What medications help with streptoderma?

Only a medical specialist can prescribe medications for the treatment of streptoderma. These can be drugs of both local and systemic action, which is determined by the severity of streptoderma and some features of the course of the disease.

The first stage of treatment is the use of external preparations: they treat the skin, cauterize, lubricate. These can be solutions, ointments, sprays and other external agents.

The second stage is antibiotic therapy. It is not always prescribed and not to everyone, but only if there are indications. Antibiotics should not be taken for prevention.

The third stage - according to indications - consists of prescribing antihistamine, hormonal, and general strengthening treatment. This stage is also not universally used, but may be necessary for some patients.

Adult patients suffering from streptoderma should treat the affected areas with various antiseptics daily. Skin treatment is necessary to stop the proliferation of pathogens, relieve inflammation, and dry out crusts. All this will help the wounds heal faster and prevent further spread of the problem.

If a fluid blister appears on the skin, it is most often treated with an antiseptic, pierced with a sterile needle, the pus is allowed to come out, and then the area is re-treated with an antiseptic. However, not all doctors agree that blisters really need to be pierced: specialists often advise not to touch the element under any circumstances, waiting for it to resolve or dry out on its own. If a crust forms at the site of damage, you cannot get rid of it: you should wait until it falls off on its own. Regular treatment with an antiseptic is also required to speed up the process.

• Fukortsin is a combined antibacterial and antifungal agent. It is applied to the affected areas at least twice a day (optimally three or four times). The product is quite versatile: after it dries on the painful areas, ointments or creams can be applied on top. When applying Fukortsin, the wound may hurt or itch a little, but such sensations pass within a minute.
• Brilliant green solution, or simply, green stuff, is one of the most well-known antiseptics, drying and disinfecting agents. The solution is carefully distributed over the affected areas, slightly affecting healthy tissue areas. The frequency of treatment is twice a day. The drug is safe and can be used to treat streptoderma in adults or children.
• Iodine, or an alcohol solution of potassium iodide, is a no less well-known antimicrobial, locally irritating and distracting external preparation. It can be used twice a day to treat pathological foci. Iodine is not used if the patient has a strong sensitivity to iodine preparations, or in cases where the foci of streptoderma are extensive and spread throughout the body.
• Potassium permanganate, or the well-known solution "manganese" is a very strong oxidizer. Depending on the degree of dilution, potassium permanganate has a tanning, irritating, cauterizing effect. The oxygen released in the process has an antimicrobial and deodorizing effect. A 2-5% solution is usually used to treat wounds with streptoderma. A more concentrated liquid can cause burns.
• Miramistin is an antiseptic with a strong antimicrobial and even antiviral effect. It can stimulate a non-specific immune response, activates immunocytes, which together leads to accelerated wound healing. Miramistin can be used for streptoderma in the form of an ointment or solution. A piece of gauze is moistened with the solution and applied to the affected area, forming a bandage. The ointment is applied several times a day, in a thin layer. It is permissible to alternate applying lotions with a solution and bandages with ointment. Standard treatment is carried out until the skin is completely cleansed.
• Chlorhexidine is an antiseptic and disinfectant solution for local use. It can be used to treat single lesions up to 3 times a day. The average course of treatment is usually 10 days.
• Furacilin is a strong antiseptic that is active against streptococci, staphylococci and other numerous representatives of bacterial flora. Furacilin solution 0.02% is used externally, for wound treatment. Allergic reactions when using the drug are rare.
• Chlorophyllipt is an antiseptic agent that is often used for staphyloderma. This is due to the high activity of the drug against staphylococcal flora. The lesions are treated 2-3 times a day with a 1% solution of Chlorophyllipt. Side effects are rare and are detected in the form of an allergy to the drug.
• Fucidin is a product containing a narrow-target antibiotic, fusidic acid. This component affects Staphylococcus aureus, pyogenic streptococcus, and gram-negative flora. The product is applied three times a day for 10 days in a row.

In case of superficial lesions in adults, it is allowed to use external preparations - ointments and creams for streptoderma, with antibacterial and antiseptic action. We do not recommend trying to choose such a remedy on your own, because it is prescribed only according to indications, and in some cases the wrong drug can only aggravate the problem. It is optimal if the patient goes to a clinic or skin dispensary, where he will undergo a bacteriological analysis of tissues removed from areas damaged by streptoderma. Such an analysis will help to identify the causative agent of streptoderma, assess its sensitivity to antimicrobial drugs. Based on the results of the study, the doctor will be able to choose the most suitable medication for a particular case.

• Levomekol for streptoderma has a pronounced antimicrobial and anti-inflammatory effect, accelerates cleansing and restoration of the skin, eliminates swelling. The ointment is applied under a sterile bandage or gauze, once a day for a week. The only contraindication to the use of the product may be a tendency to allergies to its composition.
• Baneocin is a product for external use that quickly stops the viability of bacteria. The product contains two antibiotics at once, so its effect is powerful and fast. The drug is applied to the affected areas at least two and no more than four times a day, for a week. If streptoderma has spread en masse to large areas of skin, then Baneocin is not used: applying the product in large quantities is prohibited.
• Lassar paste for streptoderma is considered one of the most popular, effective and affordable medications. Lassar paste is nothing more than the well-known zinc-salicylic paste - an antimicrobial, astringent, adsorbent and drying medication. It is used for application to wounds for streptoderma up to three times a day. The total duration of use is from one to three weeks.
• Zinc ointment, zinc paste is usually used in combination with other external agents, since its action alone is not enough to cure streptoderma. Often, crushed Streptocide (tablet) is mixed with zinc paste, after which it is used for application to wounds 4-6 times a day. The duration of treatment with this method is individual for each person and depends on the speed of skin cleansing.
• Syntomycin ointment (another name is chloramphenicol liniment) is a product with a broad antimicrobial and bacteriostatic spectrum of activity. The ointment is applied directly to the affected area. The duration of therapy and frequency of application are determined by the doctor.
• Salicylic ointment – has a pronounced keratolytic, anti-inflammatory and antiseptic effect. The ointment is used as part of a complex treatment for streptoderma in adults, for application to pathological lesions up to three times a day. Avoid contact with eyes.
• Sulfur ointment is another antiseptic that can be used in combination with other external agents. The ointment is used up to three times a day, but the duration of treatment depends on the visible results and individual reaction to the product. Sometimes sulfur ointment can cause an allergy.
• Oxolinic ointment is an external medication with antiviral activity, capable of affecting the influenza and herpes simplex viruses. In case of streptoderma, oxoline will not have a therapeutic effect. However, a cure is possible if streptoderma was diagnosed incorrectly, and in fact the skin lesions were caused by the activation of a herpes infection. The standard 3% agent is applied up to three times a day for two weeks.
• Ichthyol ointment is an affordable remedy with bactericidal, bacteriostatic, anti-inflammatory and analgesic activity. For streptoderma, ichthyol in the form of an ointment is applied up to three times a day, in a thin layer. If an allergy or irritation on the skin occurs, treatment with the ointment is stopped.
• Bactroban is an ointment with a bacteriostatic effect, it blocks the reproduction of pathogenic bacteria. Bactroban is applied to damaged areas up to three times a day, for a course of ten days. In case of severe kidney diseases and hypersensitivity to the composition of the ointment, it should not be used.

Some patients are advised by doctors to make a certain mixture of ointments for streptoderma. For example, you can use the following combinations:

• zinc paste + salicylic ointment + streptocide;
• zinc ointment + penicillin (tablet);
• streptocide ointment + Fenistil gel + Purelan cream.

You can also make your own penicillin ointment for streptoderma. To make it, you need to thoroughly mix penicillin powder (sold in ampoules for injections) with zinc or salicylic-zinc ointment. This mixture is applied to the areas affected by streptoderma three times a day until the skin surface is completely clear.

It is possible to speed up recovery from streptoderma by using antibacterial agents. Of course, they cannot be used without indications. Usually, antibiotics for streptoderma are prescribed for complex, deep and extensive skin lesions, in advanced pathological processes, when the disease becomes chronic.

Most often, antibiotics are used in the form of ointments, and systemic use is a kind of extreme measure if other treatment does not have the desired effect.

• Levomycetin in the form of an ointment exhibits broad antibacterial activity, while not irritating tissues, protects wounds from secondary infection, prevents necrotic changes. The ointment is used two to three times a day, without a bandage, in a thin layer. If the wounds are extensive, the product should be used with caution: it is not recommended to apply more than 25-75 g of the drug at a time. The duration of therapy should not exceed two weeks.
• Erythromycin, erythromycin ointment perfectly relieves inflammation and prevents the reproduction and growth of the pathogen of streptoderma. In addition, the ointment has another important property: it reduces the amount of skin discharge. Erythromycin ointment is applied to the affected areas up to three times a day, for a seven- or ten-day course. The drug cannot be used in case of severe liver pathology, in case of an allergic reaction to the composition of the drug. Erythromycin in tablets is used based on the daily maximum amount of the drug - up to 2 g / day.
• Tetracycline ointment is a popular antibiotic for local use, which is active against many pathogens. Tetracycline has a pronounced bacteriostatic effect: the drug inhibits the vital activity and reproduction of bacteria, acting directly on their cells. The ointment is applied up to twice a day, treating not only the lesion, but also a little healthy tissue. The average duration of therapy can be two or three weeks. If a fungal infection occurs, tetracycline is not used.
• Amoxicillin, Amoxiclav are prescribed in the amount of 2 tablets daily - for example, one tablet in the morning and one in the evening. These drugs are not used for hepatitis, cholestasis, allergies. Let us remind you that systemic use of antibiotics is possible only in extreme cases: taking tablets for prevention or without a doctor's prescription is unacceptable.
• Flemoxin Solutab is a representative of systemic beta-lactam antibiotics, semi-synthetic penicillin. Tablets are taken orally, 500-750 mg twice a day, or 500 mg three times a day. During treatment, the patient may experience nausea, diarrhea, which disappear with the withdrawal of the drug.
• Sumamed (Azithromycin) is a macrolide antibiotic belonging to the azalide category. It should not be prescribed if the patient has had cases of hypersensitivity to azithromycin, erythromycin, or any macrolides. For streptoderma, Sumamed is most often prescribed in the amount of 500 mg once a day, and the treatment lasts for three days. The capsules are taken between meals (food impedes the absorption of the antibiotic).
• Lincomycin is an antibiotic of the lincosamide group, has a bactericidal and bacteriostatic effect. Lincomycin is usually taken between meals, 500 mg three times a day. The duration of treatment is determined by the doctor. The longer the treatment of streptoderma with Lincomycin continues, the higher the likelihood of developing side effects in the form of digestive disorders, changes in liver function, vertigo and tinnitus.
• Amoxil is a combination tablet containing amoxicillin and clavulanic acid. Taking the tablets orally does not have to be associated with food intake. The dosage is adjusted by the doctor on an individual basis.

In some cases, hormonal external agents have to be used to treat streptoderma. They are used in the form of ointments, as prescribed by a doctor, in the following situations:

• if streptoderma in an adult is combined with eczema, allergies, atopic dermatitis;
• if treatment with antibacterial and antiseptic agents causes the patient to develop an allergic process;
• if streptoderma has become chronic;
• if ecthyma vulgaris is diagnosed.

Hormonal ointments should not be used on the face and external genital area, or in cases of extensive pathological lesions.

• Sinaflan is a corticosteroid based on fluocinolone acetonide. It has anti-inflammatory, anti-allergic, antipruritic properties. The use of Sinaflan should be strictly prescribed: without strict indications, such a drug is not prescribed. At the stage of increased activity of the bacterial pathogen, Sinaflan should not be used, as this can aggravate the situation.
• Akriderm is a corticosteroid ointment or cream with pronounced antipruritic, anti-inflammatory, antihistamine properties. For streptoderma, the product is applied to small affected areas of the skin, thinly, almost without rubbing. Do not use a bandage after applying the drug. If Akriderm is supposed to be used in the face area, then do not carry out treatment for more than five days.
• Advantan is an ointment based on methylprednisolone. It is used externally only as prescribed by a medical specialist, once a day.
• Triderm is a combination product, the composition of which is represented by betamethasone dipropionate, gentamicin and clotrimazole. Thus, Triderm simultaneously has both antimicrobial and antifungal effects, cures allergies, stops the development of the inflammatory process. For streptoderma, a small amount of the product is used twice a day. The average duration of use is from two to four weeks. The product cannot be used for a long time, due to the increased likelihood of developing systemic side effects typical of corticosteroids.
• External agents such as Acyclovir or Herpevir are not effective against streptoderma. They are used if the disease was diagnosed incorrectly, and in fact the pathological lesions are caused not by bacteria, but by viruses - for example, the herpes simplex virus. In such a situation, Acyclovir is indeed prescribed, which is thinly applied to the damaged tissue up to 4 times a day, or used in the form of compresses twice a day. With a correct diagnosis, the effectiveness of such treatment will be noticeable after 4 days.
• Streptocide in the form of an ointment is suitable for use in mild and moderate manifestations of streptoderma in adults. The ointment is applied in a thin layer on the affected area of the skin. It can be applied under a bandage. The frequency and duration of use of the ointment is adjusted by the doctor. The development of an allergic reaction during treatment with streptocide is not excluded: in such a case, the ointment is urgently canceled.
• Gioxizone is an external preparation with anti-inflammatory, antimicrobial and antihistamine effects. It copes well even with strong itching sensations, eliminates burning. The ointment is applied in a thin layer to the damaged skin, up to three times a day. Gioxizone is contraindicated in mycosis and viral lesions of the skin.
• Biseptol is a combination antibacterial tablet containing active sulfamethoxazole and trimethoprim. In some cases of streptoderma, a treatment regimen is used that combines taking Biseptol orally and adding crushed tablets to ointments (for example, zinc). Biseptol is taken two tablets in the morning and evening, after meals. Additionally, the affected areas are treated with an ointment to which a crushed Biseptol tablet is mixed. This treatment continues for at least five days, or until the skin is completely cleared.
• Argosulfan is an ointment similar in action to streptocide ointment. Argosulfan contains silver sulfathiazole, which has a broad spectrum of antimicrobial activity against mixed flora. The ointment is not used in case of hypersensitivity to sulfanilamide agents. Adult patients suffering from streptoderma are prescribed the ointment for wound treatment up to three times a day. Most often, the drug is well tolerated by patients.
• Pimafukort is a cream based on natamycin, hydrocortisone and neomycin. The combination of antibiotic and corticosteroid causes anti-inflammatory, antipruritic, bactericidal and fungicidal activity of the drug. Treatment with Pimafukort should not be long-term - no more than two weeks. The affected areas are treated with the product up to 4 times a day. During the first few days of treatment with Pimafukort, exacerbation of streptoderma may be observed, which does not require discontinuation of the drug.
• Tsindol is a dermatoprotective suspension prepared on the basis of glycerin, zinc oxide, talc, starch and ethanol. Tsindol is an excellent antiseptic, tanning and drying agent. In case of streptoderma, it is distributed over the affected area using a tampon, up to three times a day. Allergic reactions to the drug are rare.
• Calamine is a soothing lotion that is sometimes used for streptoderma to reduce itching. The lotion is not suitable for monotherapy and requires additional use of antiseptic and antibacterial medications.
• Polysorb is an enterosorbent agent capable of removing toxic components of exogenous and endogenous etiology from the body, as well as allergens, bacterial endotoxins, and toxic substances that form inside the intestine during the decomposition of protein products. Polysorb can be an excellent addition to the main therapy of streptoderma, but cannot completely replace it. The drug helps to speed up the healing, but only if the disease is adequately treated externally. The daily dose of the drug for adults is 12 g (should be divided into three doses). The suspension is taken orally at least an hour before meals or taking medication. Side effects are rare: constipation may rarely occur.
• Clotrimazole is an antifungal ointment that is not used for true streptoderma because it is inappropriate. Clotrimazole can be re-prescribed if streptoderma was diagnosed incorrectly, but in fact the patient has a fungal skin lesion. The product can also be used when a secondary fungal infection occurs. The ointment is applied up to three times a day until complete healing (approximately 2 weeks).

In some pharmacies, various so-called talkers for external use are specially prepared for patients with streptoderma. Their composition is not always the same: it can include sulfur preparations, methylene blue, Fukortsin, zinc preparations, etc. The effectiveness of such talkers also varies: there are no unambiguous reviews on this matter.

There is no point in using the entire list of existing medications at once in treating streptoderma. Two medications may be quite sufficient to effectively eliminate the problem. The degree of effectiveness should be monitored for five to six days in a row. If there is no improvement, it is better to immediately switch to other, stronger medications.