The drug "Momederm" is made in the form of ointment, packaged in aluminum tubes with a volume of 15 or 30 grams. The ointment is white in color, its consistency is opaque and dense. The medicine does not have specific aromas. Is Momederm ointment hormonal or not?
What is included in the medication
This is a hormonal drug, so it is dispensed from pharmacies according to the doctor’s prescription. The structure of the drug includes the active substance - mometasone furoate.
Additional components in the composition of the ointment "Momederm" are:
- propylene glycol;
- lanosterol;
- standard;
- glycerol monostearate;
- liquid paraffin;
- lemon acid;
- paraffin.
Pharmacological properties
The trade name for mometasone is Momederm INN. The ointment has antiexudative, as well as antipruritic and vasoconstrictive actions. Momederm contributes to the elimination of dermatological diseases of various origins.
The active ingredient is considered a synthetic glucocorticosteroid. Exudative problems are significantly reduced by a vasoconstrictor effect.
With local use, the bioavailability of mometasone ointment is low - not higher than 0.7%. The absorption of the active substance increases when applying the medicine to impressive areas of the skin.
It is excreted, as a rule, by the kidneys, only a small part of the substance is excreted by bile. The half-life is about five hours, but it can vary from the characteristics of the body or related ailments.
Indications for use of ointment "Momederm"
According to the instructions for use, the drug is prescribed in the presence of the following conditions:
- Atopic dermatitis (a disease that occurs in people with a genetic predisposition to atopy, has a recurring course).
- Psoriasis (a chronic disease, dermatosis, which affects mainly the skin).
- Seborrheic dermatitis (a chronic disease that affects those parts of the epidermis of the head and trunk that have sebaceous glands, yeast-like fungi of the species Malassesia are a source of dermatitis).
- Severe itching.
Price (Mometasone - the active substance) "Momederma" - from 400 to 600 rubles.
In other situations, they try to use the least potent drugs that do not have a large number of adverse reactions and prohibitions.
How to apply the medicine
According to the instructions for the ointment "Momederm" it is known that the medication is used both in the treatment of adults and children from two years old. For young patients, there must be good reason for taking the medicine. In addition, Momederm can be used by other categories of patients, but if indicated.
For adults, the ointment is applied to the damaged skin once a day. Before using the medicine, it is necessary to clean the epidermis of dirt and treat it with an antiseptic. To enhance the pharmacological effect, occlusive dressings can be done at night.
Treating children
In young patients, "Momederm" is used no longer than five days with the use of low concentrations. In babies under two years of age, the medication was not used, because there is no information about the treatment of children of this age.
According to the instructions, Momederm ointment is used in pediatrics in the same way as in adult patients - damaged skin areas are washed well with soap. Next, the drug is applied to the skin.
For the treatment of children, occlusive dressings are not used, the medicine is not used on the face or in the anatomical folds, as well as in places where the dermis is affected. Multiplicity of therapy - once a day and under the supervision of a doctor.
Is Momederm prescribed during pregnancy?
According to the instructions for the ointment "Momederm" it is known that the safety of the drug during the "interesting position" has not been proven. At this time, the drug is prescribed only for medical reasons, if the harm to the child is less than the benefit to the expectant mother.
In addition, it is important to consider that the use of the drug can significantly affect the development of the fetus in the womb, since the active substance has increased permeability through the placenta.
Regarding the use of Momederm during breastfeeding, it is recommended to abandon lactation, since mometasone is excreted in milk and can adversely affect the health of the child. It is necessary to talk about discontinuation of the medicine or termination of breastfeeding with a medical specialist.
Limitations
The following pathological processes are considered contraindications to Momederm ointment:
- Hypersensitivity.
- Periodic dermatitis (a chronic skin disease, the main manifestations of which are foci of inflammation and peeling of the skin around the mouth, in the nasolabial triangle and chin).
- Fungal lesions of the skin.
- Tuberculosis of the skin (a serious infectious disease with a long course with frequent relapses due to the colonization of the skin and subcutaneous tissue with mycobacterium tuberculosis).
- Impetigo (contagious infectious disease caused by staphylococci and streptococci).
- Ordinary acne (an inflammatory lesion of the skin that provokes changes in the sebaceous glands and their excretory ducts with the involvement of hair follicles).
- Anal itching.
- Rosacea (a chronic disease of the skin of the face, which is characterized by hyperemia, as well as the expansion of small and superficial capillaries of the skin of the face, the formation of papules, pustules and edema).
- Herpes simplex (a viral disease with a characteristic rash of grouped vesicles on the skin and mucous membranes).
- Diaper dermatitis (inflammation of sensitive baby skin that occurs under the influence of external irritating factors).
- Syphilis (a chronic systemic sexually transmitted infection with damage to the skin, mucous membranes, internal organs, bones).
- Viral lesions of the skin with chickenpox.
- Herpes zoster (a viral disease characterized by a rash with watery blisters in a localized area, accompanied by acute pain and skin itching).
In addition, it is necessary to carefully use at the age of two years, during the "interesting situation", as well as in acute diseases of the kidneys and liver.
What adverse reactions does the drug cause?
According to the instructions, Momederm ointment is able to provoke the appearance of the following negative symptoms:
- Paresthesia (one of the types of sensitivity disorder, characterized by spontaneously arising sensations of burning, tingling, crawling ants).
- Burning.
- Tingling.
- Sweating (skin irritation that develops due to increased sweating and delayed evaporation of sweat).
- Itching.
- Striae (a skin defect in the form of linear stripes localized in places of greatest stretch of the skin).
- Alopecia (pathological hair loss, which leads to their partial or complete elimination in certain areas of the head or body).
- Hypertrichosis (excessive local or general growth of dark and long hair in any parts of the body).
- Depigmentation or hyperpigmentation of the skin (diffuse or focal deposition of pigment in the skin, which leads to a darkening of the color of the entire surface of the body or individual skin areas).
- Contact dermatitis (a generic term for a group of acute and chronic pathologies arising from direct contact of the skin with substances that have an irritating effect).
- Poststeroidal purpura (small spotted capillary hemorrhage in the skin, under the skin or mucous membranes).
- Acne.
- Folliculitis (an infectious disease characterized by purulent inflammation that affects the hair follicles of the middle and deep sections).
- Atrophy of the subcutaneous tissue and skin (irreversible disorders in the anatomical structure of the skin, which are characterized by a decrease in its volume, as well as qualitative changes in the cellular and intercellular composition of the tissue).
- Perioral dermatitis (inflammatory lesion of the skin around the oral cavity, which is accompanied by hyperemia, swelling and a rash in the form of papules).
- Teleangiectasia (persistent expansion of small vessels of the skin of non-inflammatory nature, manifested by spider veins or nets).
- Secondary infection.
- Swelling of the tissues.
- Arterial hypertension (a disease characterized by high blood pressure).
- Hyperglycemia (a clinical symptom indicating an increase in serum glucose compared to normal).
- Glucosuria (a pathological condition in which the main sign is the release of a large amount of glucose with urine).
- Cushing's syndrome (diseases in which there is a prolonged chronic effect on the body of an increased amount of hormones in the adrenal cortex).
- Decreased resistance to infections.
- Suppression of adrenal gland function.
- Menstrual irregularities.
- Growth and development retardation in children.
It must be borne in mind that the ratio of the weight and surface of the skin in children is greater than in adults, and therefore the likelihood of adverse reactions increases significantly.
Analogs
Momederm has a number of substitute drugs, for example, ointments:
- Mometasone - the price is 250 rubles.
- "Gistan N" - 150 rubles.
- "Momat" - the cost is from 180 to 600 rubles.
- "Nazonex" - price - from 700 to 800 rubles.
- "Elokom" - the cost ranges from 70 to 200 rubles.
- "Uniderm" - the price is from 130 to 180 rubles.
- Avecort - 210 rubles.
- "Betazone" - the cost varies from 100 to 170 rubles.
- "Flucinar" - the price ranges from 210 to 360 rubles.
- "Celestoderm" - the cost is from 230 to 700 rubles.
- "Kutivate" - the price varies from 300 to 400 rubles.
- "Advantan" - from 500 to 1300 rubles.
- "Betamethasone" - from 100 to 160 rubles.
- Beloderm - the cost ranges from 200 to 500 rubles.
If the patient for some reason decided to change the drug, then he should consult a doctor to exclude contraindications.
Features
With the development of negative signs, the drug must be gradually withdrawn. In parallel, symptomatic treatment is performed. Momederm is not applied to large areas of the skin to avoid overdose. The drug is not recommended for use:
- Children under two years old.
- On the face of children.
- With occlusive dressings in children.
- With damage to the epidermis at the treatment site.
- Long time.
- On the skin folds in children.
In the treatment of small patients, the minimum dosage is used, which brings a pharmacological effect and eliminates unpleasant symptoms. Prolonged use of the medication can affect the development and growth of the child. "Momederm" is not applied under the diaper. There is no evidence of the use of the drug for more than six weeks.
The medication does not have any effect on the management of complex mechanisms and driving a car. Abrupt cessation of therapy is possible only with the approval of a doctor. In an unpleasant situation, it is better to carry out a gradual cancellation, even after treatment.
With abrupt cancellation, there is a likelihood of a recoil syndrome, which is manifested by severe hyperemia of the skin, pain, as well as tingling and burning in the area of application. The dosage of the drug should be gradually reduced, and the intervals between applications should be increased.
If an infection occurs, then you need to use antibacterial or antiviral drugs at the same time as Momederm. The medicine is not used in ophthalmology. It is not recommended to apply ointment in the eye, wounds or mucous membranes.
When eliminating psoriasis, it is important to be very careful in using Momederm, since there is a likelihood of drug resistance, and therefore the disease can recur. In addition, generalized pustular psoriasis and toxic effects, which are provoked by a violation of the surface of the skin, may appear. Corticosteroids can change the development of a number of diseases, and therefore, making the right diagnosis can be difficult.
Interaction with other medicines
Compatibility with other medicines with local use has not been established. But it must be borne in mind that vaccination is not recommended during therapy with cream with mometasone.
In addition, the drug can increase the effect of drugs that suppress the immune response, and weaken the effect of immuno-boosting drugs.
Opinions
Reviews about the ointment "Momederm" are usually positive. However, most people who used the drug mention the occurrence of allergic manifestations in the form of burning sensation, hyperemia, rashes. In rare situations, the medication provoked the return of psoriasis.
The drug also received positive feedback from dermatologists, confirming its increased effectiveness in the elimination of difficult to treat hormonal diseases. In addition, it is known that when patients independently stopped using the Momederm drug sharply, negative side reactions immediately appeared, and in rare situations, unpleasant signs of the disease returned with even greater force.