Dermatitis, eczema, lichen are very common skin diseases that people face, regardless of age and gender. It is in such cases that doctors recommend the use of the drug "Mometasone". Instructions, dosage, indications and restrictions, possible complications and reviews - all this is interesting and useful information that you must definitely familiarize yourself with.
The composition of the drug. Description of release form
What is the drug "Mometasone"? Instructions, reviews, cost - this, of course, is important information. But first, consider the general information.
In dermatology, this medicine is widely used in the form of a cream or ointment. The main active substance of the drug is mometasone furoate. 1 g of the product contains 1 mg of this component.
Of course, other substances are present in the composition. The ointment contains white soft paraffin, hexylene glycol, purified water, diluted phosphoric acid, propylene glycol monopalmitostearate, white wax.
As for the cream, it contains titanium dioxide, cetostearyl alcohol, hexylene glycol, white petrolatum, wax, purified water, macrogol, glyceryl motostearate, phosphoric acid (in diluted form).
In the pharmacy you can also buy a spray with mometasone furoat (instructions can be considered below). It is sold in plastic bottles with a convenient nozzle for irrigation of the nasal passages.
What properties does the active substance have?
Many patients require the use of creams or ointments, which contain mometasone fuorate. The instruction indicates that this substance is a fairly powerful synthetic glucocorticosteroid.
The active component of the drug induces lipocortin release processes, which, in turn, take part in the production of leukotrienes and prostaglandins, thereby inhibiting the development of the inflammatory process. In addition, this medicine reduces the amount of exudate, relieves swelling of the skin and itching, and eases the patient's condition.
Mometasone furoate penetrates the surface layers of the skin, but practically does not penetrate the blood. According to studies, eight hours after applying a cream or ointment in the blood of a person is found no more than 0.7% of the active substance of the drug. The degree of adsorption increases if the drug is applied under an occlusive dressing.
The main indications for use
In what situations do doctors prescribe Mometasone ointment / cream to patients? Instructions for use contain a list of indications for use. The drug is used to treat skin with the following diseases:
- dermatoses, especially those forms that are accompanied by severe itching and inflammation;
- chronic forms of eczema;
- skin lesions with psoriasis;
- seborrheic dermatitis;
- atopic dermatitis;
- simple chronic lichen;
- lichen planus;
- some forms of lupus erythematosus.
Cream or ointment can also treat insect bite sites, as well as burned areas of the skin (if we are talking about first-degree burns).
In what cases is Mometasone spray used? The instruction indicates that the drug should be used in the following cases:
- allergic forms of rhinitis;
- polyposis;
- sinusitis (if a relapsing form of the disease occurs).
The spray is also widely used for the prevention of allergic rhinitis (seasonal forms that are associated, for example, with flowering plants, etc.). How to use the tool?
Cream / ointment "Mometasone": instructions for use
In no case should you use this tool without permission. Only a dermatologist after a thorough examination can prescribe a cream or ointment, which contains mometasone furoate. The instructions for use are simple: you just need to apply the product with a thin layer on the affected area of the skin (before the procedure, the tissues need to be cleaned). Sometimes, to achieve a greater effect, an occlusive dressing is applied from above.
It is important to ensure that the drug does not get on the mucous membrane of the eyes. Cream and ointment are not used to treat facial skin, inguinal folds and in the armpits.
If secondary infection of tissues with a bacterial or fungal infection occurred during therapy, then the use of Mometasone should be temporarily suspended. In the event that after two weeks the therapy did not give the desired effect, the use of the drug should be suspended and once again all tests taken.
Mometazone furoate (spray): instructions for use
This spray is considered safe - it is often used in pediatrics. Using the medicine is simple. First you need to shake the bottle a few times. In each nostril you need to do 2-3 injections. The procedure is repeated 2-4 times a day. If we are talking about a complicated form of sinusitis, then similar anti-inflammatory therapy is supplemented with antibiotics. The bottle should be stored in a cool place, protected from direct sunlight.
Description of possible side effects
Is the therapy with the cream or ointment "Mometasone" always safe? The instruction contains information about possible adverse reactions. In fact, complications are rarely recorded, and their list is not so long:
- Sometimes after treatment with cream or ointment, the skin becomes dry, red and too sensitive. Perhaps the development of sweating and secondary infectious inflammation.
- In some cases, striae, follicles, acne are formed on the skin.
- Treated tissues may lose pigmentation.
- Possible side effects include hypertrichosis, contact allergic dermatitis.
- With prolonged use of occlusive dressings, the appearance of rosacea is possible. Patients complain of severe burning and itching. Perhaps the development of skin atrophy.
- If we are talking about using a spray, then some patients complain of dryness, irritation, itching and burning in the nose, which is often accompanied by lacrimation. In rare cases, nosebleeds , atrophy of the mucous membranes are observed . There is a chance of developing secondary infectious diseases, candidiasis, bronchospasm, pharyngitis.
If the treatment is accompanied by the appearance of any disturbances or unpleasant symptoms, then it is urgent to inform the doctor about it - sometimes you need to refuse to use the drug, but only the treating dermatologist makes a decision about it.
Are there any restrictions? List of contraindications
Can all patients be treated with medications whose main component is mometasone furoate? The instruction contains information that the drug has some limitations. You should definitely familiarize yourself with the list of contraindications:
- The patient has allergic sensitivity to any of the components of the drug, as well as other glucocorticosteroids.
- Creams and ointments are not prescribed for children under two years of age.
- Contraindications include the period of breastfeeding.
- If we are talking about sprays, then they are not used in the presence of inflammatory diseases of the mucous membrane of the nasal passages of a viral, bacterial or fungal origin.
- The spray is also not used after an injury or recently undergoing surgery on the nose (until the injuries are completely healed).
- Contraindication is the presence of active or latent tuberculosis infection of the respiratory tract.
- If there is a herpetic infection of the nasal passages, which is accompanied by eye damage, additional tests and examinations are required.
In any case, it is very important to inform the doctor about the presence of any health problems. Only a specialist will be able to determine whether the use of this anti-inflammatory drug is safe.
Is an overdose possible?
The active substance of the drug partially penetrates the bloodstream and has a systemic effect. When using too much cream, inhibition of the hypothalamic-pituitary-adrenal system is observed. In the most severe cases, the development of secondary adrenal insufficiency is possible.
If we are talking about the use of a spray, then the appearance of bloody or mucous-bloody discharge from the nose is possible. There is no specific antidote. A patient in a similar condition requires symptomatic therapy.
List of effective substitutes
What if the patient does not like the drug "Mometasone-Akrikhin"? The instruction contains information that the therapy has contraindications, and the likelihood of developing side effects cannot be ruled out. Sometimes a drug needs to be replaced with another, more suitable means.
To cope with the symptoms of psoriasis, dermatosis and other skin lesions, creams such as Eloderm, Elokom will help. Among the good substitutes include the medicine "Momat" and "Moleskin", which are available both in the form of ointments and in the form of creams. In dermatology, the drugs Motizolon, Sterocort and Advantan are often used.
How much is the medicine?
Many people are faced with the need to use the drug "Mometasone". Instructions, indications, application features - this is very important information. But for many patients, cost is still a decisive factor. If we are talking about 1% cream, then 15 g will cost about 200-220 rubles. For a tube that contains 30 g of the drug, you will have to pay about 350-400 rubles.
What do the experts say? Patient reviews about the drug
In addition to official information, people are often interested in the opinions of experts. In fact, the reviews of doctors are positive. It is an effective anti-inflammatory drug that copes with the symptoms of various skin diseases. In addition, the drug has only a minimal systemic effect, practically has no contraindications, and side effects develop extremely rarely.
Patients also speak well about the medicine. Significant improvements are observed after a few days. After a week, almost all skin manifestations disappear. It is worth considering that the skin after treatment with ointment or cream becomes sensitive to ultraviolet radiation. That is why it is worth temporarily abandoning therapeutic and cosmetic procedures that involve the use of ultraviolet rays. Addiction is sometimes observed - skin tissues become less sensitive to the active component of the drug, which requires an increase in dose.
The price of the drug is quite affordable, especially considering that many analogues are much more expensive.