Topical hormone ointment (glucocorticoids) is a common drug for many households. People often have two misunderstandings with glucocorticoids:
The first is “universal medicine”, itching, redness and swelling;
The second is “hormone fear” and resists.
These are wrong, and you need to know these on topical glucocorticoids.
1. Commonly used varieties and intensity
Depending on the variety of hormones and concentrations, topical glucocorticoids can be divided into four categories: ultra -powerful, powerful, medium and weak effects.
Note: The same hormone has different concentrations and different effects.
Pay attention to
Propyate chlorine hexetos (0.02%)
Tomoic acid Beam pine (0.1%)
Jumei Micatson (Jumei His Song) (0.05%)
Harceneid (chlorofluoroson) (0.1%)
Light fluoride (0.2%)
1. Applicable to severe, hypertrophic skin lesions
2. No for <12 -year -old children
3. Not used in the tender part of the skin
4. Should not be used for a long time
5. Do not exceed 50g per week
6. Continuous medication does not exceed 2-3 weeks
Poamenic acid Beckamone (0.025%)
Light fluoride (0.025%)
Tomoic acid Beam pine (0.05%)
Acid Poenisone Dragon (0.5%)
Setramithic acid segemonic acid (0.05%)
T -chlorine Boles Song (0.05%)
Qu Anned (0.025%)
Tanolic acid hydrogenation (1%)
Pine hydrogen acetate hydrogen (0.025%)
Light fluoride (0.01%)
Applicable to light moderate skin lesions
2. Should not be used for a long time
3. Can be continuously applied for 4-6 weeks
4. <12 -year -old children should use continuous use for no more than 2 weeks
Pine acetic acid hydrogenation (1%)
Acetic acid nail Pop (0.025%)
Light fluoride (0.0025%)
Applicable to light moderate skin lesions
2. Suitable for soft skin
3. Suitable for <12 -year -old children
4. Large area can be used in a large area
5. It can be used for a long time if necessary
Second, two more special varieties
Although branate and fluoropicate are powerful hormones, they absorb less throughout the body when topping, which can be used for children.
· Polyticate Fluta Song (concentration 0.05%) can be used for children ≥1 years old and are disabled in infants under 1 year old.
· Micatein (0.1%concentration) Infants and children are used with caution.
Third, the choice of external glucocorticoid varieties
1. Infants, children, and elderly people: It is better to choose weak -effect varieties, and use strong and super -efficient varieties with caution.
2. Women during pregnancy: Women of pregnancy should be used with caution, and weak or medium -effective varieties can be used when they must be used. Disable fluoride -containing varieties (such as fluoride, etc.) in early pregnancy.
3. The tender parts of the skin: face, neck, axillary, groin, inner thighs, and perineum skin are tender parts. The drug absorption rate is high, and powerful varieties should be disabled.
4. Ointment: It is suitable for keratinization, thickness and desquamation skin, especially palms and feet. It is not recommended for non -hypertrophic and keratinized skin lesions on the tender parts such as faces. The baby diaper area is not available.
5. Milk paste, gel, solution agent: suitable for various skin lesions. Gel, washing agent and solution agent are suitable for thick parts of the scalp.
4. You need to be careful when choosing a compound preparation
1. Compound propionic acid chlorine ointment cream: contain vitamin A acid
The drug is used for the treatment of ordinary psoriasis. Vitamin A acid is a kind of teratogenic drug, and women should not be conceived during medication.
2. Compound Dipylisone campaign cream cream: contains two metamorphosis
The medicine should not be used in large areas, and continuously uses no more than 4 weeks. The thin places such as facial, underarms, groin and vulva are continuously used for not more than 2 weeks.
Fifth, the indications and contraindications of external hormones
1. Applicable to: dermatitis eczema skin disease, pimple urticaria, erythema scales skin disease, autoimmune skin disease, etc.
2. Disabled: pus, tinea, shingles, shingles, lees, acne, skin ulcers, etc. It is not suitable for acute urticaria.
6. How to determine the dosage of external hormones
The “fingertips” estimation method can be adopted. The fingertips are squeezed from the standard packaging hose (5 mm caliber) to the amount of ointment of an ointment of an adult’s fingertips (a knuckle length of a fingertips).
A fingertip unit is about 0.5g ointment, which can cover the front and back of the adult’s hand or the double side of the palm.
7. The use period of external glucocorticoids after opening
It should be sealed at room temperature (not frozen) while avoiding direct sunlight.
It must be used in the validity period.
When the ointment appears, if the ointment appears, when the ointment appears, it will appear to be odor, hardened, oil and water separation, flatulence, etc., it is prompted that the ointment has failed, and it should not be used again.
The abandoned ointment should be thrown into the harmful trash bin.
8. Adverse reactions of topical glucocorticoids
It is relatively safe to standardize the use of topical glucocorticoids.
However, long -term or large amounts of external glucocorticoid may induce or aggravate local infection, leading to adverse reactions such as skin atrophy, capillaries dilatation, multi -haired, pigmentation, hormone dependencies and rebounds.
The use of topical glucocorticoids should actively monitor adverse reactions: powerful, super powerful varieties once on a week, 3 to 4 weeks of medium -effective varieties, and 4 to 6 weeks of weak effects.
This article starts from 2021-03-21 Drug Evaluation Center “Regarding external hormonal ointment, you need to know at least 8 points! “
Source: Health Times