Regarding external hormone ointment, you need to know at least this 8 o’clock

Topical hormone ointment (glucocorticoids) is a common medicine 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. Common varieties and role 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.

Variety (concentration)

Pay attention

Super powerful

Propioned acid chlorine hexetos (0.02%)

Tomoic acid Beam pine (0.1%)

Jumei Micatson (Hummy Saton) (0.05%)

Harceneid (chlorofluoroson) (0.1%)

Fluoro (0.2%)

1. Suitable for severe, hypertrophic skin lesions

2. Not for <12 -year -old children

3. Not used on the tender part of the skin

4. Should not be used in large areas for a long time

5. Do not exceed 50g of medication per week

6. Continuous medication does not exceed 2-3 weeks

Strong

Poamenic acid Beckamone (0.025%)

Votaticate (0.05%)

Micatein (0.1%)

Easy fluoride (0.025%)

Chloropuson (0.025%)

Tomoic acid Beam pine (0.05%)

Medium -effect

Acid Poenisone Dragon (0.5%)

Cymetonic acid ground (0.05%)

T -d -chlorine doubles (0.05%)

Qu Anned (0.025%)

Disadic acid hydrogenation (1%)

Pine hydrogen acetate (0.025%)

Easy fluorine (0.01%)

Applicable to light moderate skin lesions

2. Should not be used in large areas for a long time

3. Continuous application for 4-6 weeks

4. <12 -year -old children should use continuous use for no more than 2 weeks

Weak effect

Pine acetic acid hydrogenation (1%)

Acetic acid armor nylon (0.025%)

Danaid (0.05%)

Easy fluorine (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

2. Two special varieties

Although branate and fluoropicate are powerful hormones, they absorb less throughout the body when topping, which can be used for children.

· Polyticate Flutakaton (concentration 0.05%) can be used for children ≥1 years old and are disabled in infants below 1.

· Bannate (0.1%) 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 fluorine -containing varieties (such as fluoridic) in early pregnancy.

3. The tender parts of the skin: face, neck, armpit, groin, inner thigh, perineal and other 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 hair.

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 conceive during medication.

2. Compound Dipylisone Camphor cream cream: Contains two metamorea

The medicine should not be used in large areas, and continuously uses no more than 4 weeks, and 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 topical hormones

1. Applicable to: dermatitis eczema skin disease, pimple urticaria, erythema scales skin disease, autoimmune skin disease, etc.

2. Disabled in: pus, lipsticks, tinea, shingles, leesy nose, 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) to the amount of ointment squeezed to an adult’s fingertips (the length of a knuckle of a fingertips).

A fingertip unit is about 0.5g ointment, which can cover the front and back of the adult’s hand or double -side 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, when the ointment, color change, hardening, 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.

8. Adverse reactions of topical glucocorticoids

It is relatively safe to standardize the use of topical glucocorticoids.

However, long -term or large amount of external glucocorticoid may induce or aggravate local infection, leading to adverse reactions such as skin atrophy, capillary dilatation, multi -gross hair, pigmentation, hormone dependence and rebound.

The norms of topical glucocorticoids should actively monitor adverse reactions: powerful, super powerful varieties once on a week, 3 to 4 weeks of China, and 4 to 6 weeks of weak effects.

This article starts from 2021-03-21 Drug Evaluation Center "Regarding external hormone ointment, you need to know at least 8 points!"

Source: Health Times

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