Дерматозы, поддающиеся ГКС-терапии, осложненные вторичной бактериальной и/или грибковой инфекцией (особенно вызванной грибками рода Candida).
Противопоказания
Гиперчувствительность к компонентам препарата; туберкулез кожи, кожные проявления сифилиса, вирусные инфекции кожи, кожные поствакцинальные реакции, открытые раны, язвы; угревая болезнь, розацеа, ихтиоз; аногенитальный зуд, опухоли кожи. С осторожностью: туберкулез (системное поражение); детский возраст до 1 года; у пациентов, имеющих в анамнезе указания на поражение IX пары черепно-мозговых нервов на фоне применения аминогликозидов; наличие перфорации барабанной перепонки и прямое воздействие неомицина на среднее ухо (существует риск ототоксического действия).
Применение при беременности и в период грудного вскармливания
При назначении препарата в период беременности необходимо учитывать теоретический риск ототоксического действия неомицина, в связи с чем нельзя применять препарат длительно и наносить его под окклюзионные повязки
Способ применения и дозы
Наружно. Взрослым и детям препарат наносят на пораженные участки кожи 2–4 раза в сутки. Продолжительность лечения определяется индивидуально, с учетом характера заболевания, курс лечения обычно не превышает 14 дней. У детей применяют под контролем врача, наносить препарат следует на ограниченные участки кожи, нельзя применять окклюзионные повязки. В форме крема препарат рекомендуется для терапии острых и подострых дерматозов, в т.ч. сопровождающихся мокнутием. Мазь предназначена для терапии подострых и хронических дерматозов, особенно при наличии выраженной сухости кожи, лихенификации, себорее или в тех случаях, когда необходимы окклюзионные свойства мази
Побочное действие
Побочные эффекты при наружном применении Пимафукорта, как и при применении других ГКС, развиваются редко и носят обратимый характер. Редко может развиться реакция гиперчувствительности (зуд, жжение, покраснение или сухость кожи). Крайне редко - атрофия и истончение кожи, телеангиэктазии, стрии, пурпура, розацеаподобный и периоральный дерматит, замедление заживления ран, депигментация, гипертрихоз, синдром отмены после прекращения лечения. При применении наружных ГКС в течение длительного времени, на обширных участках кожи или при использовании окклюзионных повязок, особенно у детей могут развиться побочные эффекты, характерные для ГКС системного действия, такие как подавление функции коры надпочечников. Контактный дерматит при применении неомицина.
Передозировка
Сведений о передозировке препарата нет. Существует теоретическая возможность ототоксического действия неомицина в случае нанесения препарата на область наружного слухового прохода при наличии перфорации барабанной перепонки и прямом воздействии неомицина на среднее ухо.
Особые указания
При нанесении Пимафукорта на область век и периорбитальную область существует риск увеличения внутриглазного давления, развития катаракты. При применении препарата у детей на обширных поверхностях или под повязками необходимо иметь в виду возможность подавления функции гипоталамо-гипофизарно-надпочечниковой системы. В случае продолжительного лечения, при наличии ран и язв существует теоретический риск ототоксического и нефротоксического действия неомицина. При появлении суперинфекции или чрезмерном росте грибков следует прекратить применение препарата и принять соответствующие меры
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