What are the dangers of hormonal ointments for children. Fenistil - gel. What can be used on the face

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

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

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

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

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

Hormonal ointments are preparations of a fairly dense texture, produced in small aluminum tubes (usually 15 grams). The tubes are packed in a cardboard box to protect against external influence and comes with detailed instructions for use.

They are dispensed in pharmacies by prescription.

Operating principle

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

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

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

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

Indications for use

Corticosteroid ointments are used in the treatment of manifestations of allergies, diathesis, various kinds dermatitis (including solar), help in the treatment of chronic dermatological diseases: psoriasis, eczema, neurodermatitis. They relieve inflammation and itching, relieve rashes that have no infectious origin, heal from edema and redness, eliminate peeling and even out the affected areas of the skin, making them less noticeable. In most cases of allergic dermatitis, the remedies completely relieve its manifestations.

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

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

At high efficiency such ointments and a short period of their use, the use hormonal drugs new generation, is considered quite justified. Some of the drugs are approved for use by crumbs from 6 months of age.

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

What are the dangers of hormonal ointments for children

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

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

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

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

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

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

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

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

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

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

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

Contraindications for use medicines, are:

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

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

What diseases are hormonal ointments prescribed for?

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

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

Can be applied when various forms allergic dermatitis, severe course diathesis and some other pathologies.

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

Classification of corticosteroid ointments

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

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

Treatment begins with the weakest drugs, which are replaced by stronger ones in the absence of effectiveness. For children, drugs of group 4 are not used.

List of the most popular

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

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

Akriderm GK is a complex hormonal drug that, in addition to glucocorticosteroid, contains an antibiotic and an antimycotic (antifungal) agent. Assigned when allergic manifestations diseases are joined by secondary infections.

Scope of corticosteroid ointments

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

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

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

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

Impact principle

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

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

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

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

AT last years The popularity of hormonal ointments used to treat dermatitis and other skin diseases is growing at a tremendous pace. And no wonder: these drugs have an almost miraculous ability to quickly eliminate disorders that conventional drugs are powerless to cope with.

Operating principle

Dermatologists call hormonal ointments drugs containing corticosteroids - pancreatic hormones. These include glucocorticoids, cortisone, and others. necessary for a person substances. It is on their quantity that the metabolic rate in our body depends - first of all, proteins and carbohydrates. Therefore, the artificial introduction of such hormones allows you to activate the metabolism and, thereby, accelerate the elimination of a number of skin diseases.

However, not everything is so rosy. Any hormonal ointment has not only obvious advantages, but also a whole host of contraindications. Therefore, using it thoughtlessly is not a good idea.

What diseases need hormonal ointments

Cortyrosteroid-based preparations have the ability to penetrate deep into skin cells and stimulate natural protective processes organism. The result is prompt termination inflammatory processes, which, as a rule, are the cause of most skin diseases.

Regardless of the cause of the disease (and it may be exposure to an allergen, infection, fungus, and many other factors), the active substance of the ointment restores the normal functioning of the body.

Doctors often prescribe hormonal ointments for the treatment different kind skin lesions:

diathesis;
psoriasis;
neurodermatitis;
dermatomyositis;
varicose eczema;
scleroderma;
atrophic lichen;
some varieties of lichen (for example, red flat);
as well as several types of dermatitis.

It is worth noting that all these diseases are very difficult to treat, and hormonal ointment is an extreme measure taken by doctors when weaker and safer drugs are powerless. You need to be especially careful when treating eczema or allergic dermatitis in children.

Are hormone creams safe?

This question worries all women suffering from skin diseases. Hormonal ointment or a more gentle lotion allows you to quickly cope with the disease. However, many dermatologist patients flatly refuse the prescribed medication, fearing that they will bring them where to go. more harm than good.

There is indeed some truth in these fears. Even in small doses for short-term use, glucocorticoid-based drugs can cause some unpleasant consequences:

Slower healing of wounds, especially in places where the ointment is applied.
In places where the drug is applied, the skin becomes thinner, becomes dry and painful. This is due to the fact that the hormones contained in the preparations inhibit the production of collagens necessary for skin elasticity.
Some people develop purple stretch marks in these places, the so-called "stretch marks".
Vessels can expand, thereby causing capillary "asterisks".
When applying ointment to the face frequent consequence acne and blackheads appear, especially on the chin and around the lips.
It is especially dangerous to treat the skin around the eyes with such drugs for a long time: this can cause visual impairment, and later lead to the appearance of glaucoma or cataracts.
Pigmentation is often disturbed (this is expressed both in dark spots and in discoloration of the skin).
In extremely rare cases even the appearance of microscopic wounds and abscesses is possible (when they appear, you should immediately consult a doctor, who, most likely, will try to find another medicine that does not affect metabolism).

This is what hormonal ointments are dangerous for - they affect the body so deeply that one cured problem can be replaced by a good dozen others, not so dangerous, but also not very pleasant. Absorbing into the skin, they enter the bloodstream and affect the work of the adrenal glands, and it is there that the lion's share of the hormones necessary for human life is produced.

That is why hormone-based drugs can only be used as prescribed by a dermatologist. You should not change the dosage of the drug at your own discretion. AT best case, it will simply negate all the positive effects of the treatment. At worst, it will cause all sorts of complications.

Another danger posed by hormonal ointment is the body's addiction to the amount of artificially administered hormones. With prolonged use (and for the treatment of seborrheic dermatitis, eczema, allergies or lichen, it sometimes takes a long time) there is a so-called "hormone ointment withdrawal syndrome" - a painful reaction to the rejection of the usual medication. This can be expressed in different ways: a rash, redness, or even the return of the problem for which, in fact, the drug was prescribed. These are especially noticeable side effects in children and adolescents.

The advantage of such medications is that after the end of the course of treatment, the body gradually returns to its usual level of hormone production.

Varieties of hormonal drugs

All preparations based on topical hormones can be divided into 4 groups:

Weak drugs, for example, Lokoid. Quantity active substance they are minimal, respectively, and side effects are insignificant. This is the only group of hormonal drugs that can be used even during pregnancy. For serious skin diseases, such as long-term atopic dermatitis, they can be given to newborns and children under 2 years of age.
Ointment of moderate action - this group includes drugs such as Triderm, Afloderm and Belosalik. They contain betamethasone and deoxymethasone and are usually prescribed when weaker drugs have failed. They are no longer suitable for children due to the rather high concentration pancreatic hormones.
Strong drugs are prescribed when you need to quickly cure dermatitis or other skin disease, or when chronic illness does not respond to any other drugs. These are Elocom, Flucinar and other powerful corticosteroid medicines.
Finally, there is a hormonal ointment of the strongest functionality - in fact, this is a remedy for solving those problems that are no longer treated. safe medicines and pose a serious threat to health. A striking example is Dermovate, which can be taken only under the strict supervision of a doctor and, preferably, very a short time.

In addition, there are different forms of release of such drugs. These can be actually ointments and creams (their effect on the body is the most powerful), as well as skin lotions and a variety of sprays. The latter are ideal for children because of their weak action. But in the treatment of dermatitis or lichen in adults, creams are more often prescribed.

Hormonal preparations for children

The question is very important, why are hormonal ointments dangerous for children and are they dangerous at all. Indeed, in some cases, for the treatment of dermatitis, allergic eczema and other diseases, hormone-based drugs are prescribed even for very tiny babies.

As a rule, for children, the need for hormonal medicine appears in the case of psoriasis or prolonged allergic dermatitis (well known to mothers under the name "diathesis"). Already after the first or second dose, itching and redness decrease or disappear completely, and the disease itself goes away much faster than when using other drugs.

Unfortunately, there are also side effects:

Pancreatic hormones, on the basis of which the ointment is made, can cause an increase in blood pressure.
In children, intervention in the work of the adrenal glands is very dangerous, because it can cause hormonal changes in the whole body.
The result could be slower growth.

That is why it is better for children to buy drugs of weak or moderate action, such as Lokoin or Afloderm. And, of course, in no case should the dosage be exceeded.

Ointments based on hormones are becoming more and more confident in our lives, due to their properties to eliminate many painful manifestations. In pharmacies, they are available for free sale, they are issued without prescriptions, anyone can purchase them. Let's try to deal with some of the main issues that concern most people on the topic of the possible consequences of therapy with these drugs. Our task is to find out whether they always help to get rid of problems harmlessly, whether it is necessary to consult a doctor before using them. We will especially touch on the problem of side effects, contraindications and other types of danger that can nullify healing effect drugs.

What are hormonal ointments

The composition of hormonal ointment preparations includes hormones of the adrenal cortex - glucocorticoids (glucocorticosteroids).

These substances provide:

powerful anti-shock effect;
eliminate the effects of stress in the body;
act on pronounced inflammatory reactions;
interrupt the pathological chain of allergic processes;
affect metabolism and stabilize.

AT practical medicine paid attention to the fact that when they got on the skin, these substances eliminated the consequences of certain diseases, manifested by rashes, cracks, ulcers, and the appearance of various formations. Hormones began to be added to ointment bases and creams.

note

Only a doctor should prescribe ointments containing corticosteroids.

The use of hormonal ointments in the practice of treating dermatological diseases

Glucocorticoid external ointments are used for:

External inflammatory processes of the skin and mucous membranes -.
In ophthalmic practice for conjunctivitis, keratitis, iritis and.
Dermatitis with.
Itching caused, including against the background of varicose veins.
Local edema (due to reduced capillary permeability).
and erythematous lichen.
Neurodermatitis.
Discoid lupus erythematosus.

Some ointments are specially made for use on the face. In this case, the percentage of medicinal ingredients is lower. Special substances are added to the ointment that have the properties of improving nutrition and softening. In this case, it acquires the properties of a cream (the therapeutic effect is somewhat lower), which significantly reduces the possibility of undesirable consequences of the application.

The use of hormonal ointments in pediatrics

Pathological skin problems in children require the appointment of the same medicinal substances that are used in hormonal ointments for adults. In some cases, hormone doses are reduced . You should not get carried away with prolonged use of ointment preparations. At positive effect they should be canceled and switched to more neutral means.

Overview of hormonal ointments

Some authors divide ointment preparations with corticosteroids into: weak, moderate, potent, and with maximum activity. This is not a completely correct distribution. Each ointment is selected individually and the strength of its effect is based on the dose of the main active ingredient, the frequency of use, the amount of the applied substance and the contact area. The manufacturer of the drug, the period of use, storage rules and other nuances matter. The most commonly used types of hormonal ointments are presented in the table:

Main dangers and contraindications

On the background therapeutic properties often there are undesirable consequences of the use, which require the rejection of the drug, and sometimes - and additional treatment side effects. The frequency of complications arising from the use of glucocorticoid ointment structures increases with self-medication.

note

Some patients, following a doctor's prescription, unreasonably prolong the use of hormonal ointments. This can bring harm and unpleasant consequences.

Side effects of hormonal ointments:

on the skin of the face.
Atrophic processes in the form of stripes ().
Discoloration in the form of pronounced redness (erythema), age spots different sizes.
tumor complications.
Paradoxical delay in healing and recovery of wound processes.
Accession to the main pathology of fungal, viral and bacterial lesions.
, or vice versa - an excessive increase in the amount of hair.
The development of cataracts, glaucoma (when using ointments in the treatment of eye diseases).
Return of manifestations of diseases against the background of drug withdrawal.
Edema and hemorrhages in the subcutaneous tissue.
Visible expansion of small vessels in the form of figures (telangiectasia).
Itching, peeling, the formation of bubbles with liquid, sometimes with purulent contents.
Prickly heat.

Contraindications

In some cases, ointments containing hormones are of limited use, or are completely contraindicated. Each case of appointment, cancellation and prohibition of use should be controlled by the attending physician. Because, even with one disease, some patients may have different approaches to the use of the same drug.

Main contraindications:

Additional contraindications for use in childhood:

the day before and after vaccination for a week (or more, with complications);
infancy of the child (up to 1 year);
do not apply the medicine to the face, neck and natural folds skin cover;
the presence of rosacea.

Features of the use of hormonal ointments during pregnancy and breastfeeding

If necessary, treatment is allowed, but in case of expectation of an effect that significantly exceeds the existing risk for the developing child.

Before prescribing, the doctor must warn the woman about possible consequences. After all hormonal drugs are able to penetrate into the blood even through the skin, pass through the placental barrier. This feature imposes a limitation on the variety and quantity of drugs used on ointment bases.

note

After the birth of the child, special monitoring is required, due to possible complications from the functions of the adrenal glands.

If there is a need to use corticosteroid ointments during breastfeeding, then the woman should temporarily stop giving the child breast milk. It is contraindicated to apply the medicinal substance used on the skin and nipple area.

Medicinal glucocorticoids can cause an imbalance in the production of own glucocorticosteroids, which can lead to undesirable consequences both in mother and child.

Lotin Alexander, doctor, medical commentator

Hormonal ointments based on glucocorticosteroids have been used to treat many dermatological diseases for more than 40 years. Previously, they were not as effective, and their use often had many negative side effects. They were not used alone, but after mixing with creams. Modern hormonal ointments are effective, and they do not need to be diluted with anything. They are easy to use, quickly penetrate the epidermis and eliminate rashes, redness and discomfort caused by these skin lesions. However, their use is not always beneficial.

In this article, we will introduce you to the problems that hormonal ointments can cause, and the most popular remedies. In addition, we will provide you with information about their classification by strength.

What are the indications for the use of hormonal ointments

The composition of hormonal ointments includes adrenal hormones - glucocorticosteroids. Using them, you can quickly cope with various inflammatory skin lesions in cases where others local funds ineffective.

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

neurodermatitis;
allergic dermatological diseases;
varicose, etc.

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

Hormonal ointments in pediatrics

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

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

Hormonal ointments for the face

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

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

development ;
decrease in collagen production, leading to thinning and hypersensitivity of the skin;
the appearance of patches and stretch marks;
skin discoloration.

Contraindications for hormonal ointments

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

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

hypersensitivity to components;
period of pregnancy.

The benefits of hormonal ointments

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

Disadvantages of hormonal ointments

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

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

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

Classification of hormonal ointments according to the activity of action

Group I - with low activity

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

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

Group II - with moderate activity

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

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

Group III - active

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

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

Group IV - highly active

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

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

The use of hormonal ointments for dermatological diseases sometimes necessary and their appointment can not always be refused. With the appearance of redness, soreness of the skin, enhanced growth or hair loss and other unusual skin symptoms, you should definitely consult your doctor. It should also be remembered that self-medication with hormonal ointments or their misuse not only harms the skin, but can also affect the state of general health.

Which doctor to contact

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

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

Every day children face adverse factors external environment:

Industrial emissions in the atmosphere;

Clothing made of artificial fibers dyed with harmful dyes;

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

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

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

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

Sometimes with definition exact reason illness, difficulties arise: refusal to contact with dust, animal hair, plant pollen, citrus fruits and other known allergens have no effect. Then the child must be shown to an allergist who will conduct special skin tests and establish the "culprit" of the allergy.

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

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

Hormonal;

Non-hormonal.

Non-hormonal creams and ointments for allergies in children

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

Fenistil - gel

Active substance: dimethindene maleate

Price range: 200-250 rubles

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

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

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

Gistan

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

Price range: 120-180 rubles

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

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

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

Skin Cap

Active substance: pyrithione (activated zinc)

Price range: 600-700 rubles

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

Side effects: very rarely - local allergic reactions

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

Creams and ointments for the treatment of severe dermatitis in children

Elidel cream

Active substance: pimecrolimus

Price range: 900-1000 rubles

Indications: eczema, atopic dermatitis

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

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

Desitin

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

Price range: 150-250 rubles

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

Side effects: not registered

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

Protopic

Active substance: tacrolimus

Price range: 1500-1600 rubles

Indications: atopic dermatitis

Side effects: not registered

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

Wundehill cream

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

Price range: 120-150 rubles

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

Side effects: Allergic reactions to bee products possible

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

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

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

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

Bepanthen

Active substance: dexpanthenol

Price range: 250-270 rubles

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

Side effects: very rarely - itching and urticaria

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

La Cree

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

Price range: 150-170 rubles

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

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

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

Mustela Stelatopia

Active substance: bioceramides, fatty acid, sugar, procholesterol, sunflower oil

Price range: 1000-1200 rubles

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

Side effects: not registered

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

Hormonal ointments for allergies in children

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

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

Active substance: synthetic glucocorticosteroid

Price range: 350-380 rubles

Indications: allergic dermatoses

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

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

Advantan

Active substance: methylprednisolone

Price range: 330-350 rubles

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

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

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

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

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

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

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

How to protect your child from allergies?

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

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

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

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

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

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

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Mechanism of action

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

prevent further manifestation of allergies on the skin;
keep skin hydrated
provide nutrition to the skin;
relieve itching and redness, fight peeling;
in as soon as possible help eliminate inflammation;
possibility of application in preventive purposes to prevent allergies.

Main cast

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

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

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

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

Kinds

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

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

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

Indications

Depending on the type of allergen, individual features body, resistance immune system of a person, all external manifestations of allergic reactions can act in various forms.

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

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

Corticosteroids inhibit activity cell structure, by stopping the inflammatory process caused by the allergen.

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

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

Rashes are of several types:

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

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

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

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

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

Contraindications

The main contraindications for the use of hormonal ointments include:

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

tuberculosis;
perioral dermatitis;
acne
scabies;
venereal diseases;
fungal and viral skin lesions;

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

Mode of application

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

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

The basic rules for applying drugs are as follows:

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

Side effects

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

The following side effects have been observed by doctors and scientists:

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

List of popular hormonal ointments for skin allergies

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

The most widespread and popular following list hormonal ointments for allergies:

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

What can be used on the face?

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

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

Is it possible to self-medicate

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

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

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

How to choose an allergy cream? Read the article.

allergycentr.ru

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

Should they be afraid?

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

Precautionary measures

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

Contraindications:

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

Side effects:

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

Why are hormonal ointments dangerous?

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

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

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What are the indications for the use of hormonal ointments

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

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

Hormonal ointments in pediatrics

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

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

Hormonal ointments for the face

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

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

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

Contraindications for hormonal ointments

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

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

viral infection;
hypersensitivity to components;
period of pregnancy.

The benefits of hormonal ointments

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

Disadvantages of hormonal ointments

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

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

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

Classification of hormonal ointments according to the activity of action

Group I - with low activity

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

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

Group II - with moderate activity

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

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

Group III - active

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

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

Group IV - highly active

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

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

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

Which doctor to contact

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

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

myfamilydoctor.com

When are hormonal ointments prescribed?

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

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

Classification of hormonal ointments

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

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

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

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

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

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

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

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

Ointment, cream or lotion?

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

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

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

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

Possible side effects

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

How to cancel hormonal ointments

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