"Candiderm": instructions for use, reviews, analogues

How to use Candiderm cream? Instructions for the use of external means are presented in the materials of this article. Also, it describes reviews about the drug, lists his indications and contraindications.

Description, composition and packaging of medicament

In what kind of packaging is the Candiderm cream produced? Instructions for use of this tool are enclosed in a cardboard box. It also contains a tube of aluminum with a drug substance.

Active components of this drug are clotrimazole, beclomethasone dipropionate and gentamicin sulfate. It also contains auxiliary ingredients in the form of cetomacrogol, sodium dihydrogen phosphate monohydrate, sodium hydrogenphosphate, methylparaben, benzyl alcohol, propylene glycol, petrolatum, propylparaben, liquid paraffin and water.

Ointment "Candiderm" has a homogeneous texture and white color. This drug does not possess any characteristic odor.

Pharmacological parameters of the local medicine

What is Candiderm cream? Experts say that it is an antifungal, antimicrobial, antiallergic and anti-inflammatory drug with a combined composition.

Such active substance of the drug, as beclomethasone, has pronounced antipruritic, anti-allergic, anti-exudative and anti-inflammatory properties. Its mechanism of action is based on the reduction of the accumulation of leukocytes, the release of inflammatory mediators and specific lysosomal enzymes, inhibition of phagocytosis, as well as an obstacle to the formation of puffiness and a decrease in vascular-tissue permeability.

An ingredient such as gentamicin is an antibiotic. It belongs to the aminoglycoside group, and also has a bactericidal effect. It should also be said that this component can suppress the activity of Klebsiella, Proteus, pseudomonads, enterobacteria, streptococci, Escherichia and Staphylococci.

As for a substance such as clotrimazole, it has antifungal properties. Its mechanism of action is based on a decrease in the synthesis of ergosterol, that is, an integral part of fungal cells.

Pharmacokinetics of the agent

What are the kinetic parameters of the Candiderm cream? The instructions for use do not contain any information on this matter. Producers explain this fact by the fact that the ointment in question has a combined composition. This greatly complicates the tracking of its pharmacokinetic characteristics.

Cream "Candiderm": indications

This drug is well manifested in the following diseases:

• Epidermophytia of the feet ;
• Phlebotoderma;
• Dermatoses with secondary infection;
• Allergic dermatosis;
• Dermatomycosis (including with lesions of the inguinal region);
• Dermatitis after insect bites;
• Diffuse form of neurodermatitis;
• Eczema;
• Red flat lichen;
• Atopic dermatitis;
• Anogenital itching.

Contraindications

The external preparation "Candiderm", analogues of which are listed below, is forbidden to use at the following pathological conditions:

• Chicken pox;
• Trophic wounds;
• Individual hypersensitivity;
• Rosaceum;
• Open wound surfaces;
• Postvaccinal reactions on the skin;
• Vulgar acne;
• Viral skin lesions;
• Tuberculosis of the skin;
• Syphilitic reactions on the skin.

Cream "Candiderm": instructions for use

This drug should be applied to the affected areas of the skin twice a day (after awakening and before bedtime). The duration of such therapy depends on the patient's individual tolerance and overall effectiveness of the treatment process.

After 4 weeks of active use of the cream, the patient may experience first undesirable effects.

Do you use ointment "Candiderm" in pediatric practice? The doctors' comments say that the age limit for the use of this remedy is the period of life up to 16 years.

If necessary, according to the decision of the attending physician, this medication can be prescribed to children aged 7-16 years.

Side effects

What are the side effects of the drug "Candiderm" (cream)? The instruction says that prolonged therapy with this remedy can lead to systemic reactions such as suppression of the adrenal cortex.

With the correct use of the drug, negative effects are extremely rare, and also have a weak and temporary character.

So, against the background of using the drug "Candiderm" in patients the following allergic responses may occur:

• Striae, contact dermatitis, maceration, urticaria;
• Dry skin, swelling, flaking, hyperemia;
• Telangiectasia, furunculosis, hypertrichosis, pyoderma;
• Burning sensation, perioral dermatitis, hypopigmentation, folliculitis;
• Acne eruptions steroid, sweating, atrophic changes on the skin.

Drug overdose

When applying a lot of cream on large areas of the skin, the following overdose symptoms may appear in the patient:

• Weight gain;
• Hypokalemia;
• Increased blood pressure;
• Glucosuria;
• Manifestations of hypercorticism.

With such deviations, the patient is corrected electrolyte balance, as well as posindromnuyu therapy.

Special Recommendations

It is forbidden to use ointment "Candiderm" in ophthalmic practice. Also, this drug should not be applied to the skin around the eyes.

Occlusive bandages significantly increase the effectiveness of the drug.

When using this medication with bandages, transdermal absorption of its active elements (in particular beclomethasone and gentamicin) can be enhanced. This can cause the emergence of negative systemic reactions.

When observing fungal and bacterial resistance the drug is canceled.

The treatment with aminoglycosides is characterized by the development of cross-resistance.

In pediatric practice, the "Candiderm" ointment is used only under indications and under medical supervision.

Applying a medication and applying bandages to large areas of the skin can lead to suppression of the pituitary-hypothalamic-adrenal system.

Analogues of the drug and its cost

How can I replace Candiderm cream? Analogues of this drug are sold in all pharmacies and are released without a medical prescription. The most popular substitutes for this medication are the following: "Belogent", "Betagenot", "Betaderm".

How much does ointment "Candiderm" cost? The price of this local remedy is quite high (according to most patients). One tube of an antifungal drug you can buy for 450-470 rubles.

Reviews about the drug

Doctors assign the cream "Candiderm" unique antifungal, antipruritic and anti-inflammatory properties. They leave only positive comments about this drug. According to their opinion, the medicine in question is fairly well tolerated by patients and in a short time allows to achieve the desired result.

As for patients, they also talk about the high effectiveness of this medication. After several application of the cream, the signs of most skin diseases are significantly reduced.