Розацеа Периоральный дерматит. Юношеские угри. Первичные бактериальные, вирусные и грибковые кожные заболевания. Туберкулез кожи. Кожные проявления сифилиса. Детский возраст до 1 года. Повышенная чувствительность к компонентам препарата.
1 г фузидовой кислоты гемигидрат 20.4 мг, что соответствует содержанию фузидовой кислоты безводной 20 мг, бетаметазона валерат 1.214 мг, что соответствует содержанию бетаметазона 1 мг. Вспомогательные вещества: макрогола цетостеарат - 18 мг, цетостеариловый спирт (цетиловый спирт 60%, стеариловый спирт 40%) - 72 мг, хлорокрезол - 1 мг, натрия дигидрофосфата дигидрат - 3 мг, парафин жидкий - 60 мг, парафин мягкий белый (содержит около 10 ppm α-токоферола) - 150 мг, натрия гидроксид - q.s., вода очищенная - до 1 г.
Фармакологические свойства
Комбинированный препарат для наружного применения, содержащий антибиотик полициклической структуры и ГКС. Фузидовая кислота - антибиотик полициклической структуры. Активен преимущественно в отношении грамположительных бактерий, в частности - Staphylococcm aureus, Propionibacterium acnes и коринебактерий. Механизм действия связан с подавлением синтеза белка бактерий. После 30 лет применения устойчивость бактерий к фузидовой кислоте отмечается редко (1-3%). Чаще всего бактерии, устойчивые к пенициллину и другим антибиотикам, чувствительны к фузидовой кислоте. Бетаметазон относится к группе сильных ГКС (группа III) и оказывает фармакологическое действие, подавляя местные иммунные реакции, в т.ч. вазодилатацию, отечность и болезненные ощущения.
Розацеа Периоральный дерматит. Юношеские угри. Первичные бактериальные, вирусные и грибковые кожные заболевания. Туберкулез кожи. Кожные проявления сифилиса. Детский возраст до 1 года. Повышенная чувствительность к компонентам препарата.
Применение при беременности и в период грудного вскармливания
С осторожностью следует применять препарат при перианальном или генитальном зуде; на обширных участках кожи, под окклюзионными повязками, лице, участках опрелости; в периорбитальной области, т.к. при этом возможно развитие глаукомы. Отмечается бактериальная устойчивость, связанная с применением фузидовой кислоты. Как и при применении других антибиотиков, чрезмерное или неоднократное применение препарата может увеличить риск развития устойчивости антибиотикам. Не наносить препарат на открытые раны и слизистые оболочки. Если применение крема Фуцикорт вызывает раздражение или чрезмерную чувствительность кожи, следует прекратить его использование и начать другое соответствующее лечение. В случае прекращения лечения возможно появление синдрома отмены, проявляющегося в виде покраснения, ощущения жжения или покалывания кожи или обострения псориаза. Данные явления можно предотвратить при постепенной отмене препарата. После длительного наружного лечения сильнодействующими кортикостероидами атрофические изменения наиболее часто встречаются на лице, наружных половых органах, внутренней стороне верхних и нижних конечностей, по сравнению с другими участками. Препарат содержит хлорокрезол, который может вызывать аллергические реакции, а также цетостеариловый спирт, который может вызывать местные кожные высыпания (например, контактный дерматит). Использование в педиатрии: В связи с тем, что у детей величина соотношения площади поверхности и массы тела больше, чем у взрослых, дети подвержены большему риску подавления функции гипоталамо-гипофизарно-надпочечниковой системы и развития синдрома Кушинга при применении любых ГКС для наружного применения. Длительное лечение детей ГКС может привести к нарушениям роста и развития организма. При лечении детей препарат следует применять в минимальной эффективной дозе. Влияние на способность к вождению автотранспорта и управлению механизмамиПрепарат не влияет на способность к вождению автотранспорта и управлению механизмами.
Способ применения и дозы
Применяют наружно. Взрослым и детям наносят крем тонким слоем на пораженный участок 2-3 раза/сут. Курс лечения - не более 2 недель.
Побочное действие
Лекарственное взаимодействие препарата Фуцикорт не известно.
Особые указания
Определение частоты побочных реакций: очень часто (> 1/10), часто (> 1/100 и меньше 1/10), нечасто (>1/1000 и меньше 1/100), редко (>1/10 000 и меньше 1/1000), очень редко ( меньше 1/10 000). Со стороны кожных покровов и придатков кожи: нечасто - сыпь, обострение экземы, раздражение кожи, кожный зуд, ощущение жжения или покалывания кожи; частота неизвестна - атрофия кожи, контактный дерматит, эритема, сухость кожи. Хотя данные реакции не отмечались в клинических исследованиях препарата Фуцикорт, наружное применение ГКС может приводить к телеангиэктазиям и стриям, особенно при длительном применении. Как и при применении других ГКС, возможны фолликулит (стероидные угри), гипертрихоз, периоральный дерматит, депигментация, геморрагическая сыпь, розовые угри, потница, мацерация кожи, системные эффекты ГКС. Аллергические реакции: частота неизвестна - крапивница.
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