Комбинированный препарат для наружного применения. После нан... Инструкция
Показания к применению
Местное лечение поверхностных доброкачественных поражений кожи, в том числе простых и подошвенных бородавок; остроконечных кондилом; себорейного кератоза; невуса (при подтвержденной доброкачественности процесса).
Противопоказания
Злокачественные опухоли кожи, склонные к метастазированию (меланома); веснушки; келоидные рубцы
Комбинированный препарат для наружного применения. После нанесения на пораженный участок проникает в обработанную ткань и через 1–2 мин вызывает изменение ее окраски, которое отражает прижизненную фиксацию тканей обработанной области. В дальнейшем происходит мумификация патологической ткани, струп темнеет и через несколько дней самостоятельно отпадает. Заживление происходит быстро. Осложнения (в виде вторичной инфекции или рубцов) возникают редко. Развитие системных эффектов маловероятно.
Показания к применению
Местное лечение поверхностных доброкачественных поражений кожи, в том числе простых и подошвенных бородавок; остроконечных кондилом; себорейного кератоза; невуса (при подтвержденной доброкачественности процесса).
Противопоказания
Злокачественные опухоли кожи, склонные к метастазированию (меланома); веснушки; келоидные рубцы
Применение при беременности и в период грудного вскармливания
Лечение Солкодермом в период беременности проводят только в тех случаях, если польза для матери превышает риск для плода
Способ применения и дозы
Лечение должен проводить врач или специально обученный медицинский персонал. Вследствие нестабильности р-ра в открытой ампуле для каждой аппликации необходимо использовать новую ампулу. Открытая ампула может быть закреплена в специальном углублении в упаковке. Перед процедурой пораженный участок кожи обрабатывают спиртом или эфиром. Солкодерм наносят непосредственно на пораженный участок кожи. Для нанесения препарата в каждой упаковке есть аппликатор с острым и тупым концами и стеклянная трубочка. Острый конец аппликатора предназначен для обработки незначительных по площади поражений, тупой конец предназначен для обработки обширных и/или ороговевших поражений. С помощью стеклянной трубочки можно обрабатывать поверхности площадью до 4–5 см2. Взрослым и детям Солкодерм осторожно наносят на пораженный участок аппликатором или стеклянной трубочкой и затем пенетрируют пластмассовым аппликатором до полного всасывания р-ра. На протяжении следующих 3–5 мин необходимо обратить внимание на появление сероватой или желтоватой окраски обработанной кожи. В случае необходимости процедуру следует повторить до появления указанной окраски. Зоны поражения вблизи слизистых оболочек и глаз следует обрабатывать с особой осторожностью. При обработке ороговевших бородавок часть рогового слоя может быть предварительно удалена. Новообразования диаметром >10 мм обрабатывают Солкодермом только в том случае, если поражен лишь верхний слой кожи. При множественных поражениях лечение препаратом необходимо проводить в несколько этапов с интервалом около 4 нед. За один сеанс могут быть обработаны 4–5 новообразований кожи общей площадью не более 4–5 см2. В течение нескольких дней после обработки пораженная область покрывается мумифицированным темно-коричневым струпом. При неудовлетворительной мумификации обработку можно повторить через несколько дней
Побочное действие
Ощущение легкого кратковременного локального жжения. При выраженной реакции на прилегающих участках кожи может быть применен крем, содержащий ГКС, или мазь, содержащая анестетики. В случае лечения глубоких поражений кожи после прижигания препаратом могут оставаться депигментированные пятна или рубцы
Передозировка
Язва, образовавшаяся при передозировке, подлежит стандартному местному лечению
Особые указания
Для нормального течения процесса мумификации новообразование, на которое нанесен Солкодерм, следует обрабатывать 70% спиртом, особенно после принятия ванны/душа. Струп нельзя удалять, он должен отпасть самостоятельно. До полного заживления следует избегать прямого воздействия солнечных лучей и УФ-облучения. При попадании препарата на слизистые оболочки или здоровую кожу его необходимо быстро смыть большим количеством воды или 1% р-ром натрия гидрокарбоната. При хирургическом удалении пораженного участка кожи, предшествовавшего применению Солкодерма, следует начинать лечение не ранее чем через 8–10 дней. Пациентам со склонностью к образованию грубых рубцов назначать Солкодерм не следует. Прежде чем выбросить использованные ампулы, остатки р-ра следует смыть проточной водой
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