Neurodermatitis is an inflammatory lesion of the skin that occurs against the background of nervous shock, constant overload of the body, chronic stress. Very often, pathology develops in children, adolescents, young patients and takes about 45% of all visits to a dermatologist.
Neurodermatitis is often mistaken for a cosmetic problem, but it is a disease that can cause severe complications. A key aspect of therapy is the use of various external agents. A doctor will help you choose an ointment for the treatment of neurodermatitis.
Varieties of neurodermatitis
Therapy can only be correctly selected if the type of neurodermatitis is correctly diagnosed.
Dermatologists classify it into two main forms that characterize the prevalence of pathology:
- Limited. With this form of neurodermatitis, the skin lesion affects only one area of the skin, has clear boundaries. Atthis disease is expressed by the appearance of papules that can merge with each other and form plaques.
- Diffuse. With this form of neurodermatitis, several areas of the skin are affected, the border between he althy and affected skin is clear, lichenization (thickening) and a lot of scratching can be observed.
Forms of pathology
In addition, the disease is divided into 5 forms that characterize the course of the pathology:
- Hypertrophic neurodermatitis. It is accompanied by the formation of a weeping area, on which crusts quickly form. Then the skin thickens. Quite often, hypertrophic neurodermatitis is localized in the perineum and inguinal region.
- Psoriasiform. This form of pathology is characterized by the appearance of severe dryness of the skin, peeling. A typical localization of such neuroderma is the scalp and head.
- Linear. It is characterized by the appearance of furrows, the skin begins to peel off, becomes dry and rough. It is localized, as a rule, in the area of the limbs.
- Decalving. Against its background, alopecia develops, affecting the hairy parts of the trunk, limbs, head.
- Follicular. It is characterized by the appearance of pointed nodules on the skin. The skin of any part of the body can be affected.
Below, consider ointments for the treatment of neurodermatitis.
Drug therapy
All forms of neurodermatitis have the same genesis and etiology. As a result, therapy isusing several basic preparations of ointment or cream form. Therapy by a dermatologist is selected taking into account the gender of the patient, his age, as well as the severity of the pathology, duration.
Current clinical practice involves the use of topical treatments. The list of ointments for the treatment of neurodermatitis is quite extensive.
Hormone-based drugs
Can be used if the course of the pathology is protracted and severe. Hormonal drugs are effective, but have a wide range of contraindications, and therefore their appointment should be carried out by a specialist. The most popular drugs are: Hydrocortisone, Prednicarb, Prednisolone, Trimestin, Fluorocort, Advantan, Ecolorm.
Very often people look for an ointment in pharmacies to treat neurodermatitis on their hands.
Emollients
Emollients (products that can moisturize the skin) are used to eliminate the dryness that accompanies linear and psoriasiform neurodermatitis. The main advantage of emollients is the almost complete absence of negative effects. Therefore, they are most often prescribed in the treatment of children. The most popular means are: Bepanten, Pantesin, Panthenol.
Non-hormonal ointments for the treatment of neurodermatitis
These include anti-inflammatory ointment preparations. They can be used for the treatment of almost all types of neurodermatitis, if the patient has no contraindications. A good anti-inflammatory effect is exerted by: ichthyol ointment, "Radevit",Betasalik.
Wound healing ointments
Very effective wound healing ointments for the treatment of neurodermatitis. Recommended for any form of neurodermatitis, but only at the stage that is not accompanied by acute manifestations. The most popular are: Videstim, Levosin, Solcoseryl.
Anti-irritants
A strong itching sensation accompanies all types of neurodermatitis, so these drugs are often used. The most effective ointments for the treatment of neurodermatitis on the legs are Nezulin, Boromenthol, Mesoderm, Gistan N.
Drying preparations
Indicated for use in weeping forms of neurodermatitis (hypertrophic, for example). The skin is effectively dried when using "Tsindol", "Desitin", zinc ointment.
Antimicrobials (containing antibiotics)
These drugs are prescribed by a dermatologist if the disease becomes protracted or secondary infection joins the pathology. The most popular: "Baneocin", "Levomekol", erythromycin ointment.
Ointments for the treatment of neurodermatitis should be selected by a doctor. Self-medication is unacceptable.
Local anesthetics
They are prescribed if the pathology affects large areas of the skin, accompanied by painful sensations. Show high efficiency: "Procaine", Vishnevsky's ointment, "Anestezin".
Complex preparations
Capable of providing several therapeutic effects at once. Quite often in clinical practice are used: "Fenistil-gel","Protopic", "Triderm", "Skin-Cap", "Losterin". Complex ointments for the treatment of neurodermatitis on the face and other parts of the body can be used in the treatment of any form of the disease.
It is important to consider that the treatment of severe forms of neurodermatitis involves the use of not only local drugs, but also systemic ones. Doctors recommend taking antihistamines, sedatives, vitamins and enterosorbents. Only complex therapy will allow you to get rid of the signs of neuroderma in a short time and prevent relapses of the pathology.
The most effective ointment for the treatment of neurodermatitis
On the neck and other parts of the body, skin irritation causes discomfort. Quite often, patients who have got rid of pathology report that the most effective drugs are those that have a complex effect. Their main advantage is the absence of the need to purchase several funds - it is enough to use an ointment several times a day, which acts in several directions at once.
The most effective drugs patients consider the following:
- "Losterin". It has a disinfectant, antipruritic, anti-inflammatory effect. It is important not to stop using this drug for three months. If this condition is met, then about 90% of patients notice significant improvements.
- "Naftaderm". Able to reduce inflammation, swelling, itching, accelerate the healing of erosions and ulcers on the skin, has disinfectant properties and is effectiveeliminates peeling.
- "Skin Cap". This ointment preparation is able to have an antibacterial, antifungal, anti-inflammatory effect. About 80% of the people who used it note the effectiveness of Skin Cap.
- "Protopic". The drug is able to effectively eliminate swelling, inflammation, and reduce the severity of itching.
- "Fenistil-gel". The composition of this drug contains an antihistamine, which causes vasoconstriction at the site of application. As a result, redness, itching, swelling, and pain are reduced. Works fairly quickly, which is its advantage.
- "Triderm". The effect of the drug develops in a short period of time, the effect is very pronounced. The composition of the medicinal ointment contains three active components that can suppress the reproduction of bacteria and fungi, reduce the severity of inflammation. The drug should be used with caution, as it is a glucocorticosteroid.
- "Celestoderm". The composition of this drug includes an antibiotic substance and a corticosteroid, due to which its effect is very pronounced. The course of therapy lasts no more than 10 days, and the use should be supervised by a physician.
- "Sinaflan". Able to have antihistamine and anti-inflammatory effects, relieve unpleasant symptoms that accompany neurodermatitis, help regenerate the skin.
- Lorinden. It contains an antiseptic and a corticosteroid. Often used for extensive lesions, helps prevent the addition of secondary infection.
Universal remedy,helping all patients, no. Each drug has its own advantages and disadvantages, so effectiveness can only be determined by its use.
Rules for using the ointment
The necessary therapeutic effect from the use of ointment for neurodermatitis will be achieved only if the patient follows the doctor's recommendations:
- Apply the medicine only to previously cleansed skin.
- Before using the ointment, hands should be thoroughly washed with antibacterial soap.
- The methods of applying a certain drug are described in the instructions for its use - they should be followed. Some products are recommended to be rubbed into the affected area of the skin, others - evenly distributed without rubbing.
- If it is not required to rub the ointment into the skin, but it is supposed to be applied evenly, then it is advisable to use a sterile gauze cloth for this. A small amount of the drug is applied to it, and then applied to the skin. Even application can be achieved by blotting.
- If the ointment is recommended to be rubbed, then a small amount should be applied to the palm, and then spread over the affected surface with gentle movements.
- Inadmissible is an independent increase in the amount of the medicinal composition, the frequency of its use.
- It is not recommended to arbitrarily increase the course of therapy, in particular, this applies to those situations when the drug is usedbased on glucocorticosteroids.
If the described rules are observed, the therapeutic effect will be maximum and will come as soon as possible.
It is important to remember that neurodermatitis is not only a cosmetic defect, it is a full-fledged disease that requires timely access to a specialist and adequate therapy. With untimely and uncontrolled treatment, the course of the pathology may be aggravated, the development of complications is not excluded.
We reviewed ointments for the treatment of neurodermatitis in adults.
