For allergies and some other skin diseases, local anti-inflammatory drugs are used. One of these is the hormonal drug "Sinaflan". It is presented in pharmacies in two forms - ointment and liniment. Can this drug be applied to the skin of children, and in what cases is such treatment contraindicated?
Release form and composition
Sinaflan ointment or liniment is produced by several pharmaceutical companies, including Nizhpharm, Altayvitamins, Biochemist and others. A medication in the form of an ointment is a thick yellowish mass placed in a tube or jar. Liniment has a more liquid consistency and is distinguished by a white-yellow color. One package of ointment most often contains 10 or 15 grams of the drug. Liniment is sold in tubes of 15 grams.
The main ingredient in both forms of this drug is called fluocinolone acetonide. Its concentration is 0.025%, that is, in 100 grams of ointment or liniment, such a substance is represented by a dose of 25 mg. Among the auxiliary components of the drug from different manufacturers, you can see petroleum jelly, nipagin, lanolin, propylene glycol and other compounds.
Operating principle
The active substance of "Sinaflana" is a glucocorticoid hormone, which gives the drug the ability to reduce the inflammatory response by inhibiting the release of special substances that support inflammation - mediators. After being applied to the skin, the medication prevents the accumulation of neutrophils and prevents the movement of macrophages, due to which infiltration and granulation are slowed down. As a result of such processes, Sinaflan has anti-allergic and anti-inflammatory effect on the skin.
Indications
Ointment is prescribed for:
- itchy skin;
- eczema;
- atopic dermatitis;
- seborrheic dermatitis;
- toxidermia;
- allergic dermatitis;
- diaper rash;
- psoriasis;
- limited neurodermatitis;
- red flat lichen;
- dyshidrosis of the hands;
- hives;
- exudative erythema;
- external otitis media;
- shallow burns;
- insect bites;
- discoid lupus erythematosus.
At what age is it prescribed?
"Sinaflan" is used in children very carefully, and up to two years of age is completely contraindicated.
If the medicine is required for a baby, for example, for a baby of 7 months, then analogs allowed for such a small age are used instead.
Contraindications
The ointment is not used in children with:
- hypersensitivity to any ingredient;
- diaper rash;
- rosacea;
- chickenpox, herpes, and other viral skin infections;
- cutaneous manifestations of tuberculosis or syphilis;
- pyoderma and other bacterial skin infections;
- a large number of psoriatic plaques;
- fungal skin lesions;
- open wounds;
- skin cancer;
- nevi, hemangiomas, xanthomas or atheromas at the site of treatment;
- trophic ulcers;
- erosive or ulcerative lesions of the gastrointestinal tract.
In addition, it is not recommended to treat the face with ointment or liniment.
Side effects
After treating the skin with "Sinaflan", negative symptoms such as severe dryness, itching, burning sensation, pustules may appear. Long-term use of the drug can lead to atrophic changes, affect hair growth and skin color, for example, provoke pigmentation or hair loss. If you use the ointment on large areas, then its systemic effect is possible, for example, the medication will disrupt the adrenal glands, slow down the recovery processes or cause gastritis.
Instructions for use
"Sinaflan" in children is used exclusively externally and under the supervision of a specialist. The drug is applied to cleansed skin in a small amount. Do not lubricate a large area of the skin in children or use an occlusive dressing.
Processing is performed 2-4 times a day, and the duration of use in childhood is advised to be limited to 5 days. In order not to provoke an overdose, the medicine is often used in combination with a baby cream.
For how to use sinaflan, see the next video.
Overdose and drug interactions
When treating the skin with too much ointment, burning and itching may appear, as well as side systemic effects.
Sinaflan is compatible with antibacterial drugs, but reduces the effect of diuretics, antiarrhythmics, antihypertensive drugs and potassium preparations.
Since "Sinaflan" has an immunosuppressive effect, vaccination cannot be performed during its use.
Terms of sale and storage
Sinaflan is an affordable medication sold in most pharmacies and does not require a doctor's prescription. The cost of the medicine is low, it ranges from 20 to 80 rubles, depending on the amount of ointment in the package and the manufacturer's firm.
Storage of the medication is recommended at temperatures up to +25 degrees (the optimal temperature is called + 12-15 degrees). Keep the medicine at home only in a dry place.
Shelf life of the ointment is 5 years, liniment - 2 years. It is usually marked on the outside of the tube or box. It is important to clarify it before starting treatment in order to eliminate the risk of using an expired drug.
Reviews
Buyers of "Sinaflan" respond mostly well, calling it an effective remedy for itching, rashes and other skin manifestations of allergies. At the same time, the advantages include ease of use, economical consumption and low price.
The disadvantage of the drug is considered its hormonal nature, due to which the drug has many contraindications, is dangerous in case of an overdose, and its effect decreases over time due to addiction.
Analogs
If the use of "Sinaflan" is not possible, the doctor may recommend instead another hormonal agent that is used topically:
- "Akriderm"... The basis of such a medicine is betamethasone. Under the supervision of a physician, Akriderm ointment or cream is used in children over a year old.
- "Flucinar"... The main component of such a remedy, as in Sinaflan, is fluocinolone acetonide. The drug is available in the form of a gel and ointment. It is allowed from 2 years old.
- "Advantan"... This drug based on methylprednisolone aceponate is available in the form of an ointment, emulsion and cream. Children are prescribed it from 4 months.
- "Elokom"... The action of such a drug is provided by mometasone. The medication is represented by lotion, cream and ointment. It can be prescribed to children from the age of 2.
- "Kutiveit"... The active ingredient in this drug is fluticasone. The medicine is available in the form of an ointment (it is prescribed for 6-month-old children and older) and a cream (it is contraindicated in children under one year old).
- "Locoid"... This hydrocortisone ointment can be used in infants over six months of age.
In addition, "Sinaflan" can be replaced by non-hormonal drugs, for example, "Sudokrem", "Elidel" or "Bepantenom".
But such funds are not considered full-fledged analogues of glucocorticoid ointments and creams, so their use should be agreed with a doctor.
