Indications for the treatment of dermatitis with hormonal ointments - a list of the most effective and safe ones with prices. Hormonal ointments for dermatitis for children: a review of the best drugs and their use

Dermatitis is very common and affects both children and adults: it is the body’s reaction to external irritants and internal imbalances, which is expressed on the skin. For mild allergies, various herbal, antifungal and antibacterial agents, with more severe skin lesions, hormonal ointments for dermatitis help - potent drugs that should be taken only under the supervision of a doctor. Let's take a closer look at their types and application features.

Ointment for dermatitis on the skin

Hormonal ointment for dermatitis is prescribed in extreme cases, when local non-hormonal agents do not work or when the disease threatens the patient’s health. Based on the strength of impact, we distinguish between weak, medium and strong drugs, all of them can be prescribed in combination with antibiotics, other ointments and creams. When are hormonal drugs effective:

• in case of relapse of diseases;
• for atopic, allergic, contact dermatosis;
• at acute inflammations(especially during contact form of dermatitis);
• at risk of developing eczema;
• for neurodermatitis, erythema, allergic rash.

Hormonal ointments for the skin can have strong side effects (temporary, systemic), secondary allergies, addiction and even cause harm to the body - they should be used with extreme caution, strictly following all the rules of the course. Such products are prohibited for children under six months, some for up to 2 years; in addition, they have a number of permanent contraindications:

For children

Children suffering from eczema contact dermatitis New generation hormonal drugs are often prescribed: they are practically not absorbed into the blood, which minimizes the appearance of dangerous side effects. Other effective baby remedy- antihistamines, which suppress the action in the same way as hormonal drugs, but with less effect on the body. They perform well for treatment allergic rashes on the skin of the face, arms, legs.

Corticosteroids are allowed in children subject to strict control of dosage and duration of therapy; Each drug must be tested by a dermatologist using a skin test. If small child so-called diaper dermatitis, diaper rash on soft skin or chicken pox– it is better to choose other anti-inflammatory ointments, hormonal drugs will not be very effective.

For adults

Hormone therapy for adults is not as scary as many people think. Modern hormonal products made on the basis previous versions, have a good result and do not carry consequences if taken correctly. They stabilize cell activity and “freeze”, eliminating the inflammatory process. You also need to choose the form of the drug:

• for dry skin, oily hormonal ointments for dermatitis are needed;
• for weeping dermatosis - drying cream;
• Soft emulsions and gels are suitable for delicate skin of the face, neck, and ears.

List of ointments for dermatitis

The classification of hormonal ointments for dermatitis occurs according to the class of the drug (from weak to potent), main components and indications. Hormonal components are hydrocortisone, flumethasone, betamethasone, clotrimazole, deoxymethasone and others, they can be either pure form, and in combination with additional substances (salicylic acid, gentamicin, panthenol, lidocaine).

Drying

To make the effect of glucocorticoid hormones more complete, drying agents are included in the ointments: zinc, zinc paste, salicylic ointment and their analogues. Complex drying preparations are Lorinden A and C, Vipsogal, Diprosalik. Many hormonal medications can dry out as an additional, not the main effect, except for those designed to moisturize and soften dry, flaky areas (Elobaze, Locobase, Advantan).

Corticosteroids

This is a group of strong hormonal medications containing glucocorticosteroids: they suppress the production of histamine, quickly relieve inflammation and itching, and fight the disease at the cellular level. They also have antifungal and antibacterial effects, relieve swelling; used for eczema, pyoderma, psoriasis, severe dermatosis with associated infection. Main names in this category by active substances:

• Hydrocortisone: Pimafucort, Laticort, Cortomycetin, Oxycort, Hyoxysone, Sopolcort, Corteid, Fucidin.
• Betamethasone: Akriderm, Beloderm, Celestoderm, Betazon, Belogent, Betakortal, Diprospan, Kuterid, Diprosalik.
• Triamcinolone: ​​Triacort, Ftoderm, Polcortolone, Fluorocort, Kenalog, Berlicort, Nazacort.
• Flumethasone: Localasen, Sinaflan, Sinalar, Flucinar, Lorinden, Ultralan.

Antipruritic

Almost any hormonal ointment from skin diseases effectively relieves itching thanks to its antihistamine effect, which suppresses bacterial activity and eliminates its manifestations. Such ointments include medications with triamcinol (Kenacort, Fluorocort, Triacort), clobetasol (Dermovate, Cloveit, Skip-cap), alklometasone (Afloderm can be used on the face and genitals).

Why are hormonal ointments harmful?

The benefits and harms of hormonal drugs are almost equal, but if you use them correctly and in dosage, then most of the consequences can be avoided. The main rule: the course of therapy should not be long, but it should be completed gradually, reducing the dosage and the intervals between doses. Corticosteroid drugs can cause addiction and bacterial resistance if allergies are treated with one drug for a long time. What side effects can different hormonal medications have:

• repeated dermatitis;
• burning, allergy, itching;
• rash, prickly heat, acne;
• activation of fungal infection;
• hypertrichosis;
• hypopigmentation;
• skin atrophy, vascular dilatation;
• Cushing's syndrome;
• adrenal dysfunction.

Dermatitis is a separate group of inflammatory skin diseases. Occur due to exposure of the skin to damaging factors, chemical, biological or physical nature. The principles of treatment are determined by the causes of inflammation, the location of the lesions, their extent, and the speed of spread. Pharmaceutical preparations for the treatment of dermatitis eliminate external symptoms and accelerate skin healing. At severe course For diseases, tablets are prescribed that have a systemic effect on the body.

General principles of treatment of various dermatitis with drugs

Dermatitis belongs to the category of allergic dermatoses, which occur against the background of allergic reactions of immediate or delayed type. These include:

• actinic dermatitis (due to radiation);
• atopic eczema;
• hives;
• toxicoderma (allergy);
• seborrheic dermatitis;
• drug dermatitis.

Diseases appear due to exposure to skin aggressive substances - drugs, ultraviolet radiation, household chemicals, waste products of microorganisms. Medicines for dermatitis block cascades of allergic reactions, thereby improving the condition of soft tissues. Their choice depends on the cause of the disease, as well as the nature inflammatory processes.

Two types of drugs are prescribed for the treatment of dermatitis:

• systemic action– injections, tablets, capsules, suspensions;
• local action– sprays, liniments, gels, creams, ointments, solutions.

Most often, to relieve the manifestations of allergic dermatosis and restore the integrity of the skin, tablets are used that provide systemic impact for the whole body. Local therapy comes down to the use of hormonal ointments and creams that have anti-inflammatory and anti-exudative (decongestant) properties. They must be used exclusively in short courses, since corticosteroids cause adverse reactions, reduce local immunity.

General principles treatment of allergic dermatoses with tablets:

• adsorbents (detoxification therapy) – cleanse the body of allergens and irritants;
• antiviral, antifungal, antimicrobial agents(etiotropic therapy) – eliminate the cause of allergic reactions;
• corticosteroids (hormonal therapy) – eliminate inflammation, promote regeneration of affected soft tissues;
• antihistamines(antiallergic therapy) – relieves itching, flaking, swelling and redness on the skin.

For dermatoses of an autoimmune nature (allergic, atopic), tablets are prescribed that suppress the immune system - immunosuppressants. With long-term use, they reduce the severity of inflammatory reactions in the skin. Due to this, the patient’s well-being improves and tissue regeneration accelerates.

Tablets for dermatitis

Systemic remedies for dermatitis are prescribed for moderate severity course of the disease. Their components penetrate into the general bloodstream and therefore affect the entire body. The choice of tablets is determined by the cause of inflammatory reactions in the skin. For urticaria, antihistamines are prescribed, for seborrhea - antifungal drugs, and for pyoderma - antibacterial drugs.

Allergic form

To find out which pills to take for allergic dermatosis, you need to find out the cause of its occurrence. Antihistamines for dermatitis in adults are prescribed in cases where inflammation occurs due to contact with irritants. They relieve itching, rashes, peeling, and swelling of tissues. To make you feel better, the following tablets for dermatitis are used:

• Loratadine – for allergies to insect bites, nettle fever and itchy dermatoses;
• Claritin - to relieve manifestations of nettle fever, hay fever;
• Telfast – for symptomatic treatment seasonal allergic diseases;
• Exifin - for severe allergic dermatoses affecting the skin on the torso and limbs;
• Zyrtec - with atopic dermatitis in adults, which is accompanied by constant itching and exudative (blistering) rashes.

If the rash spreads quickly, resort to hormone therapy. Corticosteroid tablets are taken in small courses of 3-5 days, which is associated with the risk of side effects. Nettle fever and other forms allergic disease treated with the following drugs:

• Triamcinolone;
• Prednisolone;
• Dexazone;
• Fortecortin;
• Megadexane.

They have pronounced anti-inflammatory properties, so they quickly eliminate swelling and redness on the skin.

Infectious origin

Allergic dermatoses of infectious origin are manifested by multiple rashes on the body, peeling, severe itching, the formation of blisters with clear or purulent liquid. To eliminate them, tablets of etiotropic action are used, which eliminate the cause of inflammation - pathogenic flora. Most often it is represented by fungi or bacteria, so the following drugs for dermatitis are used to destroy them:

• Ampiox - combined antimicrobial tablets that eliminate purulent inflammation of the skin due to bacterial dermatoses;
• Terbinafine – systemic antifungal drug, eliminating manifestations of dermatophytosis, trichophytosis and candidiasis;
• Orungal – antifungal tablets from seborrheic dermatitis, candidiasis, pityriasis versicolor and other dermatomycoses;
• Flemoxin is a semi-synthetic antibiotic that relieves purulent inflammation of the skin due to bacterial dermatoses;
• Oxacillin – antibacterial tablets, destroying staphylococcal infection.

Antihistamines - Cetrin, Erius, Tavegil - are also used to quickly ease your well-being.

To help the body resist infections, vitamin and mineral complexes are prescribed - Perfectil, Multitabs, Merz, etc.

Other dosage forms

For allergic dermatosis, systemic drugs are often combined with local therapy. It includes ointments, pastes, gels and creams that have antipruritic, wound healing, antiexudative, analgesic and antiseptic properties. The medicine for allergic dermatitis is selected by a dermatologist based on the condition of the skin, the extent of the lesions and the age of the patient.

Ointments and creams

Local preparations are intended to treat ulcers, blisters, scaly plaques and other skin rashes. For allergic dermatitis, hormonal, wound-healing, antiallergic and antiseptics. Standard therapy includes:

• Eplan is a disinfecting and wound-healing cream that promotes rapid recovery integrity of the epidermis;
• Radevit is a combined non-hormonal cream that eliminates inflammation and stimulates the regeneration of the inner and outer layers of the skin;
• Desitin is a corticosteroid that relieves inflammatory reactions in the skin;
• Zinocap is a combined ointment with antimicrobial, antifungal, antiseborrheic and wound-healing effects;
• Gistan is an antipruritic and anti-inflammatory cream that eliminates blistering rashes;
• Celestoderm is a hormonal agent with antimicrobial and anti-inflammatory effects.

Diseases of fungal origin are treated with ointments that have antimycotic and antipruritic properties - Exoderil, Tsindol, Naftaderm. To reduce inflammation during infectious lesion fabrics, agents with antimicrobial activity are used - Skin-Cap, Fucidin, Dioxidin.

Hormonal drugs for allergic dermatosis should be used only as prescribed by a doctor. Irrational use of corticosteroids is dangerous by reducing local immunity and an increased risk of fungal infections. For atopic eczema, hormonal ointments Akriderm, Flucinar, Kremgen are often prescribed.

Solutions and sprays

Local preparations in the form of solutions and aerosols quickly eliminate external symptoms of seborrheic and bacterial dermatitis.

Effective means include:

• Tsindol is a drying and disinfecting solution that eliminates bubble formations;
• Miramistin is an antiseptic with antimicrobial and anti-inflammatory action, active against many pathogenic fungi, viruses and bacteria;
• Olazol is a wound-healing and antimicrobial spray that is used for itchy dermatitis and microbial eczema;
• Galenophyllipt – antiseptic solution with wound healing and disinfectant activity, which is used for infectious and allergic dermatitis.

On initial stage diseases, they are used as independent therapy, but are often used in combination with tablets to quickly achieve therapeutic effect. Sprays are especially convenient for treating the scalp.

Injections

In some cases, atopic dermatitis is very severe and difficult to treat. If non-hormonal therapy fails to relieve symptoms, then in addition to tablets and external ointments, intramuscular or subcutaneous injections such hormonal agents:

• Prednisolone;
• Hydrocortisone;
• Metipred;
• Kenalog.

To eliminate the cascade of allergic reactions, injections are given with antihistamine solutions - Promethazine, Clemastine, Suprastin, etc.

Plasters

The treatment of skin diseases often includes not only tablets, but also patches impregnated with medicinal solutions. They are glued to the lesions, thereby preventing secondary infections from penetrating into the damaged tissues. The most famous of them include:

• Emla is a local anesthetic patch that is used in the treatment of atopic eczema;
• Kavilon – film-forming liquid solution, which, after application to the skin, creates an airtight film.

Patches are used to prevent infectious tissue inflammation. It is not recommended to use them for folliculitis, telangiectasia ( spider veins) and skin atrophy.

Any medicine is used for dermatitis only in consultation with a doctor, especially in childhood.

Dermatitis is a common skin disease accompanied by inflammation of the epithelial layers. Common symptoms of the disease include dry skin, spots, rashes and redness of the skin. Dermatitis is a protective reaction of the body to various irritants, an allergy to risk factors that threaten health. The course of treatment is the same as clinical picture, may vary depending on the type of stimulus. Once the doctor determines the type of dermatitis, he will prescribe the appropriate treatment. Most often, external agents are used for this. More information about which ointment for dermatitis on the skin is better will be discussed in this article.

There are many different reasons that can trigger the development of dermatitis. Let's look at the most common of them:

• severe stress or anxiety;
• development of a viral or bacterial infection;
• food allergies;
• exposure to chemical irritants such as motor oil, gasoline, detergent, or soap;
• allergic reaction in the lungs;
• the presence of a fungal infection;
• consequences of taking certain medications;
• failure in work sebaceous glands patient;
• increased skin dryness or exposure to climatic conditions.

Dermatitis on the skin (in in this case- atopic)

On a note! In some cases, the inflammatory process may extend beyond the area of ​​skin that was in contact with the irritant. This is the danger of dermatitis: it progresses and can spread throughout the patient’s body.

Are ointments effective for dermatitis?

Only properly selected medications will help you quickly get rid of dermatitis. As noted earlier, to treat this pathology, doctors prescribe ointments, which are divided into hormonal and non-hormonal. Most often, non-hormonal external agents are used, which have an antimicrobial and antimicrobial effect on the patient’s body. antifungal effect. Such drugs are actively used in the treatment of not only dermatitis, but also other skin diseases.

But not in all cases, non-hormonal ointments can help. For example, an advanced form of dermatitis cannot be cured without the help of hormonal ointments, which should be used exclusively under the supervision of a physician. The peculiarity of the use of hormonal ointments is that the course of treatment should be short. Otherwise, irreparable harm may be caused to the patient's health.

The doctor may also prescribe a hormonal drug in cases where:

• the cause of dermatitis was allergic penetration;
• the disease constantly recurs;
• treatment with non-hormonal ointments did not give the desired result;
• there is a risk of dermatitis turning into eczema;
• the illness was caused by an allergic reaction to one of the components of the drug used.

If dermatitis is accompanied by skin rashes on the face, then use hormonal creams extreme care must be taken not to apply the product to healthy skin. In most cases, doctors do not prescribe hormonal ointments when treating children due to the high risk of complications. The duration of the therapeutic course should not be more than 8-10 days.

For speed therapeutic effect A particular drug is influenced by its composition, that is, the content of the active substance. The more it is contained in a tube of cream, the stronger the drug will be and the sooner positive changes will occur. Doctors also recommend using this type of medicine for preventive purposes to prevent the appearance of bleeding wounds or cracks on the limbs and body.

Hormonal ointments

Hormonal ointments are used for dermatitis quite rarely, when the disease progresses or during the development of acute inflammatory processes. Below are the most common medicines, which are used in the treatment of this pathology.

Table. The best hormonal ointments for dermatitis.

On a note! Sometimes a doctor may prescribe hormonal medications for children to treat dermatitis, but this happens very rarely. As a rule, such a decision may be associated with the ineffectiveness of treatment with non-hormonal ointments.

Ointments for dermatitis without hormones

In the treatment of dermatitis in pregnant women or children, doctors primarily prescribe non-hormonal drugs external use. In terms of effectiveness, they are much inferior to their hormonal “brothers”, but do not harm the body. There are quite a lot of such drugs, so we will consider only a few of them.

Table. The use of non-hormonal ointments for dermatitis.

Regardless of the type of dermatitis or characteristics of the body, self-medication is strictly prohibited, especially when it comes to child's body . His immune system has not yet fully developed, so even non-hormonal drugs, if used in the wrong dosage or use, can only cause harm.

Prevention measures

Dermatitis is not a dangerous, but very unpleasant skin disease, which often manifests itself in the form of spots or peeling in the most inconvenient places. Often the resulting plaques affect the skin of the face, which causes the patient a lot of discomfort. Therefore, every effort must be made to prevent this disease. It is much easier to prevent dermatitis from occurring than to treat it later.. Below is step-by-step instruction, which will help prevent the development of many skin pathologies.

Step 1. If the dermatitis was caused by some allergen, then try to avoid irritants. Of course, first of all you need to find out what exactly irritates the skin, and only then protect yourself from these objects. Typically, irritation is caused by cosmetics, soaps and other cleaning products. If possible, you should avoid using heavily scented perfumes.

Step 2. Regularly moisturize your facial skin with special creams. This will prevent the development of dermatitis and also keep the skin healthy. When choosing a cream, give preference to those products that do not contain alcohol. When applying cream to your face, gently spread it over the entire surface, but do not rub it. Such creams are designed not only to moisturize the skin, but also to further protect it.

Step 3. Take regularly hot bath. Experts recommend performing a bath procedure at least 2 times a week. This will cleanse the skin and relax the body. If desired, you can add a little baking soda to the bath, which will have a soothing and anti-itching effect on the skin. From time to time you can alternate between taking a hot and a cold bath, because cold also has a positive effect on the condition of the skin.

Step 4. Avoid extreme stress, as it contributes to the development of certain types of dermatitis, for example. To do this you need to learn to relax. Regular exercise, hanging out with friends, meditation, and so on can help with this. Don't forget about breathing exercises, which improve the condition of the body as a whole.

Step 5. Use mineral oil to soften your scalp. Approximately 15-20 minutes before washing your hair, you need to treat it with warm mineral oil. scalp heads. This procedure will prevent or reduce existing peeling of the skin, as well as prevent the development of seborrheic dermatitis. There are no contraindications for using mineral oil, so it can also be used to treat children.

Step 6. Take care of your nails and trim them if necessary. This will prevent you from scratching your skin at night. The fact is that if there is skin irritation, the patient may unknowingly scratch the skin at night, which will only aggravate the situation and lead to unpleasant consequences.

Step 7 Visit your dermatologist's office periodically for a checkup. This should be done not only when you have skin problems, but also at normal times. Such visits will help identify a possible disease at an early stage of development, which will greatly facilitate the further process of therapy.

Regular examinations apply not only to a dermatologist, but also to other doctors, for example, a dentist.

Video - The benefits and harms of hormonal ointments for dermatitis

Dermatitis is one of the most common human skin diseases, affects mainly the skin of the hands and face, has numerous types and unpleasant symptoms.

To combat the disease in adults, the pharmacological market offers a wide variety of ointments for dermatitis, which are used locally on the skin at the site of the lesion.

In the treatment of the disease in question, 2 types of ointments are used: hormonal and non-hormonal.

These types differ fundamentally from each other not only in composition, but also in the effect they provide. Wherein non-hormonal drugs are considered safer, although they are not always able to cope with dermatitis.

Non-hormonal ointments for dermatitis

Non-hormonal ointments characterized by more natural composition , which explains their safety for health. In addition, this allows them to be used for a long time.

However, here lies the disadvantage of this kind of means - therapy can drag on for several weeks or a month.

Non-hormonal ointments have other disadvantages:

Non-hormonal ointments can be divided into several categories, each of which has its own effect on the skin:

• Antiseptic effect– disinfect, do not allow bacteria to penetrate through the resulting ulcers (Furacilin, Dermatol ointments, Levosin);
• Anti-inflammatory effect– relieve itching and irritation, stop inflammatory processes (Ichthyol, Zinc ointments, Finistil);
• Regenerating (restorative) effect– promote skin healing, launch natural processes tissue regeneration (“Bepanten”, “Radevit”);
• Moisturizing effect– restore water balance skin, which promotes more quick recovery(“Videstim”, “Keratolan”).

The duration of treatment with non-hormonal ointments is determined by the treating doctor. It is not recommended to interrupt the course of therapy.

However, if non-hormonal ointments are ineffective within 2 weeks, it is worth replacing them with hormonal agents.

Hormonal ointments for dermatitis

Hormonal ointments are divided into several types depending on the strength of the effect:

• weak;
• average;
• strong;
• as strong as possible.

Attention! Doctors do not advise resorting immediately to the latter types; such medications are prescribed only in severe forms course of the disease.

The funds under consideration have 3 main problems, which are presented in the table.

Hormonal ointments have contraindications common to all drugs:

• personal rejection by the body of medication components;
• presence of sexually transmitted diseases;
• the presence of herpes or chickenpox;
• cannot be used for tuberculosis;
• fungal or bacterial skin lesions;
• helminthiases;
• not recommended for use by expectant and nursing mothers;
• children's age (from six months to 2 years).

In what cases are hormonal ointments prescribed for dermatitis?

Ointments with hormones for dermatitis on the skin in adults are usually prescribed in the following cases:

Non-hormonal ointments for dermatitis: a review of effective drugs

On pharmaceutical market There is a large selection of non-hormonal ointments that differ in composition, effect, and price.

The following review presents popular and effective means, time-tested.

"Eplan"

The medication contains:

• glycolan;
• triethylene glycol;
• glycerol;
• ethylcarbitol;
• water.

These components relieve itching, trigger regeneration processes, prevent suppuration, and provide more fast healing skin.

The ointment is effective not only for the problem under consideration, but also for other ailments of the epidermis: psoriasis, herpes, eczema, acne, in addition, relieves itching and inflammation from insect bites.

The cost of "Eplan" does not exceed 150 rubles.

"Bepanten" and "Panthenol"

Ointment for dermatitis on the skin of adults - "Bepanten" and "Panthenol" - is used to soften dry and irritated skin.

These medications are based on dexpanthenol, which promotes the healing of affected areas, triggers their recovery processes, and normalizes metabolism at the cellular level.

The products in question can be used for prevention, protecting the skin of the face and hands from adverse factors.

The price of drugs varies between 120–500 rubles, which is due to different quantities ointments in packaging.

"Skin-Cap"

This product contains activated zinc pyrithione. "Skin cap" is considered one of the most safe medicines, is prescribed even to children from one year of age.

The drug provides anti-inflammatory, antimicrobial and antifungal effect.

In addition to dermatitis, Skin-Cap treats psoriasis, eczema, neurodermatitis, oily and dry seborrhea.

The product in question cannot be classified as a budget product; its price is 650 rubles. for 15 g, 1250 rub. for 50 g.

"Radevit"

Ointment based on vitamins – “Radevit”, it contains:

• vitamins A, E, D;
• ethanol;
• glycerol;
• petrolatum;
• emulsion wax.

Vitamin A promotes healing of ulcers, starts skin restoration processes, improves metabolism.

Vitamin E restores the protective functions of the skin, being a natural immunomodulator, activates collagen production.

Vitamin D relieves itching and swelling, inflammatory processes, softens the skin.

"Radevit" shows good results for all types of dermatitis, it is prescribed even for contact and allergic diseases.

The cost of the drug is 320 rubles.

"Losterine"

"Losterin" has a natural and safe composition:

• deresined naphthalan;
• urea;
• salicylic acid;
• extracts of medicinal herbs;
• natural oils.

All these components provide anti-inflammatory and antimicrobial effects.

Exfoliates dead cells, starts epidermal restoration processes, removes irritation and painful sensations, prevents the feeling of dryness and tightness of the skin.

This The medication is also effective for other skin problems : psoriasis, eczema, neurodermatitis. Effective in the treatment of contact dermatitis.

The price of the drug “Losterin” varies between 300–450 rubles.

"Solcoseryl"

A unique ointment based on dialysate from the blood of dairy calves.

The product has the following effects on the skin:

• heals wounds and ulcers;
• stimulates collagen production;
• accelerates the process of cell division (restores the epidermis);
• triggers tissue metabolic processes.

It is important to know! The ointment is actively used not only for dermatitis, but also for burns, wounds, and abrasions.

The average cost of the product is 180–300 rubles.

Hormonal ointments for dermatitis: a review of effective drugs

There are not many hormonal ointments produced; they are sold in pharmacies with a doctor's prescription.

The course of treatment is also prescribed by the attending doctor, in addition, the therapy process must take place under his supervision.

The review presents hormonal drugs, usually prescribed for contact and allergic dermatitis.

"Flucinar"

The main component of the ointment is fluocinolone acetonide, excipients are propylene glycol, lemon acid, lanolin anhydrous, petroleum jelly.

The product relieves inflammation and itching and has an antiallergic effect. The ointment is indicated for inflammation of the skin that is not of an infected nature: dermatitis, psoriasis, eczema, lichen.

The cost of the drug is 170–200 rubles.

"Advantan"

An effective ointment for all types of skin dermatitis in adults and children.

It contains methylprednisolone aceponate, paraffin and beeswax, which have an active anti-allergic and anti-inflammatory effect, restore damaged tissue, soften and moisturize damaged epidermis.

The ointment has a rather greasy consistency, which helps restore the natural oiliness of the skin. The medication is allowed even for children from 4 months.

Advant cost: 350–400 rubles.

"Futsikort"

This combination medication is prescribed for all types of dermatitis.

Its action is due to the following composition:

• main components- fusidic acid and betamethasone valerate;
• additional elements– cetostearyl alcohol, sodium dihydrogen phosphate dihydrate, paraffin, purified water.

Fucicort provides anti-inflammatory and antipruritic effects, in addition, it has an antimicrobial effect.

The price of the medicine is 380 rubles.

"Akriderm"

Akriderm is an inexpensive but quite effective drug. Indicated when various manifestations dermatitis and others allergic diseases epidermis.

Ointment is considered combination medication, since it contains two active substances: betamethasone dipropionate and salicylic acid, Vaseline is used as a base.

The remedy in question relieves inflammation, allergic manifestations, is an antiseptic. In addition, the ointment has a keratolytic effect on the skin, that is, it promotes the rejection of the stratum corneum of the epidermis.

The cost of Akriderm is 120 rubles.

"Celestoderm"

The main substance of this medication is betamethasone 17-valerate, paraffin is used for the base. "Celestoderm" is characterized by the ability to relieve inflammatory and allergic manifestations, itching and irritation.

The ointment is effective for all types of dermatitis, as well as psoriasis, eczema, and neurodermatitis.

The price of this medication is 200–350 rubles.

How to properly use ointments for dermatitis on the skin

In order for the ointment to show all its properties, you need to know the rules for its use:

It is necessary to choose an ointment for dermatitis on the skin of an adult, taking into account the type of dermatitis and the form of its course.

In this video they will tell you about the ointment and its effect on dermatitis on the skin of adults:

From this video you will learn about the symptoms and treatment of dermatitis:

Dermatitis is inflamed redness of the skin caused by contact with allergens. This disease is typical not only for adults, but also for children, even in infancy– this can be caused by a number of signs.

Bepanten ointment can be used even for children

Symptoms and brief description

Symptoms of dermatitis are a phenomenon that a person may not immediately notice. They can occur all at once, or several of them:

• hyperemia;
• rash;
• peeling;
• inflammation with discharge (with acute form).

Types of dermatitis:

• photodermatitis is when rashes appear after exposure to sunlight on the skin;
• atopic dermatosis caused by a food allergen or from the external environment;
• contact type is formed by direct contact with an irritant, friction against tissue;
• Seborrheic causes excessive sebum production and the proliferation of skin fungi.

Dermatitis occurs at any age. The choice of topical agents in the treatment of dermatitis is based on a transition from weaker, hormone-free drugs to stronger drugs. Depending on the stage and course of the disease, hormonal ointments are selected for dermatitis, or vice versa. If the disease manifests itself in an acute form, then strong drugs (hormonal) are prescribed at the very beginning of therapy. In other cases, you can get by with non-hormonal ointments and creams.

Photodermatitis is caused by sun exposure

Ointment or cream?

Ointments are used mainly for flaky lesions; they have a transparent color and greasy texture, with slow absorption. The cream has a light texture and is quickly absorbed, but after drying, peeling may appear. The duration of the effect is ensured by the use of local therapeutic drugs. The result depends on the antihistamines and sedatives, which have antipruritic and anti-inflammatory effects.

In modern medical practice, there is a huge variety of all kinds of creams, gels, and ointments to eliminate such an unpleasant problem that both adults and children face today.

However, it should not be forgotten that treatment external manifestation disease is not a panacea. The rash may reappear if undetected. the real reason and appropriate therapeutic measures were carried out. What to do:

• Absorbing enough water will help get rid of dermatitis faster;
• sorbents, by type white coal, atoxyl or activated carbon– will not be superfluous;
• take an antihistamine;
• elimination of contacts with pathogens is mandatory;
• hypoallergenic diet.

Differences between hormonal and non-hormonal ointments - important aspect, which you should pay attention to.

1. Non-hormonal ointment for dermatitis. The main advantage of the application is that it can be used for a long time, both by adults and children, without harm to health. Have no influence on hormonal balance body. The downside is that with very long use they can cause allergies, and the effect will be completely absent.
2. Hormonal ointment. Prescribed for acute manifestations of dermatitis, when treatment non-hormonal agent does not give results. They are divided according to the type of action into four types: from weak to maximally strong. When treating with the first two types, the process is quite slow, but the risk of manifestation side effects very low. The effect is short-term, although quick, as the body becomes accustomed to the drug. They have a negative effect on all organ systems. And there is the so-called withdrawal syndrome. The drug cannot be stopped abruptly.

Naftaderm - ointment without hormones

Non-hormonal cream for dermatitis, like tablet drugs, is a medicine, the use of which without the consent of a doctor may not only not have an effect, but also complicate the situation.

1. They begin to be treated with the weakest means, as needed, gradually moving on to aggressive drugs.
2. The ointments are applied in a light layer to a clean, dry skin two to three times a day.
3. Ointments are not rubbed into the skin, but wait until completely absorbed.
4. If the lesions are on the scalp, it would be advisable to use lotions or liniment with a similar composition.
5. If suddenly dermatitis begins to progress, then you need to stop the remedy and consult a doctor.

Hormonal ointments all contain glucocorticosteroids - hormones produced by the adrenal glands. The effectiveness of these drugs is achieved due to their effect on the metabolism of proteins and carbohydrates. They are prescribed when the body does not produce enough of the hormone cortisone, which provokes an inability to cope with the inflammatory process.

Radevit is a non-hormonal mild ointment

Children's ointments for dermatitis without hormones

Causes childhood dermatitis the following:

• food allergens;
• untimely replacement of diapers, inappropriate hygiene of children's skin;
• synthetic fabrics of clothing, bed linen, inappropriate children's cosmetics;
• medicines;
• air pollution;
• infectious diseases;
• tight swaddling.

For the treatment of childhood dermatitis, ointments and powders without hormones are suitable. In the choice of drugs, preference is given to antihistamine antiseptics. Here are some of them:

1. Bepanten and its analogues. It can be used from birth.
2. Skin cap and Radevit.
3. Desitin does not treat infected skin areas.
4. Thymogen cream or Sudocrem.
5. Zinc ointment.
6. Gistan is an ointment based on natural herbs. Has an anti-inflammatory effect.
7. Exoderil is prescribed for secondary infection.
8. Epidel should be used with extreme caution. During its use, avoid exposure to ultraviolet radiation. One of the components of the medicine can cause the development of a cancerous tumor.
9. Wundehil is another drug based on natural extracts. Hemostatic, wound healing, bactericidal drug.

Exoderil helps with secondary infections

Ointments and creams with corticosteroids for children are dangerous because, penetrating through the skin into the blood, they can cause adrenal insufficiency or the development of Cushing's syndrome over time.

Hormonal ointments are used in in rare cases when dermatitis is in advanced form. It is especially rare to prescribe drugs with corticosteroids for children, and for adults for facial skin, since there is a high risk of thinning of the skin. You can also make a non-hormonal cream for dermatitis yourself. Sometimes, when the use of medications is impossible for some reason, you can use folk remedies, having consulted in advance with a dermatologist.

1. To treat dermatitis on the hands, the following remedy is suitable: a few drops of retinol acetate in oil solution(can be purchased at a pharmacy) mixed with baby cream.
2. Mix St. John's wort and whole celandine flowers ( top part and root), calendula with propolis and vegetable oil. Grind the mixture thoroughly until smooth. Store in a dark, dry, cool place.
3. Mix celandine powder with Vaseline. Use at intervals of four days.

Dermatitis on the face

Dermatitis is an inflamed skin rash accompanied by itching and peeling. The locations on the body are different. But most unpleasant place its rationale is the face. The first thing, of course, is to get rid of it as quickly as possible. Non-hormonal ointments for dermatitis on the face are ideal, by the way. They are used in a system with other drugs aimed at general health improvement body. Presents the following ointments:

• skin cap;
• radevit;
• isida;
• wevideam
• sun protection cream.

Skin cap - preparations for dermatitis on the face

Non-hormonal dermatitis creams

The list of creams and ointments that do not contain hormones is simply huge - below you can familiarize yourself with the most popular of them and choose something suitable for your specific case.

Skin cap. Designed to eliminate unpleasant symptoms skin diseases, including dermatitis. Medicine wide range actions. The release form is not only in cream, but also in aerosol and shampoo. Produced in Spain.

Actovegin - odorless cream white. Helps accelerate the regeneration process, activating metabolic processes in the integumentary tissues, increases blood circulation.

Zinocap is anti-inflammatory, antibacterial drug local action.

Desitin is a dermatoprotective ointment used for skin inflammation and irritation. Prevents the formation of diaper rash.

Eplan has a wound-healing, bactericidal effect. Creates a so-called protective film that lasts for eight hours.

Bepanten is intended to treat dermatitis in infants, as well as to heal wounds on the nipples in nursing mothers.

Naftaderm is an anti-inflammatory and itching remedy.

Histan protects skin from bacteria

Gistan is a topical antihistamine. Creates a film on the skin that allows air to pass through and prevents the penetration of bacteria and allergens.

Aisida is a new generation cosmetic product that affects the immune system and is also an antiseptic.

Radevit increases the protective functioning of the skin and eliminates keratinization.

Fenistil is indicated for itchy dermatoses of various nature, burns.

La-Cri is a cosmetic product that restores the skin, created for use at any age.

Pantalfamarin is indicated for atopic dermatitis, quickly relieves itching and swelling.

Thymogen is an immunostimulant cream with anti-inflammatory action. Indicated for the treatment of a variety of dermal rashes.

Zinc ointment for dermatitis - the most universal and safe remedy. Due to the absence of toxic additives, side effects are kept to a minimum. Broad spectrum ointment.

Solcoseryl is a nutritional stimulant. The drug is based on an extract from the blood of young calves. Disinfectant action does not have any effect, therefore it is applied after pre-treatment with an antiseptic.

Videstim contains retinol, which accelerates healing and regeneration. Indicated to accelerate and heal skin rashes accompanied by dryness, peeling, and inflammation.

Losterin is a drug for daily use for dermatitis, causing dryness skin. Can be used in combination with external hormonal agents.

Protopic is a selective inhibitor of inflammatory mediator compounds. Zorka stimulates tissue regeneration, nourishes and moisturizes.

Losterine can be used every day

When are hormonal ointments prescribed?

Hormonal ointments for atopic and seborrheic dermatitis are prescribed without fail. They are used in a specific sequence and in combination with other medications in the system. Their long-term use leads to a stable dilation of blood vessels. Such drugs give relatively quick effect for acute manifestations of the rash, relieving the most painful symptoms. Based on the severity of dermatitis, corticosteroids may be used:

• topical;
• combined (in addition to hormones, the composition includes antibiotics)

The second type is gentle, with less hormone content. List of hormonal drugs:

• Mometasone is a synthetic glucocorticosteroid. Has antihistamine, antipruritic, anti-inflammatory effects.
• Dermovate. By reducing the formation of collagen in the skin, it has a non-specific antibacterial and antiallergic effect.
• Triderm is a corticosteroid with a local antibiotic. Shows antibacterial, antifungal effect, relieves swelling.
• Pimafukort. Indicated for dermatoses complicated by secondary or fungal infection, Vipsogal is intended for the treatment of psoriasis, has a general therapeutic effect on the skin.
• Aurobin. Indicated for disorders of the mucous membranes of the anorectal zone and the skin of the entire body - an antipruritic, anesthetic, anti-inflammatory agent, Lorindel is prescribed for allergic dermatoses with keratinized crust.
• Celestoderm. Prescribed to eliminate symptoms skin dermatitis, sensitive to corticosteroids, fucicort is indicated for inflammatory dermatitis caused by bacteria sensitive to fusidic acid.
• Lokoid, lipocrem. It retains a positive result for quite a long time after stopping use, fluorocort - vasoconstrictor anti-inflammatory, antihistamine action— according to patient reviews, it is quite well tolerated.
• Betamethasone valerate. A decongestant, antipruritic drug, has low absorption into the skin, which reduces the risk of side effects; pulcortolone reduces capillary permeability, relieves swelling, itching, and inflammation.
• Diflucortolone. Reduces the number of lymphocytes and eosinophils - in children it is used under strict medical supervision, for no more than five days.
• Diprosalik. Indicated for the treatment of dermatitis on the scalp and other parts of the body, it disinfects and keratolytizes.

Hormonal ointments should, in in strict order, should only be prescribed for use by a physician. Hormonal ointments for the treatment of dermatitis on the face are indicated for a short course, with sequential withdrawal. The advantage is high efficiency, the disadvantage is possible hyperpigmentation, stretching of the skin, as well as its death. May also cause acne.

However, new generation hormonal ointments are developed with minimal risk occurrence of side effects and are intended for long-term use.

Aurobin relieves irritation in the rectal area

Contraindications to the use of ointments with hormones

If the ointment with the hormonal composition is selected correctly and the correct dosage is chosen, then the treatment is successful and without complications, quickly achieving the goal. However, there are a number of diseases for which it is strictly forbidden to use this type drugs:

• acne;
• mycoses;
• herpes, chickenpox, shingles;
• scabies;
• venereal diseases;
• tuberculosis;
• diaper dermatitis in infants.

The most important thing is not to forget that only by eliminating the main problem can you forget about dermatitis once and for all.