Hydrocortisone for the treatment of joints. Hydrocortisone ointment: hormonal or not (drug overview, composition, reviews) What treats ointment hydrocortisone

06.08.2020 Treatment

Hydrocortisone - ointment and eye ointment is successfully used to treat skin and eye disease and injuries accompanied by pronounced tissue and itching. A short course of treatment leads, as a rule, to a rapid improvement in the state of the patient. Long hydrocortisone ointments do not apply.

Hydrocortisone - Outdoor Ointment

1% ointment for external use Hydrocortisone is available in tubes for 10 g. Active active ingredients is a semi-synthetic glucocorticosteroid (GKS) hydrocortisone acetate. When applying ointments on the skin, hydrocortisone depresses the release of biologically active substances responsible for the development of inflammatory and allergic processes (prostaglandins and cytokines) from blood cells. Under the action of hydrocortisone, inflammatory cell infiltrates decrease, the migration of leukocytes and lymphocytes in the inflammation area is slowed down. When applied in the form of short courses, treatment in limited areas does not cause the suppression of the hypothalamic-pituitary-adrenal system.

Applied hydrocortisone ointment comprehensive treatment inflammatory and allergic skin diseases - atopic dermatitis (including neurodermit), eczema, simple and allergic dermatitis, psoriasis, photodermatosis, itching of various origin, insect bites, red flat deprivation. Children after two years ointment is used with caution no more than once a day and on a small surface.

The ointment of the thin layer is applied to the skin 2-3 times a day for one or two weeks. After that, the active active ingredient of ointment accumulates in the epidermis. The hydrocortisis is decomposed partially in the epidermis, and partly (after suction to the blood) in the liver, is excreted in the kidneys and bile.

The side effects of ointments can manifest themselves in the form of redness, swelling and itching at the place of application, rotting rash (the result of the decline in skin immunity), skin moisture. If you use an ointment over two weeks, it is possible to join secondary infection, skin atrophy, various kinds of pigment and white spots on the skin , scars, sections of increased collaboration.

The use of ointments with an increased sensitivity of the body, children up to two years (with itching in the region of the rear-ground opening - under 12 years of age), infectious processes on the skin (in this case, if necessary, remove hydrocortisone ointments with the use of antibacterial, antifungal and antiviral drugs), tuberculosis, syphilis, skin tumors, the appearance of changes on the skin after vaccination. Do not apply ointment on open wounds and ulcers. With caution and only by appointment of a doctor ointment use during pregnancy and feeding a child Breast, as well as sugar diabetes and pulmonary tuberculosis.

Hydrocortisone - eye ointment

0.5% Eye ointment hydrocortisone is a fatty soft homogeneous ointment of white. Tubes are available in tubes for 3 g. When applied to the conjunctival, the eye has an anti-inflammatory, antiallergic, anti-eased and anti-face effect, suppressing the formation of biologically active substances involved in inflammatory and allergic processes developing in the tissues of the eye after the impact of mechanical, chemical or immune factors. Hydrocortisone prevents the formation of scarring on site injuries and corneal diseases.

Apply ointment with inflammatory diseases conjunctivations, cornea, sclera, vascular eye sheath, allergic diseases Eyes and edges of the age, states after injury (including burns) and eye operations.

The ointment in a small amount (in the form of one strip) is introduced into a conjunctival bag 2-3 times a day for one or two weeks. Hydrocortisone almost does not fall through the cornea in intraocular fluidBut penetrates the surface layers of the skin and mucous membrane, falling in part in the blood and then decompose on the liver. Gathering products of hydrocortisone are output Through the kidneys and with bile.

100 g ointment contain

Description

White ointment with yellowish tint or light yellow.

Pharmacotherapeutic group

Glucocorticosteroids for local treatment of skin diseases. Glucocorticoids. Glucocorticosteroids weakactive (group I). Hydrocortisone.

ATH code D07AA02.

Pharmacological properties"Type \u003d" Checkbox "\u003e

Pharmacological properties

Pharmacokinetics

After appliqué, accumulates in the epidermis (mainly in the granular layer). Metabolized directly in the epidermis, and later in the liver. Excreted by kidneys and intestines.

Pharmacodynamics

Hydrocortisone is a synthetic glucocorticosteroid preparation for outdoor use. It has anti-inflammatory, anti-essay, anti-face action. Through the release of cytokines (interleukins and interferon) from lymphocytes and macrophages, inhibits the release of inflammation mediators by eosinophils, disrupts the metabolism of arachidonic acid and the synthesis of prostaglandins. Stimulating glucocorticosteroid receptors, induces lipocortin formation. Reduces inflammatory cell infiltrates, reduces the migration of leukocytes and lymphocytes to the inflammation area. The external use of the drug in recommended doses does not cause systemic side effects.

Indications for use

Inflammatory and allergic diseases of the skin of non-microbial etiology (including those accompanied by itching):

Allergic and contact dermatitis

Neurodermit

Psoriasis

Erythrodermia.

Scratch

Insect bites

Seborrhea

Method of application and dose

Externally. Ointment is applied by a thin layer on the affected areas of the skin 2-3 times a day. The duration of treatment depends on the nature of the disease and the effectiveness of therapy, accounting for 6-14 days; With a stubborn course of the disease, it can be extended to 20 days. On limited foci to enhance the effect, it is possible to use occlusive dressings. When applying ointments in children from 2 years and older, it should limit the total duration of treatment for a period of no more than two weeks and exclude measures leading to an increase in hydrocortisone absorption (warming, fixing and occlusive dressings).

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Side effects

Hyperemia

Eveniness and itching in places of deposition of ointment

For long use Perhaps the development of secondary infectious lesions of the skin, atrophic changes in it, hyperitrichoz

With prolonged use of ointments or use of an occlusal bandage, especially in large areas of lesion, the symptoms of hypercorticism (hyperglycemia, glucosuria, reversible inhibition of adrenal cortex function, manifestation of Izeno-Cushing syndrome), as a manifestation of resorbative action of hydrocortisone

Contraindications

Hypersensitivity to hydrocortisone or other components of the drug

Wound, peptic skin lesions

Bacterial, viral and fungal diseases Skin

Tuberculosis of the skin and syphilitic skin lesions

Rosacea

Vulgar acne

Periioral dermatitis

Tumors of leather

Pregnancy, lactation period

Children's age up to 2 years

Carefully

Diabetes

Tuberculosis (system lesion)

Medicinal interactions"Type \u003d" Checkbox "\u003e

Medicinal interactions

Barbiturates, anti-epileptic and antihistamines reduce efficiency.

Paracetamol contributes to the development of hepatotoxicity.

Reduces the activity of salicylates, hypoglycemic agents, increases the activity of anticoagulants.

Heart glycosides and nex-saving diuretics enhance hypokalemia, anabolic steroids increase the hydrophilicity of the tissues.

When combined with amphotericin, the development of dilatation damage to myocardium and heart failure is possible.

special instructions"Type \u003d" Checkbox "\u003e

special instructions

In cases of applying the drug in children, on the face area or under occlusive dressings, the duration of the course of treatment must be reduced to two weeks. In childhood, the suppression of the function of the adrenal cortex can develop faster. In addition, a decrease in the secretion of hormone growth of somatropine can be observed. Children from 2 to 12 years old the drug should be applied only after consulting a doctor and further under medical control.

Avoid falling ointment into the eyes and mucous membranes.

If after 7 days of use does not occur or there is an improvement or a deterioration of the condition, the use of the drug should be stopped and consult a doctor. In the event of a resumption of symptoms, a few days after the cancellation of the drug, consult with the doctor.

With long-term treatment and / or applying to large surfaces it is recommended to assign a diet with a sodium limitation and increased content potassium; Enter a sufficient amount of protein into the body. Must be controlled arterial pressure, blood glucose content, blood coagulation, diuresis, patient body mass, plasma cortisol concentration.

To prevent infectious skin lesions, the drug is recommended to be prescribed in combination with antibacterial and antifungal agents.

Pregnancy and lactation period

The drug is contraindicated during pregnancy and during lactation.

Features of the influence of the medicinal product on the ability to control the vehicle or potentially hazardous mechanisms

During the treatment period, caution should be taken when managing vehicles and occupying other potentially hazardous species Activities requiring increased concentration of attention and speed of psychomotor reactions.

Hormonal cream ointment for outdoor use of white and yellow or light yellow.
The active active input of ointment is the semi-synthetic glucocorticosteroid (GKS) hydrocortisone acetate. 10 g of hydrocortisone ointment 1 percent contain hydrocortisone acetate 0.1 g of active substance.

Auxiliary means in part: Lanolin Anhydrous, pentol, petroleum, stearin acid, methyl aprichedroxybenzoate (E-218), propyl aprichedroxibenzoate (E-216), purified water.

Hydrocortic ointment - instructions for use

The ointment of hydrocortisone is used in the complex treatment of inflammatory and allergic diseases of the skin and eye problems (inflammatory diseases or allergic reactions). For each case, its remedy (!).

Application for skin

It is used to treat - atopic dermatitis (including neurodermitis), eczema, simple and allergic dermatitis, psoriasis, photodermatosis, itching of various origins, insect bites, red flat deprivation, etc.

Applied with a thin layer on the affected areas of the skin 2-3 times a day. With chronic liquidated, hypertrophic skin manifestations are used for occlusion bandages, connected every 24-48 hours.

Children after two years ointment is used with caution no more than once a day and on a small surface. When using ointments, hydrocortisone in children need to use occlusal dressings and in the case of the use of the means for a long time to control the weight and growth, blood pressure, blood glucose and blood coagulation.

Applying hydrocortisonuy ointment for children should exclude measures leading to an increase in the absorption of the active substance - hydrocortisone.

Up to 12 years, the drug is used and prescribed only under strict medical control.

With caution to use the remedy for diabetes mellitus, tuberculosis and other systemic diseases. If you use a hydrocortisone yach ointment, then you need to refrain from contact lenses.

Hydrocortisone - eye ointment

0.5% Eye ointment hydrocortisone is a fatty soft homogeneous ointment of white. Produced in tubes for 3 g. The drug has an anti-inflammatory and wound healing effect with thermal and chemical burns cornea.

Indications for the use of ointment:

  • Conjunctivitis of various origin
  • Barley
  • Blepharey
  • Dermatitis of the Century
  • Chemical I. thermal burns eye

An idrocortisian eye ointment from barley on the eye is effectively used, as it has pronounced antiallergic, anti-inflammatory properties.

Instruction and dosage

The use of hydrocortisone eye ointment - in a small amount (in the form of one strip) is introduced into a conjunctival bag 2-3 times a day for one to two weeks. Hydrocortisone at the same time almost does not fall through the cornea into an intraocular fluid, but penetrates the surface layers of the skin and mucous membrane.
The duration of treatment is 10-14 days. The decision to increase the term of treatment can only take the doctor!

When wearing lenses, the minimum interval between the application of ointments and their instillation is 15 minutes.

Treatment of hydrocortisone ointment for the eyes can cause allergic reactions, sometimes there is a sharp increase intraocular pressure followed by impaired fields of vision. Rarely when using eye ointments, subcapsular cataract and the fungal damage of the cornea is formed. Most often, this happens when the instructions for using the means or wearing lenses are violated.

When using more than ten days of the drug, an increase in intraocular pressure can occur with the possible development of steroid glaucoma with direct defeat. spectator nerve and partial violation of lateral vision.

With an increase in the reception time of the drug the immune system The body can weaken.

Contraindications for eye application Ointments: bacterial, viral, fungal eye disease, tuberculous eye damage, trachom, violation of the integrity of the eye epithelium.

In the treatment of organs of vision, it is necessary to obtain advice from a specialist.

Side effects of hydrocortisone ointment

Hyperemia, swelling, itching within the lesion site. With long-term treatment, the development of secondary infectious lesions of the skin, atrophic changes, hyperitrichoz is possible.

With long-term local application, especially with impermeable bandages or on large areas of the skin: System side effectsmay be the appearance of local irritation. The use of the drug in the doses recommended by the doctor does not cause systemic deviations.
With caution hydrocortisone eye ointment Apply during pregnancy and breastfeeding.

Pregnancy and lactation period

It is not recommended to prescribe a drug during pregnancy and breastfeeding. Any use of the tool must be coordinated with the doctor and occur under control. In the treatment of hydrocortisone ointment, it should not be applied to the skin of the mammary glands.

Overdose

With prolonged use of ointments, especially at large areas of lesion, hypercorticism is possible as a manifestation of the resorbative action of the hydrocortisone acetate, the manifestation of Incenko-Cushing syndrome. In this case, the corresponding symptomatic treatment is shown.

Analogs of hydrocortisone ointment

Analogs of hydrocortisone ointments on the basis of the same active substance:

  • GOXISON
  • Latikort
  • LockOd

Storage conditions

In a cool place at a temperature not higher than 15 ° C.
Keep out of the reach of children.
Do not use the expiration date specified on the package.

Manufacturer: JSC "Biochemist" Republic of Mordovia

PBX code: D07AA02

Farm Group:

Release form: Soft medicinal forms. Ointment.



General characteristics. Structure:

Active ingredient: 1 g of acetate hydrocortisone.

Auxiliary substances: Vaseline Medical, Lanolin Anhydrous, Pentol, Stearinic acid, Nipagin (methyl aprichedroxybenzoate), Nipazole (propyl aprichedroxibenzoate), purified water.

Glucocorticosteroid ointment for local application.


Pharmacological properties:

Pharmacodynamics. Hydrocortisone is a synthetic glucocorticoid preparation for local application. It has anti-inflammatory, anti-essay, anti-face action.

Pharmacokinetics. After appliqué, accumulates in the epidermis (mainly in the granular layer). Metabolized directly in the epidermis, and later in the liver. Stands out by the kidneys and with biliary

Indications for use:

Hydrocortisone ointment 1% is used for inflammatory and allergic diseases of the skin of non-microbial etiology: eczema, allergic and contact dermatitis, neurodimite, psoriasis.


Important! Get acquainted with treatment

Method of use and dose:

Locally. Ointment is applied by a thin layer on the affected areas of the skin 2-3 times a day. The duration of treatment depends on the nature of the disease and the effectiveness of therapy, accounting for 6-14 days; With a stubborn course of the disease, it can be extended to 20 days.

On limited foci to enhance the effect, it is possible to use occlusive dressings.

When applying ointments in children from 2 years and older, it should be limited to the total duration of treatment and exclude measures leading to increased resorption of steroid suction (warming, fixing and occlusive dressings)

Features of application:

Pregnancy and lactation. Glucocorticosteroids penetrate the placenta. The impact on the fetus can be particularly pronounced when applying the drug on large surfaces.

It is recommended to observe special care when using the drug in pregnancy and lactation. Children in cases of drugs in children, on the area of \u200b\u200bthe face or under an occlusive dressing, the duration of the course of treatment must be reduced.

In childhood, the suppression of the function of the adrenal cortex can once be faster. In addition, a decrease in the excretion of growth hormone can be observed. When the drug is used for a long time, it is necessary to observe the mass of the body, the growth, level of plasma cortisol.

Avoid falling ointment into the eyes. For children under 12, the drug is prescribed only under strict medical control. If after 7 days the application does not occur or there is an improvement or there is a deterioration in the state, as well as in the event of a resumption of symptoms a few days after the abolition of the preparation, the use of the drug should be stopped and consulted with a nest.

With long-term treatment and / or applying to large surfaces, it is recommended to prescribe a diet with a sodium limitation and an increased content of K +; Enter a sufficient amount of protein into the body. It is necessary to control blood pressure, blood glucose content, blood coagulation, diuresis, patient body mass, plasma cortisol level.

Side effects:

There may be phenomena of individual intolerance in the form of hyperemia, swelling and itching in places of deposition of ointment.

With prolonged use, the development of secondary infectious skin lesions is also possible, atrophically change in it ,.

To prevent infectious skin lesions, the drug is recommended to be prescribed in combination with antibacterial and antifungal agents.

With prolonged use of ointments or the use of an occlusal dressing, especially at large areas of lesion, hypercorticism is possible, as a manifestation of the resorbative action of the hydrocortisone.

Contraindications:

The use of the drug is contraindicated with high sensitivity to hydrocortion or other components of the drug, with wound, ulcerative lesions, bacterial, viral and fungal skin diseases, with skin tuberculosis and syphilitic lesions of the skin. Rosacea vulgar acne, perioreral, skin tumors, childhood up to 2 years.

With caution with diabetes mellitus.

The drug is not prescribed pregnant women.

Overdose:

With prolonged use of the drug in large doses, the symptoms of hypercorticism may be possible.

Storage conditions:

In the dry, protected from light and inaccessible to children. Shelf life is 3 years. Do not use after the expiration date indicated on the package

Leave terms:

Without recipe

Packaging:

Outdoor ointment 1%. 10 g placed in aluminum tubes. Each tube along with the instructions for use is placed in a pack.


Hydrocortisal ointment or "hydrocortisone" is a corticosteroid medicationintended for outdoor use. it hormonal drug, Therefore, it is necessary to apply it only by appointing a doctor. Read more about what is "hydrocortisone" (ointment), from which it helps, as well as any contraindications, will be discussed in this article.

The composition of the drug

As active component The drug is a hydrocortisone acetate - a medicinal substance with anti-lifting, anti-inflammatory and antitoxic properties. This substance positively affects the condition of the skin.

Part this drug There are other substances, including:

  • stearic acids;
  • sorbitis;
  • water;
  • alcohol benzyl;
  • povidone.

The combination of such elements and makes "hydrocortisone" so effective drugused in medicine in the treatment of different kinds of pathologies. But in mind that he is hormonal, in order to avoid serious complications, it is not recommended to engage in self-treatment.

Indications for use

The drug "Hydrocortisone" is prescribed in the treatment of various skin diseasehaving non-infectious or superficial character. In external use, this drug is used to treat such diseases such as dermatitis (atopic, seborrheic and contact), eczema and psoriasis.

In addition to dermatological diseases, the hydrocortisone ointment is successfully used in ophthalmological practice. Often the drug is prescribed with inflammatory diseases of the eyes, allergic lesions of the organs of the vision, which are accompanied by an edema or strong itch. Ointment is used as a reducing agent after surgical operations or injuries suffered.

Contraindications

Regardless of the composition or therapeutic properties, all medications have certain contraindications. The hydrocortisal ointment also has contraindications, including:

  • development of viral diseases;
  • diabetes;
  • vulgar acne (acne);
  • proxy or breastfeeding period;
  • high skin sensitivity;
  • development of skin fungal pathologies;
  • inflammation of skin cover;
  • eye damage.

The drug has side effects, most of which are associated with skin cover atrophy. Many people use "hydrocortisone" in cosmetology, in particular, to combat wrinkles under the eyes. But specialists do not recommend this, because therapeutic effect The drug will soon pass, and the number of wrinkles can increase significantly. In addition, the improper use of a potent drug may adversely affect the work internal organs and systems. For example, the use of ointments can disrupt the operation of the adrenal glands, provoke the appearance of edema or itching, as well as cause infectious processes on the skin.

On a note! Use the ointment "hydrocortisone" to eliminate wrinkles around the eyes you need very carefully. The skin in this zone is quite thin and gentle, and under the influence of active components of the drug, the skin can even more drop.

How to apply

The drug is neatly rubbed into the affected areas of the skin. To achieve the optimal effect, the ointment should be applied at least than 2 times a day. It is recommended to rub the remedy with unsiler massage movements - it will improve the absorption of ointments. The duration of the therapeutic course is 1-2 weeks, but depending on the patient's health, the doctor can extend the course or vice versa, reduce it. If the use of the medication does not give any effect, then after 5-7 days the treatment is canceled.

In the treatment of eye disease, the ointment is laid for the lower eyelid (in the cavity). About how to put the ointment ointment, you should instruct your attending physician. As a rule, "hydrocortisone" is entered into the eyes 2-3 times a day. Immediately after the completion of the eye procedure, you need to close for a while. This will allow evenly distributing the drug over the surface of the eye.

Avoid contact of the bottle with the surface of the eye or with a conjunctival. Otherwise, the risk of infection with infection arises. If we carry contact lenses, for the period of treatment of conjunctivitis or other ophthalmic diseases, you need to refuse. For complex therapyincluding the use of ointments and eye dropsIt is necessary to make a 15-minute pause between droplets and laying ointments.

It is impossible to sharply interrupt the therapeutic course, the abolition of ointments should be carried out according to a special scheme according to the prescriptions of the doctor. Otherwise, the sharp cessation of the use of the drug can provoke the development of dermatitis and other health problems.

Hydrocortisone during pregnancy

Despite the development of modern medicine, doctors have not yet been able to fully explore the effects of ointment "hydrocortisone" on the health of a pregnant woman and her future child. In any case, it is better to refuse from large dosages of the drug and long therapy. This is due to the fact that some components of the drug can be absorbed into the bloodstream, which is why there is a likely negative impact on the health of the child.

Treatment of children

As a rule, the hydrocortisone ointment is prescribed to patients over 6 months. Skin covering children's body It is not yet fully formed, therefore, the potent drugs of external use can harm their organism. In rare cases, doctors are still prescribed "hydrocortisone", but only in small doses. The duration of the therapeutic course in this case should not exceed 7 days. Failure to comply with the recommendations of the doctor or the dosage excess may adversely affect the development of the child.

Video: Why do you need a hydrocortic ointment in a home first aid kit?

Application in cosmetology

Medicine is not the only area of \u200b\u200bhydrocortisone ointment. It is also used in cosmetology purposes. Despite the fact that in the standard instruction there is no information about this, many people successfully use ointment to improve skin condition.. This is associated with a cortisol hormone, which is part of the drug. This hormone moisturizes the skin, restores water balance Regardless of its type. Thus, the skin becomes more elastic.

The drug is also actively used to smooth skin. For this you need to apply ointment on a pre-purified person with a special lotion. Apply the tool must be needed on dry skin. Repeat the procedure is recommended twice a day - in the morning and in the evening. The duration of therapeutic course is 10 days, after which you need to make a 30-day break. Although this method Gives a short-term effect, it uses many of the weak floor representatives.

Video: Blockade Hydrocortisone Rhombid Muscle in the Atlant Rehabilitation Center

Another way to use "Hydrocortisone" in cosmetology is a struggle with acne. With this problem, not only adolescents are faced during puberty, but also adults. In adults, the problem of rash is usually associated with strong stress or violation of hormonal background. The tool is applied with a small layer directly to the surface of the eel. It is advisable to carry out such an operation before bedtime.

Preparations-analogs

"Hydrocortisone" is not the only drug in its sphere. There are other drugs that have similar properties. Consider the most common of them.

Table. Review of effective analogs of the drug.

Title of the drug, photoDescription

Effective medication produced in the form of ointment. It is used in the treatment of various ophthalmological diseases (for example, cyclitis, keratitis, conjunctivitis, etc.). Is often prescribed as preventive tool During the recovery period after a surgical operation.

Another preparation produced in the form of ointments. As an active ingredient, hydrocortisone performs. Used in medicine in the treatment of various dermatological diseases, such as eczema, psoriasis, dermatitis. It is often prescribed when insect bite.

The composition of this drug includes micronized hydrocortisone, neomycin and natamycin is medicinal substancesWith anti-inflammatory, anti-loving and restoring properties. It is prescribed in the treatment of otomycosis, dermatosis, skin microse and other skin diseases.

Unlike other analog preparations, this tool is produced in the form of a white powder. It can be used in medicine in the treatment of ophthalmic, oncological and dermatological diseases. Also "Salu Cortef" is successfully used in the treatment of diseases of the endocrine system.

Glucocorticosteroid medicineintended for outdoor use. It has anti-face, anti-inflammatory and painkillers. As a rule, it is used in the treatment of skin diseases (psoriasis, dermatitis, allergic lesions of the skin and so on).

It is worth noting that most of the aquatic drugs, except for the hydrocortisone acetate as active substance, contain other components - as a rule, actions. Therefore, before applying a means, it is necessary to test the body's reaction to the effect of antobacterial drugs.