Ointments for open wounds

The main problem with open wounds is the difficulty of healing. Such damage is prolonged for a long time, and the danger of their infection is very high. Most often, the treatment consists of washing and dressing the injured tissues, followed by drying with a dry sterile wipe. After this, the next step can be the application of a healing preparation - for example, ointments. An ointment for an open wound will create a protective film on its surface, which will prevent the infection from getting from outside.

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Indications for use

Ointments for open wounds are used in two cases:

• for the treatment of dry wounds (without wetting);
• for lubricating the edges of wet and purulent wounds.

It is not recommended to completely cover the wet wound with ointment, since the drug blocks the access of oxygen to the damaged tissues and prevents the free release of serous fluid. As a result, an environment that slows wound healing is formed on the surface. If you only treat the edges of a wicking wound, this will allow the wound to "breathe", and the risk of getting pathogens into the depth of damage will decrease.

The process of treating an open wound can be prolonged, and the patient should be ready for this. Typically, one use of ointment therapy is not complete: the approach to solving the problem must be complex. The stages of treatment should include:

• superficial wound healing;
• restoration of deep layers of tissues;
• scarring;
• resorption of scar tissue.

A full scheme of treatment of an open wound can be determined only by a doctor - a surgeon or traumatologist, therefore it is extremely undesirable to engage in self-medication.

Names of ointments for open wounds

	Baneocin	Levomexol	Solcoseryl	Eplan
Pharmacodynamics	Active components: bacitracin and neomycin. Complex ointment-antibiotic with a wide spectrum of antimicrobial activity.	Complex ointment for purulent open wounds, combining the effects of chloramphenicol and methyluracil. Has anti-inflammatory and antimicrobial action.	Healing ointment for open wounds. Stimulates tissue repair, enhances the production of collagen. Suitable for difficult healing wounds. Does not have antimicrobial properties.	It removes itching, swelling, pain, kills germs.
Pharmacokinetics	Active components are not absorbed into the bloodstream, but their concentration in the tissues is high.	Easily enters the layers of tissues, regardless of the presence of pus or dead cells on the surface.	Does not enter the systemic circulation.	Does not affect organs and systems.
Use of ointments for an open wound during pregnancy	Allowed, but only after consultation with the doctor.	A short application is allowed only on small surfaces.	When pregnancy is used with caution.	Only under the supervision of a doctor.
Contraindications for use	Propensity to allergies, a large area of the wound, violations of excretory function and cardiovascular activity.	Propensity to allergies to constituent components of the ointment.	Excessive sensitivity of the body.	Allergy to the composition of the ointment.
Side effects of ointments for open wounds	Rarely - allergies, dryness, itching, worsening of urination.	Allergic phenomena.	Allergy, burning in the place of application.	Not described.
Dosing and Administration	Apply a small amount of the drug up to 3 times a day. If necessary, you can use it under the bandage.	Used for applying gauze napkins or directly into the wound with a syringe. The dressings are repeated every day until the wound is completely cleansed.	Apply to the wound after preliminary cleaning and disinfection, 1-2 times a day, until complete healing.	Apply externally on the wounds, add as far as absorption, until complete healing.
Overdose ointments for open wounds	Increased side effects.	It is unlikely.	Not marked.	No information.
Interactions with other drugs	It is not recommended to share with furosemide, cephalosporins and aminoglycosides due to increased toxic effects on the kidneys.	Not described.	Not installed.	Not described.
Storage conditions	At room temperature.	Does not require special storage conditions.	At room temperature.	In a cool place.
Shelf life	3 years.	3 years.	Up to 5 years.	Up to 5 years.

Anesthetic ointments for open wounds are rarely used due to inadvisability. As a rule, the anesthetic effect of anti-inflammatory and antimicrobial external drugs is poorly expressed. Therefore, with significant pain in the wound, doctors use other methods of anesthesia: anesthetics, blockades, injections and oral administration of analgesics.

It is worth noting that for a quick healing before applying the ointment it is necessary to conduct the correct treatment of the wound surface. To impose an ointment on an untreated wound categorically it is impossible.

Also, you should stop using an ointment for an open wound in the following cases:

• with a clear change in color and odor of discharge from the wound;
• when the size of the lesion increases after application of the ointment;
• with a sharp increase in pain;
• when there is a throbbing pain;
• when there is redness and swelling around the wound;
• when the temperature rises.

Ointment for an open wound can be bought at any pharmacy without any problem, however such a drug should be prescribed only by a doctor.