Dexamethasone eye ointment is a drug belonging to the group of glucocorticosteroids. The drug copes with many ophthalmological diseases by providing anti-inflammatory, anti-edematous, immunosuppressive and anti-allergic effects.
The ointment begins to act almost immediately after its administration. But this is not the only unconditional advantage of this product; experts also highlight others, namely:
- long-term preservation of the therapeutic effect (up to 8 hours);
- availability;
- Possibility of purchasing without a prescription form;
- affordable price;
- minimal risks of overdose;
- quick results;
- possibility of dosage adjustment;
- no discomfort during the treatment period.
Let's look at the instructions for using this ointment.
Indications for use
The drug is prescribed to relieve inflammatory eye diseases:
- conjunctivitis;
- keratitis;
- blepharitis;
- iridocyclitis;
- iritis;
- sclerites;
- uveitis.
The ointment quickly relieves unpleasant symptoms of diseases of the visual apparatus, namely:
- hyperemia;
- edema;
- painful sensations;
- irritation;
- itching;
- burning.
Dexamethasone ointment is used not only for medicinal purposes; doctors prescribe it to prevent inflammatory processes after burns and eye surgery.
The ointment is placed under the lower eyelid
Important! Dexamethasone is able to completely neutralize the inflammatory focus. The active substance activates metabolic processes and accelerates healing.
Dexamethasone is also available in tablets and in the form of injection solutions. Each dosage form has specific features of its use, as well as a set of indications and contraindications.
Dexamethasone: instructions for use, price, analogues
Pain syndromes of various origins, inflammatory processes, allergies, eczema, psoriasis... These problems, both in humans and in animals, can be solved by a proven remedy - Dexamethasone. In Russia, the medicine is included in the list of vital drugs.
Dexamethasone tablets
Dexamethasone is available in several forms: solution for intravenous and intramuscular administration in ampoules, tablets, eye drops, eye ointment. It is recommended to store the medicine at room temperature, out of the reach of children and protected from light.
The active ingredient of the drug is a glucocorticosteroid hormone, which is produced by the adrenal cortex. This substance is involved in the metabolism of proteins and sugars in the body, and also provides a strong anti-inflammatory effect. In addition, the adrenal cortex hormone is effective for allergies.
The drug has a powerful anti-inflammatory, antiallergic, immunosuppressive and desensitizing effect. The effect of Dexamethasone is based on the binding of certain biologically active substances produced by the pituitary gland, on the effect on the central nervous system, as well as on participation in the processes of hematopoiesis.
Packaging "Dexamethasone" Fluconazole: instructions for use, price of capsules and tablets
Under the influence of Dexamethasone, the metabolism of mineral substances changes in the body. It is able to retain sodium and water in the human body and suppress the activity of vitamin D, which leads to a decrease in calcium absorption and increased excretion. The drug takes part in metabolism. It reduces the amount of globulins in the blood, while increasing the amount of albumin.
Contraindications
The product cannot be used in the following cases:
Anti-inflammatory eye ointment
- mechanical damage to the cornea;
- allergic reaction to dexamethasone;
- presence of a foreign body;
- damage to the integrity of the membranes of the eyes;
- trachoma;
- infectious and inflammatory processes;
- During pregnancy and breastfeeding;
- tuberculosis;
- damage to the upper layers of the cornea;
- ophthalmological diseases caused by fungi, viruses and bacteria;
- children under 18 years of age.
Pharmacological properties
Antiallergic, anti-inflammatory, antiexudative, vasoconstrictor, decongestant.
Dexamethasone does not exhibit mineralocorticoid activity. Reduces immunity, suppresses the production of antibodies and the recognition of antigens, thereby eliminating desensitization.
Blocks the release of mediators of allergy and inflammation, the migration of mast cells, and reduces the permeability of vascular tissues.
Penetrates the corneal tissue, creating therapeutic concentrations in it.
It interacts with proteins at the cellular level and affects their synthesis. Reduces the production, activity and release of histamine, lysosomal enzymes, kinin and other inflammatory mediators.
The duration of therapeutic action is on average 8 hours.
The half-life ranges from 24 hours to 3 days. Excretion is carried out in the urine. Metabolic processes occur in the liver.
Features of use
Dexamethasone ointment is used externally. It is placed in the form of a strip under the lower eyelid. Typically, your doctor recommends using the ointment three times a day. The treatment course does not exceed three weeks. Adding ointment can cause a temporary decrease in visual acuity, so immediately after the procedure it is recommended to refrain from activities that require increased concentration and attention. To avoid infection, the tip of the tube should not come into contact with other surfaces, including the mucous membrane of the eye.
Before performing the procedure, you should wash your hands thoroughly with soap.
With regular use of Dexamethasone, you should periodically visit an ophthalmologist to monitor intraocular and blood pressure levels. Antacids can reduce the likelihood of adverse events. It is also important to increase your intake of potassium-rich foods.
Side effects
The use of ointment with dexamethasone is associated with the risk of such adverse reactions as:
- blurred vision;
- disturbances in the functioning of the optic nerve;
- cataracts;
- glaucoma;
- slowing down regeneration processes;
- allergies;
- swelling and redness of the eye;
- thinning and perforation of the cornea;
- weakening of local immunity;
- addition of infectious and inflammatory processes.
If side effects occur, you should stop using the ointment. The incident should be reported to the ophthalmologist to correct treatment and change therapeutic tactics.
It is prohibited to use the product during lactation
First, we looked at the positive aspects of the ointment, but we should also not forget about the “other side of the coin.” The disadvantages of Dexamethasone include:
- the likelihood of increased intraocular pressure;
- the ability to mask bacterial and fungal infections;
- causes short-term visual impairment;
- may change the effect of other drugs;
- restrictions due to use for children, adolescents, pregnant and nursing mothers;
- If it gets on the outer surface of the eyelid, irritation and lacrimation may occur.
Ointments for psoriasis
Today there is quite a large selection of different forms of preparations: aerosols, gels, sprays, shampoos, lotions, lotions. But the most effective form remains the ointment at all times; it is the most affordable form of treating skin diseases at home.
Ointments are made on a fat basis, which helps to saturate the plaque well; subsequently it comes off freely, which facilitates better penetration of the necessary substances into the skin. Well, the ointment lasts longer on the body compared to other forms of external agents.
When treating skin, you should not focus on ointments alone; treatment should be comprehensive. That is, you can and should take baths using various decoctions of herbs and roots, soda and salt. Use medicated shampoos and soaps.
Take remedies for psoriasis, herbal or natural. For example, there is such a remedy as Bimmunal (organiodine compound, iodine preparation), it is taken both internally and externally in the form of baths.
The process of external treatment of psoriasis is aimed at relieving clinical symptoms on the skin.
That is, removing the external manifestation, red flaky spots, thereby usually achieving remission. Some for a long time, some for a month.
It should be remembered that ointments against psoriasis should be prescribed by a dermatologist, who will take into account the degree of damage and the form in which the disease occurs.
Our skin has the property of becoming addicted to the same medications. Therefore, when treating psoriasis, it is necessary to change external agents from time to time for more effective treatment. In your arsenal you should have about three ointments that help you best. And change them from time to time. Then the treatment will be more effective.
What ointment to treat skin psoriasis?
Today, the pharmaceutical market offers us a wide variety of ointments and creams, at various prices, from 30 rubles to several thousand per tube. From experience I can say that usually a good, effective ointment is expensive. But this is not always the case, there are exceptions to the rules, cheap ointments also sometimes help a lot. You just need to find yours.
Ointments and Creams can be divided into several groups:
- Hormonal (Main substance – various hormones)
- Not hormonal
- Solidol ointments (Ointment base solidol, medicinal base medicinal plants)
- Naftalan ointments (Based on medicinal Naftalan oil from Azerbaijan)
- Homeopathic (made from an ointment base and extracts of medicinal plants)
- Let's briefly go through each group; you can read more on the separate pages dedicated to each group.
Effective ointment for psoriasis on the skin
It is preferable, of course, to use ointments that do not contain hormones; they are much more effective. Since glucocorticosteroids have a number of side and undesirable effects. For example, skin atrophy with prolonged use and negative effects on the adrenal glands.
And the body is weaning itself from producing the necessary hormones, just as we wean it by taking synthetic hormones.
Ointments without hormones are good because they can be smeared on the skin of the body for a long time, on all parts of our body, unlike corticosteroid and glucocorticosteroid ointments.
They do not disrupt the body's production of its own hormones and do not harm the endocrine system, unlike hormones.
You should not apply hormonal agents and hormones at the same time. Since non-hormonal ointments are ineffective in this combination. I made this conclusion based on my own treatment experience.
When using non-hormonal ointments and creams, treatment takes longer than when using hormones, but remission is much longer. Often non-hormonal products consist of natural substances, which is important, the body accepts and assimilates them better.
Natural ointments in the treatment of psoriasis
Natural ointments can be classified as non-hormonal ointments. Natural ointments include homeopathic ointments, solid oil, tar and Naftalan oil.
Natural ointments have two significant disadvantages:
- Price, plus some creams are difficult to get.
- Long treatment process compared to hormonal drugs. From one month to six months.
Do not forget that ointments differ not only in price, but also in the range of effects on the body and skin. Modern ointments, especially those based on solid oil and natural ingredients, cope with skin psoriasis no worse than hormonal drugs.
It is also important to pay attention to the base of the ointment. Usually this is petroleum jelly; more expensive ointments use lanolin and wax. Solid oil and Naftalan are also used as bases. Each of us is looking for effective ointments and creams, but the problem is that our bodies are all different and react differently to this or that drug.
You can only find an effective remedy for psoriasis by constantly trying out ointments.
In my opinion, effective ointments for psoriasis are: Skin-cap and Daivonex and ointments based on grease and herbs, but I know many people for whom these drugs are like a dead poultice. Only your body knows the answer to this question.
What effective ointments for psoriasis exist today?
In dermatology for psoriasis, non-hormonal ointments are successfully used, such as:
- Papaverine,
- salicylic,
- dermatol,
- urea,
- sulfuric,
- sulfur-salicylic,
- sulfur-tar,
- Ichthyol.
They are usually prepared in pharmacies with a prescription, some of which are commercially available.
If we talk about ointments without hormones, then homeopathic ointments based on substances of plant origin help well, based on solid oil, Naftalan, tar. In a cheap option, to moisturize the plaques, you can smear with baby cream or vegetable oil.
What hormonal ointment should be used for psoriasis?
Today, the variety of hormonal ointments is very large. In my opinion, Advantan is effective. And what ointment to apply to your psoriasis is up to you and your wallet to decide; on another page, you can see the list of ointments for psoriasis.
Pay attention to the main substance and the basis of the hormonal ointment (excipients). Ointments mainly differ in the active substance, usually some kind of hormone.
For example:
- betamethasone,
- methylprednisolone,
- clobetasol,
- mometasone,
- alklometasone, etc.
The most effective in my opinion is betamethasone, found in ointments such as:
- Belosalik, Rederm, Akriderm SK
- Beloderm, Akriderm
- Daivobet.
How to smear psoriasis plaques on the skin?
If possible, it is worth smearing psoriasis only with ointments and creams. But also by other means, the choice today is quite large: liniments, emulsions, oils, lotions.
It all depends on your localization of the spots, whether the spots are dry or wet, and on the stage of exacerbation.
That is, there are many variables that must be taken into account when choosing treatment. For dry skin, you can and should use emollients: emolium, aflocrem, etc.
How to smear plaques on the body, legs, elbows, hands?
It makes sense to select the drug based on the location of the spots on the body.
- Lotions and aerosols are suitable for the head because of their ease and practicality of use, since the head remains non-greasy and is easy to clean, unlike ointments.
- On the legs, elbows and hands, it is better to use a thicker ointment. Since these places quickly rub off on things or other objects. So, it is possible, and sometimes necessary, to wrap these places under cling film for an hour.
- You can use plastic gloves on your brushes. It is more convenient to use creams on the abdomen and back area. If you do not have an exacerbation, then you can use creams for the whole body. They are quickly absorbed and rarely leave stains on clothes.
What ointments help with psoriasis on the hands?
It often happens that plaques on the hands are difficult to treat. In this case, you need to use ointments such as:
- Daivobet is betamethasone with vitamin D (calcipotriol)
- Daivonex – non-hormonal, vitamin D (calcipotriol)
- Belosalik – betamethasone with salicylic acid
- Advantan ointment oily
- Solid oil ointments
- Preparations based on Naftalan oil
These medications will be the most effective in treating psoriasis plaques on the hands. After you have coated your brushes, it is advisable to wear plastic gloves. This way the treatment will go faster, the main thing to remember is that not every ointment can be used with film or gloves. Read the instructions for the preparations carefully.
According to reviews, both grease-based ointments and naphthalan ointments work well. Ointments based on grease and herbs are very popular. This type of ointment helps most people with psoriasis. Although often these ointments are sold at a high price.
At home, what ointment should I use for psoriasis?
Conclusion from the above: ointments are selected based on the individual characteristics of your skin. In the classic version, they are smeared with the following ointments:
- Salicylic acid,
- Sulfur-salicylic,
- Papaverine,
- Urea,
- Ichthyol,
- Tar,
- Sulfur-tar.
- Or hormonal ointments.
If you decide to use hormonal ones, it is better to start with weak hormones in order to minimize the consequences of side effects.
Examples of names of drugs with weak hormones:
- Sinaflan
- Afloderm
- Advantan
- Comfoderm
Do not forget to use an old or specially purchased set of clothes and bed linen for ointments. Because things quickly deteriorate and are practically impossible to wash, due to the greasy base of ointments. It's not a shame to throw away old things. Things should be washed with baking soda, it washes better.
How long does it take to smear plaques?
Apply until clinical recovery, that is, until the plaques completely resolve. And two more weeks after that. Unless, of course, you have an exacerbation or reaction to an ointment or cream.
If you smear your face with hormonal ointment, then there are restrictions.
Read the instructions for use and consult your doctor. On the face, it is advisable to use only ointments without hormones. To avoid thinning and atrophy of the skin. Always remember to engage in treatment and select new ointments, preferably under the supervision of your dermatologist.
Category: Ointments and creams for psoriasis 03/31: 178310 Comments: 6 Tags: ointment
