The fungus of the skin is a real problem for people. The drug "Sertamikol" (cream) is able to solve this problem. Doctors note its effectiveness and ease of use. They say that the medicine causes a minimum of side effects.
The composition of the drug and the form of release
The medicine "Sertamikol" (cream) is intended only for external use. The main active ingredient of the drug is sertaconazole nitrate. Additional elements in the composition of the medication are: cetyl, stearyl, benzyl and myristyl alcohols, glycerin, octyldodecanol, sorbitan stearate, liquid paraffin, polysorbate, purified water.
The cream is packaged in an aluminum tube with a volume of 20 g. It has a fairly thick texture and a uniform white color.
The drug is stored in a tightly closed bottle at a temperature of 2 to 25 ° C. The shelf life of the drug is two years.
Pharmacological properties
Sertamikol (cream) is an antifungal drug and is intended for external use only. The active substance sertaconazole refers to imidazole and benzothiophene derivatives. It has a fairly wide range of actions. It works against a number of pathogenic fungi, such as Candida tropicalis, Candida albicans, Malassezia spp and Pityrosporum orbiculare. The cream copes with dermatophytes (Microsporum and Trichophyton), acts on gram-positive bacteria. Effective against Gardnerella and Trichomonas vaginalis, Bacteroides spp., Enterococcus faecalis.
The active component of the drug does not affect the activity of Lactobacillus spp. in vitro.
The drug, used in recommended amounts, has fungicidal and fungistatic properties. Sertaconazole inhibits the synthesis of ergosterol - this is the main element located in the membranes of fungi. Another cream is involved in competitive antagonism with another cell element - tryptophan. A similar feature of the drug increases the permeability of the cell membrane and leads to the destruction, neutralization of pathogenic bacteria.
The therapeutic effect of sertaconazole after application to the dermis of the cream appears for half an hour and lasts for two days. Even when using the cream every day and in increasing doses, its active substance is not found in plasma.
With intravaginal administration of a high dose of the drug in the lumen of the vaginal environment, sertaconazole persists for a sufficiently long time. Its amount here exceeds the minimum inhibitory concentrations and the active antifungal doses. There is no systemic absorption after such drug administration. In unchanged form, sertaconazole is not found in either urine or blood.
Indications and contraindications
The drug "Sertamikol" (cream) is intended for the treatment of superficial mycoses, it can be dermatophytosis of the beard, feet and trunk, candidiasis, as well as multi-colored lichen.
The medicine can not be used if a person has a sensitivity to the components of the drug.
There are no reliable studies on the effect of the drug on the fetus and the baby through breast milk. Therefore, women should use the drug during pregnancy and lactation carefully and only after consulting a doctor.
Side effects with the use of cream "Sertamikol" were rarely observed. Usually it is contact dermatitis, itching and excessive dryness of the skin, as well as mild soreness in the area of application. Some patients were disturbed by local erythema.
If the drug is administered intravaginally, then burning and itching, as well as allergic reactions, can be observed. Such symptoms pass quickly and do not cause significant discomfort.
It is forbidden to use the medicine in ophthalmology. After applying the cream, you can not use acid-based detergents, as they enhance the development of Candida spp. If skin irritation or other negative reactions occur, then treatment with this agent should be discontinued.
If there are no pronounced symptoms, but only Candida fungi are detected in the vagina, then there is no reason to use this cream. When confirming the diagnosis of candidiasis, you should try to eliminate the causes that caused this disease. If the labia and the surrounding area are affected by the infection, then the patient has candidal vulvitis. Cream "Sertamikol" in this case is used in addition to other medications. During treatment with this drug should temporarily refrain from sexual activity. To prevent the infection from returning, it is advisable to treat both sexual partners at the same time. It is allowed to use the drug for women on critical days.
Cream "Sertamikol": method of application
The drug is intended for external use only. "Sertamikol" (cream) instructions for use recommends to be applied only to adults. On the areas affected by mycosis, the agent is applied twice a day, in an even layer. When using the drug should capture about 1 cm of healthy skin. Derma must be washed with soap and water before applying the cream. The therapeutic course depends on the type of disease, its severity and can last up to four weeks.
With intravaginal use, the cream is applied once a day. The course of treatment is a week.
Sertamikol medicine: price
This medicine is sold only in pharmacies. It costs about 300 rubles per 20 g of the drug. Its analogues contain sertaconazole. The price of them varies in different price ranges. So, "Sertamikol" (solution) can be purchased for 350 rubles, cream and candles "Zalain" are within 500 rubles. Unfortunately, there are no more analogues containing only sertaconazole. The price of drugs of similar action, but with a different composition, is about the same.
Cream "Sertamikol" and its analogues are dispensed from pharmacies without a doctor's prescription.
Patient Reviews
At the moment, there are few people who share their opinions on the Internet with Sertamikol (cream) on the Internet. Reviews are available about other drugs containing sertaconazole. These people note that these drugs almost do not cause side effects. The fungus on the skin after their application disappears within a week. Like the cream "Sertamikol", its analogues have shown high efficiency in the treatment of recurrence of candidiasis.
In general, people are satisfied with this drug, but note that it works less effectively than Zalain and costs half as much.