One of the common ophthalmological diseases is stye - inflammation of the sebaceous gland of the upper or lower eyelid. This pathological process is manifested by edema, hyperemia, itching, swelling and some other unpleasant symptoms. A small purulent sac forms on the eyelid, which most often ruptures and heals on its own. For the treatment of eye stye, bactericidal and hormonal drugs are mainly prescribed. The most effective remedy for inflammation of the eyelid margin is Hydrocortisone.
Main characteristics of the drug
Hydrocortisone is a strong hormonal ointment, the main active ingredient of which is hydrocortisone acetate in an amount of 5 mg. The drug also contains the following components:
- petrolatum;
- nipagin;
- anhydrous laniline.
Hydrocortisone comes as a thick, white or yellow-gray eye ointment in a small, convenient 10 mg tube. The corticosteroid has a complex effect and has the fewest side effects, making it suitable for use at any age. It is not recommended to use hydrocortisone ointment for a long time simultaneously with the following medications:
- insulin;
- hypoglycemic oral agents;
- antihypertensive drugs;
- anticoagulants;
- anabolics;
- hormones;
- diuretics;
- nitrates;
- antihistamines;
- cardiac glycosides.
Treatment of barley with Hydrocortisone simultaneously with taking the above medications increases the likelihood of complications and reduces the effectiveness of the therapeutic effect. Before using the ointment, you should consult your doctor.
The shelf life of the drug is 30 days from the moment the tube is opened.
Names of solutions
Effective eye drops for conjunctivitis:
- Gludantan ─ is available in powder form, which is dissolved in anticholinergics before administration. The resulting solution is used 2 times daily.
- Poludan ─ used for blepharoconjunctivitis. The solution is dropped in with a pipette.
- Oftadek ─ effective drops against ocular chlamydia and acute conjunctivitis in children.
- Dexamethasone ─ provokes an acute burning sensation.
- Floresan ─ is prescribed for mild conjunctivitis. Effectively disinfects lenses.
- Norsulfazole is a powder that requires plain water to dissolve. The resulting solution is used to eliminate eye infections.
- Vigamox is prescribed for the treatment of corneal ulcers and any form of conjunctivitis.
- Floxal ─ eliminates conjunctivitis caused by staphylococci, salmonella, and gonococci.
- Ciprofloxacin ─ is not prescribed for keratitis, blepharitis.
- Lacrisifine is a gentle and effective remedy for allergic conjunctivitis.
- Taufon ─ is prescribed for conjunctivitis on a dystrophic cornea. Apply twice a day.
- Gentomycin ─ quickly eliminates keratoconjunctivitis.
- Indocollir is a drug used to prevent inflammation of the mucous membrane.
For the disease in question, solutions based on Levomycetin and Cortisone are used. But they provoke severe burning and pain in the eyes. The Levomycetin solution contains chloramphenicol, a substance that effectively eliminates bacterial infection. The disadvantages of this remedy include a high incidence of allergies and a negative effect on the circulatory system. Learn more about the treatment in this video:
https://youtube.com/watch?v=d7rJ0262_Qw
Tobrex is a bactericidal agent that quickly relieves inflammation while simultaneously having a broad effect on the body. Drops are used to treat staphylococcal and streptococcal infections. They are based on the aminoglycoside tobramycin. The solution is well tolerated by the child and is prescribed to infants without restrictions.
It contains ciprofloxacin, a broad-spectrum fluoroquinolone antibiotic. Drops are prescribed to combat gonococci. Analogues of this solution include Normax, Oftavix. Drops with sulfonamides (Albucid) are effective and safe
But they are prescribed to children with caution
The effectiveness of Hydrocortisone for barley
This drug is of synthetic hormonal origin, has anti-inflammatory and antihistamine properties, reduces capillary permeability, inhibits the process of tissue scarring and reduces the local migration of leukocytes, thereby eliminating the inflammatory process. Hydrocortisone for barley also has the following medicinal properties:
- inhibits the production of cytokines;
- stabilizes cell membranes;
- inhibits the development of Staphylococcus aureus colony;
- reduces the severity of the early immunological response;
- has a ketabolic effect;
- reduces the connection of immunoglobulins with cellular receptors;
- reduces the synthesis of arachidonic acid metabolites.
Due to these medicinal properties of the drug, after the drug penetrates the intraocular fluid, hydrocortisone acetate is metabolized in the mucous membrane of the eye, producing a local effect. A small amount of the drug enters the systemic circulation, biotransforming in the liver. The drug is eliminated through the kidneys and gastrointestinal tract.
Hydrocortisone is prescribed for non-infectious eye stye, conjunctivitis, allergic eye pathologies, burns and other ophthalmological diseases of a viral or fungal nature.
If barley is caused by an infection, then it is necessary to give preference to antibacterial ointments and drops.
Special instructions and interactions with other medications
Informing the patient about the need to suspend treatment and reporting any unusual reactions to the attending physician is mandatory.
During therapy, patients using contact lenses should stop wearing them. It is not recommended to use decorative cosmetics for the eyes and area around the eyes.
The simultaneous use of ointment and eye drops requires careful attention. It is necessary to observe a certain time interval within fifteen minutes before or after applying hydrocortisone ointment.
The presence of a patient's medical history of glaucoma requires mandatory monitoring of intraocular pressure, especially when used for more than ten days.
In cases where the effect of the therapy significantly outweighs the risks and possible negative consequences for the fetus, it is possible to use the drug during pregnancy.
During lactation, it is also necessary to evaluate the risks for the child and the possible therapeutic effect. In both cases, it is not recommended to exceed a two-week period of use.
If the patient is predisposed to increased intraocular pressure, it is necessary to avoid the simultaneous use of drugs that increase intraocular pressure, for example, atropine-containing or cholinergic.
Concurrent use of drugs that increase intraocular pressure (atropine and other cholinergic drugs) may further increase intraocular pressure. This is especially common in predisposed patients.
Instructions for use of Hydrocortisone for barley
Hydrocortisone is a highly effective hormonal drug with complex action, which is often prescribed for long-term or recurrent styes on the eye. To achieve the maximum effect from treating a pussy with hydrocortisone ointment, you must adhere to the following instructions:
- Before the procedure, wash your hands well with soap and open the tube of ointment.
- Tilt your head back and look up.
- With one hand, pull down the lower eyelid, exposing the conjunctival sac.
- Using your other hand, squeeze a small amount of ointment (about 1 cm) directly from the tube into the conjunctival fornix. Thanks to the convenient long spout, this process is quick and comfortable. When squeezing out the medicine, you need to make sure that the spout does not come into contact with the eye.
- The ointment should be applied to both the affected and healthy eye.
- Close your eyes and move your eyeballs a little, distributing the ointment evenly over the inflamed eyelid. Sit quietly for 10-20 minutes.
Read in a separate article: Levomekol for barley on the eye: how to use correctly
Hydrocortisone ointment begins to act instantly, so barley is eliminated within a few days of such treatment. For a quick recovery, you need to put cortisone behind the eyelid 3-5 times a day. The exact course of treatment is determined by the doctor. If other medications are used in addition to the ointment, then a break of 10-15 minutes should be taken between them.
During therapy for barley with hormonal ointment, you must stop wearing contact lenses and using cosmetics.
Effective pharmaceutical ointments for adults with bacterial conjunctivitis
The appointment is made by an ophthalmologist. It is not recommended to carry out treatment on your own; this can provoke an exacerbation and cause side effects. If the prescribed drug does not bring the desired results after several days of use, then it is necessary to change the method of therapy.
Bacterial conjunctivitis is treated with antimicrobial and antibacterial eye ointments.
Erythromycin
This product contains an antibiotic of the same name. As a rule, it does not cause complications. The problem with using the presented ointment is that pathogenic microscopic organisms have the ability to quickly adapt to the action of erythromycin.
For an effective effect, erythromycin ointment is applied behind the lower eyelid in a 1 cm layer. Usually the procedure is done 3 times a day. The duration of the course depends on the complexity of the disease, but the duration of use does not exceed 2 weeks. The main component of the drug has a detrimental effect on streptococcus, staphylococcus, chlamydia and other pathogenic bacteria.
The drug is used in the following cases:
- when diagnosing conjunctivitis in people of any age;
- for the relief of blepharo and chlamydial conjunctivitis and bacterial blepharitis.
Contraindications may include:
- high sensitivity to individual components of the ointment;
- disorders of the liver and kidneys;
- the presence of jaundice in the acute phase.
Before use, a person must carefully study the instructions and strictly follow them, unless otherwise recommended by a doctor. The cost of packaging the drug is from 50 rubles.
Levomycetin
Eye ointment for conjunctivitis - Levomycetin - has a depressant effect on most types of pathogenic bacteria. Its active components kill even those that are resistant to penicillin and sulfonamides. It has no effect on acid-resistant bacteria and Pseudomonas aeruginosa. When applied, the drug enters the bloodstream and is excreted through the intestines.
This antibacterial drug is indicated for the following diseases:
- conjunctivitis;
- blepharitis;
- barley.
The medication is used as part of complex treatment. If you need to use eye drops at the same time, then the interval between the 2 drugs should be at least 10 minutes, and the ointments should be used last.
Contraindications may be:
- intolerance to individual components in the composition;
- psoriasis;
- fungal diseases.
Levomycetin is acceptable during pregnancy and breastfeeding, but with the permission of a specialist. The drug is inexpensive, a package of the product costs about 40 rubles.
Tetracycline ointment
This drug has low absorption and therefore gives a stable therapeutic effect. It can be prescribed to pregnant women in emergency cases; it is prohibited for children.
Eye ointment is effective for staphylococcal and streptococcal infections to relieve various bacteria.
Contraindications are:
- allergy to components;
- fungal eye infections;
- herpes lesions;
- pregnancy in the 1st trimester;
- lactation.
When wearing lenses during therapy, you should discard them or put them on no earlier than 1 hour after the procedure.
At the beginning, patients may experience the following symptoms, which gradually disappear:
- slight redness;
- mild burning and itching;
- reaction to sunlight.
If the symptoms do not go away, you need to consult a doctor and change the method of treatment. The cost of the drug depends on its dosage. For example, 1% ointment will cost from 35 to 87 rubles.
Contraindications
Hydrocortisone ointment for barley on the eye is not prescribed in the presence of the following pathological conditions:
- ocular tuberculosis;
- trachoma;
- damage to the corneal epithelium;
- individual intolerance to the components of the drug;
- glaucoma;
- vaccination period.
During pregnancy and lactation, barley can be treated with cortisone, but only under the supervision of a doctor. Self-medication and incorrect dosage can lead to the following side effects:
- increased ophthalmotonus;
- allergic reactions;
- burning;
- secondary cataract;
- fungal invasion;
- secondary bacterial infection;
- exophthalmos.
Long-term use of hydrocortisone ointment for barley on the eye can lead to a decrease in regenerative abilities, clouding of the lens or cornea, and glaucoma. When treated with glucocorticosteroids, temporary visual impairment is often observed, which should be taken into account when driving a car and working with precision machinery.
Overdose is rare and is manifested by local allergic reactions that go away on their own after discontinuation of the drug.
Tetracycline ointment: description
Tetracycline ointment is a drug with antibacterial properties.
Has a wide spectrum of action. Prescribed as a treatment for infectious inflammatory diseases of the skin and eyes, including for the treatment of barley. Bacterial infections that the drug successfully fights:
- Staphylococcal
- Streptococcal
- Gonorrheal
- Salmonella
- Chlamydial.
The medicine will not cope with herpes of viral origin. Useless for the treatment of dry rhinitis and colds on the lips - has no effect on fungi and viruses.
Absorption of the drug worsens when taken simultaneously with Cholestyramine and Colestipol (cholesterol-lowering drugs).
Tetracycline ointment should not be used for mycoses (a disease caused by parasitic fungi), liver failure, hypersensitivity to the components of the drug, stomach ulcers, leukopenia (low white blood cell count).
Tetracycline belongs to the group of broad-spectrum antibiotics, so the drug has characteristic side effects:
- Nausea or vomiting
- Gastrointestinal disorder
- Loss of appetite
- Angioedema
- Altered condition of the oral mucous membranes
- Allergic manifestations on the skin - rash, itching, swelling
- Photosensitivity (increased sensitivity of the skin and mucous membranes to ultraviolet radiation).
Long-term use of this drug may lead to the development of candidiasis.
Enhances the effect of glucocorticosteroids.
The drug is produced in the form of: regular 3% and ophthalmic 1% ointment. The price in pharmacies is about 50 rubles.
