Лечение и профилактика поражений кожи, вызванных дрожжеподобными микроорганизмами Malassezia furfur (Pityrosporum ovale), таких как перхоть и отрубевидный лишай (локальный).
Противопоказания
Повышенная чувствительность к любому из компонентов шампуня.
Инструкция
Состав
Активное вещество:
Кетоконазол, 21 мг/г (с учетом 5% избытка).
Вспомогательные вещества:
Макрогола метилдекстрозы диолеат,
Имидомочевина,
Кокоил диэтаноламид,
Коллагена гидролизат,
Натрия гидроксид,
Натрия лаурилсульфат,
Натрия лаурилсульфосукцинат,
Натрия хлорид,
Хлористоводородная кислота,
Ароматизатор,
Краситель красный очаровательный (Е 129),
Вода.
Фармакологические свойства
Фармакодинамика
Кетоконазол, синтетическое производное имидазол-диоксолана, обладает противогрибковым действием в отношении дерматофитов, таких как Trichophyton sp., Epider-mophyton sp., Microsporum sp., и дрожжей, таких как Candida sp. и Malassezia furfur (Pityrosporum ovale).
Шампунь с кетоконазолом быстро уменьшает шелушение и зуд, которые обычно ассоциируются с перхотью, себорейной экземой и отрубевидным лишаем.
Фармакокинетика
Всасывание кетоконазола через кожу при местном применении незначительно.
Поскольку даже при длительном применении содержание кетоконазола в крови не определяется, можно прийти к заключению, что системным действием препарат не обладает.
Показания к применению
Лечение и профилактика поражений кожи, вызванных дрожжеподобными микроорганизмами Malassezia furfur (Pityrosporum ovale), таких как перхоть и отрубевидный лишай (локальный).
Противопоказания
Повышенная чувствительность к любому из компонентов шампуня.
Способ применения и дозы
На пораженные участки нанести шампунь Низорал 2 % на 3-5 минут, затем промыть водой.
Лечение:
Перхоть и себорейная экзема: два раза в неделю в течение 3-4 недель.
Отрубевидный лишай: ежедневно в течение 5 дней.
Профилактика:
Перхоть и себорейная экзема: еженедельно или 1 раз в две недели.
Отрубевидный лишай: ежедневно в течение 3 дней (разовый курс лечения) перед наступлением лета.
Побочное действие
Шампунь Низорал 2 % обычно хорошо переносится.
Как и при использовании других шампуней может отмечаться местное раздражение, зуд или контактный дерматит (вследствие раздражения или аллергической реакции) Волосы могут становиться жирными или сухими.
Однако при использовании шампуня Низорал 2 % такие явления отмечаются редко.
В отдельных случаях, в основном у пациентов с химически поврежденными или седыми волосами, отмечалось изменение цвета волос.
Особые указания
При использовании шампуня следует избегать попадания его в глаза. При попадании шампуня в глаза необходимо промыть их водой.
Для предотвращения синдрома отмены при длительном местном лечении кортикосте-роидами рекомендуется продолжать местное применение кортикостероидов в сочетании с шампунем Низорал 2 % с последующей постепенной отменой кортикостероидов в течение 2-3 недель.
Себорейный дерматит и перхоть часто сопровождаются усиленным выпадением волос. В редких случаях усиленное выпадение волос отмечалось при применении шампуня Низорал 2 %.
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Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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