The modern pharmaceutical market is saturated with antibacterial drugs for various purposes. Among them there are medicines for both internal and external use. Forms of release of such drugs can also be very different. It can be tablets, injectable solutions, suspensions, powders. One of the most widely used antibacterial drugs for external use is Baneocin. Powder instructions recommend use in a variety of inflammatory processes in the human body.
The main components and forms of release
The composition of the drug "Baneocin" includes two bactericidal components that have a synergistic effect (the total effect of the action of two or more components, superior to the effectiveness of each component individually) on the focus of the inflammatory process. The first constituent element - zinc bacitracin - belongs to the group of polypeptide antibiotics. The second component - neomycin sulfate - is a representative of the antibiotics of the aminoglycoside group.
This medicine is available in the form of a powder for external use and ointment. In the first case, as an auxiliary element in the Baneocin medication, the composition (powder) contains a powder base. The composition of the ointment includes, in addition to two antibacterial components, additionally lanolin and white soft paraffin.
Pharmacological effects
Each of the constituent elements of the medication has its own sphere of influence. The result of the bactericidal effect of bacitracin is the inhibition of the synthesis of cell membrane components. This component of Baneocin is active against a number of gram-positive and some gram-negative microorganisms, fusobacteria and actinomycetes. Suffice it to say that bacterial strains resistant to bacitracin are rare.
Neomycin, in turn, inhibits protein synthesis in bacterial cells. It is also active against many gram-positive and gram-negative microorganisms.
It is worth saying that the absorbability of the composition applied to the wound is extremely low. For this reason, at the place of application of the drug, its concentration reaches maximum values. In addition to all of the above, it should be noted that the "Baneocin" (powder) instruction allows you to use it on open wound surfaces, because biological materials in the form of blood and purulent masses do not have any effect on the antimicrobial effectiveness of the drug.
In what cases is the use of Baneocin indicated?
The scope of this drug is quite extensive. "Baneocin" (powder), the instructions for use recommend that you use for superficial lesions of skin areas of a small area caused by microorganisms that are sensitive to the medication. These include bacterial lesions of a secondary nature that occur with ulcers, eczema, herpetic infections, chickenpox, and infection of wounds that appear with varicose veins. In addition, this antibacterial agent is effective for superficial infection of the skin (ear piercing, skin transplantation, etc.), in the treatment of post-traumatic infections and infections that penetrate the skin during burns.
The medicine is also widely used in surgery as a component of complex therapy during the postoperative period (including episiotomy - dissection of the perineum and posterior wall of the vagina during complex births), mastitis during drainage.
Children are also often prescribed treatment using the Baneocin medication (powder). Instructions for use for newborn babies recommend this drug for the treatment of bacterial diaper dermatitis, for the prevention of omphalitis (umbilical infection). It will also be quite effective for chickenpox, weeping impetigo, and for the prevention of umbilical hernia.
In addition, the drug “Baneocin” (powder), the instructions for use for older children are recommended for use in diseases such as carbuncles, boils, purulent hydradenitis, paronychia (inflammation of the periungual roller). A good effect can be achieved by treating secondary skin bacterial infections (cuts, abrasions, dermatoses, burns). In patients of all age categories, Baneocin is used only on affected areas of the skin.
In some cases, it is permissible to use a bandage. For example, if Baneocin (powder) for newborn babies will be used in the treatment of poorly healing umbilical wounds, it is quite acceptable to apply a loose bandage to the child’s tummy.
Baneocin powder will be an excellent substitute for brilliant green (the effectiveness of which is much lower) in the treatment of chickenpox. Wet bubbles are sprinkled with powder twice a day until a crust forms. In addition to the bactericidal effect, the drug relieves itching and thus prevents children from combing the vesicles.
Another area in which this drug appears to be very effective is cosmetology. A variety of inflammatory rashes on the face (especially purulent nature), acne lose in the fight against the medication "Baneocin." Powder from acne and other skin problems is quite problematic to use. But the ointment will successfully cope with any rashes on the face.
Contraindications
As with any modern medicine, there are contraindications for the use of the Baneocin medication (powder). Its use is unacceptable if the patient has an increased sensitivity to any of its components, to antibiotics from the aminoglycoside group. Do not use it for lesions of large areas of the skin, because in such cases, resorption (absorption) and the development of an ototoxic effect are possible.
A sufficient reason for refusing to use the Baneocin antibiotic is the presence of severe deviations in the field of cardiology, nephrology, excretory disorders. The drug is not prescribed for those patients who have deviations in the functioning of the cochlear and vestibular systems. If there is a likelihood of developing an uncontrolled process of absorption of the antibiotic, the Baneocin (powder) instruction is also not recommended.
It is unacceptable to inject the drug into the ear canal in cases where the integrity of the eardrum is impaired. Also, "Baneocin" can not be applied to the skin around the eyes. Pregnancy, lactation, all kinds of eye infections are contraindications for the use of this drug.
With great precautions, Baneocin ointment and powder are prescribed for patients with acidosis, suffering from myasthenia gravis or any other abnormalities in the functioning of the nervous and muscular systems. These conditions are considered to be contraindications of a relative nature, since the use of Baneocin is, in principle, permissible, but under the strict control of patients for their well-being. If the health condition worsens, the drug is immediately canceled.
Dosage regimen
"Baneocin" (powder); instructions for use recommends applying 2 to 4 times a day. The course of therapy usually lasts 7 days. Method of application - spraying a thin layer of powder onto the affected area of the skin. If it is necessary to conduct a second course of treatment, the maximum dose of the drug will have to be halved.
If the drug is used for burns, the lesion area of which exceeds 20% of the surface of the whole body, Baneocin can be used no more than 1 time per day (especially if there is a problem of renal dysfunction).
In the case when Baneocin is used to combat rashes on the face, it is applied pointwise to acne or acne. This is done once a day, preferably before bedtime. If the area of skin lesions on the face with acne and blackheads is large enough, then the ointment is applied with a thin layer over the entire affected area. Daily such procedures can be carried out for 1-2 weeks. Next, take a break. Practice shows that usually 2-3 treatments are sufficient to eliminate lesions on the skin of the face. You can also successfully use Baneocin to prevent inflammation on the skin of the face. In the evening, all pimples, blackheads and comedones are squeezed out, and ointment is applied to these places. As a rule, in the morning the skin is smooth and clean, without traces of extruded acne, ulcers.
With regard to the degree of effect of the Baneocin medication (powder), the instructions for use, the reviews of health workers and consumers indicate an increase in the effectiveness of the antibiotic when applying a gauze bandage.
Exceeding the permissible dose: symptoms, treatment
If, for any reason, Baneocin will be used in doses significantly higher than those recommended by the doctor and instructions, then as a result of absorption of the active components of the drug, there is a likelihood of developing nephrotoxic or ototoxic reactions. Patients with trophic ulcers should be especially attentive to their condition. Treatment of overdose conditions is symptomatic therapy.
Feasible side effects
If you use Baneocin medication (powder) for a sufficiently long time for children and adult patients, there is a possibility of developing various allergic manifestations. Those most often when using Baneocin are dry skin, peeling, hyperemia (overflow of blood vessels of the circulatory system of any organ), rash, itching, contact eczema.
If the patient has a significant area of damage to the surface of the body, health workers need to keep in mind that in such patients, as a result of enhanced absorption of the drug, deviations in the functioning of the cochlear and vestibular functions, impaired neuromuscular conduction, and auditory perception can develop.
In addition, the long period of use of Baneocin (both powder and ointment) can cause the development of fungal infections. This, in turn, will require the use of additional medications.
Interactions with other substances and special instructions
With the parallel use of aminoglycosides and cephalosporins, there is a likelihood of developing systemic absorption and, as a result, manifestations of nephrotoxic reactions. Reception along with "Baneocin" of diuretics like "Furosemide", ethacrylic acid can increase the severity of reactions of nephro-and ototoxicity.
With the simultaneous use of painkillers, muscle relaxants, analgesics of opioid origin and the medication Baneocin (powder), instructions, reviews of patients and treating doctors report a risk of development of deviations in the processes of neuromuscular conduction. It is not recommended to combine the intake of Baneocin and alcohol (however, this applies to almost all medical preparations).
For patients suffering from abnormalities in the functioning of the liver and kidneys, there is a high risk of developing various toxic effects. In these cases, before starting the course of therapy and in its process, it is recommended to monitor urine and blood tests, and to make audiometric studies.
During pregnancy and during lactation, this drug should be used with caution. Neomycin - one of the components of Baneocin - is able to overcome the placental barrier and cause damage to the cochlear apparatus (part of the inner ear) of the developing fetus.
It is also not recommended at this time to decide the question of how to replace "Baneocin" (powder), independently. To avoid trouble, it is better to consult with your doctor.
Similar medicines
Both forms of release of Baneocin (ointment, powder) do not have synonymous medications (medicines that contain the same basic components). However, Baneocin (powder) has Russian analogues, of which a fairly large number have been developed. Among the most commonly used are ointments "Gentamicin" and "Heliomycin", "Neomycin" and "Supirocin", "Linkomycin" and "Bactroban". Widely used such a dosage form as liniment "Levomycetin" and "Syntomycin."
However, the Russian consumer is best known for such an analogue of Baneocin as Levomekol. This drug has one antibiotic in its composition - chloramphenicol. In addition to bactericidal effects, the ointment promotes scarring and effective wound healing. But, unlike Baneocin, Levomekol has a rather strong irritating effect. Both drugs are deservedly in high demand by consumers. Unlike Levomekol, which is available only in the form of an ointment, Baneocin in the form of a powder is much more convenient to use for sprinkling wounds, bites, scratches and other skin lesions in children.
In general, the bactericidal effect of the use of the Baneocin medication (the instruction recommends using the powder primarily for children, ointment for adult patients) is considered by medical workers to be more pronounced, and if there is a choice, it is recommended to give preference to this particular drug.
Patients' opinion about the drug
Currently, the majority of consumers respond to the drug in a positive way. The drug "Baneocin" (powder) always accompanies the instruction. Reviews are mostly left by the parents of young children, since the drug successfully replaces traditional iodine and zelenka, but, unlike them, it does not pinch. The treatment of any scratches and wounds does not cause the child any pain, and the baby does not refuse the procedure in the future.
In general, consumers believe that the powder is very convenient to use. You can take it with you for a walk, to the country, on vacation. Parents also say that the Baneocin drug is relatively cheap, the medication is available to patients with any financial capabilities.
Almost no one wrote about the development of any side effects from the use of Baneocin powder. However, such a scenario is in principle possible, therefore, at the first application, attention should be paid to the reaction of the body.
The Baneocin (powder) instruction recommends use for acne, and here consumer reviews are mostly positive. The drug quickly and without consequences solves this problem. Although there is a small percentage of consumers who responded negatively to the medication from the point of view that Baneocin (mainly ointment) dries the skin and can cause itching. However, the effectiveness and speed of the medication brightens up such minor troubles.
A lot of positive feedback from consumers comes about the treatment of burnt skin surfaces. Not only are burns accompanied by severe pain, the burnt surface is almost an open gate for infection, which will not fail to join immediately. The use of Baneocin for surface treatment in such cases is painless, without any unpleasant sensations, and, as a rule, is well tolerated.