Triderm. Instructions for use. Price, analogues, reviews

The powerful Triderm ointment prevents the development of a secondary infection. According to the instructions for use, it has a pronounced antifungal and antibacterial effect. The price of the drug is relatively high, but judging by the reviews, the quality of the ointment is decent. If necessary, you can purchase analogs of the product at a lower cost.

Composition

The composition of the ointment contains such active ingredients as:

• Betamethasone dipropionate. It prevents allergic reactions and itching, and is also an artificial hormone.
• Clotrimazole. This component in the composition of the ointment prevents the development of a fungal infection. The substance destroys the cell membrane, interfering with the reproduction of the fungus. The drug is effective against candida and trichophyton.
• Gentamicin sulfate. This antibiotic belongs to the aminoglycoside type. It stops the protein synthesis of the fungus and prevents the development of bacteria. Its effectiveness has been proven against:
  • colibacillus;
  • streptococcus; aerobacteria;
  • Klebsiella.

1 g of Triderm contains:

Properties

Triderm (instructions for use are included in the package) has a wide range of effects on the body and has the following properties:

• antiallergic;
• antipruritic;
• antimycotic;
• antibacterial;
• anti-inflammatory.

Release form

The drug is used as an external agent. It comes in the form of a composition sealed in an aluminum tube, which is packed in a cardboard box. The composition is protected from air access by a protective membrane. The weight of the drug in a tube is 15 or 30 g. However, 30 g Triderm is rare.

The ointment looks like a homogeneous mass, white or yellow, translucent.

Hormonal or not

This ointment is hormonal. The main active ingredient - betamethasone dipropionate - belongs to the class of glucocorticosteroids. The positive property of corticosteroids: they help quickly and relieve almost all symptoms - inflammation, itching, rashes.

But since any ointment with corticosteroids, including Triderm, has a large number of side effects, they first try to treat the disease with non-hormonal ointments, and only then on the basis of corticosteroids. With prolonged use of the drug, addiction develops.

This means that in the same dosage, the agent ceases to give the expected effect. With an increase in dosage, perioral dermatitis develops, poorly treatable; Itsenko-Cushing's syndrome; hyperglycemia.

Indications for use

Triderm (instructions for use warns of a large number of serious side effects) is used to treat:

• allergic and simple dermatitis;
• atopy;
• thrush;
• eczema;
• lichen (red, flat, multi-colored);
• epidermophytosis;
• neurodermatitis.

However, the drug will be effective only if the secondary infection is caused by pathogens that are sensitive to gentamicin and clotrimazole, the active substances in Triderm.

With lichen, Triderm is especially recommended in case of localization of skin manifestations in the groin and large folds of the skin.

It helps in the treatment of diseases of the male genital organs. For example, it is used for thrush caused by the candida fungus, which is spread through sexual intercourse.

Balanitis and fasting can also be treated with this drug. Despite the large number of contraindications and side effects, Triderm, as prescribed by a doctor, can also be used to treat balanitis in children.

Acne and furunculosis can be treated with this ointment, but it can only be used as directed by a doctor.

Instructions for use

In the treatment of candidiasis in men, the glans of the penis is covered with ointment twice a day. These procedures should be carried out until the symptoms of the disease disappear.

For other diseases, the affected areas are treated twice a day. The patient should adhere to an equal interval of time between applying the ointment. It is recommended to use it in the morning and evening.

With otitis media, the ointment is placed in the sore ear with a cotton swab. The procedure is carried out twice a day for seven days. In other cases, the ointment is distributed in a thin layer over the area of ​​the skin, where changes are observed with capture and healthy skin located around the perimeter.

Treatment should be carried out daily, without interruption. It is impossible to abruptly refuse to use the drug with signs of improvement, it is necessary to reduce the dose gradually.

The duration of treatment depends on the state of the patient's immune system. The duration is determined by the dermatologist based on the tests performed. The patient must be under the supervision of a physician for the entire period of treatment.

Application for children

Triderm (instructions for use clearly indicate how to apply the ointment correctly) should not be used in the practice of treating children who have not yet turned two years old. The composition contains hormonal components, therefore the ointment is capable of provoking a disruption of the adrenal glands, pituitary gland, hypothalamus in an unformed organism.

After two years, the ointment should be applied for no more than seven days. Moreover, from the available forms of release, it is recommended to choose not an ointment, but a cream.

If the baby's disease is complicated by infectious problems, then therapy can be extended up to twelve days. In the absence of allergic reactions, side effects and when the child's condition improves, treatment is completed in the same way as in an adult, gradually reducing the dosage.

If the child has high blood pressure, growth retardation, headaches, then Triderm should be canceled and a treatment regimen based on another remedy should be formed with the attending therapist.

Application during pregnancy and lactation

When carrying a child, this drug is prescribed only in special cases, due to the fact that the hormonal component has a toxic effect not only on the mother's body, but also on the fetus.

The components of the drug are found in the breast milk and blood of the child, if the woman was undergoing therapy with it, therefore, during lactation, the use of the drug is also strictly prohibited. If you cannot avoid taking the drug, then breastfeeding should be stopped.

Triderm during pregnancy is prescribed in cases where:

• dermatitis of an allergic type is aggravated;
• neurodermatitis develops;
• eczema appears.

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Side effects

Side effects of Triderm are relatively rare when the instructions for use are followed. But if they are present, it is usually in the form of a burning sensation. Skin pigmentation is impaired, itching appears, exudation occurs.

When using occlusive dressings, the patient may experience the following side effects:

• acne;
• increased dryness of the skin;
• the development of infectious skin lesions;
• atrophy of the skin;
• prickly heat.

If the patient is allergic to clotrimazole, then he will feel a tingling sensation, blisters on the skin in the form of urticaria will appear, the skin will flake off, and irritation will be noticeable. With an allergic reaction to gentamicin, itching is felt, erythema occurs.

Children should be treated with caution with this ointment, because of the effect on the adrenal cortex.

If Triderm is used to treat rashes on the face, there is a chance of getting perioral dermatitis as a side effect, when peeling, redness of the skin appears on the face. After resuming the use of the cream, the dermatitis will disappear, but after the drug is discontinued, it will recur.

The problem is that with each new exacerbation, the amount of ointment required for treatment increases. And rashes appear more and more from year to year. The situation will be similar to dependence on the ointment.

It is because of the serious side effects that it is necessary to consult a dermatologist before using the ointment regarding the advisability of using it and replacing it with a "weaker" analogue.

Overdose consequences

Since this ointment has a hormonal basis, the consequences of an overdose can be severe for the body:

The function of the adrenal glands is impaired. The hormone in the drug can inhibit the production of cortisol or, conversely, cause hypercortisolism.

1. There is increased itching of the skin.
2. Atrophy of the skin is diagnosed.
3. Blood sugar drops sharply.
4. The pressure drops.
5. Muscle weakness appears.
6. White spots form on the skin.

With prolonged excess of the dosage of the drug, bacteria develop immunity to it. As a result, the effect of treatment will decrease every day.

In women, as a result of an overdose, there is a violation of the menstrual cycle, namely, delays... In addition, facial hair growth, obesity, and acne are possible. Men develop impotence.

Contraindications

Triderm (instructions for use describe in sufficient detail how to use the drug correctly) is used to treat a wide range of diseases, but it has contraindications. Self-medication is the main contraindication.

The drug should not be used after self-diagnosis of symptoms of the disease or on the advice of friends and colleagues. Triderm should be prescribed by a dermatologist and only after the necessary tests have been passed and the diagnosis has been clarified.

The list of contraindications includes diseases and conditions such as:

• syphilis;
• individual sensitivity to one of the components of the ointment;
• lupus;
• trophic ulcers and open wounds;
• age up to two years;
• the period of pregnancy and breastfeeding (use is possible only in exceptional cases as prescribed by a doctor);
• herpes or chickenpox;
• complications after using various vaccines.

Triderm is by no means applied to mucous membranes, which is reflected in the instructions for use: its components cause irritation. In any cases, if specific skin rashes appear after using the drug, you should consult a dermatologist.

special instructions

1. Triderm should not be used to treat ophthalmic diseases.
2. With prolonged therapy, local irritations appear, skin hypersensitivity develops, and the infection progresses. When these symptoms are found, therapy should be discontinued.
3. Simultaneous administration of aminoglycoside antibiotics during ointment therapy threatens the appearance of an allergic reaction.
4. With prolonged use of glucocorticosteroids, the adrenal glands function in children is inhibited, and Itsenko-Cushing's syndrome develops.
5. With large areas of damage, the ointment will be absorbed into the body in greater quantities, which can cause an overdose effect.
6. It should not be applied to open wounds.
7. Cancellation of the drug should be carried out slowly with a gradual dose reduction.
8. When using this ointment or cream in children, signs of deterioration in the functions of the hypothalamic-pituitary and adrenal systems appear. Deterioration develops more intensely than in adults.
9. Growth retardation, small weight gain - all this can be the consequences of using the ointment.
10. Increased blood pressure, low levels of cortisol in blood plasma in adults - also refers to the action of the drug.
11. If there is no improvement in the condition after a month of use, it is necessary to gradually cancel the drug and choose another method of treatment.

Shelf life

The shelf life of the drug is three years, after which the drug partially loses its properties and can cause unpredictable reactions in the body.

Storage conditions

Triderm ointment should be stored at a temperature of two to twenty-five degrees. out of reach of childrenwhere exposure to light and direct sunlight is excluded.

If the storage conditions are violated, the product loses its medicinal properties. The integrity of the package must be observed throughout the storage period. Do not allow the drug to come into contact with air.

Price

The cost of Triderm is approximately 700 rubles, but varies depending on the region and the pharmacy chain.

What is better cream or ointment

Experts recommend an ointment for use in case of skin lesions that occupy a significant area... The cream is used in the treatment of mild dermatitis, its absorption rate is higher.

If some areas get wet, then you should give preference to a cream instead of an ointment. The creamy composition is better absorbed into the epidermis and dries more effectively than ointment. If the ointment is applied to a weeping area, then absorption may be absent altogether.

When treating manifestations of an allergic nature, an ointment should be used. Ointment "Triderm" contains paraffin and petroleum jelly, and the cream contains alcohols, which will lead to even more pronounced allergic reactions.

Analogs

Akriderm... This is also a betamethasone-based drug. It is easily absorbed by the skin. This drug reduces phagocytosis, helps to eliminate puffiness in the treated area. In children, the absorption of the composition by the skin surface occurs faster. The use should be agreed with your doctor. The remedy is prescribed for various types of dermatitis, neurodermatitis, itching, eczema.

The therapy is carried out by local application of a thin layer of the preparation to the skin. The duration of therapy should be no more than four weeks.

The cream is not prescribed to those patients who are hypersensitive to some of the ingredients of the ointment. For skin tuberculosis, syphilis, skin cancer, this drug is strictly prohibited to use. Akriderm is not applied to open wounds either.

During pregnancy, it is better not to start treatment with it, or use it only in extreme cases, when it needs to be used for a short time. During lactation, it is prescribed only after the abolition of breastfeeding.

The cost of Akriderm is significantly less than the cost of Triderm, and ranges from 100 to 200 rubles, depending on the volume of the package.

Belosalik... Another analogue of Triderm. It has an anti-inflammatory, antimicrobial effect on the affected areas, acts as an antiallergic, immunosuppressive, antifungal agent.

Ointment "Belosalik" is water-repellent and covers the place where it was applied with a protective film. Belosalik is also used to treat dry skin.

It is not recommended to use the ointment for a long time, as the opposite effect can be observed. If allergic reactions appear, then you should stop treatment and consult a doctor.

Belosalik, like Akriderm, costs about half the price of Triderm. Its cost varies within 400 rubles.

Flucinar... It is a medical product that is intended for external use.It is used for skin diseases, and it is also analogous to Triderm.

It has anti-inflammatory and anti-allergic effects on the affected skin area. But since it is also a hormonal drug, its application to the affected skin area affects the function of the adrenal cortex. And it is actively absorbed by the skin.

Indications for use:

• psoriasis;
• eczema;
• seborrheic dermatitis.

Side effects can be:

• the appearance of acne;
• increased hair growth;
• glaucoma if the product gets on the skin of the eyelids.

Contraindications:

• various infections, whether viral, fungal, bacterial;
• special sensitivity to one of the components of the drug;
• period of pregnancy;
• children's age up to two years.

It is recommended to use Flucinar for a short period of time and not to abuse the drug.The cost of this drug is also lower than the cost of Triderm, and is approximately 300 rubles.

There are several more analogs such as:

• Dermokas - in addition to the active substances familiar from the composition of Triderm, it contains miconazole nitrate. Main indications: skin diseases provoked by the development of dermatophytes and yeasts.
• Diprosalik - in addition to betamethasone, the active ingredient is salicylic acid. The list of indications is practically the same as for Triderm.
• Triacutan - for the active substances that make up the drug, it repeats the composition of Triderm. The remedy is effective against fungal, infectious diseases, dermatitis.

The cost of all of the above drugs is less than the cost of Triderm. However, it can be more dangerous for patients, especially if they have allergic reactions to the components of the drugs.

Interaction

The interaction of Triderm can be observed with aminoglycoside antibiotics, which manifests itself in the form of an allergic reaction. No significant interactions with other medicinal products have been observed.

Before using Triderm, you should consult with a dermatologist and take tests to clarify the diagnosis. The drug should be used clearly according to the instructions. Triderm is indicated for the treatment of psoriasis, neurodermatitis, urticaria, lichens of various etiologies and other diseases characterized by changes in the skin.

However, when using, precautions should be taken to prevent the development of side effects. It is strongly not recommended to use the drug without a doctor's prescription.

Article design: Vladimir the Great

Video about triderm ointment

Indications, side effects of triderm: