Cream "Ketonal" is a non-steroidal anti-inflammation agent that helps to eliminate a person’s pain after bruises.
In addition, it is used in gynecology and surgery. This quick-acting drug has an analgesic and antipyretic effect. To get a good effect, you need to use it correctly.
Composition, release form
According to the instructions for the cream "Ketonal", the main active ingredient is ketoprofen. It has a clear antipyretic, decongestant, anti-inflammatory and analgesic properties. Tissues are absorbed quickly, the therapeutic effect begins also quickly. The active component in the composition of the cream “Ketonal” relieves pain in twenty minutes. Its effect remains approximately two hours. It affects the focus of inflammation, due to which the painful symptoms are reduced, swelling is eliminated. Auxiliary components are as follows: propylene glycol, propylene glycol glyceryl oleate, methyl parahydroxybenzoate, isopropyl myristate, magnesium sulfate, elfacos, purified water.
Additional substances provide uniform and easy application. Active components, due to this, penetrate deeply, they contribute to the formation of favorable conditions so that the skin can quickly recover. The basis is liquid petroleum jelly. This substance restores the balance of water, softens the epidermis, and protects against the negative effects of environmental factors. The medication is available in tubes of fifty and thirty grams. Reviews about the cream "Ketonal" are in large numbers.
Ketoprofen allows you to:
- eliminate the process of inflammation;
- relieve pain and swelling;
- make anti-platelet aggregation.
Penetrating into the deep skin layers, this substance depresses the components that caused inflammation. Thanks to this, you can eliminate it and get rid of edema.
Drug effect
Under the influence of the active substance, structural and functional changes in the cartilage in the joint occur. This component due to slow absorption in the body does not accumulate, acts locally.
Therapeutic doses of the drug accumulate in muscle tissues, ligaments, synovial fluid and under the skin. The level of active substance in the blood will be small.
To improve the effect of ketoprofen and its accelerated penetration, a little magnesium sulfate, propylene glycol, white petrolatum, isopropyl myristate and other substances are also added to the cream.
Indications
As indicated by the instruction, Ketonal cream is preferably used for inflammatory processes and degenerative changes in the musculoskeletal system. It is used for:
- pseudogout and gout;
- psoriatic and rheumatoid arthritis;
- osteoarthrosis;
- periarthritis;
- spondylitis ankylosing;
- ischalgia;
- neuralgia;
- periarthritis;
- radiculitis;
- sprain of muscles and ligaments;
- myalgia;
- tendonitis;
- bruises and dislocations;
- phlebitis and thrombophlebitis of superficial veins.
Indications for Ketonal cream should be strictly observed.
Contraindications
The drug can be used only after medical advice, since it has a number of contraindications. The presence of chemical components in the cream in some cases makes it not entirely safe. Ketonal cream is prohibited in the following cases:
- if there is excessive sensitivity to the composition of the drug;
- with bronchial asthma;
- during lactation;
- during pregnancy in the third trimester;
- if the patient is less than fifteen years old;
- if the patient has an uncompensated form of heart failure;
- in the presence of eczema, dermatitis, scratches and wounds on the skin, the cream can not be applied.
During the entire therapeutic period and for several weeks after it, it is forbidden to allow ultraviolet rays to enter the skin.
Contraindications Ketonal cream are taken into account when prescribing funds.
Instructions for use
The drug can be used only after a thorough review of the instructions. In the absence of contraindications to the appointment of the cream "Ketonal" you need to apply it as follows:
- before applying, it is necessary to cleanse the skin of impurities;
- a small amount of cream after this must be applied to a painful and inflamed area;
- the cream is rubbed in with massaging light movements;
- the procedure is carried out twice a day;
- the duration of the treatment course is determined by a specialist;
- when used without medical prescription, it should be remembered that the drug is forbidden to be used for more than two weeks.
During treatment, a number of rules must be observed:
- to enhance the effect, you can prescribe a cream at the same time as other similar drugs;
- if one application was missed, there is no need to increase the dosage, and the next time the cream is applied according to the usual scheme;
- getting the drug on the surface of the mucous membranes is prohibited;
- if side effects occur, consult a doctor;
- in order to avoid photosensitivity, the treated area must be protected from sunlight;
- wash hands thoroughly with soap after each use;
- if the drug is used to treat adolescents, it is necessary to prefer a gel base; Ketonal cream is not prescribed for children; all forms are contraindicated in children under 15 years of age.
Specifics of use during pregnancy and lactation
Concerning the use of the drug during gestation and lactation, no studies have been conducted.
Use of the drug is allowed in the first two trimesters, but only if the benefit to the woman significantly exceeds the likelihood of complications in the fetus.
You can not carry out treatment with Ketonal in the third trimester, especially at the end, since it can cause an increase in uterine tone and, accordingly, premature birth.
If it is necessary to use the medicine during lactation, it is necessary to curtail breastfeeding, since the active substance is able to be absorbed into milk and thus get to the baby.
Side effects
During treatment with Ketonal cream, the following adverse reactions may occur:
- Rash, skin itching, burning, the development of mild eczema or dermatitis, photosensitivity, the appearance of blisters in the mouth and lips, necrosis of some areas of the epidermis, fever - in rare cases. Serious complications can also arise in the form of bullous eczema, which tends to spread over the skin surface.
- Hypersensitivity to substances in the composition may be manifested by anaphylaxis and nonspecific type reactions.
- In rare cases, when using the cream, problems appear in the form of anaphylactic shock and angioedema. Similar reactions are characteristic of systemic and local application.
- Due to the rays of the sun after applying the cream, severe contact dermatitis may appear on the skin.
- For a long time, even after a single application, skin sensitivity to ultraviolet appears.
A specialist should be contacted immediately after:
- allergic skin reaction;
- asthma attack;
- hypersensitivity;
- burning, itching, and redness;
- severe skin reaction;
- dryness after long use.
The doctor must always report all side effects.
Drug Interactions and Special Instructions
During treatment, it is necessary to take into account some features of the drug:
- The cream can be combined with other dosage forms of Ketonal.
- During the day, regardless of the form of release of the drug, no more than two hundred milligrams of the substance can be taken.
- Use for occlusive dressings is prohibited.
- There is no information on the effect of the cream on psychomotor reactions and attention.
Cases of drug overdose have not been recorded, since a small amount of the active substance enters the blood plasma, and side effects can ultimately arise as a result of use with similar medications only with prolonged therapy.
It is not recommended to use the drug along with other anti-inflammatory non-steroid drugs. With the simultaneous use of Ketonal cream and acetylsalicylic acid, the binding of the active substance to blood proteins decreases.
You can not use Methotrexate with Ketonal, as this increases the toxicity of the cream. If the patient is taking drugs that contain coumarin and anticoagulants, his condition should be monitored by a specialist. The active substance does not act on other drugs and the features of removing them from the body.
Analogues of Ketonal cream
The drug has several analogues:
- Diclofenac. It can be used for the same pathologies.
- "Indomethacin" is an anti-inflammatory agent. That is why it is used for damage to connective tissue, joints and muscles.
- Nimid gel. Another analogue of Ketonal cream. It shows an excellent effect in the processes of inflammation caused by sprains, various injuries, tissue tears and bruises.
There are also other analogues that make it possible to alleviate the patient's condition with musculoskeletal pathologies.
Reviews
Reviews about the cream "Ketonal" various.
Among its advantages are good absorbency, effectiveness, affordable cost, lack of smell and burning. The cream helps very quickly, the pain goes away in just two days. It copes with muscle sprains. Also, patients like the good composition of the cream.
Negative comments
At the same time, there are reviews that indicate the poor effectiveness of the drug. He did not help many and turned out to be useless, although it was used in accordance with the instructions and recommendations of the doctor. Patients say that the texture of the cream is still soft, it absorbs very quickly. No side effects. But too often to use it is not worth it, as addiction can develop.