Neurodermatitis is an inflammatory lesion of the skin that occurs against a background of nervous shock, constant overload of the body, and chronic stress. Very often, pathology develops in children, adolescents, young patients and occupies about 45% of all visits to a dermatologist.
Neurodermatitis is often mistakenly considered a cosmetic problem, but it is a disease that can cause severe complications. A key aspect of therapy is the use of various external agents. A doctor will help you choose an ointment for the treatment of neurodermatitis.
Types of Neurodermatitis
The remedy can be correctly selected only if a variety of neurodermatitis is correctly diagnosed.
Dermatologists classify it into two main forms characterizing the prevalence of pathology:
- Limited. With this form of neurodermatitis, damage to the skin affects only one area of the skin, has clear boundaries. In this case, the disease is expressed by the appearance of papules that can merge with each other and form plaques.
- Diffuse. With this form of neurodermatitis, several sections of the skin are affected, the border between healthy and affected skin is clear, lichenization (thickening) and a lot of scratching can be observed.
Forms of pathology
In addition, the disease is divided into 5 forms that characterize the course of the pathology:
- Hypertrophic neurodermatitis. It is accompanied by the formation of a wetting area, on which crusts quickly form. Then the skin thickens. Quite often, hypertrophic neurodermatitis is localized in the perineum and inguinal region.
- Psoriasis. This form of pathology is characterized by the appearance of severe dryness of the skin, peeling. A typical localization of such neuroderma is the scalp.
- Linear. It is characterized by the appearance of furrows, the skin begins to peel off, it becomes dry and rough. It is localized, as a rule, in the zone of limbs.
- Recalculating. Against its background, alopecia develops, affects the scalp, limbs, scalp.
- Follicular. It is characterized by the appearance of pointed nodules on the skin. Skin can be affected in any part of the body.
Below we consider ointments for the treatment of neurodermatitis.
Drug therapy
All forms of neurodermatitis have the same genesis and etiology. In this regard, therapy is carried out using several basic preparations of ointment or cream form. Therapy by a dermatologist is selected taking into account the patient's gender, his age, as well as the severity of the pathology and duration.
Currently, clinical practice involves the use of funds for local treatment. The list of ointments for the treatment of neurodermatitis is quite extensive.
Hormone-based drugs
They can be used if the course of the pathology is protracted and severe. Hormonal drugs are effective, but have a wide range of contraindications, in connection with which their appointment should be carried out by a specialist. The most popular drugs are: Hydrocortisone, Predicarb, Prednisolone, Trimestin, Fluorocort, Advantan, Ekolorm.
Very often, people in pharmacies are looking for ointment for the treatment of neurodermatitis on their hands.
Emo tapes
Emollients (means that can moisturize the skin) are used to eliminate the dryness that accompanies linear and psoriasiform neurodermatitis. The main advantage of emollients is the almost complete absence of negative effects. Therefore, they are most often prescribed in the treatment of children. The most popular remedies are: Bepanten, Pantesin, Panthenol.
Non-hormonal ointments for the treatment of neurodermatitis
These include anti-inflammatory ointment preparations. They can be used for the treatment of almost all types of neurodermatitis, if the patient has no contraindications. A good anti-inflammatory effect is exerted by: ichthyol ointment, Radevit, Betasalik.
Wound healing ointments
Wound healing ointments are very effective for the treatment of neurodermatitis. They are recommended for any form of neurodermatitis, but only at a stage not accompanied by acute manifestations. The most popular are: “Videstim”, “Levosin”, “Solcoseryl”.
Antipruritic drugs
A strong sensation of itching accompanies all types of neurodermatitis, so these drugs are often used. The most effective ointments for the treatment of neurodermatitis on the legs are Nezulin, Boromentol, Mesoderm, Gistan N.
Drying preparations
Indicated for use in weeping forms of neurodermatitis (hypertrophic, for example). The skin is effectively dried using "Tsindola", "Desitina", zinc ointment.
Antimicrobials (containing antibiotics)
These drugs are prescribed by a dermatologist if the disease becomes protracted or secondary infection joins the pathology. The most popular: Baneocin, Levomekol, erythromycin ointment.
Ointments for the treatment of neurodermatitis should be selected by a doctor. Self-medication is unacceptable.
Local anesthetics
They are prescribed if the pathology affects large areas of the skin, accompanied by painful sensations. High efficiency is shown by Procaine, Vishnevsky ointment, Anestezin.
Complex preparations
Able to provide several therapeutic effects. Quite often in clinical practice are used: "Fenistil-gel", "Protopic", "Triderm", "Skin-Cap", "Losterin". Complex ointments for the treatment of neurodermatitis on the face and other parts of the body can be used in the treatment of any form of the disease.
It is important to consider that the treatment of severe forms of neurodermatitis involves the use of not only local drugs, but also systemic ones. Doctors recommend taking antihistamines, sedatives, vitamins and enterosorbents. Only complex therapy will get rid of the signs of neuroderma in a short time and prevent relapse of the pathology.
The most effective ointment for the treatment of neurodermatitis
On the neck and other parts of the body, skin irritation causes discomfort. Quite often, patients who get rid of the pathology report that the most effective drugs are those that have a complex effect. Their main advantage is the lack of the need to purchase several products - it is enough to use an ointment several times a day, which acts in several directions at once.
The patients consider the most effective drugs as follows:
- "Losterin." It has a disinfectant, antipruritic, anti-inflammatory effect. It is important not to interrupt the use of this drug for three months. If this condition is met, then about 90% of patients report significant improvements.
- Naftaderm. It is able to reduce inflammation, swelling, itching, accelerate the healing of erosion and ulcers on the skin, has disinfecting properties and effectively eliminates peeling.
- Skin Cap. This ointment preparation is able to have antibacterial, antifungal, anti-inflammatory effects. The effectiveness of Skin-Cap is noted by about 80% of people who use it.
- "Protopic". The drug is able to effectively eliminate swelling, inflammation, reduce the severity of itching.
- Fenistil-gel. In the composition of this drug there is an antihistamine that causes a narrowing of blood vessels at the site of application. As a result, redness, itching, swelling, and pain are reduced. It works quite quickly, which is its advantage.
- Triderm. The effect of the drug develops in a short period of time, the effect is very pronounced. The composition of the medicinal ointment contains three active components that can inhibit the reproduction of bacteria and fungi, reduce the severity of inflammation. The drug should be used with caution, since it is a glucocorticosteroid.
- "Celestoderm." The composition of this drug includes an antibiotic substance and a corticosteroid, due to which its effect is very pronounced. The course of therapy lasts no more than 10 days, and use should be monitored by a doctor.
- Sinaflan. It is capable of exerting an antihistamine and anti-inflammatory effect, relieving the unpleasant symptoms accompanying neurodermatitis, and helping to regenerate the skin.
- Lorinden. It has in its composition an antiseptic and a corticosteroid. Often used for extensive lesions, it prevents the attachment of a secondary infection.
There is no universal remedy that helps all patients. Each drug has its own advantages and disadvantages, so the effectiveness can only be determined by its use.
Rules for using ointment
The necessary therapeutic effect from the use of ointment with neurodermatitis will be achieved only if the patient follows the doctor's recommendations:
- Apply the medicine only on previously cleansed skin.
- Before using the ointment, hands should be thoroughly washed using an antibacterial soap.
- The methods of applying a particular drug are described in the instructions for its use - they should be observed. It is recommended to rub some products into the affected area of the skin, others - evenly distribute without rubbing.
- If you do not need to rub the ointment into the skin, and it is supposed to be uniformly applied, then it is advisable to use a sterile gauze cloth. A small amount of the drug is applied to it, and then applied to the skin. Uniform application can be achieved by blotting movements.
- If the ointment is recommended to be rubbed, then a small amount should be applied to the palm of your hand, and then distributed over the affected surface with gentle movements.
- Unacceptable is an independent increase in the number of medicinal composition, the frequency of its use.
- It is not recommended to arbitrarily increase the course of therapy, in particular this applies to those situations when a drug based on glucocorticosteroids is used.
Subject to the rules described, the therapeutic effect will be maximum and will come as soon as possible.
It is important to remember that neurodermatitis is not only a cosmetic defect, it is a full-fledged disease that requires timely treatment by a specialist and adequate therapy. With untimely and uncontrolled treatment, the course of the pathology can be aggravated, the development of complications is not excluded.
We examined ointments for the treatment of neurodermatitis in adults.