Medical expert of the article
New publications
Preparations
Treatment of boils with ointments: with antibiotic, pulling pus
Last reviewed: 23.04.2024
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
Furuncles - simply put, abscesses, or chiri - usually appear suddenly, rapidly increasing in size due to accumulating pus in their cavity. The abscess can appear practically anywhere: in the field of a back, a neck, on the face, in axillary hollows. Many people mistakenly take a furuncle for a common pimple, which, in their opinion, will pass by itself. This is not quite true: a boil is much more dangerous than a pimple and can lead to serious consequences, up to septic complications. Therefore, you need to treat it, and the earlier, the better. And a properly selected ointment from boils can help in this.
Indications of the ointments from boils
The development of the furuncle proceeds in stages and is divided into several important stages:
- Infiltrative stage - characterized by reddening of the skin along the circumference near the hair bulb. The reddened area gradually swells and becomes denser, the diameter of the formed seal increases, reaching 3-5 cm.
- Suppuration is the period when in the center of the seal a peculiar rod is formed, which looks like a purulent elevation protruding above the surface of the skin. This stage is accompanied by an increase in intoxication: the temperature can rise, there is a sharp pain in the furuncle. The final stage of the stage is an independent or forced opening of the capsule with pus, when the rod comes to the surface.
- Healing is the most positive stage, during which the pain subsides, the skin acquires a natural color, and the edema decreases until it disappears completely. At the site of the furuncle dissection, a different hem is formed.
Ointments from boils can be used virtually at any stage of the inflammatory process. However, at each stage the ointment corresponding to the given period is appointed or nominated.
So, at the first stage ointment, which action is directed on stimulation of maturation of a furuncle and its opening is useful.
At the second stage, the ointment from the boils, which draws pus from the cavity, will be appropriate.
In the third stage, healing ointments are used, which accelerate the regeneration of deep and superficial tissues.
[1],
Release form
Modern medicine has a large number of external medicinal products that help in the fight against boils. Each drug is effective at a certain stage in the course of the inflammatory process.
Differs ointments from boils and the localization of the inflamed element. For example, if the furuncle is formed in the mucosal area (for example, in the nasal cavity or on the genitals), then the ointment should be as aggressive as possible so as not to irritate the mucosa. These ointments include shintomycin and heparin ointments: these drugs activate the "ripening" of the abscess and easily remove purulent contents, preventing its further spread.
Ointment that draws pus from the boil :
- Ichthyol ointment is one of the most effective ointments from boils, as it is both an antiseptic and a disinfectant. The only drawback of ichthyol ointment is its odor, so not all patients agree to treatment with this drug. Ichthyol ointment has practically no adverse effects and, when the dosage is taken, is not accompanied by negative symptoms.
- Heparin ointment when applied to the furuncle area allows to expand the surface vessels, which leads to optimal absorption of other active components of the preparation. In addition to the vasodilator effect, heparin ointment effectively removes pain, serves as an antiseptic, has antibacterial and anti-inflammatory components.
- Ointment Vishnevsky from furuncles has been used for many decades. This drug is still topical: it is inexpensive and at the same time very effective. The action of the ointment is based on the stimulation of local metabolism due to locally irritating components. As a consequence, the boil for a short time ripens and opens with the removal of pathological contents out. The use of the ointment does not end there: it continues to be applied to the wound to completely stop the inflammatory process and cleanse the wound surface of dead tissue particles. In most cases, when using Vishnevsky ointment, the furuncle is opened and heals within 2-3 days.
Ointment from boils with antibiotic:
- Synthomycin ointment has in its composition chloramphenicol - an antibiotic of a wide range of antibacterial activity. Ointment is used to treat boils several times a day. The drug is not suitable for long-term use, as microbes can develop resistance to the drug.
- Tetracycline ointment is a popular budget drug that is often prescribed by doctors to get rid of boils. Tetracycline - an antibiotic - destroys the growth and development of pathogens, destroying their cells. Ointment is applied under the bandage for several hours. It is preferable to do dressings every 6-8 hours.
- Oflokain - a universal ointment from boils on the face and other parts of the body. Oflokain is characterized by high-quality antimicrobial, anti-edematous and analgesic ability. The main component of this ointment from furuncles is the antibiotic ofloxacin, which stops the reproduction of bacteria and inhibits the further development of the inflammatory reaction. An additional ingredient in the ointment is lidocaine, a known anesthetic. Lidocaine almost instantly alleviates pain, improving the general condition of the patient. Ointment can be used several times a day, as needed.
- Bactroban is an ointment from furuncles in the nose and not only. Bactroban is effective and safe, it is prescribed for adults and children, in view of the absence of significant contraindications and side effects. The main ingredient of the ointment is mupirocin, an antimicrobial agent that has a harmful effect on the pathogenic microflora. Ointment from furuncles is usually distributed over the affected surface with a small layer, then covered with a bandage.
Ointment for resorption of boils (healing ointment):
- Zinc ointment is represented by such components as zinc oxide and petroleum jelly. The main effect of zinc ointment is dying, anti-inflammatory and antiseptic. In addition, the ointment is inherent and hygroscopic property, which allows you to accelerate the healing process and restore the skin. Zinc ointment is safe: it can be used without restriction to get rid of furuncles in childhood and during pregnancy.
- Sulfur ointment is a local dermatological agent with antimicrobial and antiparasitic action. When applying sulfuric ointment to the wound, formed after the opening of the boil, complex compounds with antiseptic properties are formed. Ointment can be used for all patients, starting from the age of 3 years. The drug is not used on mucous membranes.
In addition to these, there are other equally effective ointments from boils. For example, wounds heal qualitatively and restore the skin such ointments from boils as Gentaksan, Bepanten, Solcoseryl, Baneoocin, Dexpanthenol, Pantoderm, Eplan. To find the most suitable preparation, it is recommended to consult a doctor.
Treatment of a furuncle with ointment Levomekol
Levomekol ointment is most in demand as a remedy for the treatment of furuncles. Active ingredients of the ointment are methyluracil and chloramphenicol - substances that help stop the inflammation and repair tissues.
Ointment from furuncles Levomecol is used as follows:
- Process the place of the boil with a solution of hydrogen peroxide, chlorhexidine solution or ordinary vodka.
- Apply a sufficient layer of ointment to the boil, put a bandage or a piece of gauze folded several times on top. Secure with a bandage band or band-aid.
- The dressing is changed 2-3 times a day, until the abscess is opened and the purulent contents come out. After that, the wound is treated with a solution of hydrogen peroxide and again a bandage with Levomekol ointment is applied.
Optimal use of ointment from boils Levomecol no more than 4 days.
Pharmacodynamics
Pharmacological properties of ointments from boils are very different: this is what makes it possible to apply them at different stages of the inflammatory process. However, there are ointments that can be used at virtually any stage: such, for example, is the famous liniment of Vishnevsky. The preparation is unique, first of all, its composition, which is represented by birch tar, castor oil, xerobe and bismuth tribromophenolate.
Liniment is considered an excellent antiseptic, which softens inflamed tissues, penetrates deep layers and exerts a curative effect both from the outside and from the inside.
Ointment Vishnevsky helps in the treatment of purulent and erosive surfaces: it disinfects, wounds, promotes active regeneration of tissues, even in neglected cases.
Pharmacokinetics
Kinetic features of ointments from boils are rarely described, since such medicines do not have a systemic effect and are used exclusively locally.
Most of the active components of ointments from boils exerts a local effect, directly affecting the inflammatory focus. Due to this, further development of the inflammatory reaction is blocked, the temperature goes down, swelling and redness.
If a part of the substances penetrates into the systemic bloodstream through damaged skin, then this amount of the drug is not considered clinically significant and can not exert a pronounced systemic effect.
Dosing and administration
As a rule, ointments from furuncles are applied under a bandage or gauze napkin, always for the night. The dressing should be changed periodically and daily, achieving full healing of the boil (about 4 days). If necessary, with insufficient purification of the wound from purulent and necrotic elements, treatment is continued.
Read also:
Use of the ointments from boils during pregnancy
To get rid of boils during pregnancy it is allowed to use such drugs as Levomecol and Vishnevsky ointment. However, these medications should only be prescribed by a doctor.
The rest of the drugs can only be used after a careful assessment of the possible benefits and risks to the growing fetus, regardless of whether the drug penetrates the systemic circulation.
Without the doctor's appointment, any medicinal products, including external ones, are prohibited during pregnancy.
Contraindications
Ointments from furuncles can not be prescribed:
- with increased sensitivity of the body to the ingredients of the ointment;
- with psoriasis, eczema;
- with fungal skin lesions (concerns antibacterial ointments).
With caution appoint ointments from boils to pregnant and lactating women, since the effect of such drugs on the development of the fetus is not fully understood.
Side effects of the ointments from boils
During treatment with ointments from boils, allergic processes may occur, which manifest themselves as:
- skin rash;
- itching sensations;
- burning sensations;
- increased edema;
- redness of the skin;
- angioedema;
- allergic urticaria, dermatitis;
- deterioration of the general condition.
In these cases it is necessary to suspend the use of the ointment and consult with the treating doctor.
[12]
Overdose
Overdosing with ointments from boils may be accompanied by increased side effects. Long-term (more than 5 days) use of Levomecol ointment can lead to sensitization processes, which are expressed in the appearance of hypersensitivity in subsequent use of this medication.
The duration of treatment with ointments from boils should be agreed with the doctor. To make their own adjustments to the prescribed treatment scheme by the doctor is by no means possible.
Storage conditions
Ointments from boils are stored in most cases in the refrigerator, however, these preparations can not be frozen in any case. The ointments are assigned a special shelf, where they can not be reached by children. Preparations should be tightly sealed to avoid getting to food.
Be sure to read the instructions for the specific preparation: some ointments (for example, Levomekol) can be stored at normal room temperature, in dark places.
Attention!
To simplify the perception of information, this instruction for use of the drug "Treatment of boils with ointments: with antibiotic, pulling pus" translated and presented in a special form on the basis of the official instructions for medical use of the drug. Before use read the annotation that came directly to medicines.
Description provided for informational purposes and is not a guide to self-healing. The need for this drug, the purpose of the treatment regimen, methods and dose of the drug is determined solely by the attending physician. Self-medication is dangerous for your health.