Compound
Elokom contains the main substance: mometasone furoate .
Excipients of the cream: hexylene glycol, phosphoric acid, cetyl stearyl ether, stearyl alcohol, ceteareth-20, titanium dioxide, propylene glycol stearate, wax, aluminum octenyl succinate, petroleum jelly and purified water.
Additional components of the ointment: hexylene glycol, wax, phosphoric acid, petrolatum, propylene glycol stearate and purified water.
Auxiliary components of the lotion: isopropyl alcohol 40%, propylene glycol, sodium phosphate, hydroxypropylcellulose, water and others.
Description of the drug
Elokom is a white ointment with a jelly-like consistency that does not have any specific odor. Thanks to the combined composition of auxiliary components, it is quickly absorbed by the epidermis. The therapeutic effect of the external agent appears approximately an hour after application.
The Elocom therapeutic line also includes a thick cream and liquid lotion. For patients with psoriasis, dermatologists often prescribe Elokom-S ointment. It contains salicylic acid, which helps exfoliate dead skin scales.
What Elokom ointment helps with:
- relieves intolerable skin itching and painful sensations of varying intensity;
- eliminates swelling and redness of the skin, prevents the spread of the disease to healthy tissues;
- stops inflammatory processes, the development of which is provoked by disturbances in the functioning of the immune system;
- strengthens local immunity, protects cells from further damage;
- stimulates tissue regeneration, prevents the formation of scars, scars, pits, spots.
The drug is intended for the treatment of both acute and indolent skin diseases accompanied by inflammatory reactions. Within 24 hours, it reduces the severity of almost all clinical signs of allergy.
Clinical and pharmacological group
Elocom is a representative of the clinical and pharmacological group of glucocorticosteroids for local treatment of skin pathologies. The complex effect of the drug allows it to be classified as an anti-inflammatory, decongestant, and analgesic agent.
Patients often ask dermatologists whether Elokom is a hormonal ointment or not. It contains mometasone furoate. This chemical compound is a synthetic analogue of hormones produced by the adrenal glands. It is its pharmacological properties that determine the powerful therapeutic effect of the drug. But most of the side effects of Elokom arise due to the presence of a hormonal ingredient in the composition.
pharmachologic effect
Elokom cream or ointment has a pronounced anti-inflammatory effect.
The active ingredient of dosage forms stimulates the production of special proteins - lipocortins. Specific proteins, in turn, inhibit the activity of the phospholipase enzyme. As a result, the biosynthesis of prostaglandins from arachidonic acid is limited or completely stopped. These mediators of pain, inflammation, swelling and fever are always produced in the body during exacerbation of allergies. Their absence in pathological foci contributes to the acceleration of metabolic processes:
- blood supply to tissues with molecular oxygen, nutritional and biologically active compounds improves;
- metabolism accelerates, stimulating the restoration of skin affected by pathology.
Mometasone furoate penetrates directly into the foci of inflammation, and after 8 hours it is found in the bloodstream. But its concentration is quite low to cause systemic side effects.
Release form and composition
Elokom is produced by German and Italian pharmaceutical factories. The ointment is packaged in sealed aluminum tubes of 15 or 30 g. Secondary packaging is a cardboard box with instructions for use inside. The active component of the drug is the glucocorticosteroid mometasone furoate.
The auxiliary composition of the drug is represented by the following ingredients:
- hexylene glycol;
- phosphoric acid;
- propylene glycol stearate;
- white beeswax;
- Vaseline;
- purified water.
Additional ingredients ensure a pH as close as possible to the acidity level of the epidermis. They promote accelerated absorption of the glucocorticosteroid and its uniform distribution in pathological foci.
When choosing which dosage form of Elokom to prescribe to a patient - ointment or cream - dermatologists take into account many factors. This is the stage of the inflammatory process, the degree of tissue damage, the patient’s age, and the presence of pathologies in the anamnesis.
The cream is used more often in the treatment of chronic pathologies. It is distributed in the upper layers of the skin, and the active ingredient is gradually released into the tissue. This way ensures a long-term therapeutic effect, which prevents the progression of the disease.
The ointment is used to suppress acute inflammation. Mometasone furoate stops pathological processes of any severity. The drug is prescribed to patients with relapses of psoriasis, allergic dermatitis, accompanied by severe pain.
Storage conditions and periods
According to the instructions, Elocon ointment and cream should be stored in places protected from direct sunlight. The optimal temperature is 15-25°C. If it is violated, the drug changes its physicochemical properties. If the ointment has separated, it cannot be used for therapy.
The shelf life of the drug is 3 years; after the seal of the tube is broken, it is limited to 3-4 weeks.
Pharmacodynamics and pharmacokinetics
It has been established that the mechanism of action of this drug ensures the induction of the release of proteins - lipocortins , which inhibit phospholipase. Lipocortins are able to control the biosynthesis of the most powerful inflammatory mediators, causing inhibition of the release of arachidonic acid, which is their common precursor.
When applied topically, the drug penetrates the skin, and the extent of its absorption may depend on numerous factors.
For example, inflammation and damage to the skin can increase penetration. As a result of local application, even once on intact skin, without using an occlusive dressing, about 0.7% of the ointment dosage and almost 0.4% of the cream can be detected in the blood after 8 hours. The absorption level of the lotion is also low.
Side effects of the drug Elokom
Very rarely, when using the cream, local adverse reactions are possible in the form of burning, paresthesia, itching and manifestations of skin atrophy; when using the ointment - burning, tingling/tingling sensation, itching, skin atrophy; when using the lotion - burning, folliculitis, acne, itching, manifestations of skin atrophy. In less than 1% of patients, increased manifestations of allergies, dermatitis, erythema, furunculosis, an increase in the area of damaged skin, nausea (1 case) and vaginal discomfort (1 case) were observed. With the topical use of various corticosteroids, side effects can sometimes occur (in order of decreasing frequency of occurrence): skin irritation and dryness, folliculitis, hypertrichosis, hypopigmentation, acne, perioral dermatitis, allergic contact dermatitis, secondary infection, stretch marks and miliaria.
Instructions for use of Elokom (Method and dosage)
Instructions for use recommend applying Elokom ointment in a fairly thin layer to damaged skin no more than once a day. The ointment can be used for children only as prescribed by a doctor.
The instructions for Elokom cream include the same tips for use as the ointment. In this case, the cream for children can be used strictly according to indications, observing the dosage.
The instructions for Elocom lotion recommend applying a few drops of the drug to the affected area once a day, gently rubbing in with gentle movements until it is absorbed. The lotion leaves no residue, providing a pleasant cooling effect on damaged skin.
The duration of the therapeutic course is determined by several factors: effectiveness, tolerability and possible side effects.
special instructions
As you know, each form of the drug is intended only for external dermatological use.
Systemic absorption with local use of various glucocorticosteroids can lead to reversible suppression of the functions of the hypothalamic-pituitary-adrenal system. And after discontinuation of treatment, cause glucocorticosteroid deficiency. All this can provoke even greater complications. Therefore, patients need to regularly monitor the general condition of the body.
If suppression of the hypothalamic-pituitary-adrenal system is detected, it is necessary to increase the interval between uses or completely discontinue the drug. Typically, the activity of the hypothalamic-pituitary-adrenal system is restored quite quickly. It is possible that glucocorticosteroid deficiency may occur, requiring additional use of systemic glucocorticosteroids.
When Elocom ointment or cream is used to treat children, care must be taken to ensure the safety and effectiveness of the therapy, the course of which should not exceed 3 weeks. By the way, what the ointment does not help with is dermatitis, which can appear due to wearing diapers.
In addition, independent use of any form of the drug is allowed under occlusive dressings - only as prescribed by a doctor. Also, ointment or cream is not recommended to be applied to the face, groin area or armpits. If irritation occurs, discontinue use of the drug immediately and select appropriate treatment.
The development of a concomitant skin infection of the skin requires the appointment of an appropriate antifungal or antibacterial agent. If a positive result is not obtained for a long time, the use of the drug is suspended until the infection is completely eliminated.
After the symptoms of the underlying disease disappear, use of the drug should be discontinued. Lack of improvement within 2 weeks from the start of treatment requires clarification of the diagnosis.
Indications for use
Diseases with pronounced inflammatory reactions.
Swelling, hyperemia, discomfort due to itching and burning - this is what Elokom helps with.
The drug is known for its rapid action and is prescribed for the treatment of diseases that can be treated with glucocorticosteroids (GCS).
Doctors prescribe this remedy for diseases such as:
- seborrheic, photocontact, atopic, radiation dermatitis;
- allergic skin lesions;
- simple form of lichen and prurigo;
- psoriasis damage;
- diseases of the dermis, accompanied by severe itching and burning;
- allergy to ultraviolet radiation;
- lichen planus.
During pregnancy and lactation
It should be noted that studies related to the effect of this drug on women, infants and future babies have not been conducted. Therefore, the use of Elokom cream, ointment or lotion during pregnancy and lactation is allowed when the expected benefit during the treatment period maximally outweighs the possible risk.
Moreover, glucocorticosteroids quickly penetrate into breast milk, which can slow down the growth of the child, affect the endogenous synthesis of the drug and lead to other adverse effects. Therefore, it is especially important to exercise great caution.
Elokom drug overdose, symptoms and treatment
Symptoms: excessive and long-term use of local corticosteroids can cause inhibition of the function of the pituitary-adrenal system, which can cause the development of secondary adrenal insufficiency. Treatment: Appropriate symptomatic treatment is indicated. Acute symptoms of hypercortisolism are usually reversible. Appropriate symptomatic treatment is indicated and, if necessary, correction of electrolyte imbalance. In case of chronic toxic effects, gradual withdrawal of GCS is recommended.
Analogs
Level 4 ATC code matches:
Gistan N
Sinalar
Avecourt
Mesoderm
Momederm
Betazon
Silkaren
Flucinar
Sinaflan
Celestoderm
Cutivate
Advantan
Betamethasone
Beloderm
Mometasone Furoate
Uniderm
Momat
The main analogues of Elokom ointment: Uniderm and Mometasone .
These drugs are also analogues of the cream. If you need to choose cheaper analogues, then it is better to consult your doctor.
Reviews about Elokom
Among the numerous discussions about the treatment of various skin diseases, reviews of Elokom ointment are found quite often. At the same time, many patients note its high effectiveness. It is also actively discussed whether it is possible to apply the ointment to children and in what specific cases this should be done. It is important to remember that this drug can only be used for children over 2 years of age.
There are often reviews of Elokom cream, although in this case users are not so much interested in the effectiveness of the drug as in the question: is the cream hormonal or not, just like Elokom ointment - is it hormonal or not? Although it is the cream that patients use more often than others.
Of course, many patients use this remedy when various skin rashes appear without specifying the diagnosis and, especially, without a doctor’s prescription, although it is a specialist who will help decide which is better - ointment or cream. Reviews of the lotion show that in most cases it helps well in the initial stage of treatment. However, long-term use can cause increased symptoms. This may be both a manifestation of side effects and an indication that the drug is being used for other purposes. Among other things, users are interested in how to use Elokom lotion for hair, which, however, the instructions for the product do not recommend.
A separate topic is the use of the drug for children. Interestingly, reviews of Elokom for infants show that some parents are trying to treat dermatitis caused by wearing diapers. As you know, this is contraindicated, especially since it can only be used for children over 2 years old.
Thus, the effectiveness of this drug cannot be in doubt. But it should be used only as prescribed by a specialist, after an accurate diagnosis.
Side effect
Undesirable consequences from treatment with Elocom develop very rarely, in the form of local skin irritation, itching, peeling, burning.
Unsystematic and long-term use of this hormonal drug leads to more serious disorders; in such cases, severe pigmentation or maceration in the affected areas, development of signs of epidermal atrophy, and the spread of a rash such as urticaria or miliaria are possible.
When using Elokom under an occlusive dressing, absorption and accumulation in tissues is possible, which can cause a malfunction of the pituitary gland and adrenal glands.
- The use of Elokom requires caution if the cream or ointment is applied to the face. It is important to ensure that the drug does not get into the eyes, as it can cause irritation of the mucous membranes.
- This medicine is not used in cases of open wounds, abrasions, or scratches on the body, since Elokom inhibits their healing processes.
There is a possibility of developing dermatitis if the drug is abruptly discontinued, so this is done gradually.
Elokom price, where to buy
The average price of Elokom cream is 370 rubles.
The price of Elokom ointment varies between 360-380 rubles.
The price of Elokom lotion is about 200 rubles.
- Online pharmacies in RussiaRussia
- Online pharmacies in UkraineUkraine
- Online pharmacies in KazakhstanKazakhstan
ZdravCity
- Elokom lotion solution for external use.
approx. 0.1% 30ml Famar Montreal Inc. RUB 183 order
Pharmacy Dialogue
- Elokom lotion 0.1% 30mlBayer
RUB 208 order
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Pharmacy24
- Elokom 15 g ointment Schering-Plough Labo N.V., Belgium
154 UAH order - Elokom 30 ml lotion Famar Montreal Inc., Canada
267 UAH order
PaniPharmacy
- Elokom S ointment Elokom S ointment 15g Portugal, Schering-Plough Pharma
186 UAH order
- Elokom cream Elokom cream 0.1% 15g Belgium, Schering-Plough Labo
187 UAH order
- Elokom cream Elokom cream 0.1% 30g Belgium, Schering-Plough Labo
232 UAH. order
- Elokom liquid Elokom lotion 0.1% 30ml Spain, Schering-Plough
333 UAH. order
- Elokom ointment Elokom ointment 0.1% 30g Belgium, Schering-Plough Labo
207 UAH. order
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