Бетаметазона дипропионат 640 мкг, что соответствует содержанию бетаметазона 500 мкг. Вспомогательные вещества: масло минеральное, вазелин.
Фармакологические свойства
ГКС для наружного применения. Оказывает противовоспалительное, противозудное, противоаллергическое, сосудосуживающее, антиэкссудативное и антипролиферативное действие. При нанесении на поверхность кожи, препарат оказывает быстрое и сильное действие в очаге воспаления, уменьшая выраженность объективных симптомов (эритема, отек, лихенификация) и субъективных ощущений (зуд, раздражение, боль).
Показания к применению
Состояния, при которых эффективна терапия топическими ГКС, в т.ч.:
Атопический дерматит
Нейродермит
Аллергический контактный дерматит
Экзема (различные формы)
Контактный дерматит (в т.ч. профессиональный)
Неаллергические дерматиты (в т.ч. солнечный и лучевой дерматит)
Реакции на укусы насекомых
Псориаз
Буллезные дерматозы
Дискоидная красная волчанка
Красный плоский лишай
Экссудативная многоформная эритема
Кожный зуд различной этиологии
Противопоказания
Туберкулез кожи
Кожные проявления сифилиса
Ветряная оспа
Вирусные, бактериальные и грибковые инфекции кожи
Кожные поствакцинальные реакции
Открытые раны
Трофические язвы
Розацеа
Вульгарные угри
Опухоли кожи и подкожных структур
Детский возраст до 6 мес
Повышенная чувствительность к бетаметазону или к любому из вспомогательных компонентов препарата
Применение при беременности и в период грудного вскармливания
Применение препарата Белодерм у беременных допускается в тех случаях, когда предполагаемая польза для матери превышает риск для плода. В таких случаях применение препарата должно быть непродолжительным и ограничиваться небольшими участками кожных покровов. В период грудного вскармливания применение препарата возможно по строгим показаниям, но при этом препарат нельзя наносить на кожу молочной железы перед кормлением.
Способ применения и дозы
Препарат предназначен только для наружного применения. Крем или мазь для наружного применения наносят на пораженный участок кожи тонким слоем 2 раза/сут, слегка втирая. На участки с более плотной кожей (например, локти, ладони и стопы), а также места, с которых препарат легко стирается, препарат можно наносить чаще. Продолжительность непрерывного лечения обычно составляет не более 4 недель. Для профилактики рецидивов при лечении хронических заболеваний, терапию следует продолжать еще некоторое время после исчезновения всех симптомов. В течение года возможно проведение повторных курсов терапии. Крем для наружного применения применяется для терапии острых, в т.ч. мокнущих поражений кожи. Мазь для наружного применения предназначен для терапии подострых и хронических дерматозов, в т.ч. сухих, лихенизированных и шелушащихся поражений, или в тех случаях, когда необходимо окклюзионное действие мази.
Побочное действие
Побочные эффекты, как правило, носят слабовыраженный характер. Дерматологические реакции: редко - реакции гиперчувствительности (зуд, жжение, гиперемия), акнеподобные изменения, гипопигментация, стрии, атрофия кожи, гипертрихоз, телеангиэктазии, вторичные инфекции кожи. При развитии реакции гиперчувствительности или побочных реакций препарат следует отменить.
Передозировка
При длительном непрерывном использовании препарата, особенно у детей, на обширных поверхностях кожи, при нанесении на кожу с нарушенной целостностью или при использовании под окклюзионную повязку, возможно развитие побочных эффектов, связанных с подавлением и недостаточностью функции коры надпочечников. Лечение: рекомендуется отменить препарат и при необходимости назначить симптоматическую терапию.
Особые указания
Не рекомендуется длительное применение препарата на коже лица, т.к. возможно развитие розацеа, периорального дерматита и акне. Препарат не следует применять в области глаз, в связи с вероятностью попадания препарата на слизистую оболочку, что может способствовать развитию катаракты, глаукомы, грибковых инфекций глаза и обострению герпетической инфекции. Некоторые участки тела, такие как подмышечные впадины, паховые складки, где существует естественная окклюзия, в большей степени подвержены риску возникновения стрий, поэтому применение препарата на этих участках кожи должно быть непродолжительным. При развитии грибковой или бактериальной инфекции на коже, необходимо дополнительное применение антибактериального или противогрибкового средства. Использование в педиатрииПрепарат можно назначать детям с 6 мес с осторожностью и на максимально короткий срок. Не следует применять препарат под повязки и, особенно под пластифицированные подгузники, т.к. это усиливает всасывание препарата и увеличивает риск развития побочных явлений. Влияние на способность к вождению автотранспорта и управлению механизмамиДанных о неблагоприятном воздействии препарата Белодерм на способность управлять транспортными средствами и механизмами не имеется.
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