Фармакологическое действие - противовоспалительное, анальгез... Инструкция
Показания к применению
Процессы, сопровождающиеся воспалением перианальной области, зуд заднего прохода, экзема и дерматит перианальной области, трещины, геморроидальные узлы, свищ заднего прохода.
Противопоказания
Повышенная чувствительность к компонентам препарата. Препарат нельзя применять для лечения глаз или периорбитальной области. Бактериальные, вирусные или грибковые инфекции кожи. Одновременное применение лидокаина по другим показаниям. Детский возраст до 1 года.
Действующее вещество: Преднизолона капронат – 0, 002 г, Лидокаина гидрохлорид – 0, 020 г. Декспантенол – 0, 020 г. Вспомогательные вещества: Концентрация действующего вещества (г): 0, 042 г
Фармакологические свойства
Фармакологическое действие - противовоспалительное, анальгезирующее, противоаллергическое, местноанестезирующее, антиэкссудативное, антисептическое, регенерирующее.
Показания к применению
Процессы, сопровождающиеся воспалением перианальной области, зуд заднего прохода, экзема и дерматит перианальной области, трещины, геморроидальные узлы, свищ заднего прохода.
Противопоказания
Повышенная чувствительность к компонентам препарата. Препарат нельзя применять для лечения глаз или периорбитальной области. Бактериальные, вирусные или грибковые инфекции кожи. Одновременное применение лидокаина по другим показаниям. Детский возраст до 1 года.
Применение при беременности и в период грудного вскармливания
Нет достаточных данных о безопасном применении препарата у беременных женщин, поэтому в первом триместре беременности препарат применять нельзя. Во втором и третьем триместрах беременности при назначении препарата необходимо тщательно оценить соотношение пользы и риска. Период лактации: Кортикостероиды и лидокаин проникают в материнское молоко, поэтому в период лактации необходимо решить вопрос о прекращении грудного вскармливания.
Способ применения и дозы
Наружно, ректально. Взрослые, пожилые больные: Мазь наносят на пораженную поверхность 2-4 раза в сутки. При внутренних геморроидальных узлах, небольшое количество мази (величиной с горошину) вводится в прямую кишку 2-4 раза в сутки. При уменьшении симптомов препарат можно применять реже. Курс лечения 5-7 дней. Дети: Детям до 12 месяцев мазь применять нельзя. При использовании препарата у детей следует избегать длительного его применения и на обширной поверхности независимо от возраста.
Побочное действие
Применение местных глюкокортикостероидов может вызывать в первую очередь местные побочные эффекты: ухудшение заживления ран, чувство жжения, зуд, раздражение, сухость, истончение кожи, повышенную чувствительность кожи. При длительном применении глюкокортикостероидов – атрофия кожи, местный гирсутизм, телеангиэктазии, пурпура, гипопигментация, гипертрихоз, фолликулиты, угреподобные высыпания, развитие грибковой инфекции, аллергический контактный дерматит, опрелость. При нанесении на большие поверхности – системные проявления побочных действий глюкокортикостероида (задержка роста, синдром Иценко-Кушинга, доброкачественное повышение внутричерепного давления после окончания лечения, гипергликемия, глюкозурия, гипокалиемия, повышение артериального давления). При длительном применении и на большой поверхности вследствие системного действия лидокаина возможно возникновение брадикардии.
Передозировка
Острая передозировка маловероятна, однако, в случае хронической передозировки или неправильном применении препарата могут возникнуть симптомы за счет системного действия глюкокортикостероида, а также брадикардия при избыточном введении препарата в прямую кишку (за счет лидокаина) при этом необходимо прекратить лечение или постепенно уменьшить дозу.
Особые указания
Необходимо по возможности избегать длительной терапии, особенно у детей, из-за возможного подавления функции надпочечников. Препарат у детей можно применять с осторожностью, в минимальной дозе, обеспечивающей достижение терапевтического эффекта. Продолжительность терапии у детей не должна превышать 5 дней. Следует избегать случайного попадания препарата в глаза или на периорбитальную область. При попадании следует промыть водой. Развитие или распространение вторичной инфекции требует отмены Препарата и назначение противомикробной или противогрибковой терапии. Бактериальная инфекция поддерживается в теплых влажных условиях, поэтому кожа должна очищаться перед каждым нанесением мази. Нанесение на обширную поверхность или использование длительное время может привести к системному всасыванию активных компонентов. При длительном применении препарата в одной области, может вызвать атрофию кожи, особенно у молодых лиц.
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