"Triderm" - a drug intended for external use in infectious skin diseases. The tool has a rather powerful effect, so it is not used for prevention. "Triderm" for children, according to reviews, is prescribed to reduce the inflammatory process in dermatoses or dermatitis.
Issue form
This medicine is produced by the pharmaceutical company SCHERING-PLOUGH LABO N. V in Portuguese or Belgian enterprises. The drug can be found in pharmacies in the form of an ointment or cream. Shampoos or gels called "Triderm" do not exist. Ointment or cream is produced in aluminum tubes having a weight of 15 or 30 grams. They are identical in composition and concentration of active substances.
Composition
The composition of the active ingredients is as follows:
- betamethasone dipropionate - 643 mcg in 1 g
- clotrimazole - 10 mg per 1 g.
- gentamicin - 1 mg (1000 IU) in 1 g
The concentration of the active substance in both the ointment and the cream is the same, the differenceonly in various auxiliary components. The ointment contains petroleum jelly and liquid paraffin. "Triderm" for children (reviews confirm this) is used quite often. The cream contains several types of alcohols: propylene glycol, benzyl, cetostearyl, macrogol, as well as phosphoric acid, sodium hydroxide and sodium dihydrophosphate dihydrate.
It should be said that the cream and ointment are hormonal preparations that contain synthetic glucocorticosteroids (betamethasone dipropionate). This substance successfully copes with the inflammatory process, itching and an allergic reaction. But there is one problem here: this hormone is considered potent, it quickly becomes addictive, so doctors do not recommend using the ointment as a prophylactic or permanent remedy. Corticosteroid is characterized by serious side effects that can cause a lot of problems for a person. This is confirmed by the instruction attached to the Triderm preparation. Children are prescribed it with caution.
Uncontrolled use of creams and ointments with this hormone can cause diseases of various kinds, such as hormonal perioral dermatitis. The disease is much more difficult to treat than all other types of dermatitis. As a result, the situation will become much more serious than before the start of the drug. It follows from this that the remedy must be used only as directed by a specialist and for a short time.
Therapeutic action
Judging by the reviews, "Triderm" for children can be prescribed. This drug has a combined effect: anti-inflammatory, anti-allergic, antipruritic, antifungal, antibacterial. Removal of inflammation, allergy symptoms and itching provides betamethasone, antifungal effect - clotrimazole, and gentamicin acts as an antibacterial. As mentioned above, the hormone copes with the symptoms "perfectly well", and the effect persists for a long time. Clotrimazole kills bacteria that cause ringworm, candidiasis and pityriasis versicolor. Gentamicin, which is an antibiotic, successfully eliminates streptococcus, staphylococcus, Pseudomonas aeruginosa and Escherichia coli, aerobacteria, Proteus and Klebsiella. Indications for "Triderm" are given below.
What is it used for?
Both forms of release have the same type of indication. In this case, these are dermatoses complicated by the appearance of a secondary infection. It is caused by microorganisms sensitive to gentamicin and clotrimazole. Assign "Triderm" for dermatitis, allergic dermatitis, atopic dermatitis, neurodermatitis, eczema, lichen, ringworm, especially concentrated in the groin or other skin folds.
How to use
According to reviews, "Triderm" for children is used in the form of an ointment, this is justified in the presence of large affected areas. The cream is prescribed if the skin damage is minor. It should also be said that the cream is absorbed faster and leaves no residue, so if you need to usepreparation under clothes, it is better to give preference to a creamy consistency. If you are treating weeping areas, then you should also use a cream, since it dries the skin better than an ointment. The agent is applied to the affected areas with a thin layer, so that the area of \u200b\u200bhe althy skin framing the sore spot is captured. It is applied twice a day: in the morning and in the evening before going to bed. This confirms the instruction to the Triderm tool.
Children need to rub the medicine daily, during the entire course prescribed by the doctor. Do not allow the ointment or cream to get on open wounds or damaged skin. In this case, absorption of gentamicin through the blood can occur and provoke side effects. Take precautions when giving medicine to children.
If you use the drug for three to four weeks, but there is no improvement, you must stop using it and consult a doctor in order to undergo a more thorough examination. If the drug has been used for a long time, then it should be canceled gradually. This medication is strictly prohibited in the treatment of diseases of the eyes and around the eyes.
If the ointment or cream causes severe irritation, another infection occurs, the treatment with the drug is immediately stopped. The indications of "Triderm" must be strictly observed.
While using other antibiotics, carefully monitor the child's well-being, as a cross-allergic reaction may develop. If ause a cream or ointment on large areas of the skin, side effects are possible, which manifest themselves in the form of adrenal insufficiency, Cushing's syndrome, obesity, muscle atrophy, thinning of the skin, steroid diabetes mellitus, cardiomyopathy, osteoporosis, hirsutism, amenorrhea and steroid psychoses. Signs of obesity are very specific: fat deposits are localized on the face, neck, back and abdomen. In addition, side effects can be manifested in the form of a significant growth of microorganisms that are resistant to the action of gentamicin. These symptoms are eliminated by discontinuing the drug, symptomatic treatment.
For children and pregnant women
Pediatricians prescribe the use of Triderm cream to children only in case of urgent need from the age of two. The fact is that the hormone that is part of the drug has a much stronger effect on the children's body than on adults, respectively, the risk of side effects is very high. Betamethasone has the peculiarity of being absorbed into the blood, therefore serious complications are caused: inhibition of the functions of the hypothalamus, pituitary and adrenal glands, Itsenko-Cushing's syndrome, growth retardation, slow weight gain, increased intracranial pressure, bulging of the fontanel, headache and swelling of the optic nerve. Considering all of the above, it is necessary to use this remedy with caution, in small doses, for a very short (up to seven days) period of time. Is it possible for infants to use Triderm ointment? This is a frequently asked question.
For a baby, it is better to prefer a cream, asit absorbs faster. It must be remembered that "Triderm" is used only in the presence of dermatitis complicated by infection, that is, in cases where it is impossible to manage with products that do not contain hormones and antibiotics. As a rule, after the use of this drug, there is a persistent improvement in the condition. As for its use during pregnancy, the conditions for use are the same as in childhood. When treating diaper rash in infants with Triderm, the benefits of the drug should prevail over the danger of getting serious complications.
If there is no certainty about this, it is better not to use the medication so as not to put the child at risk of complications. If such a need arose, then you can not use the ointment or cream on a large area of \u200b\u200bthe skin, and also use the medicine for a long period. The fact of penetration of the drug into breast milk has not been established, but given all the side effects that have been mentioned, it is better to stop breastfeeding for the period of using the drug. Often used "Triderm" for atopic dermatitis in children. Is it justified? In this case, it is important to follow the doctor's recommendations.
Use of the drug not according to the instructions
Many use this remedy for other purposes: from otitis, by analogy with the drug "Sofradex". The compositions of both drugs are very similar and the principle of action is also similar. However, it should be understood that dexamethasone, which is part of the ear drops, is more gentle than synthetic corticosteroids,which are a component of "Triderm". Therefore, for the treatment of otitis and other diseases of the ear, it is recommended to use authorized products designed specifically for the ears in order to avoid complications.
Side effects
It is not uncommon for cases of perioral dermatitis to occur as a result of the use of an ointment or cream with betamethasone. It appears immediately after the drug is discontinued. If you start rubbing the cream or ointment again, all manifestations will immediately disappear. But the fact is that over time, the dose of the drug becomes larger, since a strong dependence on the hormone is established: the skin requires more of it. Various rashes and irritation of the skin will appear with a fair amount of frequency.
In this situation, you need to contact a competent doctor and gradually cancel the drug, replacing it with another treatment. In addition to these manifestations, there may be other symptoms. For example, burning sensation, erythema, discoloration of the skin, itching, weeping skin, dryness, increased hair growth, acne. Unfortunately, this drug cannot be considered a panacea for all types of dermatitis. The medication has its own contraindications and restrictions on use, which must be taken into account.
Contraindications
The drug should not be used categorically for skin tuberculosis, syphilis with rashes on the skin, chicken pox, herpes, post-vaccination reactions on the skin, under two years of age. Absolute contraindication to itis a special sensitivity or allergic reaction to the components of the drug. Is it possible to find something cheaper than "Triderm"?
Analogues
Synonymous action will have drugs that have a similar active ingredient. As analogues, drugs with a similar effect, but with different active ingredients, are used. If there is no allergy to Triderm, it is well tolerated by patients, it is possible to prescribe a cheaper drug with the same effect. If side effects occur when using the drug, it is better to replace it. Sometimes it is better to resort to the help of Triderma analogues. The following funds are cheaper: Belosalik, Betasal, Diprosalik, Cleore, Rederm. As preparations with the same active substance, we can recommend: "Akriderm", "Canison".
Reviews
According to reviews, "Triderm" for children with fungus is often used. It helps a lot if there is irritation on the child's skin. Side effects are rare, especially if the treatment is not too long. It is not recommended to use it without a doctor's prescription.
