What are the best ointments for dermatitis: hormonal or non-hormonal, and is there an alternative?

April 5, 2020

When considering what ointments are used for dermatitis, it is worth saying right away that they are divided into two large groups: hormonal and non-hormonal. They differ not only in composition, but also in the degree of effectiveness and safety.

An ointment is considered the best for dermatitis on the skin of a particular patient if it meets a number of requirements:

• effectively relieves burning and itching;
• relieves acute and chronic inflammatory processes;
• moisturizes the skin;
• reduces the severity of pain;
• prevents the penetration of viruses, fungi and bacteria into the foci of inflammation (this is evidenced by the absence of secondary attached infections).

Hormonal cream and its features

Lokoid ointment 0.1%, 30 g
Such substances are used in medical practice for the treatment of dermatitis, psoriasis, and eczema. The components (glucocorticosteroids and corticosteroids) provide quick relief, prevent skin rashes, eliminating their cause from the inside. These are hormonal components that are produced by the adrenal glands and control many metabolic processes in the human body. Substances block the action of elements that develop inflammatory processes. The use of such drugs eliminates many symptoms and improves the patient's condition. If the patient uses ointment, then the use of other systemic drugs is significantly limited.

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"Akriderm"

It is a hormonal ointment for skin dermatitis in adult patients. Used to eliminate dermatitis of various origins. The cost of the drug varies from 90 to 700 rubles. When applied to the skin, Akriderm quickly and intensively affects the source of the inflammatory process, reducing the severity of subjective sensations.

When betamethasone is applied cutaneously in prescribed dosages, its transdermal absorption into the blood is considered small. The use of occlusive dressings for inflammatory processes and skin ailments helps to increase transdermal absorption of the active substance, which can cause systemic adverse reactions.

Poisoning with the drug is extremely rare, but when Akriderm is applied in an increased dosage or if treatment is too long, signs of hypercortisolism may occur. In these cases, the ointment is gradually stopped and, if necessary, complex treatment is prescribed.

Why is hormonal ointment dangerous?

Elokom cream 0.1%, 15 g
The patient must consult a doctor, who will develop individual treatment. The cream must match the patient's parameters, otherwise side effects will be inevitable. Hormonal ointments and their significant harm to the body are obvious:

1. long-term use of such masses can lead to the development of additional fungal infections;
2. the purchased substance should be tested on a healthy area of ​​skin and observe the further reaction;
3. the ointment can cause hyperpigmentation of the surface, as well as acne and comedones;
4. possible formation of a vascular network;
5. hormonal cream stops the regeneration processes of the dermis;
6. likely thinning of the layers of the epidermis;
7. oncological appearances may occur;
8. the ointment can affect hair growth in the areas where it is applied;
9. If the drug is abruptly discontinued, the condition of the treated area worsens.

Hormonal ointments are not only an instant reaction to skin imperfections, but also significant harm to the body as a whole.

"Futsikort"

The ointment is intensively used for dermatological ailments that are complicated by infections. Use with extreme caution for genital itching, occlusive dressings, large skin lesions and diaper rash. The cost of the ointment varies from 400 to 500 rubles.

Before starting Fucicort therapy, you must thoroughly read the instructions for its use. There are several recommendations regarding its use:

1. Do not allow the ointment to penetrate open mucous membranes and eyes. If the drug gets on the mucous membranes, they must be washed with running water.
2. It is not recommended to use the drug for a long time on areas with thin skin, as this can provoke the absorption of the active ingredients of the drug into the general bloodstream and negatively affect the activity of the adrenal glands.
3. Using the cream on the skin around the eyes can cause the development of cataracts (clouding of the lens) or glaucoma.
4. There is currently no information on the interaction of the drug with drugs from other therapeutic groups.
5. The medication should not be used by pregnant and lactating women. The possibility of using Fucicort is determined only by a doctor based on strict medical indications, since there is currently no reliable information about the safety of the medicine.
6. Fucicort does not have a detrimental effect on the central nervous system.

In pharmacies, Fucicort can be purchased strictly according to a prescription from a medical specialist. To avoid negative health consequences, you should not prescribe it yourself without consulting a doctor.

What are the indications for the use of hormonal ointments?

Cream with vitamin D for atopic psoriasis based on adrenal hormones, which enriches the composition of agents that can prevent inflammatory processes in the dermis when other agents are powerless. Corticosteroid ointments are a powerful anti-inflammatory and antifungal substance. For example: sinaflan for psoriasis is one of the powerful remedies. The doctor prescribes ointment for:

• neurodermatitis or atopic dermatitis (severe inflammation, itching, redness);
• scleroderma (disease of the connective layer, improper blood circulation in the capillaries);
• psoriasis, eczema;
• lichen planus;
• dermatological diseases caused by various allergens;
• dermatomyositis (progressive inflammation of the connective tissue on the arms and limbs).

"Flucinar"

The drug is prescribed for seborrheic and atopic dermatitis. In addition, it is used for erythema and psoriasis. The drug is prescribed to adults and children over two years of age. The main active element is fluocinolone acetonide. The average price for the drug is about 200 rubles.

Vitamin D ointment for psoriasis

Pharmaceutical companies produce many drugs to combat skin diseases. But vitamin D cream is a special, powerful, effective weapon against psoriasis. A lack of vitamin D leads to disruption of many processes in the body, as well as dysfunction of the skin layers. It has a beneficial effect on the epidermis: it stops the division of diseased cells, regulates metabolic processes in tissues and lymph circulation, and stops the keratinization of the upper layers of the skin. Cream D is necessary in the fight against skin diseases.

Sinaflan ointment 0.025%, 10 g

• sinaflan. The ointment resists inflammatory and allergic reactions in the affected areas, eliminates itching and pain. Sinoflan for psoriasis has a lot of positive and negative properties. Before using it, it is better to consult a doctor;
• Prednisolone for psoriasis is famous for its therapeutic effect. The ointment has an effect at all stages of the disease. Also acts as a vasoconstrictor, supports cell metabolism, reduces bone mineralization;
• corticosteroids for psoriasis. The presence of components significantly influences many functions of human life. Hormones: regulate protein and carbohydrate processes, are responsible for the functioning of the kidneys and liver, control the process of sexual development and the normal course of pregnancy.

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Diagnosis of skin allergies

To know how to cure allergic dermatitis in an adult, it is necessary not only to determine the type of disease, but to determine the inflammatory process on the skin of the allergic form from the non-allergic one. Otherwise, therapy, both at home and under the supervision of a doctor, will be ineffective. To identify the type of allergen, skin patch and prick tests must be performed. The most accurate result is provided by a blood test for immunoglobulins.

Carrying out tests

Diagnosis must begin with a thorough examination of the patient by a dermatologist, as well as taking a medical history. As a rule, a doctor will be able to diagnose a skin disease after a visual examination. To exclude any other diseases with similar symptoms, it is necessary to determine the specific allergen.

If the foci of AD are located in different parts of the body, then in this case it is quite difficult for a person to figure out what exactly the allergy is to. There are special tests that help identify the irritant. After this, effective and correct treatment can be prescribed.

As mentioned above, a blood test for immunoglobulin content will help determine the allergic nature of the disease. Biochemical and general blood tests are taken, as well as medical tests. In some cases, consultations with specialists such as a therapist, gastroenterologist, allergist, and endocrinologist are necessary. A visit to an ophthalmologist may be necessary if there is inflammation in the eyes.

In a blood test, a high content of eosinophils, ESR and lymphocytes will indicate the development of allergic dermatitis. Thanks to a biochemical blood test, you can assess the general condition of the liver, kidneys and other important organs. If there is an advanced form of the disease, then the body is intoxicated and biochemistry will help determine this.

Hormonal ointments in pediatrics

As for children, such creams can be used if allergic symptoms are present. Using the product for a long period is not recommended. Ointment with corticosteroids in pediatrics is known not only for its immediate effect, but also for a number of negative consequences. The classification and types of hormonal ointments in pediatrics are surprising, but creams of weak and moderate action are used to treat children. For example: advantan, elocom, skin-cap and others.

Important to remember! Before use, you should consult a dermatologist. The components of the ointment can give impetus to the development of Cushing's syndrome and thereby weaken the functioning of the adrenal glands. This is quite serious for a growing organism.

Types of funds in the category under consideration

Hormonal preparations for allergies or dermatitis, as mentioned above, are divided into four groups based on the intensity of their effects.

Drugs characterized by combined effects are also included in a separate category.

Hormonal ointments of the first group

This group is represented by the weakest agents, which slowly penetrate the surface layer of the skin and provide a short-term effect.

Such ointments are presented:

• Dipersolone;
• Hydrocortisone.

The active substance in this group of drugs is a synthetic analogue of hormones produced by the adrenal glands.

Hormonal ointments of the second group

The list of hormonal drugs that are characterized by moderate effects includes the following:

• Hydrocortisone butyrate (laticort);
• Lorinden;
• Afloderm;
• Cinacort;
• Prednisolone;
• Prednicarbate;
• Deoxymethasone;
• Locacorten.

Hormonal ointments of the third group

This group is characterized by a fast-acting effect, which is ensured by the use of creams in the form of:

• Beloderma;
• Celestoderma;
• Celederma;
• Advantana;
• Kutiveita;
• Polcortolone;
• Mometasone furoate;
• Sinalara;
• Apuleina;
• Flucorta;
• Fluorcinoid;
• Betamethazonovalerate.

Quite often, patients are concerned about the relationship of Sinaflan or, for example, Elokom to the group of hormonal drugs.

These two drugs are quite popular, and directly represent the list of drugs of the third group - the effect of which is fast-acting.

Hormonal ointments of the fourth group

Ointments differ in their deep penetration into the skin by type:

• Galcinonide;
• Chalciderma;
• Dermovate;
• Diflucortolonavalerate.

This group of drugs is potent, and taking them independently, without consulting a doctor, can provoke the development of a number of side effects.

Disadvantages of hormonal ointments

Positive properties are attractive, but do not forget about the pitfalls. If a person is his own doctor, then this will immediately lead to a number of negative consequences. To diseases such as:

• acne, stretch marks, acne;
• accelerated deposition of dermal pigment;
• skin atrophy and its qualitative changes, as well as the possibility of the formation of cancerous tumors in a certain area;
• poor wound healing;
• the appearance of vascular networks;
• formation of blood clots;
• the presence of infections at the application site;
• hypertrichosis or alopecia. Accelerated or slowed hair growth in areas of application;
• if the ointment is applied in the eye area, then glaucoma or cataracts may develop;
• formation of withdrawal syndrome. That is, if the patient suddenly stops using the creams, then deterioration is immediately noticeable.

Contact dermatitis in children

In young children, contact dermatitis of an allergic nature is diagnosed. One example of a contact reaction in newborns is diaper dermatitis. Irritation of the skin of the groin area can be caused by the damp environment inside the diaper, mechanical friction against a tight diaper when moving, the material of the diaper, irritation by components of urine and feces due to poor hygiene.

The causes of painful reactions of children's skin can also be:

• cosmetics for the care of newborns;
• synthetic fibers in clothing;
• water too hot for bathing;
• cold air while walking;
• plant pollen;
• bright sun;
• insect bites.

The main symptoms of childhood dermatitis are: itching and burning sensations at points of contact with the irritant, reddened and swollen areas of the skin, local fever, anxiety and poor sleep.

Classification of hormonal ointments by activity

The number of topical hormones in the component divides them into 4 types.

The table above provides a list and classification of hormonal ointments that can be used in various situations. The difference is that the list and classification of hormonal ointments differs in the composition of the main and additional components.

"Lorinden"

A drug that has antimicrobial, anti-inflammatory and antiallergic effects. The drug is prescribed for dermatophytes, as well as mycoses and bacterial infections. The duration of therapy is about ten to fourteen days. The cost of hormonal ointment for skin diseases varies from 260 to 350 rubles.

The drug in the form of an ointment is used to obtain antibacterial, anti-inflammatory and antifungal effectiveness. The structure contains two active components. The first of them is flumethasone, which is a glucocorticosteroid that reduces the manifestation of itching, swelling, and inflammation. The second component is clioquinol. Has a detrimental effect on yeasts, bacteria and dermatophytes. With the parallel action of these substances, allergic and inflammatory reactions of the skin are suppressed when an infection occurs.

The ointment is made from fatty microelements, so a film is formed that effectively softens the surface of the skin and repels moisture.