In the article we will consider what the application of "Contractubecks" is.
Therapy and prevention of scars after burns, injuries or stretch marks, as well as the removal of acne or acne scars on the skin - all this can be done with the help of Kontraktubeks gel, which is applied a thin layer on damaged skin once or twice a day. The onset of the therapeutic effect can be expected against the background of prolonged use. The main thing is to follow the rules described in the instructions, and the treatment regimen that the doctor recommended.
The ointment quickly heals postoperative scars, since there is an activation of tissue regeneration with damage to the skin. Due to the pharmacological properties of the medicament, wounds, scar surfaces of fresh scars heal well and a healthy skin is restored in the presence of chronic scars. Instructions for use of ointment "Kontraktubeks" are very detailed.
Structure
The drug is produced in the form of a gel for topical application. The product has a water base, a light brown matte texture with a characteristic odor. The ointment is Packed in aluminum tubes, the volume of which is 20 and 50 g. The cream, according to the annotation for use, contains allantoin, heparin and onion extract:
- Heparin sodium softens the structure of scar tissue, as a result, it becomes less dense. The hydration of scar tissue increases. The substance has a pronounced anti-inflammatory and decongestant effect.
- Allantoin stimulates wound healing, it has a mild effect, and fights the itching and burning that accompany healing. There is a stimulation of blood circulation in the scar tissue, normal pigmentation is restored. Allantoin also increases the permeability of the skin to other active components.
- Onion extract has anti-inflammatory and bactericidal properties, due to its effect excessive scar tissue does not form.
Pharmacodynamics and pharmacokinetics of the drug
The pharmacological effect of the ointment "Kontraktubeks" is achieved due to a combination of medicinal properties of active substances in the composition of the drug. Onion extract reduces the secretion of inflammatory mediators in the area of application, relieves allergic reactions. Due to inhibition of the process of division of proteoglycans, proliferation of scar tissue is prevented at the site of keloid scars. And because of the bactericidal properties of onions, the risk that the wound will be infected with pathogenic microflora is eliminated, and the risk of postoperative complications is reduced.
Allantoin accelerates wound healing. This component of the ointment provides a keratolytic effect, the trophic process is stimulated. The substance helps to ensure that excess horny masses are softened and removed from damaged skin areas. Allantoin has emollient properties, therefore, itching, pain and other unpleasant sensations in the process of tissue scarring are excluded.
Thanks to the action of the sodium salt of heparin, the antiproliferative and anti-inflammatory properties of the ointment are provided. Pain and swelling are relieved, arterial hyperemia and hypothermia are blocked in the focus of the pathology, excessive multiplication of connective tissue cells is not observed. Heparin softens collagen-containing components in the structures of young epithelial cells, their saturation with water improves. This property provides elasticity of scars and cosmetic effect, their parameters approach those of healthy skin.
According to the results of clinical studies, it can be concluded that heparin penetrates into the wound tissue four hours after the application of the drug in the amount necessary for the therapeutic effect. A systemic effect on the body is not observed due to the fact that there is no absorption into the bloodstream and accumulation in the tissues and organs of the active and auxiliary components of the drug. In this regard, there is no data on the pharmacokinetics of the drug.
In what cases is it advisable to use the drug?
The use of "Contractractex" is advisable in the postoperative periods as a preventive measure for the occurrence of pathological scars from injuries or burns. In other cases, the cream is prescribed for:
- atrophic or hypertrophic cicatricial growths with skin diseases;
- keloid scars;
- contractures (limitation of mobility) or ankylosis (immobility) of the joints;
- post-traumatic tendon contractures;
- Dupuytren's contractures developed on the background of chronic alcoholic hepatitis;
- scars after furunculosis, acne, acne;
- skin deformities after severe burns;
- stretch marks after pregnancy.
The use of "Contractubex" should be correct.
Drug use
The drug is applied topically, that is, the ointment is rubbed into the skin until it is completely absorbed. The drug consumption per application is on average 5 mm, the application area is 20-25 cm. The number of applications per day is 2-3 times, the treatment regimen is prescribed by the attending physician. If there is a newly formed scar tissue, then the duration of gel treatment is 4-10 weeks.
During the treatment of scars from old scars, which have a higher density of connective tissue (unlike fresh scars), and even with Dupuytren's contracture, the effectiveness of the pharmacological effect of the drug is enhanced by the use of occlusive dressings. They are applied at night (fixed with a band-aid), because the reparative processes during sleep intensify. Treatment in this case can last from six months to a year. Instructions for use for ointment "Kontraktubeks" confirms this.
You can start using it only after the wound closes. In the postoperative period, therapy is prescribed as soon as the sutures are removed. Ointment should be applied to the surface of the skin with massage movements.
Photos before and after the application of "Kontraktubeksa" are impressive. They are given for clarity below.
special instructions
During the use of the ointment "Kontraktubeks" it is better to avoid exposure to sunlight, and in addition, general hypothermia of the body, since the effectiveness of the drug will be reduced. To enhance the effect when using the medication to get rid of old scars, the skin should be pre-steamed. The use of ointments can be combined with physiotherapeutic procedures.
Is the drug allowed during pregnancy
Since the product has a low systemic effect, its use during the period of expectation of the baby is not contraindicated. In order not to have negative consequences, you need to coordinate the treatment regimen with a specialist who leads the pregnancy. The decision on the appointment of "Kontraktubeks" to get rid of skin stretch marks is made individually, but most often the therapy is postponed until the time when breastfeeding is completed.
With lactation
The active substances of the gel cannot penetrate into the systemic circulation of a woman’s body, as well as into breast milk. The use of the drug at this time has not been studied enough, so most experts do not recommend combining Contractubex with lactation. Therefore, it is better to start the course from skin stretch marks after the feeding is completed.
Is the “Kontraktubeks” application for children allowed? We learn further.
For children
Scar ointment can be prescribed in childhood. The abstract in the paragraph describing contraindications does not contain age restrictions. However, it is necessary to consult a doctor before using this tool, the gel therapy regimen and course duration are determined individually. If the baby has a tendency to various skin reactions, then you should make sure that there is no allergy.
Interaction with other medicines
Due to the low permeability of active substances into the systemic circulation, the use of Kontraktubeks gel will not affect the preparations of any pharmacological group. It is possible to combine with other topical medicines that have an anti-inflammatory effect. The treatment regimen should be checked with a doctor.
Can I combine with alcohol
The use of ointment does not affect the liver, kidneys and heart due to the low systemic effect. Instruction for use is not prohibited to drink alcoholic beverages during therapy. Studies related to the determination of the effect of ethanol decay products on the effect of the drug have not been conducted; there is no evidence of a decrease in the therapeutic effect.
Adverse reactions
According to the instructions for use and reviews of "Contractubex", patients tolerate conservative therapy well. Sometimes skin allergic reactions occur associated with intolerance to one or more substances of the drug. Other adverse effects and side effects have not been established. Before using the product, a specialist consultation is necessary.
What else does the application instruction for the Kontraktubeks gel tell us?
Overdose
Cases of drug overdose are not recorded. If skin reactions or any other regular negative effects occur, it is better not to use the gel further. Side effects in most cases are associated with individual intolerance to the substances contained in the composition of the drug. Restorative therapy to eliminate side effects is not required.
Is the use of "Contractubecks" always allowed?
Contraindications
In some diseases and conditions, the gel is not recommended. In the reviews of experts, it is reported that negative consequences will occur if there are the following pathologies:
- trichomycosis;
- male alopecia (baldness);
- atopic dermatitis;
- urticaria and other skin rashes in childhood;
- individual intolerance to one of the components of the drug.
How to store the drug
You can buy this remedy for scars in any pharmacy network, they release it without a prescription. The gel should be stored in a dry place inaccessible to children, the temperature should not exceed 25 ° C. The medication is valid for four years from the date indicated on the tube. The instructions for use for "Kontraktubeks" analogues are not indicated. Consider them below.
Analogs
The use of analogues is possible if intolerance to the components is detected or if there is no result of therapy. With the independent selection of a cheaper substitute for "Kontratubeks", the effectiveness of the treatment process can be reduced, so the replacement should be carried out with the consent of the attending physician. Preparations with a similar mechanism of action: Algofin, Vundekhil, Vinilin, Aekol, Dermatix.
Which is better - "Dermatics" or "Contractubex"?
Dermatics is a silicone gel to prevent the formation of scar tissue, which contains organic compounds based on silicon. It maintains the physiologically normal water balance of the damaged skin, smooths and reduces the protruding parts of the newly forming connective tissue. Against the background of the use of this gel, skin itching is reduced and skin pigmentation is reduced. Since the means have a similar mechanism of action, the effectiveness depends on the individual characteristics of the body.
Drug cost
The average price range for all output formats is as follows: 20 mg gel costs about 550-850 rubles., 50 mg gel - 900-1300 rubles. It depends on the region and the pharmacy network.
Feedback on the use of "Contractubex"
Reviews about this tool are quite contradictory. For some patients, this gel helped get rid of scars after burns or injuries. But most often the effect of using the drug is poorly expressed. People report that when it comes to old scars, then the application will not be of any use.