Celederm

Various drugs are used to treat complicated dermatoses. Celederm has established itself as an effective and safe drug. Consider its main characteristics and properties.

Celeaderm is a combined topical agent. It contains antimicrobial and corticosteroid components.

• Betamethasone (topical glucocorticosteroid) has anti-inflammatory, vasoconstrictive and long-lasting antipruritic effect.
• Gentamicin is an antibiotic (aminoglycoside) with a pronounced bactericidal effect against many microorganisms.

The pharmacological group of the drug is corticosteroids in combination with antibiotics for use in dermatology.

Indications Celederm

Corticosteroids are prescribed for the treatment of inflammatory and autoimmune diseases. Celederm is used in dermatology, we will consider the main indications for its use:

• Treatment and prevention of dermatoses
• Dermatoses complicated by a secondary infection
• Different forms of eczema
• Dermatitis (sun, contact, seborrheic, intertriginous, exfoliative)
• Neurodermatitis
• Psoriasis
• Old and anogenital itching

During the application of the ointment, immunization and vaccination should be avoided. Celeaderm is contraindicated to apply to damaged areas of the skin for a long time. Ointment can not be used with occlusive dressings or diapers. The withdrawal of the medicine should be gradual to prevent adverse reactions and dermatitis with burning and intense reddening of the skin.

[1], [2], [3], [4]

Release form

Celederm is prescribed for topical application. The form of the drug is cream. Celederm is produced in aluminum tubes of 15 grams, each tube in a cardboard bundle.

1 g of cream contains such substances: betamethasone 1 mg and gentamicin 1 mg. As additional are: sodium phosphate dodecahydrate, anionic emulsified wax, cetostearyl alcohol, chlorcresol, sodium hydroxide, sodium dihydrogen phosphate, propylene glycol, mineral oil and other components.

Pharmacodynamics

The mechanism of action of a facility is determined by the effectiveness of its components. Pharmacodynamics Celederm is represented by such substances:

• Betamethasone - reduces the release of anti-inflammatory cytokines, stimulates the synthesis of endogenous substances with anti-edematous activity (lipocortins) and inhibits the metabolism of arachidonic acid. The component reduces the permeability of the walls of the vessels and has an antiallergic effect.
• Gentamicin - has bactericidal activity against many gram-negative and gram-positive aerobic microorganisms. Does not affect anaerobic bacteria, fungi and viruses.

[5], [6], [7], [8], [9], [10]

Pharmacokinetics

After application of the drug to the skin, the active substances begin to be absorbed and have a systemic effect. The pharmacokinetics and absorption of gentamicin are higher than those of betamethasone. Ointment does not penetrate into the systemic bloodstream, so it does not affect the functioning of the body. Celeaderm is not recommended to be applied to the damaged skin surface and used with occlusive dressings or compresses. 

[11], [12], [13]

Dosing and administration

Since the agent is indicated in many skin diseases, the method of application and dose of Celederm are selected for each patient individually. The cream should not be applied to areas with damaged integrity of the skin and mucous membranes. If it is applied to large areas of the skin, it increases the risk of systemic side effects. The cream is not recommended to rub and use with occlusive dressings. Do not apply in ophthalmology, with accidental contact with eyes, they must be thoroughly rinsed with running water.

If the dermatosis or any other skin disease has an easy form, then the ointment is applied once a day. With more severe forms of skin lesion, the drug is applied two or more times a day. If there is no improvement in two weeks after the start of treatment, then it is worthwhile to see a doctor. Cancellation should be gradual. Prolonged use of the ointment can lead to irritation, growth of resistant microflora, sensitization or superinfection.

[24], [25], [26], [27], [28]

Use Celederm during pregnancy

Treatment of dermatoses and any other skin lesions in the period of gestation is a complex process. As for the future mother it is necessary to choose the most safe, but effective drug. The use of Celederm during pregnancy is contraindicated. If there is a need for the use of this medication during lactation, it is recommended that you consult with your doctor and stop breastfeeding. The cream is not prescribed for treatment of patients up to two years.

Contraindications

The main prohibition on the use of external agents for the treatment of various skin diseases is hypersensitivity to its active components. Celederm is contraindicated for use with individual intolerance to betamethasone, gentamicin and antibiotics of the aminoglycoside group.

• The drug is not prescribed for patients with skin tuberculosis, rosacea, varicose veins, chicken pox and herpes simplex.
• Skin manifestations of syphilis, diseases of fungal or bacterial etiology, are also a contraindication for the use of ointment.
• The drug is not recommended for patients with various skin lesions, perioral dermatitis, burns, skin reactions after vaccination and with the complex form of psoriasis psoriasis.
• Medication is not recommended for pregnant and lactating women. With special care is used in pediatrics, as the absorption of corticosteroids in children is higher than in adults. Ointment is not prescribed for patients younger than two years.

[14], [15], [16], [17], [18]

Side effects Celederm

The use of the drug without medical prescription can cause various undesirable reactions. Side effects of Celederm are manifested as:

• Systemic reactions - arterial hypertension, puffiness, change in body weight, ulcerative lesions of the mucous membrane of the gastrointestinal tract, disorders of the menstrual cycle, drowsiness, increased fatigue, insomnia, changes in the level of glucose in the blood plasma. Children can delay growth, increased intracranial pressure and the development of Cushing's syndrome.
• Local reactions - irritation, dryness, itching, scaling of the skin. Rash, pigmentation disorder, folliculitis, hypertrichosis, contact and oral dermatitis. If Celederm is used with an occlusive dressing, then skin atrophy, secondary infection, maceration, sweating, the appearance of stretch marks is possible.

The risk of adverse reactions increases significantly when the product is applied to large areas of the skin. If the ointment is the cause of the above symptoms, then you should seek medical help.

[19], [20], [21], [22], [23]

Overdose

If the medicine is used for a long period of time or on a large surface of the body, this can lead to a number of adverse reactions. Overdosing manifests as an increase in allergic reactions, itching, burning, redness. As a rule, all these symptoms have a mild degree of severity. Acute overdose with topical application is not noted.

With prolonged therapy, chronic intoxication with corticosteroids is possible, which causes disruption of the pituitary-adrenal function. This pathology is accompanied by the development of Cushing's disease, hypercorticism and secondary adrenal insufficiency. Long-term treatment provokes the growth of resistant microflora due to the action of gentamycin.

Symptomatic therapy is used to eliminate symptoms of overdose and chronic intoxication. The drug should be phased out to minimize the side effects of corticosteroids.

[29]

Interactions with other drugs

Treatment of skin diseases is a complex and time-consuming process, so for its effectiveness several means are used simultaneously. Interaction with other drugs is possible with complex therapy, which is prescribed by a doctor. In this case, the cream should not be applied to one affected area of the skin at the same time as other medicines.

When used with antibiotic creams and ointments from the aminoglycoside group, allergic reactions are possible. Celederm is contraindicated in the treatment of ophthalmic diseases. If no positive reactions are observed within 14 days after initiation of therapy, then the agent is canceled and another scheme is prescribed.

[30], [31], [32], [33]

Storage conditions

The cream should be kept in the original packaging in a place protected from sunlight and inaccessible to children. The storage conditions make it possible to preserve the medicinal properties of the medicament throughout the shelf life. The storage temperature should not exceed 25 ° C.

[34]

Shelf life

Celederm refers to corticosteroid preparations for the treatment of inflammatory and infectious skin diseases. The shelf life of the cream is 24 months from the date of manufacture, which is fixed on an aluminum tube or carton. At the end of this period, the medicinal product must be disposed of.