Belosalik

Belosalik is a combination drug with a composition that helps the drug provide the required complex effect on the body.

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Indications Belosalik

The ointment form is indicated for the treatment of the following diseases:

• urticaria or ichthyosis;
• limited or diffuse neurodermatitis;
• psoriasis;
• cutaneous pompholyx;
• eczema in acute or chronic form;
• erythema multiforme exudative;
• limited pruritus accompanied by severe lichenification;
• atopic dermatitis, and in addition, dermatitis of allergic origin;
• red flat lichen and its warty form;
• papulosquamous rash of unspecified origin;
• keratosis on the soles and palms;
• dry skin caused by disease;
• acquired form of ichthyosis;
• dermatoses accompanied by peeling and hyperkeratosis.

The lotion is used in therapy for patients with oily skin, and also for the treatment of skin areas where there is hair. Among the main indications:

• psoriasis (also on the head under the hair);
• neurodermatitis;
• seborrheic dermatitis (also under the scalp);
• lichen planus, a disease located under the scalp;
• eczematous and ichthyotic lesions of the skin under the hair.

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Release form

It is produced as a lotion or ointment. The lotions are contained in bottles supplemented with droppers of 50 and 100 ml, as well as in bottles supplemented with sprayers of 20, 50 or 100 ml. The ointment is contained in a tube of 30 g.

Pharmacodynamics

Betamethasone sharply reduces the rate of release of inflammatory neurotransmitters and interleukins, and in addition reduces the production of cytokines and prevents the active action of hyaluronidase and the accumulation of neutrophilic granulocytes.

By enhancing the processes of lipocorin synthesis, the component indirectly promotes the suppression of phospholipase and the process of leukotriene synthesis, as well as stopping the cycle of arachidonic acid activity. Due to these actions, the antiallergic and anti-inflammatory properties of the drug are manifested, and capillary permeability is reduced.

Belosalik reduces the amount of exudate that occurs during the inflammatory process, and also reduces itching and inflammation. By suppressing the ability of macrophages to move, infiltration and wound granulation are reduced.

Salicylic acid is used as a keratolytic agent. Due to the softening of the epidermis surface, the penetration of the active component of the drug into the inflammation site is improved. Exfoliation also becomes more intense, which helps reduce pathogenic keratinization of tissues. The acid contained in the drug creates conditions unfavorable for the reproduction of fungi and bacteria microflora.

The drug cannot be used as an antifungal or antibacterial agent, because such action neutralizes the activity of betamethasone, suppressing local immunity.

GKS has vasoconstrictive properties and also reduces local tissue temperature. The ointment base is selected based on the formation of a protective film on the skin, preventing the loss of internal moisture, and also providing a water-repellent effect relative to water coming from outside.

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Dosing and administration

Both forms of the drug are used externally. It should be rubbed into the skin with gentle movements. The drug can be applied under sealed bandages only with the permission of a doctor. The procedure is carried out 1-3 times a day, and if the course is long, treatment is allowed every other day. As a rule, the treatment course lasts no more than 3 weeks.

When eliminating chronic forms of diseases, therapy is continued even after the disappearance of pathological manifestations. Treatment is extended to avoid relapse (the duration of the course is prescribed by a dermatologist).

To spray the lotion (if using a spray bottle), place the tip of the nozzle on the damaged area of the skin under the hair, and then press the spray all the way down.

If the bottle of lotion has a dropper, you need to distribute the medicine over the surface of the skin using your finger or a cotton swab.

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Use Belosalik during pregnancy

Pregnant women are prescribed the drug only after assessing the relative benefits for the mother and the risk of negative symptoms in the fetus. If it is impossible not to use the product, it is necessary to apply it only to small areas of skin and refuse bandages.

Contraindications

Among the contraindications for the drug:

• pustular pathologies;
• syphilis;
• cutaneous tuberculosis;
• open wounds on the skin;
• fungal infection (in actinomycosis, sporotrichosis, and blastomycosis);
• viral infectious processes on the skin (such as chickenpox or herpes);
• trophic ulcers;
• rosacea;
• skin reactions after vaccination procedures;
• perioral dermatitis;
• malignant forms of skin diseases;
• high sensitivity to the elements contained in the drug;
• age under 1 year (ointment) or 6 months (lotion).

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Side effects Belosalik

As a result of using the drug, the following side effects are possible:

• burning or irritation of the skin, and in addition itching along with dryness of the epidermis;
• local hypopigmentation;
• development of hypertrichosis;
• acne or folliculitis;
• the appearance of telangiectasias on the skin.

When using hermetic dressings with ointment that enhance the passage of GCS under the epidermis, skin atrophy, stretch marks, skin maceration, development of a secondary infectious process, and prickly heat are possible. Long-term use of the drug increases the risk of adverse reactions and also aggravates their manifestation. As a result of using the drug on a large area of the skin, systemic reactions are also possible:

• hypercortisolism syndrome;
• increased intracranial pressure;
• confusion;
• hyperglycemia, hypokalemia or glycosuria;
• symptoms of asthenia;
• pale skin;
• rapid breathing;
• dyspepsia;
• hearing disorders.

If side effects develop after treating the skin with an ointment/lotion, you should consult a doctor and temporarily (or completely) stop using the drug.

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Overdose

Overdose usually develops as a result of prolonged use or application of the drug to large areas of the skin. Symptoms include the usual systemic effects of GCS - hypercorticism syndrome and adrenal insufficiency.

In case of any suspicious manifestations during the use of the medicine, you should consult a doctor. Symptomatic therapy is performed to eliminate the disorders, and the use of the medicine is also necessarily canceled.

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Interactions with other drugs

The combined use of Belosalik with other drugs does not result in clinically significant interactions.

To avoid physical incompatibility with other external drugs, treatment with the drug should be carried out at different time intervals from them and any cosmetics.

It has been clinically proven that, as a result of combining the drug with products that have drying properties (medical soap, as well as alcohol-containing products, etc.), irritation may occur on the surface of the skin.

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Storage conditions

The medicine must be kept in standard conditions for medicines. The temperature should not exceed 25 degrees.

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Shelf life

Belosalik in the form of a lotion is permitted to be used for 2 years from the date of release of the drug, and the ointment - for 4 years.

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