corticosteroids can cause inhibition of the function of the pituitary-adrenal system, which can cause the development of secondary adrenal insufficiency and the appearance of symptoms of hypercortisolism, including Cushing's syndrome.
Treatment: Appropriate symptomatic treatment is indicated. Acute symptoms of hypercortisolism are usually reversible. If necessary, correction of electrolyte imbalance is indicated. In case of chronic toxic effects, gradual withdrawal of GCS is recommended.
If there is no effect of treatment within two weeks, it is recommended to consult your doctor for a possible clarification of the diagnosis. If irritation or hypersensitivity reaction is observed when using the drug, treatment should be stopped and consult your doctor. For secondary fungal or bacterial infections, appropriate medications must be used. If there is no immediate positive effect, the use of Akriderm should be discontinued until all signs of infection are eliminated.
Long-term use of the drug on the skin of the face is not recommended. Akriderm should not be used in the eye area, because... in this case, the development of cataracts, glaucoma, fungal infection and exacerbation of herpetic infection is possible.
Use in pediatrics
Children may be more susceptible to the use of topical corticosteroids that cause hypothalamic-pituitary-adrenal (HPA) axis suppression than older patients due to increased drug absorption associated with their larger surface area to body weight ratio. The following side effects were observed in children taking local corticosteroids: suppression of the HPA system function, Cushing's syndrome, linear growth retardation, delayed weight gain, increased intracranial pressure. Symptoms of adrenal suppression in children include decreased plasma cortisol levels and lack of response to ACTH stimulation. Increased intracranial pressure is manifested by bulging of the fontanel, headache, and bilateral papilledema.