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Ointment from demodicosis
Last reviewed: 23.04.2024
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Ointment from demodicosis is a medicine that allows to quickly and effectively cure skin disease. Let's consider the main indications for the use of ointment, the most effective preparations for demodectic and the peculiarities of their use.
Ointment from demodicosis is used to control the microscopic tick demodex, which parasitizes on the skin of a person, affects the hair bulbs of the eyelid and head. Many people suffer from demodicosis, for many skin lesions they become a real tragedy. Constant itching and flaking, the appearance of ulcers, acne and rash - these are the causes of not only a bad mood, but also a nervous breakdown and severe stress. Treatment of demodecosis with ointments and other medicines is labor-intensive and time-consuming. Laying, which is laid by the female demodex tick, passes the development cycle in 25 days, so the minimum course of ointment application from demodicosis is from 30 days to one year. The duration and effectiveness of treatment depend on the neglect of the disease and the overall clinical picture.
The appearance of demodicosis can be caused by diseases of the endocrine and immune system. Therefore, the medicines used to control the skin mite should be comprehensive, both for internal and external use. The effectiveness of ointment from demodicosis depends on the clinical form of the disease, that is, on the prevalence of certain symptoms. A drug that helps with one of the forms of demodecosis will be ineffective in another form. Let's look at the basic forms of demodicosis:
- Erythematous (rozatseapodobnaya) - skin lesions are similar to vascular neurosis, which has arisen under the influence of fungal and bacterial microflora. The mites demodex aggravates the course of the disease, causing severe redness of the skin and acne.
- Pustular - the patient has acne with a predominance of pustular form.
- Papular - on the face and body appear papules, with a diameter of 0.5 to 4 mm, pink or bright red.
- Combined - on the skin there are all kinds of rashes, characteristic of all forms of the disease.
Very often, improper drug treatment of demodicosis does not give the expected results or leads to relapse of the disease. If the disease has a neglected form and large lesions of the skin, then, most likely, there are concomitant complicating lesions of the skin. In this case, for the treatment of demodicosis, not only ointments, but antibacterial and antihistamines are prescribed to suppress allergic reactions from topical agents.
The main difficulty of demodicosis treatment is directly related to the peculiarities of the structure of the mite cover. Because of this many ointments from demodicosis do not give a therapeutic result. The basis of therapy is a long course of treatment with the selection of effective drugs. All funds are selected based on the diagnosis of the disease and the manifestation of symptoms.
Indications for the use of ointment from demodicosis
Indications for the use of ointment from demodicosis - a lesion of the skin of the face and body with the tick of the acorn gland. The main symptomatology of the disease requiring treatment is manifested as fatigue, puffiness and itching of the eyelids and eyes, hyperemia of the eyelid edges, plaque on the edge of the eyelids and the appearance of scales at the roots of the eyelashes. In the anamnesis demodicosis provokes frequent barley, recurrent acne, loss of eyelashes and psoriasis. Consider the indications for the use of ointment from demodicosis on the example of the two most effective medicines:
- Sulfuric ointment
The use of ointment is due to the fact that the preparation has high antiparasitic properties. Ointment is applied to problem areas or to the entire surface of the skin, usually at night. In this case, the ointment should be applied in a thick layer, regularly changing bed linens and clothes, as the skin will be strongly peeled off, and parasites will die with it. The main indications for the use of ointment: all forms of demodicosis, acne, lichen, psoriasis, fungus, seborrhea, acne.
- Benzyl benzoate
Ointment is used to treat all forms of demodectic, pink acne, seborrhea pediculosis. The drug is effective in the treatment of demodicosis, which is complicated by a secondary bacterial infection.
Form of issue
The form of release of drugs from demodicosis is diverse. For the treatment of skin lesions can be used ointments, creams, pills, talkers, solutions, gels, powders. Let's consider the main forms of release of drugs from demodicosis, their advantages and disadvantages.
- Ointment
Ointment from demodectic is a means of topical application. The effectiveness of external therapy depends on the nature of demodecosis, its shape, localization and depth of skin lesions. Do not forget about the pharmacological features of the ointment, because this affects the principle of its action, and hence the result of treatment. Before applying the ointment to the skin, the affected area should be cleaned. The composition of the ointment can include both one and several active substances mixed with an ointment base, which is chemically neutral, does not cause irritation and does not change under the influence of body temperature.
- Powders
Such preparations from demodicosis consist of powdery substances, which must be applied to the affected area of the skin with a thin layer. The peculiarity of the powder is that it degreases and dries the skin, cools it and contributes to the narrowing of the vessels. Due to this, skin hyperemia, swelling, itching and sensations of heat decrease. But when the wounds are wet, the powder is not used. Because of the mixing with the exudate, they form crusts, which increase the inflammation and irritation of the skin.
- Gadgets
Lotion from demodicosis is used as an anti-inflammatory, disinfectant and astringent. Preparations are used only in the cooled form. The solution is moistened with a gauze dressing or a napkin and applied to the affected area of the skin. Change such compresses as they dry out, approximately every 10-15 minutes, for 1-2 hours.
- Chatterboxes
Shaken mixtures from demodicosis may be oily or aqueous. In its structure, these powders, diluted with water and glycerin, so after application to the skin do not crumble. After the evaporation of water, a thin uniform layer of the active substance of the preparation remains on the skin, which has an anti-inflammatory effect and dries the skin.
- Cream
Cream from demodicosis is prescribed to patients with dry skin due to a decrease in its elasticity and inflammatory processes. The cream is well absorbed into the skin, penetrating into its deep layers, has an anti-inflammatory effect and destroys the cause of demodectic infection.
- Pills
Tablets from demodicosis is another form of release of medicines that are used to treat skin diseases. But the pills are ineffective, since the demodex parasite very quickly adapts to the chemicals that make up the drug. That is, the use of tablets does not give a visible result, but it harms the body, affecting vital organs and systems. Some tablets cause allergic reactions and other uncontrolled effects.
Pharmacodynamics of ointment from demodicosis
Pharmacodynamics ointments from demodicosis - these are the processes that occur with the drug after application to the skin. Consider the pharmacodynamics of ointment from demodicosis using the example of two popular drugs.
- Ichthyol ointment
After application to the skin, the ointment has a pronounced analgesic, antiseptic and anti-inflammatory effect. The drug is not absorbed into the systemic bloodstream, but quickly infects the parasite mite, causing its death.
- Zinc ointment
Means with anti-inflammatory effect. After application to the skin, the ointment has an astringent and antiseptic effect, dries the wounds and has absorbent properties. The drug accelerates the process of regeneration of damaged skin tissues, forms a protective barrier and protects from irritating factors.
Pharmacokinetics of ointment from demodicosis
Pharmacodynamics ointment from demodecosis is the process of absorption, distribution and excretion of the drug. After application to the skin, the ointment significantly reduces painful symptoms, itching, flaking, dryness and burning of the skin. Effective ointments from demodicosis penetrate into the deeper layers of the skin and through the armor of the tick. This leads to paralysis and death of the parasite.
Ointment from demodecosis has an antimicrobial effect, it is well absorbed and distributed. The drug has an analgesic effect. To achieve a positive drug effect, ointment should be applied to the skin with a thin layer. The frequency of application is from 2 to 4 times a day. The peculiarity of the ointment is that it does not penetrate the systemic bloodstream, but is excreted by sweat glands in the form of sweat.
Names of ointments from demodicosis
The name of ointments from demodicosis should be known to everyone who has encountered a similar kind of skin disease. Before proceeding with the description of ointments, let's consider what demodecosis is. Demodectic is a skin disease that appears due to infection with the demodex mite. When demodectic skin is most affected skin nasolabial folds, chin and eyelids. The patient has papules, otreubled scaling and pustules. All medications from demodicosis (acaricides) have a common mechanism of action - killing demodex mites. Effects on ticks can be systemic, taking medications inside or applying to affected areas of the skin.
The most famous and popular names for ointments from demodicosis: Benzyl benzoate, Ichthyol ointment, Sulfur ointment, Zinc paste, Metrogil-jelly, Tar ointment. All ointments are antiparasitic agents, which include substances that cause paralysis of the tick and its death. Given the cycle of tick development, demodicosis ointment is used for 4 to 6 weeks.
Consider the names of ointments from demodicosis and the principle of their action:
- Benzyl benzoate is a popular remedy for demodicosis, it is available in the form of ointments and emulsions. Despite its effectiveness, ointment can cause side allergic reactions. Duration of treatment and frequency of application are determined individually for each patient, by the attending physician.
- Sulfur ointment - the drug refers to acaricides and is widely used to treat various skin diseases. Ointment has a paralytic effect on the tick, immobilizes it and leads to death. The composition of the ointment includes sulphides, which accelerate the processes of regeneration of damaged skin, restore and heal wounds.
- Ointment Yam is a bactericidal drug, which includes components with acaricidal activity. Ointment is a veterinary drug, but it is also approved for use by people. The only drawback of the ointment is its unpleasant sharp odor and difficulty in flushing.
- Permetrine ointment - the composition of the ointment includes substances of synthetic origin - pyrethroids, which have a minimal molecule size. The advantage of the ointment in its deep penetration into the skin and through the armor of the tick. Due to this, ointment causes death of parasites. The drug has no irritant effect, is low-toxic and does not accumulate in the body. It is more effective than sulfuric ointment.
- Manting - in addition to the above drugs, this cream is used to treat demodectic infections. The preparation contains only natural components that destroy the parasite. Amino acids, vitamins and extracts from medicinal herbs, increase immunity and restore damaged skin after demodecosis.
Serum ointment with demodectic
Sulfur ointment with demodicosis is a popular medicinal product, which encompasses keratolytic and antiparasitic properties. The active substance of the drug is sulfur, auxiliary substances are petrolatum, emulsifier T2 and petroleum jelly. Sulfur ointment belongs to the pharmacotherapeutic group of antiparasitic and antimicrobial agents.
- Indications for use - sulfuric ointment is prescribed for patients with skin diseases. Ointment is effective in the treatment of demodectic, psoriasis, seborrhea, sycosis, mycosis, depriving and even scabies.
- Dosing and Administration - before applying the ointment, the skin should be cleaned. Ointment is applied to the affected skin 2-3 times a day. The thickness of the layer of ointment depends on the frequency of application of the drug and the disease that is to be treated.
- Side effects and contraindications. In rare cases, the ointment causes an increased sensitivity of the skin and allergic reactions. The drug is contraindicated to use with individual intolerance of its components.
- When interacting with other drugs, sulfuric ointment can form new compounds with a very unpredictable effect. Therefore, it is recommended to avoid the simultaneous use of several ointments on one affected area of the skin. Store sulfuric ointment at a temperature of no higher than 25 ° C, but do not allow freezing. Shelf life of the drug is 24 months from the production date indicated on the drug package.
Permetric ointment with demodicosis
Permethometric ointment with demodicosis has medicinal properties for all forms of the disease. The drug is an effective tool for the destruction of various types of ticks. The active substance ointments, pyrethroids - substances of synthetic origin. The peculiarity of permetrine ointment is that unlike other local preparations, its active substances pass through the thick carapace of the tick.
Permetrine ointment from demodecosis has a pharmacological effect, as an insecticidal and acaricidal drug. The active agent ointment - synthetic pyrethroid is active against demodex, scabies mite and a number of other parasitic insects. The mechanism of action of the ointment is the process of destruction of insect nerve cells, which leads to their paralysis. Ointment does not have a toxic effect on the human body.
- Indications for the use of the ointment are based on the action of its active components. Permethrin ointment is used to treat scabies, demodectic and other skin diseases. Ointment is effective for the treatment of skin lesions complicated by secondary flora, with parasites and lice.
- Ointment is used externally, applying a thin layer on the affected areas of the skin. As a rule, the drug is used once, but with demodicosis, several courses of application of the drug are possible. Wash off the ointment is allowed 12 hours after use, completely changing the bed linen and clothes in which the patient was at the time of application.
- The main side effects of the ointment are allergic reactions, burning sensation, itching and numbness at the site of ointment application. In rare cases, ointment from demodicosis causes erythema.
- Permetrine ointment is contraindicated for patients with individual intolerance to the active components of the drug. Ointment is not allowed for use in patients under 3 years of age, during pregnancy and lactation.
- It is not recommended to apply permetrine ointment on the skin at the same time as other drugs. Local application of the ointment does not have symptoms of an overdose.
- The drug is produced in aluminum tubes. Store the ointment should not be longer than 24 months from the production date indicated on the package of the drug, at a temperature of no higher than 25 ° C.
Ointment benzyl benzoate in demodicosis
Ointment benzyl benzoate in demodicosis is a traditional remedy that has proved to be highly effective. The antiparasitic action of the ointment is aimed at destroying demodex (acne) and scabies. The drug is an aggressive for the skin, it breaks the skin's immunity and causes side reactions. As a rule, doctors prescribe other drugs for the treatment of demodicosis, in addition to benzyl benzoate ointment.
- The main indications for the use of ointments are skin lesions by parasites. Ointment is effective against scabies mite, demodex mite. The drug is used for the treatment of pediculosis and other skin diseases. The mechanism of action of benzyl benzoate ointment is based on the fact that after contact of the mite with ointment, the insect dies within 10-40 minutes. The ointment penetrates the armor of the tick, accumulates in the body of the parasite and destroys it. The drug prevents the propagation of pathogenic bacteria and has bacteriostatic properties.
- In the treatment of demodicosis, ointment is applied a thin layer on the skin, avoiding contact with the eyes. The duration of treatment depends on the speed of cleansing the skin, eliminating the main symptoms and appointments of the doctor.
- Ointment benzyl benzoate is contraindicated to use with individual intolerance of the drug components, during pregnancy and lactation, as well as with open wounds and pustular skin pathologies.
- Side effects of the ointment cause skin itching, erythema, dryness, burning. To eliminate side symptoms, you must stop using the ointment and contact your doctor. After the end of the course of treatment, it is recommended to be observed by the doctor for a month to control the skin condition.
Ointment of pits with demodicosis
Ointment Yam in demodicosis is a fungicidal-bactericidal drug. The composition of the ointment includes: acetylsalicylic acid, sulfur, tar, turpentine, petroleum jelly, zinc oxide and other substances. Ointment of Yam is effective against such diseases as: scabies, demodicosis, eczema, dermatitis, trichophytosis and other skin lesions. Active substances of the drug have acaricidal and fungicidal activity, have antiseptic action and astringent properties. Ointment is low in toxicity and does not have an irritating and sensitizing effect.
- The main indications for the use of ointment: the treatment of demodicosis, eczema, dermatitis, trichophytosis and other skin diseases. Ointment is applied a thin layer on the affected area of the skin 1-2 times a day. The duration of therapy is determined by the doctor, but usually from 10 to 14 days. After the first course of administration, the patient is microscopically examined for scrapings from the affected areas. If the tick is detected, then the treatment is repeated.
- Side effects of the drug are manifested in the form of allergic reactions on the skin. Ointment is contraindicated to use with hypersensitivity to the components of the drug.
- During the use of ointment for the treatment of demodicosis, it is necessary to observe the rules of personal hygiene, to regularly change the bed linen and clothes in which the patient is lying when applying the ointment. The drug is produced in glass and plastic tubes.
Ichthyol ointment with demodicosis
Ichthyol ointment with demodicosis is an antiseptic topical preparation. Ointment has anti-inflammatory, antiseptic and analgesic effect. The active substances of the ointment do not penetrate into the systemic blood stream when used locally.
- Ointment is prescribed for the treatment of eczema, burns, neuralgia, joint pain and skin diseases, such as demodectic. Ointment is used externally, apply a thin layer on the skin, but do not rub. After application to the skin, the treated area should be covered with a gauze dressing. The duration of the course of treatment is determined individually for each patient. But, as a rule, with demodicosis, ointment is applied 2-3 times a day.
- Side effects of the drug manifest as allergic reactions to the skin, itching, urticaria, rash. The drug is contraindicated for patients under 12 years of age and with individual intolerance to the components of the ointment.
- Ichthyol ointment is not recommended for use with other topical products in one area of the skin. Since, this will lead to the formation of new compounds and the appearance of uncontrolled side effects. Cases of overdose with ichthyol ointment have not been recorded.
Zinc ointment with demodicosis
Zinc ointment in demodicosis is a means for external use, which consists of two components. The composition of the ointment includes zinc and petroleum jelly. The active substance of the drug is zinc oxide, which has a pronounced anti-inflammatory effect. Zinc ointment has hygroscopic properties, it effectively dries the skin, relieves inflammation and accelerates the regeneration of damaged skin areas.
- Indications for the use of ointment - a wide range of diseases. The drug is used to treat demodicosis, eczema, intertrigo, dermatitis of various etiologies, burns, pressure sores, superficial wounds and acne, ulcerative skin lesions and other skin diseases.
- Ointment is used only externally, applying a thin layer on the affected area of the skin. The duration of application and the frequency of application of the drug to the skin, depend on the symptoms of demodectic disease and the form of the disease. As a rule, the ointment is applied 4-5 times throughout the day. The course of treatment is determined by the attending physician.
- The advantage of zinc ointment is that it does not cause side effects. And the only contraindication to the use of the drug is the individual intolerance of the components of the ointment. That is, zinc ointment can be used during pregnancy and lactation and to treat skin diseases in patients of all ages.
Trihopolovaya ointment from demodecosis
Trihopolovaya ointment from demodicosis - a drug with the active substance metronidazole. Metronidazole is active against anaerobic and aerobic microorganisms. The mechanism of action of the drug is to damage DNA of harmful microorganisms, which leads to their destruction and death.
- The main indications for the use of the drug: infectious skin lesions and diseases caused by microorganisms sensitive to the preparation.
- Tri-ophthalmic ointment is contraindicated to use for the treatment of demodicosis during pregnancy and lactation, as well as for patients younger than 6 years of age and with individual intolerance of the active substances of the drug.
- In case of an overdose, the drug causes skin itching, burning, swelling, redness and other allergic reactions. Abolition of the drug eliminates painful symptoms.
- Trihopolovaya ointment is appointed by the attending physician. Dosage and duration of the course of treatment is selected by the doctor and depends on the form of demodicosis and the manifested symptoms of skin lesion.
Apit ointment from demodicosis
Apit ointment from demodicosis is a drug with alcohol extract of propolis, lanolin and vaseline. Ointment is produced in cans of 40 g with a homogeneous consistency, yellow or gray-yellow color. The drug has anesthetic, anti-inflammatory and antimicrobial properties. The drug accelerates the process of regeneration of damaged tissues.
- The drug is used externally in the form of applications and medicinal dressings. On the affected area of the skin impregnated with ointment wipes. Bandages change 2-3 times a day. The duration of treatment is chosen individually for each patient.
- Ointment Apitus is contraindicated to use when hypersensitivity to the components of the drug. The drug does not cause side effects. Store the medicine in a place protected from sunlight, at a temperature of up to 25 ° C degrees. Shelf life Apit - 24 months from the production date indicated on the package of the preparation.
Dosing and Administration
The way of application and the dose of ointment from demodicosis are selected individually for each patient. The doctor is guided by the form of demodicosis, symptomatic manifestations, the age of the patient and the presence of contraindications. Typically, the ointment is used for a month, this allows you to kill demodex mites throughout the life cycle. Ointment is applied to the skin in a thin layer from 2-4 times, observing the safety rules.
Let's consider a way of application and a dose of ointment from demodicosis on an example of sulfuric ointment. Ointment can be used in two ways:
- Affected skin is treated daily. The ointment is rubbed into the skin, with light massaging movements. The drug is recommended to be applied before going to bed and applied to the skin for 10 minutes. One day after the last application of the ointment, you should take a shower with tar soap, change bed and underwear, outerwear.
- On the first day of treatment, all the affected parts of the body are treated with sulfuric ointment. On the second and third day of therapy, the drug is not used and does not take a shower. On the fourth day, you must take a shower with soap, change your underwear and apply the ointment again. If the ointment was accidentally washed off from the skin, it must be applied again. Due to the keratolytic properties of sulfuric ointment, the active substances quickly penetrate the mite and cause its death, eliminating itching and flaking.
Using ointment from demodicosis during pregnancy
The use of ointment from demodicosis during pregnancy is possible only according to the prescription and permission of the doctor. During pregnancy, every woman pays special attention to her health and the health of the baby's future. But sometimes the expectation of a child overshadows a skin disease, like demodicosis. At the future mum there is an acne eruption, the skin becomes tuberous, starts to be shelled and itch. Demodekoz during pregnancy appears due to a decrease in the protective properties of the immune system. Hormonal changes, psychological stress and frequent mood changes are factors that are the trigger mechanism for the activation of the demodex mite.
A full-fledged treatment for demodicosis during pregnancy is the use of topical agents for application to the affected skin, the administration of antihistamines, antibacterial and immunostimulating drugs. Pregnancy complicates the treatment of demodicosis, since some drugs, including ointments, are contraindicated for pregnant women. In any case, the treatment should be under the supervision of a physician, with strict observance of all its prescriptions.
Ointment from demodicosis during pregnancy is contraindicated in the first trimester. This is due to the fact that during this period the laying and development of all the internal organs of the child takes place. To avoid anomalies in the development of the baby, the expectant mother should give up ointments for the treatment of demodectic, in which there is metronidazole. The substance adversely affects the development of the child and causes a number of side effects.
The use of ointments from demodicosis from the list of contraindicated during pregnancy is possible in the event that the potential benefit to the mother is much higher than the risk for the child. But there are drugs that are safe and are allowed to treat demodectic infections during pregnancy. Women are advised to wash with tar soap. Also, prescribe such ointments as: Zinc ointment, Sulfodekortem, Dardia, Pantoderm, Tanning ointment, Benzene benzoate ointment, Demalan and hydrocortisone-based ointments. You can apply the ointment only after permission of the doctor and familiarize yourself with the instructions of the drug, observing the rules for the use of the drug.
Contraindications to the use of ointment from demodecosis
Contraindications to the use of ointment from demodicosis are indicated in the medication instructions. As a rule, it is contraindicated to use ointment for individual intolerance of the active substances of the drug. Many topical preparations are forbidden to use during pregnancy and lactation and for the treatment of demodicosis in patients under six years of age.
Pustular skin diseases and open wounds are also a contraindication to the use of ointment from demodicosis. Specific information about the contraindications of a drug can be read in his instructions or consult your doctor.
Side effects of ointment from demodicosis
Side effects of ointment from demodicosis occur in isolated cases. As a rule, non-observance of the doctor's recommendations on the use of the drug, which exceeds the recommended course of treatment and frequent application of the ointment on the skin, can cause allergic reactions. The patient develops itchy skin, rash, hives. To eliminate this symptomatology, you must stop using the ointment and seek medical help.
If, when applied to the skin of the face, the ointment has got into the eyes, the eyes should be rinsed and rinsed with drops that will remove inflammation, redness and prevent puffiness. When swallowing ointment from demodicosis, there may be side effects from the gastrointestinal tract. To eliminate side effects of the drug, the patient is lavaged and prescribed to take absorbents.
Overdose
Overdosage of ointment from demodicosis is impossible, since the external agent does not penetrate into the systemic blood stream. But because of prolonged use, ointment can cause allergic reactions and a rash. To eliminate any side symptoms, stop using the ointment and seek medical help.
Interactions of ointment from demodecosis with other drugs
The interaction of ointment from demodicosis with other topical preparations is not desirable. Several ointments are contraindicated to apply to one affected area of the skin. This is due to the fact that each ointment has its own active substances, and the interaction of such substances can lead to the formation of new compounds, the effect of which is unpredictable.
Conditions for storing ointment from demodectic
Conditions for storing ointment from demodicosis comply with the rules for storage of any other topical preparations. The drug should be stored in a dry place, protected from sunlight and inaccessible to children. The temperature of storage of the ointment should not exceed 25 ° C degrees, ointment is contraindicated to be frozen, as this leads to a loss of its medicinal properties.
Shelf life
The expiration date of ointment from demodicosis is indicated on the package of the preparation. Typically, the duration of the ointment is from 24 to 60 months. The shelf life of the drug is affected by the rules for its storage. If the conditions for storing the ointment are violated, it has acquired an unpleasant smell, changed the color or its consistency is broken, then it is forbidden to use the ointment. Since the use of an overdue ointment can lead to uncontrolled adverse reactions.
Ointment from demodicosis is the most popular treatment for this dermatological disease. The advantage of the ointment over other forms of release of drugs is that the drug is applied to the affected areas of the skin, that is, the active substances of the ointment begin to destroy demodex mites from the first seconds. To date, a lot of ointments are presented on the pharmacological market, which differ in their effectiveness and mechanism of action. Means of topical application is prescribed only by the attending physician, indicating the dosage and duration of the course of demodectic treatment.
Attention!
To simplify the perception of information, this instruction for use of the drug "Ointment from demodicosis" 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.