Комбинированный препарат для наружного применения, оказывающий противовоспалительное, противоаллергическое и антибактериальное действие. Бетаметазона дипропионат - ГКС, оказывает противовоспалительное, противоаллергическое, антиэкссудативное и противозудное действие. Тормозит накопление лейкоцитов, высвобождение лизосомальных ферментов и медиаторов воспаления в очаге воспаления, угнетает фагоцитоз, уменьшает сосудисто-тканевую проницаемость, препятствует образованию воспалительного отека. Гентамицин - антибиотик широкого спектра действия из группы аминогликозидов. Оказывает бактерицидное действие в отношении возбудителей первичных и вторичных бактериальных инфекций кожи. Активен в отношении грамотрицательных бактерий: Pseudomonas aeruginosa, Aerobacter aerogenes, Escherichia coli, Proteus vulgaris, Klebsiella pneumoniae . грамположительных бактерий: Streptococcus spp. (чувствительные штаммы бета- и альфа-гемолитического стрептококка группы A), Staphylococcus spp. (коагулаза-положительные, коагулаза-отрицательные и некоторые штаммы, продуцирующие пенициллиназу). Неактивен в отношении анаэробов, грибов и вирусов.
Показания к применению
Дерматиты (простой и аллергический), особенно вторично инфицированные
Экзема (атопическая, детская, монетовидная)
Атопический дерматит (нейродермит диффузный)
Простой хронический лишай (нейродермит ограниченный)
Солнечный дерматит
Эксфолиативный дерматит
Радиационный дерматит
Опрелости
Псориаз
Зуд
Противопоказания
Туберкулез кожи
Кожные проявления сифилиса
Ветряная оспа
Простой герпес
Кожные поствакцинальные реакции
Открытые раны
Период лактации (грудное вскармливание)
Детский возраст до 1 года
Повышенная чувствительность к компонентам препарата
Применение при беременности и в период грудного вскармливания
Безопасность местного применения ГКС у беременных не установлена. Поэтому назначение лекарственных препаратов этой группы при беременности возможно только в том случае, если потенциальная польза превышает возможный риск. При необходимости применения Акридерма Гента при беременности не следует применять препарат в высоких дозах или длительное время. Не установлено, выделяется ли бетаметазон при местном применении Акридерма Гента, поэтому при необходимости применения препарата в период лактации следует решить вопрос о прекращении грудного вскармливания.
Способ применения и дозы
Препарат применяют наружно. Крем наносят тонким слоем на пораженный участок кожи 2 раза/сут ( утром и вечером). Кратность применения препарата устанавливается исходя из тяжести заболевания. В легких случаях крем достаточно применять 1 раз/сут . при более тяжелых поражениях возможно более частое применение. Продолжительность лечения зависит от эффективности и переносимости терапии и составляет 2-4 недели. При отсутствии клинического улучшения необходимо уточнить диагноз.
Побочное действие
Местные реакции: при местном применении ГКС могут наблюдаться жжение, раздражение, сухость кожи, фолликулит, гипертрихоз, акнеподобные высыпания, гипопигментация, периоральный дерматит, аллергический контактный дерматит. При длительном применении, а также при использовании окклюзионных повязок - мацерация кожи, вторичная инфекция, атрофия кожи, потница, пурпура. Системные реакции: при нанесении на обширные поверхности тела, в основном у детей, возможно возникновение системных побочных эффектов ГКС (гипергликемия, глюкозурия, обратимое угнетение функции коры надпочечников, проявления синдрома Кушинга) и гентамицина (нефротоксическое и ототоксическое действие).
Особые указания
Местные реакции: при местном применении ГКС могут наблюдаться жжение, раздражение, сухость кожи, фолликулит, гипертрихоз, акнеподобные высыпания, гипопигментация, периоральный дерматит, аллергический контактный дерматит. При длительном применении, а также при использовании окклюзионных повязок - мацерация кожи, вторичная инфекция, атрофия кожи, потница, пурпура. Системные реакции: при нанесении на обширные поверхности тела, в основном у детей, возможно возникновение системных побочных эффектов ГКС (гипергликемия, глюкозурия, обратимое угнетение функции коры надпочечников, проявления синдрома Кушинга) и гентамицина (нефротоксическое и ототоксическое действие).
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