Indications
Soderm ointment/cream/emulsion. to reduce the inflammatory manifestations of dermatosis sensitive to corticosteroid therapy, such as eczema (atopic, nummular), contact dermatitis, seborrheic dermatitis, neurodermatitis, photodermatitis, exfoliative dermatitis, stasis dermatitis, radiation dermatitis, intertriginous dermatitis, psoriasis.
Soderm skin solution. Treatment of psoriasis of the scalp, as well as inflammatory, allergic or itching manifestations of non-infectious diseases of the scalp and body, sensitive to potent corticosteroid therapy (initial treatment for severe atopic eczema).
Application
Soderm ointment / cream / emulsion is applied in a thin layer to the affected skin 1-3 times a day, depending on the severity of the disease. in most cases, to achieve the effect, it is enough to apply the preparation 1-2 times a day. the frequency of application of the preparation is determined according to the degree of damage. with a mild degree of damage, the preparation is applied 1 time per day, in case of severe lesions, the frequency of application of the preparation must be increased. do not apply under occlusive dressings, as the side effect of the preparation may increase.
Soderm, skin emulsion, is available in bottles with a dispenser nozzle. Thus, on the scalp, the emulsion can be applied directly to the areas to be treated without wetting the hair completely.
The duration of use in adults should not exceed 3-4 weeks, in children - 2 weeks.
If you experience a feeling of redundancy / insufficiency of the action of the preparation Soderm, you should consult with your doctor.
If the application of Soderm was missed, then the next time it is applied, the dose should not be doubled.
If the use of Soderm is interrupted, symptoms may worsen, in which case you should consult a doctor.
Soderm solution should be used strictly according to the doctor's instructions.
At the beginning of treatment, the treated areas of the skin are moistened with Soderm in the morning and evening.
As soon as the effect of the preparation begins to appear, the number of daily applications can be reduced to 1 time (morning or evening), and later - up to 3-4 times a week.
Soderm is available in containers with a dispenser nozzle. Thus, on the scalp, the solution can be applied through the hair - directly to the treated areas, without completely wetting the hair.
The course of treatment is determined by the attending physician. Duration of treatment - 2-4 weeks.
Soderm is available in bottles with a dispenser nozzle. Thus, on the scalp, it is recommended to apply the solution directly to the skin, without wetting the hair completely.
If the application of Soderm was missed, then the next time Soderm is applied, the dose of the preparation should not be doubled.
With the interruption of the use of the preparation, an exacerbation of symptoms is possible.
If you have any further questions regarding the use of the preparation, you should consult a doctor.
Contraindications
The use of preparations- like other corticosteroids for topical use - is contraindicated in:
- specific skin processes (skin tuberculosis, skin manifestations of syphilis);
- rosacea;
- acne;
- chicken pox;
- reaction to vaccinations;
- Pruritus anogenitalis;
- perioral dermatitis;
- infectious skin diseases caused by the action of viruses, bacteria or fungi;
- hypersensitivity to betamethasone valerate or to any of the components of the preparation.
Side effects
Like all medicines, Soderm can cause side effects, although not everyone gets them. if one of the side effects listed below occurs, stop using the preparation and contact your doctor immediately.
Immune system: hypersensitivity reaction.
Endocrine system: suppression of the hypothalamic-pituitary-adrenal system with the development of secondary adrenal insufficiency, symptoms of hypercortisolism, Itsenk-Cushing's syndrome.
Skin and appendage system: irritation, burning, itching, dry skin, local atrophic changes, i.e. thinning of the skin, the appearance of striae and cracks, folliculitis, hypertrichosis, acne, hypopigmentation, perioral dermatitis, allergic contact dermatitis. When using the preparation for the treatment of children, as well as with prolonged use on large areas of the skin, systemic adverse reactions characteristic of GCS may develop. Adverse reactions may occur more frequently when using an occlusive dressing.
If any of the listed side effects causes significant harm to your health, or you notice any other side effect not listed in this leaflet, you should notify your doctor.
special instructions
Long-term use of the preparation (more than 3-4 weeks), as well as high dosages (application to large areas) and use under occlusive dressings should be avoided. with this use, systemic absorption of betamethasone valerate and hormonal imbalance are possible.
Soderm should be used with caution. Facial skin is especially sensitive. Therefore, in order to prevent the development of changes in the skin of the face, if possible, long-term therapy with the preparation should be avoided.
When using the preparation on the skin around the eyes, do not allow it to get on the mucous membrane of the eyes. Avoid applying the preparation to the eyelids - this can cause glaucoma.
If skin irritation occurs or signs of hypersensitivity appear in connection with the use of Soderm, treatment should be stopped and the patient should be given adequate therapy. If infection is present, appropriate antifungal or antibacterial agents should be given. If at the same time the desired effect does not occur quickly, the use of GCS should be discontinued until the signs of infection are eliminated.
Any side effects that occur with the systemic use of corticosteroids, including suppression of the adrenal cortex, may also occur with their topical use, especially in children.
Systemic absorption of local corticosteroids increases when they are used for a long period, when treating a large body surface, or when using occlusive dressings.
Use during pregnancy and lactation. The safety of topical corticosteroids in pregnant women has not been established. The appointment of these preparations is possible only if the expected benefit to the mother significantly outweighs the potential risk to the fetus. Preparations of this group should not be used in high doses and for a long period.
During pregnancy, it is fundamentally not allowed to use topical corticosteroids in large areas or for a long period due to the possible systemic action of the preparation, since this can lead to dysregulation of the hypothalamic-pituitary system, as well as impaired development and growth of the fetus. When using the preparation at the end of pregnancy, adrenal atrophy may develop in newborns.
Betamethasone passes into breast milk. At present, it is not known whether topical corticosteroids can pass into breast milk due to systemic absorption, therefore, when deciding whether to stop breastfeeding or discontinue the preparation, the importance of treatment for the mother should be taken into account.
Children. Experience with the preparation in children is limited, so long-term use of the preparation in this age group of patients should be avoided, since in this case, even without the use of occlusive dressings, such therapy can lead to increased absorption of corticosteroids through the skin.
Do not use in children under 1 year old. In children over the age of 1 year, the preparation is used once a day for no more than 2 weeks.
The ability to influence the reaction rate when driving vehicles or working with other mechanisms. Does not affect.
Interactions
Not found.
Overdose
The use of high doses or long-term use of topical corticosteroids can cause depression of the pituitary-adrenal function, which leads to secondary adrenal insufficiency and the appearance of hypercortisolism, including Cushing's syndrome. acute symptoms of hypercortisolism are usually reversible. in case of overdose, appropriate symptomatic treatment is indicated. if necessary, carry out a correction of the electrolyte balance. in the case of chronic toxic effects, the gradual abolition of corticosteroids is recommended.
Storage conditions
Soderm solution - at a temperature not exceeding 25 ° C; soderm ointment / cream / emulsion - at a temperature not exceeding 30 ° C. after opening the bottle / tube, the shelf life is 6 months.