Ointment "Flucinar" is included in the group of medicinal glucocorticosteroid drugs, which are intended for external use.

The drug "Flucinar" (ointment): instructions and therapeutic action

The main active component of the drug is fluocinol acetonide, which is a synthetic glucocorticosteroid. The product is perfectly absorbed through the skin. It is enough to apply a small dose of ointment to the skin to cause a decrease in the production of ACTH, to lead to inhibition of the pituitary adrenal system. The drug "Flucinar" (ointment), the instruction says, has an anti-inflammatory effect. This becomes possible due to the inhibition of prostaglandins and leukotrienes. In addition, the drug has a vasoconstrictor effect, allows you to reduce the severity of exudative symptoms. The drug has antiallergic properties, which consist in reducing the severity of reactions in case of hypersensitivity. The medication is best absorbed when applied to damaged skin areas, anatomical folds, or the face.

Medicinal product "Flucinar" (ointment): instructions and indications

The tool is used to treat a variety of acute dermatitis that are non-infectious in nature. In the treatment of severe forms that are accompanied by itchy skin and hyperkeratosis, the drug "Flucinar" (ointment) is also effective. The instruction indicates that the agent is prescribed for both atopic, pink lichen and flat, psoriasis. With the help of a medication, they act on contact eczema.

Means "Flucinar" (ointment): instructions, price

Doctors recommend using the following therapy regimen. The medication is required to be applied to the sore skin with a thin layer. For eczema, you can use the ointment under the bandage. However, in such a situation, you will have to do daily dressings. The duration of therapy should not exceed 2 weeks, while the consumed volume cannot be more than two tubes of the drug "Flucinar" (ointment). The price of the medication is 176 rubles.

Side effects

The use of the ointment can cause allergic manifestations, urticaria, burning sensation, contact dermatitis, itching. In some situations, excess hair growth or loss, furunculosis, discoloration, thinning or dry skin, and the appearance of acne are possible. When applied under a bandage, pressure may increase, edema may appear, and immunity may weaken.

Contraindications

It is forbidden to use the medication for any infections, individual intolerance, in the post-vaccination period. Do not prescribe medicine for children under two years of age, in early pregnancy. It is not recommended to use the ointment for more than two weeks, as the risk of side effects increases dramatically. For children, the ointment is applied once a day to a small area only if there are clear indications. Do not allow the medicine to come into contact with the face and skin folds.

Medicine "Flucinar": analogues

The analogues of the medicine are the preparations "Sinaflan", "Flucort", "Synoderm".

ACTIVE SUBSTANCES

1 g of ointment contains:

Fluocinolone acetonide 0.25 mg

Neomycin sulfate 5 mg (680 IU / mg, which corresponds to 3400 IU of neomycin)

EXCIPIENTS

Propylene glycol 50 mg, liquid paraffin 50 mg, anhydrous lanolin 100 mg, white petrolatum up to 1 g.

Pharmacotherapeutic group

Corticosteroids are highly active in combination with antibiotics. ATC CODE: D 07 CC 02.

Properties and action

The properties of the drug are due to combined action fluocinolone acetonide and neomycin sulfate.

Fluocinolone acetonide is a potent synthetic corticosteroid. Used in the form of an ointment, it has a strong anti-inflammatory, antipruritic and vasoconstrictor effect.

Neomycin sulfate is an antibiotic with a wide range actions. It acts on aerobic gram-positive and certain gram-negative bacteria.

Indications for use

Flucinar N in the form of an ointment is intended for the external treatment of dry inflammatory processes skin that respond to treatment with corticosteroids, especially in case of allergic reactions complicated by a secondary bacterial infection sensitive to neomycin, accompanied by constant itching and hyperkeratosis.

The drug is indicated for seborrheic dermatitis, atopic dermatitis, allergic contact dermatitis, exudative erythema multiforme, lupus erythematosus, psoriasis (see section " Special measures precautions and special warnings "), lichen planus.

Method of administration and dosage

External (local) application. The frequency and method of application should be prescribed by a doctor. Apply a small amount of ointment to the affected skin, no more than 1-2 times a day. The ointment should not be applied under an occlusive dressing. Treatment should not be continued for more than 2 weeks without interruption. The drug is not used on the face for more than 1 week. Do not use more than one tube of ointment per week.

Application in children

For children over 2 years of age, the drug is used with caution, only if necessary, once a day and on a small area of ​​the skin. Do not use on the skin of children.

Side effects

May occur: acne, post-steroid purpura, inhibition of epidermal growth, burning sensation, itching, irritation, atrophy of subcutaneous tissue, dry skin, hypertrichosis or baldness, depigmentation or pigmentation of the skin, atrophy and stretching of the skin, telangiectasias, perioral dermatitis, furunculosis, local skin reactions (eg contact dermatitis).

Sometimes urticaria or maculopapular rash or exacerbation of existing changes may occur.

Blurred vision - the frequency of the reaction is unknown.

After external application on the skin of the eyelids, sometimes the symptoms of glaucoma or the acceleration of cataract development may increase.

Due to the absorption of fluocinolone acetonide through the skin, systemic adverse reactions may occur, especially with prolonged use, use on large areas of the skin, under an occlusive dressing and in children.

The following undesirable systemic reactions are characteristic of fluocinolone acetonide: dysfunction of the hypothalamus, pituitary, adrenal glands, Itsenko-Cushing's syndrome, suppression of the growth and development of children, edema, high blood pressure, hyperglycemia, glucosuria, decreased immunity.

Neomycin may cause local skin irritation and allergic reactions.

The use of the drug on large areas of skin, especially damaged skin, or under an occlusive dressing, can lead to an ototoxic reaction, including hearing loss, or cause kidney damage.

If any of the side effects indicated in the instructions are aggravated, or you notice any other side effects not specified in the instructions, inform your doctor.

Contraindications

Flucinar N ointment should not be used in the following cases:

With known hypersensitivity to corticosteroids, gentamicin, or filler components; at viral infection(for example, chickenpox), fungal skin infection; for tuberculous skin diseases and other bacterial infections skin; skin neoplasm; rosacea (rosacea); perioral dermatitis (dermatitis perioralis); after vaccination; with thrombophlebitis and the formation of trophic ulcers; with extensive skin lesions, especially - long-term non-healing injuries, such as deep burns; with diaper dermatitis; in children under two years of age.

Overdose

Prolonged use on large areas of the skin can lead to the onset of overdose symptoms, in the form of an increase in such undesirable actions as edema, high blood pressure, hyperglycemia, decreased immunity and, in severe cases, to Itsenko-Cushing's syndrome. In this case, drug treatment should be gradually discontinued or a weak glucocorticosteroid should be prescribed.

Special precautions and special warnings

If after using the drug there are symptoms of irritation or skin allergic reactions (itching, burning or redness), you should immediately stop using it.

The drug should not be used without interruption for more than 2 weeks. Long-term use on large areas of the skin increases the incidence of adverse reactions, as it contributes to the occurrence of edema, high blood pressure, hyperglycemia and lowers immunity.

Since corticosteroids can be absorbed through the skin, long-term treatment, use over large areas of the skin, and use in children should be avoided.

If the symptoms of infection in the area of ​​application of the ointment intensify, it is necessary to carry out appropriate antibacterial and antifungal treatment. If symptoms of infection persist, the drug should be discontinued while the infection is being treated.

Avoid getting the drug in the eyes, open wounds and mucous membranes. If the drug gets into the eyes or mucous membranes, it is recommended to rinse them with a sufficient amount of water. As in the case of the use of systemic glucocorticosteroids, after external use of the drug, cataracts and glaucoma or such a rare disease as central serous chorioretinopathy (CSH) may develop.

If you experience blurred vision or other visual impairments, consult your doctor.

Do not use the drug on the eyes and skin around the eyes because of the risk of cataracts or glaucoma.

The drug should be used especially carefully for patients with psoriasis, since the external use of glucocorticosteroids in psoriasis can cause a relapse of the disease due to the development of addiction, the risk of generalized pustular psoriasis and systemic toxicity caused by skin dysfunction.

Apply the ointment to the skin of the face, groin and axillary fossa only in case of urgent need, due to increased absorption and a high risk of side effects of the drug (telangiectasia, perioral dermatitis).

Use this drug with caution in pre-existing skin atrophy, especially in elderly patients.

Cross-allergy to aminoglycoside antibiotics is possible.

Due to the ototoxic and nephrotoxic effects of neomycin, the use of the drug over large areas of the skin or for a long time can cause hearing impairment, including hearing loss, as well as kidney damage.

Particular care must be taken in patients with impaired renal function and hearing impairment. The risk of ototoxic and nephrotoxic effects increases in patients with impaired renal function. A drug can enhance the effect of simultaneously used drugs with ototoxic and nephrotoxic effects.

Long-term treatment can lead to the proliferation of neomycin-resistant bacteria strains and allergies.

Use in children under 2 years of age only if absolutely necessary, due to the risk of undesirable systemic action of neomycin and the steroid component medicinal product- fluocinolone acetonide.

For children who have a higher body surface-to-body ratio than adults, there is an increased risk of unwanted systemic effects of glucocorticosteroids, including hypothalamic, pituitary, adrenal dysfunction, and Itsenko-Cushing's syndrome. Treatment with corticosteroids can adversely affect the growth and development of children. Contains propylene glycol and lanolin, which may cause local skin reactions (eg contact dermatitis) or irritation.

The use of the drug during the periodpregnancy and breastfeeding

Flucinar N ointment can be used in pregnant women only if the benefit to the mother outweighs the potential risk to the fetus. The use of the drug during the first trimester of pregnancy is absolutely contraindicated.

Animal studies have shown that glycocorticosteroids are teratogenic even after oral administration of small doses. Teratogenic effects have also been found in animals after the application of potent glucocorticosteroids to the skin. Studies concerning the possibility of teratogenic effects after external use of fluocinolone acetonide in pregnant women have not been conducted.

Flucinar ointment and gel are prescribed for treatment acute diseases skin and mucous membranes, which are the result of autoimmune reactions and inflammatory processes.

Before buying this drug, you should find out what it helps from, how it is used correctly, and also whether it can be dangerous, and in what cases.

The description of Flucinar cream states that this drug refers to pharmacological group synthetic glucocorticoids... We talked about what glucocorticoids or glucocorticosteroids are.

Its main active substance- fluocinolone acetonide. Also in the composition of this tool there are auxiliary components.

The gel additionally contains ethanol, disodium salt, triethanolamine, cargopol 940, methyl hydroxybenzoate and propyl hydroxybenzoate. Lanolin, petroleum jelly, citric acid, and propylene glycol are additionally present in the ointment of the same name.

Thanks to this combination of components, this medicine has anti-inflammatory, antipruritic, anti-allergic, and anti-exudative effects.

External preparation Flucinar presented in two forms of release - ointment and gel, which are packaged in tubes of 15 milligrams. To choose the best option, you need to find out what the difference is between them.

For both forms of release, a similar action is characteristic, however, there are certain differences regarding both storage rules and indications for use.

The beneficial properties of the ointment are not lost with sudden temperature changes, but the gel with significant hypothermia becomes absolutely useless.

The manufacturer of this medication is pharmaceutical company Jelfa S.A., Poland VALEANT LLC, Russia.

Flucinar ointment effectively treats diseases such as contact eczema, atopic dermatitis, seborrheic dermatitis, skin psoriasis, erythema multiforme and erythematous lichen.

The purpose of the gel is to eliminate scalp psoriasis, seborrheic dermatitis and lichen planus.

The ointment looks like a thick and oily substance with an opaque white texture. The texture of the gel is completely transparent.

Flucinar-N ointment is also produced, which contains two active components - fluocinolone acetonide and neomycin sulfate. Auxiliary components in its composition are liquid paraffin, lanolin, propylene glycol, lanolin and petroleum jelly.

This combination drug has a pronounced antibacterial and anti-inflammatory effect... The name of this ointment - Flucinar-N - is due to the content in its composition of neomycin, which is an antibiotic from the group of aminonoglycosides.

According to the annotation to this drug, it should be used for urticaria, for psoriasis of any type, for refractory dermatoses, as well as for insect bites, if they provoke the development of secondary infections.

There is no definite answer to the question of which is the best - a gel or an ointment, as well as the usual Flucinar or Flucinar-N, since it is necessary to select this medication based on the existing problems, the desired results and individual characteristics.

The shelf life of the drug Flucinar is three years from the date of release. It should be stored in a dark and cool place, out of the reach of children, at a temperature not exceeding + 25⁰С.

The main indications for the use of the external preparation Flucinar are:

This remedy has a good effect in the treatment of diseases that do not respond to treatment with other types of corticosteroids. A list of corticosteroid medications can be found at.

Prescribe this drug from nail fungus, allergies, and herpes which is also known as a cold sore lip.

Sometimes this tool is used from acne and from age spots , however, in these cases, it should not be abused, since a non-passing white spot may appear.

With varicose veins, and especially with varicose eczema, Flucinar ointment can also be prescribed - its components will help eliminate unpleasant itching and dry skin.

For hemorrhoids with signs of an inflammatory process this topical preparation will also help bring significant relief. Flucinar ointment is also used for burns, including sunburn.

Hormonal drug or not?

Many are interested in whether the drug Flucinar is hormonal or not. This drug belongs to the category of glucocorticoids, and, therefore, is hormonal.

Before starting to use the drug Flucinar, you need to familiarize yourself with how it is used, depending on the indications and age.

This product in the form of an ointment and gel is intended exclusively for external use, while smearing them only the area of ​​the skin where there are signs of the inflammatory process.

Use this remedy no more than 1-2 times a day.... The optimal duration of the course of treatment is no more than one to two weeks. In the event that the ointment is applied to the face, 7 days of treatment are sufficient.

The daily dosage of the drug should in no case exceed two grams.

For children over the age of two, Flucinar can be used for diathesis, however, no more than once a day, applying to minimal areas of the body.

For infant the use of this remedy is not recommended, since, being hormonal, it can have a negative effect on the thyroid gland.

For dermatitis and psoriasis, Flucinar-N ointment is effective. It is recommended to apply it under a special occlusive dressing.

Flucinar ointment is also used for cats and dogs for the treatment of stubborn wounds and inflammations, as well as for lichen.

How much does it cost in a pharmacy

The average price of Flucinar gel in Russian pharmacies is 220-260 rubles.

The ointment of the same name is somewhat cheaper - approximately 215-250 rubles.

This outdoor medicine available without prescription.

As a replacement for the drug Flucinar, both hormonal and non-hormonal analogues can be used, depending on the indications and individual characteristics of the organism.

Of the hormonal options, the most effective are the following options:

Many are interested in which of the drugs is the best - Flucinar or Sinaflan. In fact, these drugs are identical in their basis, purpose and action.

Those for whom hormonal ointments are contraindicated for any reason are advised to pay attention to non-hormonal options, which include Eplan, Bepanten, Radevit, Losterin, Fenistil and some others.

Before starting to use Flucinar ointment or gel, it is necessary to find out in which cases this drug is contraindicated, as well as which side effects are characteristic of him.

It is unacceptable to use Flucinar in case of individual intolerance to the components, it is not recommended as a remedy for acne.

For infants, this remedy also remains prohibited. In gynecology, the drug is not used during pregnancy, as well as during breastfeeding.

Side effects are:

• atrophy of the skin and subcutaneous fatty tissue;
• mild lupus-like syndrome;
• slowing down the healing of wounds and ulcers;
• baldness in women.

In case of overdose the skin may turn pale after Flucinar, as well as develop arterial hypertension and decreased immunity.

With the development of side effects, it is necessary to replace this remedy with a more suitable analogue in accordance with the doctor's recommendations.

Ethanol, Trilon B, methylhydroxybenzoate, carbopol 940, propylhydroxybenzoate, triethanolamine, purified water.

Release form

Flucinar is produced in the form of an ointment or gel, packaged in tubes of 15 g.

pharmachologic effect

The drug exhibits antiexudative, antipruritic, antiallergic and anti-inflammatory the effect.

Pharmacodynamics and pharmacokinetics

Flucinar ointment, like the gel, has anti-exudative, antipruritic, anti-allergic and anti-inflammatory effects.

Its effect is provided by inhibition of phospholipase A2, a decrease in the synthesis of PG and the release of macrophage chemotactic factor.

At the same time, the migration of macrophages and lymphocytes to the area of ​​inflammation is ensured, the membrane of lysosomes is stabilized, the release of lysosomal is prevented, and the release is biologically blocked. active ingredients from sensitized mast cells, histamine basophils and so on.

It was found that the activity of this drug is 40 times higher.

Indications for use

Flucinar gel and ointment is used for external lesions. Therefore, the main indications for the use of ointment and gel are the treatment of severe inflammatory and allergic diseases skin and mucous membranes:

• seborrheic;
• lichen planus.

Contraindications

The drug is not prescribed for:

• hypersensitivity;
• children under 2 years of age;
• bacterial, fungal, viral and neoplastic skin diseases.

Side effects

Using Flucinar ointment or gel, you can expect the development of such side effects as atrophy of the skin and subcutaneous fat, mild forms of lupus-like syndrome, the onset or exacerbation of lichen planus. The epithelialization process may also be disrupted, the healing of wounds and ulcers may be slowed down, petechiae, striae , baldness in women and so on.

Instructions for use of Flucinar (Way and dosage)

Ointment Flucinar instructions for use advise to apply externally. In this case, the scope of application of the ointment is determined by the degree of damage.

Gel Flucinar instructions for use also recommend applying to the affected area, gently rubbing, up to 2 times a day, no more than 2g.

For psoriasis, Flucinar N ointment is often used, which can be applied under an occlusive dressing. The duration of treatment with a skin preparation on the face should not exceed 1 week, in other places - up to 2 weeks.

Treatment of children from 2 years of age should be carried out with extreme caution, no more than once a day, on small areas of the skin.

Overdose

Application of the drug for a long time to large areas of the skin can lead to the development of arterial hypertension, the appearance of puffiness, hyperglycemia, decrease ... If any of the symptoms of an overdose appears, you must stop using this drug.

Interaction

Topical use of this drug does not interact with other drugs. However, during the period of treatment, it is recommended to refrain from any types of vaccinations , since the immunological response may be inadequate. It was found that Flucinar weakens the effect of some immunomodulators and immunostimulants, but enhances the effectiveness of immunosuppressive drugs.

Terms of sale

Over the counter.

Storage conditions

A place up to 25 C, inaccessible to children, is suitable for storing the drug.

Shelf life

Analogs

Reviews about Flucinar

Reviews of Flucinar ointment are often found on the network, but the opinion about its effectiveness is very ambiguous. Often, patients report that the drug works well at the initial stage of treatment, but the further action may be unexpected.

While this remedy helps some people quickly get rid of the symptoms of psoriasis - which is what Flucinar ointment is most often used for, others note a significant weakening of the effect or its complete disappearance.

In addition, you can find reports that the drug helps to eliminate unwanted symptoms well, but after stopping its use, they arise with renewed vigor. When the ointment is not used for some time, itching, peeling and redness begins to appear again.

Sometimes patients suffering from psoriasis use Flucinar N. to treat new plaques. They say that applying an ointment under the bandages can get rid of spots and other manifestations of the disease. At the same time, other users specify whether Flucinar ointment is hormonal or not, and how often it can be used.

Unfortunately, often users, without even knowing exactly what Flucinar ointment is intended for, apply it to the skin for a variety of skin lesions: itching, redness, peeling and irritation.

The use of this drug without a doctor's prescription for serious violations does not help to solve the problem, but, on the contrary, complicates the course of the disease. Moreover, this ointment is not completely safe remedy, and its uncontrolled use can cause numerous side effects. This will be avoided by a timely appeal to a specialist and the mandatory observance of all his appointments.

Flucinar's price where to buy

The price of Flucinar ointment is 216-250 rubles.

The price of Flucinar gel varies between 220-260 rubles.

You can buy the drug in almost any Russian pharmacy without a prescription.

• Online pharmacies in Russia Russia
• Online pharmacies of Ukraine Ukraine
• Internet pharmacies in Kazakhstan Kazakhstan

ZdravCity

Flucinar gel 0.025% 15g n1 Jelfa SA

Flucinar ointment 0.025% 15g n1 Jelfa SA

Pharmacy Dialog

Flucinar ointment (tube 0.025% 15g)

Flucinar H ointment (tube 15g)

Flucinar gel (tube 15g)

Many people who are faced with the problem of skin rashes of various kinds are probably familiar with the flucinar ointment. Psoriasis, eczema, dermatitis are not very pleasant phenomena. When you get covered with itchy spots, you want to quickly find a miracle cure to get rid of them. Someone was prescribed Flucinar by a doctor, someone was advised it in a pharmacy, someone just heard of it, in this article we will consider this drug in more detail.

General information

Description:

• It is a drug from the group of glucocorticosteroids used to treat skin rashes.
• It contains fluocinolone acetonide.
• This medicine is produced in Poland.

Pharmacinetics:

• "Flucinar" quite easily and quickly penetrates the skin and accumulates in its stratum corneum.
• It can be slightly absorbed into the bloodstream, then transformed in the liver and excreted unbound with urine and, to a small extent, with bile.
• It is best absorbed when applied to the face or with a bandage.
• Absorption is faster if you use "flucinar" very often or apply to large areas of the skin.
• In children, the drug is absorbed better than in adults.

Pharmacodynamics

Under the influence of the drug, the sensitivity of the skin to manifestation decreases.

Pharmacology

The drug is a synthesized glucocorticosteroid.

According to doctors' observations, when used in young people, "flucinar" is absorbed into the skin faster than when used in the elderly. This fact is explained by the fact that there are more lipids in young skin.

The main properties of the drug:

• Anti-inflammatory.
• Antipruritic.
• Antiallergic.
• Antiexudative.

Composition

Ointment

Gel

In what forms is it produced

There are the following forms: in the form of a gel and in the form of an ointment.

Price

The price varies from 200 to 250 rubles.

Shelf life

The gel can be stored for 3 years, the ointment is stored for a little more, 5 years.

How it is dispensed in pharmacies and storage conditions

Available without a prescription. Store "flucinar" at a temperature not exceeding 25 ° C.

Interaction with other medicines:

"Flucinar" has some immunosuppressive effects, so it is not recommended to vaccinate while using this medication.

Indications. Contraindications Dosage

Indications for use

Skin inflammations, including:

• Neurodermatitis.
• Eczema.
• Psoriasis.
• Lichen.
• Dermatitis.

Contraindications (when the drug should not be used):

• Diseases of the skin of a bacterial, fungal, viral, tumor nature.
• Acne.
• Hypersensitivity.

How to apply and in what quantities:

• Apply externally.
• A small portion of the drug should be applied to the affected area, rubbing lightly, no more than one or two times a day.
• For psoriasis, a bandage can be used.
• Treatment should be continued for no more than one to two weeks.
• When used with caution, the duration of treatment should not exceed one week.
• For children, it is recommended to use this drug only from the age of two.
• The gel is more suitable for treating the surface of the skin covered with hair, as well as for poor tolerance of the components of the ointment base.

Excess dose:

• Overdose cases of "flucinar" are rare.
• At long-term use"Flucinar" may have undesirable effects that disappear when the drug is discontinued.

Side effects and special instructions

Side effects

With short-term use, it usually does not cause side effects. Side effects develop more often with prolonged use.

Possible unwanted manifestations:

• Vascular purpura.
• Acne.
• Loss of skin color.
• Hair loss or baldness.
• Folliculitis.
• Swelling.
• Dry skin.
• Changes in the subcutaneous tissue.
• Skin atrophy.
• Hives.
• Perioral dermatitis.

• Reduced epidermal growth.
• Rash.
• Suppression of immunity.
• Increased blood pressure.
• Secondary skin infections.

If you apply the drug to the skin of the eyelids, then glaucoma or.

Special instructions:

• During pregnancy, it is not recommended to use "flucinar", in the first trimester it is better to completely abandon it, and in the second and third trimesters it is possible to use it if the risk to the unborn child is less than the expected benefit of the drug.
• During breastfeeding the drug is prescribed with caution, for a short time.
• It is not recommended to apply the drug to the skin of the mammary glands themselves.
• With caution, "flucinar" is prescribed to elderly patients.

Analogs

Drug analogues:

• Esacinon.
• Flucourt.
• Sinalar.
• "Synoderm".

"Sinaflan" is an analogue of "flucinar" of the Russian manufacturer, its price is slightly lower, from 20 to 70 rubles, the active ingredient is similar. The price of the rest of the drugs exceeds the price of Flucinar.