Lorinden C oinment 15g — Made in Poland — Free Delivery

(Lorinden C)
Lorinden C oinment 15g — Made in Poland — Free Delivery
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Jelfa Brand: Jelfa
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Description Lorinden C oinment 15g — Made in Poland — Free Delivery

Pharmacological properties

Pharmacodynamics. The properties of lorinden s ointment are due to the combined action of flumethasone pivalate and clioquinol. flumethasone pivalate is a synthetic corticosteroids with a moderate anti-inflammatory effect. in the case of application in the form of an ointment, it has a local effect of medium intensity. possesses lipophilic properties, easily penetrates into the stratum corneum and exhibits long-term anti-inflammatory, antipruritic and anti-allergic effects. when applied externally, flumethasone pivalate inhibits the formation of prostaglandins and leukotrienes in the skin due to inhibition of the activity of phospholipase a2 and a decrease in the release of arachidonic acid from phospholipids of cell membranes. suppresses phagocytosis, the release of interleukins and other cytokines, the release of histamine and the manifestation of local allergic reactions, reduces proliferative processes. due to the local vasoconstrictor action, it reduces the severity of the exudative reaction. reduces protein synthesis and collagen deposition.
Clioquinol has an antibacterial effect against gram-positive and gram-negative bacteria, as well as a weak antifungal effect.
Pharmacokinetics. Flumethasone pivalate easily penetrates into the stratum corneum, where it accumulates. It is not metabolized in the skin. When applied externally in a small amount, it can enter the body and in this case has a systemic effect. After penetration through the skin, the preparation is metabolized mainly in the liver, excreted in the urine and in small quantities with bile in the form of glucuronide conjugates, as well as unchanged. The absorption of flumethasone pivalate is increased when applied to areas with delicate skin - in the area of ​​folds or the face, on skin with damaged epidermis or inflammatory skin changes. The use of an occlusive dressing, which increases the temperature and humidity of the skin, also increases the absorption of flumethasone pivalate. In addition, absorption is increased with frequent use of the preparation or when applied to large areas of the skin. Absorption through the skin in young people is more intense than in older people.
Clioquinol has a local effect and is practically not absorbed into the bloodstream.

Indications

Local treatment of skin lesions without exudation, complicated by a bacterial infection, which are accompanied by itching and hyperkeratosis: seborrheic dermatitis, atopic dermatitis, allergic contact dermatitis, erythema multiforme, systemic lupus erythematosus, psoriasis, lichen planus.

Application

The preparation is intended for topical use. the ointment is applied in a thin layer to the affected area of ​​the skin 1-2 times a day. treatment should not be carried out continuously for more than 2 weeks. can not be applied on the face for more than 1 week. within a week it is recommended to use no more than 1 tube.
With increased lichenization or excessive hyperkeratosis, it is allowed to use an occlusive dressing, which should be changed every 24 hours.

Contraindications

Hypersensitivity to flumethasone pivalate, other corticosteroids, clioquinol or other components of the ointment. viral (eg chickenpox, herpes simplex), fungal or bacterial (eg tuberculosis) infections of the skin, skin neoplasms, acne and rosacea, perioral and diaper dermatitis, anal itching, itching in the vulva, inflammation or ulcers of varicose veins.
Do not use on large areas of the skin, especially if the integrity of the skin is compromised, for example, in case of burns.

Side effects

On the part of the skin and subcutaneous tissue: acne, post-steroid purpura, inhibition of epidermal growth, atrophy of the subcutaneous tissue, dry skin, burning sensation, irritation, itching, excessive body hair growth or alopecia, skin discoloration or hyperpigmentation, atrophy and skin integrity disorders, telangiectasia , perioral dermatitis, inflammation of the hair follicles, secondary infections. in some cases, there may appear: urticaria, maculopapular rash or exacerbation of existing changes.
From the side of the organ of vision: when applied externally, cataracts or glaucoma can sometimes develop on the skin of the eyelids.
Others: absorption of the active substance into the blood can cause systemic side effects inherent in flumethasone pivalate. They occur mainly in the case of prolonged use of the preparation, when applied to large areas of the skin, under an occlusive dressing or when used in children.
There are systemic side effects of flumethasone pivalate, typical for corticosteroids, including dysfunction of the hypothalamic-pituitary-adrenal system, Cushing's syndrome, inhibition of growth and development in children, hyperglycemia, glucosuria, edema, hypertension, increased sensitivity to infections, decreased immunity; a neurotoxic effect is possible with local application of clioquinol, especially in cases of prolonged use or use under an occlusive dressing.
In persons with individual intolerance to the components of the preparation, hypersensitivity reactions are possible.

Special instructions

Do not use without interruption for more than 2 weeks. with prolonged use on large areas of the skin, the incidence of side effects increases. the use of the preparation should be discontinued immediately if its use leads to itching, dryness or allergic reactions of the skin.
During the external use of flumethasone pivalate, the secretion of ACTH by the pituitary gland may decrease due to inhibition of the pituitary-adrenal connection, the level of cortisol in the blood may decrease, and iatrogenic Cushing's syndrome may develop, which disappears after discontinuation of treatment. In case of an increase in the severity of infection at the site of application of the preparation, additional use of antibacterial, antifungal preparations is necessary. If symptoms of infection persist, the preparation should be discontinued.
Avoid applying the preparation to the eyelids or skin around the eyes in patients with closed-angle and open-angle glaucoma, as well as with cataracts, given the possibility of an increase in the severity of symptoms of the disease.
Avoid contact of the preparation with the eyes and mucous membranes.
On the skin of the face, groin and axillary region, apply only if there is a special need, since there may be an increase in absorption and a high risk of side effects (telangiectasia, perioral dermatitis), even after short-term use.
The use of an ointment under an occlusive dressing should be limited to exceptional situations due to the possibility of atrophy and epidermal defects, superinfection.
The preparation should be used with caution in the presence of atrophy of the subcutaneous tissue, mainly in the elderly.
During the treatment of chronic conditions, such as psoriasis or chronic eczema, the preparation should not be abruptly discontinued. It should be used with caution in patients with psoriasis, since the local use of GCS in this case can lead to relapses of the disease due to the development of tolerance, the risk of spreading pustular psoriasis and systemic toxicity due to skin dysfunction.
Use during pregnancy and lactation. In studies conducted on animals, it was confirmed that GCS have a teratogenic effect even when administered orally in low doses. Teratogenic action is also confirmed with external use of GCS. There have been no controlled studies of the reliability of teratogenic effects with the external use of flumethasone pivalate during pregnancy.
Lorinden C ointment can be used during pregnancy only for a short time, on small areas of the skin and only if, in the opinion of the doctor, the benefit outweighs the risk of use. The use of the preparation in the first trimester of pregnancy is contraindicated.
The degree of excretion of flumethasone pivalate into breast milk when used externally is unknown. When using GCS inside a significant amount of the hormone, which could have an effect on the body of a newborn, was not detected in breast milk. However, it is recommended to use Lorinden C ointment with caution during breastfeeding. In some cases, you can use the preparation for a short time on small areas of the skin. Do not apply Lorinden C ointment to the skin of the mammary glands.
Children. The preparation is not used in children under 12 years of age. For children over the age of 12, the preparation is prescribed with caution. It is allowed to apply the ointment in some cases on small areas of the skin. The preparation should not be applied to the skin of the face.
Children can absorb proportionally more topical corticosteroid and are therefore more susceptible to systemic side effects. This is due to the fact that children have an underdeveloped skin barrier and a larger skin surface in relation to body weight compared to adults.
The ability to influence the reaction rate when driving or working with other mechanisms. The preparation does not limit mental and motor ability, as well as the ability to drive vehicles or other mechanisms.

Interactions

With external use of GCS, interactions with other preparations have not been identified.
During treatment, it is not recommended to vaccinate against smallpox, as well as other types of immunization, especially with prolonged use on large areas of the skin, given the possibility of an insufficient immune response.
Lorinden C ointment can enhance the effect of immunosuppressive preparations and inhibit the effect of immunostimulating preparations.

Overdose

With prolonged use of the preparation on large areas of the skin, overdose symptoms may occur, which are manifested by an increase in the severity of side effects, including edema, burning sensation, irritation, itching, ages, hyperglycemia, decreased resistance to infections), and in severe cases, the development of Cushing's syndrome. it is necessary to gradually stop the use of the preparation in a timely manner or switch to the use of GCS of weak action. symptomatic therapy.

Storage conditions

At a temperature not higher than 25 ° C.

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