"Celestoderm" with garamycin. The medicine "Celestoderm-B". Instructions for use

"Celestoderm" with garamycin - what kind of medicine is it and in what diseases is it used? In this article you will find the answers to these questions. It gives detailed instructions on the use of this medication, tells about contraindications, side effects of the drug, as well as some reviews of people who have tried the effects of this drug.

Composition and form of release

The drug "Celestoderm-B" with garamycin is available in two forms:

• Ointment is white, homogeneous, containing no visible coarse particles, with a soft consistency. It contains betamethasone valerate, gentamicin and such auxiliary substances as soft paraffin and paraffin in liquid form.
• Cream of white color, soft consistency, homogeneous. In its composition has betamethasone, antibiotic gentamicin and auxiliary substances: soft and liquid paraffin, cetostearyl alcohol, phosphoric acid, cetostearyl ether, sodium dihydrophosphate dihydrate, chlorocresol, sodium hydroxide, purified water.

In pharmacies you can buy "Celestoderm" with garyamycin - ointment 0.1% - tubes of 15 and 30 grams. Cream 0.1% is also available in tubes of 15 and 30 grams. Both are meant for outdoor use only.

Mechanism of action

How does the external preparation "Celestoderm-B" work? The therapeutic effect is achieved due to the included in its composition betamethasone valerate. This substance is a glucocorticosteroid (GCS) and gentamicin is a broad-spectrum antibiotic.

Betamethasone has an active anti-allergic and anti-inflammatory effect, slows the release of mediators and cytokines of inflammation, limits the rate of arachidonic acid metabolism, induces lipocortins, reduces vascular permeability.

The broad-spectrum antibiotic "Gentamicin" is active in topical application against the vast majority of pathogenic microorganisms (Staphylococcus aureus, Streptococcus, Gram-negative bacteria, etc.).

The drug, thanks to its microdispersed composition, easily and quickly penetrates into the skin and begins to actively act. Shelf life of the medicine is large - 5 years. After the expiration of this period, the drug can not be used.

How to store

The official instruction indicates only that it is necessary to store tubes with the drug at a temperature of no more than 25 degrees.

Indications for use

At what diseases is the "Celestoderm" medication prescribed? Indications for use are:

• Neurodermatitis;
• Various kinds of specimens (coin-like, atonic, children's);
• Contact dermatitis;
• Dermatitis seborrheic;
• Dermatitis exfoliative;
• Dermatitis is sunny ;
• Radiation dermatitis;
• psoriasis;
• Treatment of diaper rash;
• Senile and anogenital itching.

Cream and ointment "Celestoderm" with garamycin are successfully used as an external remedy for skin diseases that succumb to GCS (glucocorticosteroid) therapy, as well as in the development of secondary infection, provoked by microorganisms sensitive to gentamicin.

Detailed instructions for use

And now we will tell you how to apply properly ointment "Celestoderm" with garamycin. Instruction to the drug is very lucidly explains. Ointment or cream is applied uniformly on problem areas on the skin from two to six times a day (frequency depends on the severity of the disease), then carefully rubbed into the surface of the skin. In mild cases, it is sufficient to apply the remedy to the skin only once a day. For patients with skin lesions of the face and children, the total course of treatment with the drug should be no more than five days.

Side effects

The drug "Celestoderm-V" with garamycin, the price for which is fairly democratic, is very popular among the population. However, this remedy can only be used for really serious indications. And ointment and cream can have many side effects. Here is their list:

• Strong dryness of skin, burning sensation.
• Skin irritation in the form of erythema and itching.
• Folliculitis.
• Appearance on the skin of acne or acne.
• Hypertrichosis.
• Hypopigmentation.
• Maceration of the skin.
• Contact allergic dermatitis.
• Perioral dermatitis.
• Skin atrophy.
• Secondary infection.
• Prickly heat.
• Stria.
• The development of so-called systemic side effects (hyperglycemia, osteoporosis, ulceration of the gastrointestinal mucosa, increased pressure, insomnia and agitation, swelling, violation in women of the menstrual cycle, exacerbation of focal infections, weight gain, etc.), characteristic for long-term treatment with glucocorticosteroids , Especially if the drug is applied to fairly large areas of the body.
• Children may experience oppression of the pituitary-hypothalamic-adrenal system, delay in growth, slower weight gain, Cushing's syndrome, and increased pressure (intracranial).

Analogues "Celestoderm" with garamycin are able to cause the same numerous side effects.

Contraindications

It is not recommended to take "Celestoderm-B" under the following conditions:

• Lactation period;
• Post-vaccination period and with the appearance of skin reactions after vaccination;
• Increased sensitivity to the components of the medicinal product specified in the instructions;
• Cutaneous tuberculosis;
• With cutaneous manifestations of syphilis;
• Fungal lesions of the skin;
• chickenpox;
• Herpes rash;
• The child's age is up to 6 months;
• Pregnancy (with prolonged treatment of a large area of the skin).

Can I use "Celestoderm" during pregnancy and during lactation?

Is it possible for pregnant women and breastfeeding mothers to use the ointment "Celestoderm" with garamycin? The instruction attached to the drug indicates that at the moment there is no reliable evidence of the safety of the use of GCS (glucocorticosteroids) in this category of patients.

Therefore, the appointment of both "Celestoderm" and its analogues during pregnancy and lactation is acceptable only if the benefit to the patient is much greater than the possible risks of negative effects of the active substances of the drug on the child. In any case, during pregnancy it is unacceptable to use glucocorticosteroids for a long time and in large dosages.

Is it possible to prescribe the drug to children

It is known that children are more susceptible than adults to the action of various medicines, including to such a drug as "Celestoderm". The use of glucocorticosteroids by small patients is possible only from the age of six months and not earlier.

In view of the fact that in children the higher absorption of the drug is observed because of the large values of the ratio of body weight and surface area, as well as higher susceptibility to the drug, the hypothalamus and adrenal glands may be depressed in the child's body. Therefore, use external means with glucocorticosteroids to treat children with caution, only after consulting a specialist and under his subsequent supervision.

special instructions

When buying the drug "Tselestoderm" with garamycin, you need to consider that the use of the ointment is indicated in cases of skin lesions against psoriasis or dry eczema, but the cream is used for diseases of oily skin or with mossy dermatitis and eczema.

If the drug is used by the patient for two weeks, and there is no healing effect, this is the reason for stopping further use of the drug and visiting the attending physician in order to clarify the diagnosis and review the treatment regimen. "Celestoderm-B" should be discontinued in case of skin irritation or sensitization, these symptoms are also a reason to call a dermatologist.

When the drug is used for a long time, the side effects characteristic of glucocorticosteroids may be manifested, especially in children. Systemic absorption of GCS with local long-term treatment of large areas of the skin or with the application of occlusive dressings may increase, especially in children of childhood.

If there are skin cracks, then long-term treatment of large areas of the body may increase absorption of gentamicin. In such cases, there is the possibility of developing unwanted side effects typical of systemic use of gentamicin, especially in children.

Occasionally, the local use of antibiotics can provoke the growth of insensitive microflora, including fungal. In such cases, treatment is discontinued and appropriate therapy is prescribed. If the drug is applied to pink or acne vulgaris, then there may be an exacerbation of the disease.

"Celestoderm" with garamycin (ointment and cream) is intended solely for external use and is not used for the treatment of ophthalmic diseases. It is necessary to carefully guard the mucous membrane of the eyes from getting on it a cream or ointment "Celestoderm-B".

Interaction with other medicinal products

The medicinal external remedy "Celestoderm" with garamycin, applied to the skin, practically does not enter the bloodstream (it is not absorbed) and does not display systemic suggestibility. Therefore, patients can not be afraid of negative interaction of "Celestoderm" with other drugs taken by them.

Analogues

Analogues are presented in this chapter. "Celestoderm" with garyamicin can be replaced with the following drugs:

• Akriderm;
• "Betamethasone";
• "Beloderm";
• "Betamethasone sodium phosphate" ;
• "Betazon";
• "Betazona valerat";
• "Betliben";
• "Betamethasone dipropionate";
• "Betnoveit";
• "Butter";
• "Diproslan";
• "Flostretorn";
• "Celeston".

"Celestoderm-B" with garamycin: reviews

I must say that opinions about the drug are not unambiguous. As in cases with most drugs, someone praises him, and someone scolds. But, at least, getting acquainted with the experience of people they are willing to share, you can make useful conclusions for yourself and avoid some mistakes when using the tool.

What do people like "Tselestoderm-V" with garamycin? The opinions of many argue that it helps well with such seriously curable diseases as eczema and neurodermatitis. Some former patients say that using the drug "Celestoderm-B" can get rid of exacerbation of neurodermatitis in 5-7 days. And this, it's worth noting, is a very good result. In this case, those who used this tool, advise to carry out treatment in conjunction with the intake of vitamins of group B. And the sooner the application begins, the more effective the results will be.

Some say that "Celestoderm" is the only remedy that helps in the fight against eczema on the hands. The testimonies testify that even more expensive drugs are powerless in the fight against the problem, and the medicine "Celestoderm", the price for which is not at all sky-high, successfully copes with it.

But there are also negative reviews. They say that the ointment in question not only does not help, but also causes a strong hair loss on the head (when trying to cure dandruff themselves). But such situations - only confirmation that using strong medications without consulting a doctor is not worth it.

Those people who have a positive experience of using the drug, praise it very much, but almost everyone warns that it is best to use it together with antihistamines (for example with "Diazolin") in order to avoid allergic reactions. And if the ointment or cream is prescribed by a doctor, then he necessarily prescribes an additional antiallergic agent.

The price of the drug

Our article comes to an end, we managed to put into it a lot of information, did not say, perhaps, only one: what is the cost of the drug "Celestoderm". The price for today fluctuates between 200-350 rubles. For one tube. When buying, be sure to ask the pharmacist who the manufacturer of the drug. To date, the chemist's network receives ointment and cream "Celestodrem-B" produced in Russia and Belgium. Of course, domestic drugs are much cheaper than imported drugs - this must be taken into account.