The action of the drug for external use "Triderm" is built on the interaction of three main elements: betamethasone, clotrimazole and gentamicin. The use of Triderma for acne in the reviews of many customers is considered justified, but the presence of a glucocorticosteroid in the hormone does not classify the drug as a safe drug taken uncontrollably for cosmetic purposes.
In the classic use case, Triderm is prescribed as a local antifungal, antihistamine and antibacterial agent for dermatitis and some types of allergic irritations.
Release form
The Triderm drug is dispensed from the pharmacy in two forms - in the form of a cream and ointment, sealed in aluminum tubes of 15 g and 30 g each and packed in cardboard boxes with a printed graphic design and with instructions attached.
External characteristics of the finished substance in the tube:
- ointment can vary from transparent white to transparent, with a yellowish tint, color, without the presence of speckled pigments and abrasives. When rubbing, it exhibits a uniform gel consistency;
- white cream without transparency, soft, not spreading, does not contain particles that violate uniformity.
Both substances have the same composition with a similar concentration of leading components and differ only in color, transparency of the substance and auxiliary elements responsible for the concentration of the product.
The composition of the drug
Actively active substances in any form of release of the drug remain the three main elements listed below, in an amount based on 1 g of the finished pharmaceutical product:
- Betamethasone (643 mcg) is an artificial hormone from a series of glucocorticosteroids, responsible for the long-term effect in terms of relieving the following skin painful manifestations: itching, swelling, local inflammation caused by an allergic reaction of the body or dermatitis. The substance suppresses the body's immune response to infectious, fungal and other pathogens of a negative reaction, stopping the effects of their activity visible on the skin.
- Clotrimazole (10 mg) - a substance that destroys the cell body of a fungus that affects smooth sections of the epidermis and skin of the feet. Mushrooms that cause candidiasis are also sensitive to it.
- Gentamicin (1 mg) is a broad-spectrum antibiotic that inhibits bacterial pathogens that provoke a skin reaction of the body.
In addition to the main components, the composition of the ointment contains: white cosmetic petrolatum and paraffin. Saturation with auxiliary elements of the cream is higher. Apart from the already mentioned paraffin and petrolatum, they isolated: phosphoric acid, dihydrogen phosphate dihydrate and sodium hydroxide, macrogol, alcohols - propylene glycol, benzyl, cetostearyl.
Hormones in the Triderm preparation
The only danger of the hormone of the glucocorticosteroid group (betamethasone) present in the substance is that with prolonged use of this synthetic element, the body develops addiction. This explains the negative comments of pharmacologists and dermatologists regarding the use of Triderma against acne. Reviews of experts in this regard are unambiguous: only sharp moments of a skin disease can be removed with ointment or cream. With the excessive use of hormones of this type, even a minor skin lesion that occurs primarily can degenerate into perioral dermatitis, the symptoms of which are much more severe than most known dermatological diseases.
It is advisable to include the Triderm acne drug in a comprehensive treatment, where the action of the hormone will be supported by immunostimulants and antibiotics.
Special conditions
With the surface use of any of the external agents containing gentamicin and betamethasone, the absorption of these substances and their concentration in the blood is equal to what it would be if taken orally. For this reason, applying cream or ointment to people who are allergic to one of these elements is contraindicated.
The larger the area covered by the treatment with Triderm, the more antibiotic and glucocorticosteroid penetrates the circulatory system. The same effect is achieved with long-term dressing. The highest concentration of these substances is obtained by applying the cream on open wounds.
Duration of use
Despite the fact that Triderm cream for acne (doctors' reviews at the end of the article) is freely available, you should not buy it and start using it for self-administration. The dermatologist will prescribe the drug after the examination, and when the test results confirm the need to use such a complex multicomponent substance. The initially described scheme implies, as a rule, a 1-2-week course with applying the ointment locally, to the site of skin lesion.
It is necessary to constantly monitor the dynamics of the spread or decline of inflammation, as the use of "Triderm" from acne on the face. Reviews of experts clearly limit the maximum period for which the effect of the drug should manifest itself - it is 21 days for a mild or moderate degree of illness and 30 days for severe skin lesions. If by the end of this time the situation with the painful state of the epidermis does not improve, the drug should be discontinued, but this should be done gradually, since a sharp decrease in the concentration of the substance in the blood leads to an exacerbation of symptoms.
Application Method
The tool is distributed over the problem area with a thin layer, necessarily with the capture of a clean, undamaged epidermis in order to avoid the spread of the affected area. In the case when it comes to single subcutaneous acne or acne, ointments treat strictly foci of inflammation.
In case of acne or dermatitis, characterized by a rash, the substance is distributed over the entire surface of the skin, where there is a spread of acne. Does Triderm help with occasional, one-time use? The answer is no. Since the composition contains a hormone and an antibiotic, it will be necessary to observe not only the duration of the course by day, but also the time intervals between applications. The only deviation deemed permissible is the transfer of the morning procedure 2-3 hours later. But in this case, the evening application should take place later.
Contraindications
The drug is prohibited for use in children under 2 years of age, except for individual indications in which the attending physician takes responsibility for possible negative consequences. In this case, the ointment is applied in minimal doses, and the duration of the course is limited to one week. Also, only under the responsibility of a dermatologist and accompanied by monitoring tests, Triderm cream for acne (read reviews below) is prescribed to women at any stage of pregnancy.
It is strictly forbidden to treat with the drug if the following diseases are confirmed:
- syphilis;
- tuberculosis;
- herpes infection, regardless of location;
- lichen;
- chickenpox;
- post-vaccination reaction in the form of irritation;
- individual intolerance to one of the components.
The penetration of active substances into the milk of a nursing mother has not yet been confirmed, but since there is no official refutation of this fact, they try not to prescribe the drug during lactation.
Side effects
Departing from the instructions, which in no way regulates the use of this drug as a remedy for acne, we consider the undesirable consequences of real reviews. Cream "Triderm" for acne on the face, with uncontrolled intake or use of the drug over the agreed period, can cause the following negative manifestations:
- itching, increased dryness and peeling of the skin;
- perioral dermatitis;
- acceleration of hair growth;
- the formation of blackheads and comedones;
- stretch marks;
- white depigmented spots on the epidermis;
- hyperhidrosis and rash;
- individual intolerance to the components of the drug.
The last item, according to competent reviews, “Triderm” rarely provokes acne, since the hormone present in the drug stops the external manifestations of allergies.
The consequences of an overdose and their elimination
The most frequent negative effect that ointment-abusing patients have to face is perioral dermatitis - this is also the merit of glucocorticosteroid. The addiction that forms with an excessively long reception of the product forms a closed reaction, manifested in the form of severe itching and peeling of the skin every time the patient makes an attempt to abruptly abandon the drug.
The side effect associated with an overdose is eliminated, only a gradual rejection of the cream with concomitant treatment and periodic testing. Dosage reduction occurs by adding smaller and smaller portions of the ointment to a regular day or night cream until the hormone component is completely abandoned.
Customer reviews
Studying the statistics of positive and negative comments regarding the current topic, it can be noted that with respect to the Triderm, the reviews of patients and doctors differ significantly in the main point, namely, in order to use the drug. So, most women, in spite of the mass of possible unpleasant consequences, keep this cream in the arsenal of cosmetics as an emergency aid from each jumping pimple. Others are not afraid to apply compresses all night, covering large areas of the face with ointment, or even applying the product under decorative cosmetics as a daytime remedy.
More than half of the respondents who have experienced the effects of Triderm ointment from acne in their reviews agree in the following points:
- the drug is ineffective against subcutaneous acne;
- with acne, one 2-week course is not enough;
- the price of the drug is overstated, and the small volume of the tube forces you to buy the drug repeatedly over long courses;
- after mechanical cleaning of the face or squeezing a single pimple, the ointment helps very well and quickly, but not as long-term applications.
It can be concluded that for cosmetic purposes, and specifically, as a remedy for acne, Triderm helps only some patients. However, if the ointment is used as a removal of the consequences - inflammation, fresh scars, damage to the epidermis - the effectiveness of the drug is noted in almost 80% of all cases.
Reviews of specialists
For specialists, Triderm is a preparation of exclusively therapeutic effect without a bias in cosmetology. A dermatologist prescribes a medicine only after a blood examination and taking samples from the surface of the affected skin, and during treatment strictly controls all changes in the indicators of subsequent samples and analyzes.
Only a doctor can correctly calculate the optimal period of use of the drug and stop the side effects that arise in a timely manner, therefore, in every competent review “Triderm” for acne is categorically not recommended for household use.