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Active ingredients
Betamethasone + Gentamicin
Release form
Cream
Composition
Betamethasone dipropionate 640 mcg, which corresponds to the content of betamethasone 500 mcg, gentamicin (in the form of sulfate) 1 mg. Adjuvants: chlorocresol, sodium dihydrogen phosphate monohydrate, phosphoric acid, soft white paraffin, liquid paraffin, macrogol cetostearate, and nasteteteteteteteteretetetereteteteretereteretereteretereteretereteretereteretereteretereteretereteretereteretereteretereteretorate, paraffin, paraffin, soft, white, liquid paraffin. , stearyl alcohol 40%), sodium hydroxide, water.
Pharmacological effect
A drug with antibacterial, anti-inflammatory and anti-allergic effects for external use. Betamethasone has anti-inflammatory, anti-allergic, anti-proliferative and antipruritic action. When applied to the surface of the skin, betamethasone has a quick and strong effect on the inflammation focus, reducing the severity of objective symptoms (erythema, edema, lichenification) and subjective sensations (itching, irritation, pain). Gentamicin has a broad spectrum bactericidal effect on most gram-positive and gram-negative microorganisms, incl. strains of Streptococcus spp. (beta-hemolytic, alpha-hemolytic), Staphylococcus aureus (coagulase-positive, coagulase-negative and some strains producing penicillinase), Proteus spp., Escherichia coli.
Pharmacokinetics
Data on the pharmacokinetics of the drug Belogent not provided.
Indications
Dermatosis, allergic and inflammatory skin diseases in which therapy with topical GCS is effective, and the course of which is complicated by a bacterial infection or there is a risk of its adherence, including: - eczema; - atopic dermatitis; - diffuse neurodermatitis; - contact (in t. professional) dermatitis; - allergic dermatitis; - seborrheic dermatitis; - impetigo; - psoriasis; - lichen planus; - phleboderma; - anogenital itching; - infected dermatitis (for example, developed as a result of an insect bite). name in children from 1 year.
Contraindications
- viral infections of the skin; - skin post-vaccination reactions; - open wounds; - trophic ulcers; - acne vulgaris; - rosacea; - chicken pox; - skin manifestations of syphilis; - skin tuberculosis; - hypersensitivity to betamethasone, gentamicin or to any of the auxiliary components of the drug.
Precautionary measures
Use in childrenBelogent can be administered to children with caution and for the shortest possible time. Do not use the drug in children under bandages and, especially under plasticized diapers, becauseThis increases the absorption of the drug and increases the risk of side effects.
Use during pregnancy and lactation
Use of the drug Belogent in pregnant women is possible only in cases where the intended benefit to the mother exceeds the risk to the fetus. In such cases, the use of the drug should be short and, if possible, be limited to small areas of the skin. During breastfeeding, use of the drug Belogent is possible under strict indications, but the drug should not be applied to the skin of the mammary gland before feeding.
Dosage and administration
The drug is intended only for external use. Cream or ointment for external use is applied to the affected area with a thin layer in an amount necessary to cover the affected surface, 2 times / day, slightly rubbing. On areas with denser skin (for example, elbows, palms and feet), as well as places from which the drug is easily erased, Belogent can be applied more often. The duration of a continuous course of treatment is usually no more than 4 weeks. To prevent a recurrence in the treatment of chronic diseases, therapy should continue for some time after all symptoms have disappeared. Recurrent courses of therapy are possible during the year. The external cream is used for the treatment of acute, in t. h oozing lesions of the skin. The ointment for external use is intended for the treatment of sub-acute and chronic dermatosis, including dry, lichenized and flaky lesions.
Side effects
Side effects are usually mild. Dermatological reactions: rarely - hypersensitivity reactions (itching, burning, hyperemia), acne-like changes, hypopigmentation, striae, skin atrophy, hypertrichosis, telangiectasia. If you develop a hypersensitivity reaction or side reactions, the drug should be canceled.
Overdose
With prolonged continuous use of the drug, especially in children, on large surfaces of the skin, applied to the skin with impaired integrity or when used under an occlusive dressing may develop side effects associated with increased absorption of betamethasone or gentamicin.It should be emphasized that the likelihood of such events is extremely small. Treatment: it is recommended to discontinue the drug and, if necessary, prescribe symptomatic therapy.
Interaction with other drugs
The interaction of the drug Belogent with other drugs is unknown.
special instructions
Not recommended long-term use of the drug on the skin of the face, because rosacea, perioral dermatitis and acne may develop. The drug should not be used in the eye area, due to the likelihood of the drug on the mucous membrane, which may contribute to the development of cataracts, glaucoma, fungal infections of the eye and exacerbation of herpes infection. cavities, inguinal folds, where there is a natural occlusion, are more at risk of developing striae, therefore, the use of the drug in these areas of the skin should be short. ayah of fungal microflora of the skin, you need to use an additional antifungal sredstva.Ispolzovanie in pediatriiBelogent can be used in children with caution and for the shortest period of time. Do not use the drug in children under bandages and, especially under plasticized diapers, because this enhances the absorption of the drug and increases the risk of side effects. Effect on the ability to drive vehicles and control mechanisms There are no data on the adverse effects of the drug on the ability to drive vehicles and mechanisms.