The period of bearing a child is a special period of time when it is necessary to shun the effects of potent drugs on the woman's body. But viruses and infections do not sleep and attack daily. Therefore, no woman is safe from diseases during pregnancy. Whenever possible, doctors for therapeutic purposes prefer dosage forms for external use, because topical preparations are not able to provoke the appearance of a large number of side effects, in contrast to drugs intended for oral administration. Choosing an effective remedy for the treatment of dermatological pathologies, expectant mothers often ask themselves: "Is Triderm possible during pregnancy?"
Ointment or Triderm cream is prescribed to pregnant women by the attending physician in special cases. Since the active composition of these drugs includes hormonal components that can have a toxic effect on the internal organs of the patient. Uncontrolled use of the drug becomes a prerequisite for the development of unexpected consequences. Therefore, before using the medicine, especially during pregnancy, a consultation with the attending physician is required.
"Triderm" during pregnancy and lactation
Pregnancy is not listed in the list of restrictions on the Triderm. It is known that during the medical research of the drug, its teratogenic effect on the fetus was not revealed, in other words, Triderm should not affect intrauterine development.
Nevertheless, the hormonal components that are contained in the ointment and cream adversely affect the growth and development of an already born child. The active substances were found in breast milk of the mother and in the blood of a newborn baby. Since in the latter case, the concentration of substances is low, it does not pose a particular danger to the development and health status of the child. The likelihood of complications is reduced to zero.
Meanwhile, in breast milk, the concentration of active elements can accumulate, which increases the level of danger. Therefore, during lactation, the use of Triderma in the form of ointment and cream is prohibited. In the case when therapy is based solely on the use of this tool, breastfeeding is suspended.
During pregnancy, Triderm in the early stages is prescribed solely for health reasons. Because it is in this period that the internal organs develop in the embryo and the future circulatory system is laid.
In what cases is the drug prescribed
Pregnancy greatly affects a woman. Her body undergoes daily changes, not always positive. Bursts of sex hormones that happen daily, actively affect the psycho-emotional state. The gradually increasing weight of a woman negatively affects the joints, overloading them. An enlarged uterus puts pressure on other internal organs. Therefore, it is not surprising that a pregnant woman exacerbates chronic conditions, especially dermatological diseases, such as:
- eczema;
- allergic dermatitis;
- neurodermatitis.
As a treatment for such pathologies, Triderm is prescribed during pregnancy. Dosage for external use is prescribed as a minimum.
An unstable level of hormones is the cause of a decrease in the protective functions of the body, a weakening of the immune system occurs. The resistance of the female body to all kinds of infections is markedly reduced:
- viruses;
- pathogenic bacteria;
- pathogenic yeast-like fungi.
In case of suspicion of one of the described infections, it is recommended to consult a doctor for a diagnostic examination. As a rule, the use of Triderma during pregnancy is not primary for the treatment of candidiasis. Antifungal drugs with the least degree of toxicity are prescribed for its treatment.
What is the danger of using the drug
Giving preference as the main treatment for Triderma during pregnancy, it is necessary to take into account many conditions. The attending physician takes into account the general condition of the patient, including a history of diseases. Both the benefits for the expectant mother and the possible dangers for the fetus become on the scales. In total, there are three active components that can aggravate the course of pregnancy:
- Gentamicin sulfate is a broad-spectrum antibiotic, it can seep through the placental barrier into the bloodstream to the fetus. In medical practice, episodes are known when gentamicin negatively affected the fetal hearing aid. In this regard, congenital deafness was diagnosed in a certain number of newborns.
- Clotrimazole is a synthetic compound of antifungal action. It enters the bloodstream in minimal quantities. Nevertheless, the teratogenic effect of this compound is not fully understood. Therefore, it is possible that under the influence of the remaining components of the Triderm preparation, the effect of clotrimazole is enhanced.
- Betamethasone is a synthetic compound that has a vasoconstrictive effect. Intake of the substance affects the fetal development, disrupting it. External use minimizes this side effect. However, the objective possibility of an adverse outcome is always there.
Since, nevertheless, a certain fraction of the components can penetrate into the bloodstream, the risk of episodic side effects increases.
Without jeopardizing the health of the unborn child, doctors prefer to use other drugs. The appointment of "Triderm" the patient receives only in case of inefficiency of other means.
Description of the drug
The medicine has two forms of release: ointment and cream.
Thick ointment with oily and oily structure, translucent.
The cream has a light texture, more reminiscent of jelly. After application, it is quickly absorbed, leaving no residue on the skin and clothing. Both dosage forms do not have a specific smell. When prescribing one of the forms of the drug, the doctor takes into account the properties of both:
- At the initial stages of the development of the disease, it is preferable to use a cream. Quick absorption makes it easy to influence the inflammatory foci of skin lesions. The cream does not block the flow of oxygen to damaged tissues, so their recovery is not slowed down.
- The ointment is effective as the final stage of therapy. Therefore, one of its properties is the formation of a protective layer on the dermis, which inhibits re-infection. Through the film formed, the components of the ointment are released moderately. This ensures its uniform healing effect.
The action of Triderma is aimed at eliminating allergic reactions, skin rashes, swelling of soft tissues and redness. The antifungal ingredient in its composition effectively fights infection.
pharmachologic effect
"Triderm" is a combined preparation for external use, which is prescribed for the treatment of dermatological pathologies. The following active components of the composition are responsible for its therapeutic characteristics:
- Betamethasone is an artificial analogue of the human hormone formed in the adrenal cortex. Its production in the body begins in the presence of inflammatory processes. The properties of the synthetic analogue are to relieve pain and reduce inflammation.
- Clotrimazole is a component that ruthlessly destroys pathogenic fungi. The component reduces the rate of production of building material of fungi, as a result of which their ability to reproduce sharply decreases, and they themselves die.
- Gentamicin sulfate is an antibiotic that can inhibit the growth of pathogenic bacteria, while healing the affected areas.
Under the action of the active components of the Triderm preparation, itching and irritation of the skin quickly disappear in patients. The blood supply to the soft tissues is restored. There is an increase in local immunity, and the risk of exacerbation is markedly reduced.
Release form and composition
The packaging of cream and ointment is presented in the form of an aluminum tube, which is enclosed in a cardboard box along with instructions for use. The volume of the tube may contain 15 or 30 grams of the drug.
The composition of the Triderm, in addition to the active ingredients, includes the following auxiliary ingredients:
- The ointment contains liquid and soft paraffins.
- In the cream - petroleum jelly, water, macrogol, phosphoric acid, paraffin, alcohols.
The shelf life indicated in the instructions for the ointment is 24 months. The cream is allowed to store a little longer: 3 years. An opened tube of the drug should be used within 30 days. The optimum storage temperature is room temperature and the place is dark.
Instructions for use
The dosage of the use of the drug and the duration of the therapeutic course are determined by the attending physician, based on the degree of damage to the skin and the stage of development of the disease.
If, after 3-5 days from the start of treatment, the intensity of lesions and inflammations has not died out, then a repeated consultation of the attending physician is necessary. Perhaps the dermatologist will adjust the dosage or replace the drug.
The most “harmless” time of use is the second trimester of Triderma during pregnancy. You can use the drug without fear for your health and the health of the unborn child, observing the indicated dosage.
In addition, it is not recommended to apply "Triderm" on the face, mammary glands and open wounds.
Indications and contraindications
"Triderm" - a drug that is used to treat patients in case of damage to the skin by pathogenic microorganisms. The hormonal drug quickly removes the symptoms of atopic and allergic dermatitis, soothing the skin. Also indications for the use of Triderma are lichen and eczema.
Contraindications include:
- tuberculosis of the dermis;
- rashes that appear on the background of syphilis;
- herpes skin lesions;
- chickenpox.
It is also forbidden to use the drug for the treatment of children under 2 years of age and with individual intolerance to its components.
Scheme of use "Triderma" during pregnancy
Before using the product, it must be borne in mind that the appointment of "Triderma" in the first trimester of pregnancy is prone to adversely affect the fetal development. In the case when the attending physician recommends this particular medicine, the therapeutic dosage is determined in a minimal amount.
During pregnancy in the 3rd trimester, Triderm is also prescribed in minimal doses.
Method of application: cream or ointment is applied to the affected area of the skin 1 or 2 times a day. It is preferable to do this in the early hours and some time before bedtime.
The duration of the course is determined by the doctor, as a rule, treatment lasts no more than a month. However, during pregnancy, Triderm is used no longer than 2 weeks.
Feasible side effects
In addition to the betamethasone glucocorticosteroid, an antibiotic and an antifungal component can damage the health of the mother and the unborn child. These two substances freely enter the bloodstream, bypassing the body's protective barriers. Against this background, episodic side effects develop:
- appetite suppression;
- sudden bouts of nausea and even vomiting occur;
- excessive gas formation.
The described conditions that can provoke the use of Triderma block the full supply of nutrients to the fetus.
Applying a cream or ointment to open wounds increases the likelihood of side effects.
The occurrence of local allergies after using the drug is not so rare. It manifests itself in rashes on the skin and irritation.
Special instructions for pregnancy
To minimize the occurrence of adverse effects from treatment with "Triderm", it is advisable to avoid applying the drug to large surfaces of the skin.
The use of the drug is not allowed with existing microtraumas, such as cuts or cracks in the skin. Because through open wounds, the active components penetrate the mother’s blood in the highest concentration, which can be dangerous for the fetus. This is stated in the instructions for use "Triderma" and in the reviews of doctors.
By the end of the third trimester, Triderm therapy is minimized or completely completed. In the last weeks of gestation, the active components of the drug are able to accumulate in the mammary glands. The source of their release is colostrum during the first feeding, which is in the body of a newborn baby.
Analogs
According to the composition indicated in the instructions to the "Triderm", analogues of the drug are:
- "Akriderm GK" is a combined agent with antifungal action for external use. It is permissible to use it in the early stages of pregnancy, when the benefit to the mother is higher than the negative effect on the fetus.
- "Triacutan" is an antifungal drug for external use in the form of ointment and cream, the action of which is aimed at relieving inflammation and itching. It is allowed to use it during pregnancy, but in minimal quantities.
If we talk about analogues similar in therapeutic effect, then they recognized:
- "Beloderm" is a hormonal agent used for skin inflammation.
- "Belosalik" - a drug to eliminate dermatological diseases.
- "Lokoid" is a hormonal anti-inflammatory drug for external use.
Replacing drugs is carried out only by a doctor, especially this rule applies to pregnant women.
Patient Reviews
Reviews about the "Triderma" during pregnancy are completely contradictory. Someone is delighted with the drug, and someone is extremely dissatisfied with its therapeutic effect. Such fluctuations are associated with the fact that each organism is individual. Triderm is able to help one patient cope with a painful illness, while in another he only worsens the situation. The latter option, as a rule, is due to the uncontrolled use of the drug and unauthorized appointment, which leads to complications.
Doctors confirm that Triderm is effective against various dermatological diseases and allergic skin lesions.