What kind of ointment
In the treatment of dermatological diseases with an active inflammatory process, accompanied by hyperkeratosis, the drug Belosalik ointment is used. Instructions for use of this combined product contain information on dosage and method of use, indications for use and some features of use.
The ointment is white, almost transparent, odorless.
Belosalik is also produced in the form of a solution for external use.
The composition of Belosalik is important for patients, especially whether the active component is hormonal or not. One of the active ingredients of the ointment is a synthetic analogue of the hormone produced by the adrenal cortex - betamethasone dipropionate.
Effective treatment of psoriasis
“Belosalik” helps with psoriasis almost immediately. The drug is a glucocorticosteroid and keratolytic agent. Its main active components quickly reach the site of inflammation and have a strong healing effect. Symptoms of the pathology appear to a lesser extent. The person begins to feel much better.
The drug helps cleanse the skin of scales, it stops the spread of pathogenic microbes to healthy areas of the skin.
Store the drug for psoriasis in a dry and dark place where the air temperature does not exceed twenty-five degrees Celsius. The shelf life is four years, after which the drug must be disposed of. The medicine is available without a doctor's prescription in almost every pharmacy chain.
https://www.youtube.com/watch?v=UoZ4BdVgFNQ
Patients suffering from psoriasis for many years are tormented by doubts as to whether Belosalik helps as well as its distinguished doctors, people in laudatory reviews and attending physicians characterize it. A positive result does not keep those who are careful and attentive to their own health waiting.
The therapeutic effect of the drug is carried out due to the work of two main components in the lowest layers of the epidermis - salicylic acid and betamethasone. The substances act on the cells of the affected tissue from the inside, restoring their metabolism.
Perhaps this is where the effectiveness of the treatment lies. One of the other advantages of the medication is preventing the spread of pathogenic bacteria and fungi in the affected areas of the dermis.
The positive dynamics of treatment procedures are:
- To quickly eliminate unpleasant symptoms (itching, burning, pain).
- To relieve and prevent peeling of inflamed areas of the epidermis.
- In a therapeutic effect on the weeping surface of the skin affected by skin disease.
- The therapeutic effect on the inflammatory process - redness disappears and swelling decreases.
- In blocking various allergens.
- In stopping the division of pathogenic cells.
- In providing an immunostimulating effect on the body.
Active ingredient and composition
Belosalik contains two active substances - the glucocorticosteroid hormone (synthetic analogue) betamethasone in the form of dipropionate and the dermatotropic substance salicylic acid.
The solution for external use contains the same active ingredients as the ointment form.
10 g of ointment contains 6.4 mg of betamethasone dipropionate and 300 mg of salicylic acid. The remaining substances (fat base) in the composition of Belosalik ointment are liquid and white soft paraffin.
In 10 ml of solution there are 6.4 mg of betamethasone dipropionate and 200 mg of salicylic acid.
Analogues and price of Belosalik
It is worth remembering that the simultaneous use of several steroid drugs with similar effects is strictly prohibited. At the same time, replacing a pharmaceutical drug (if there is no effect from treatment with it) with a similar one is allowed, but if this issue is agreed upon with the attending physician. Preparations of similar action and composition are such as Akriderm, Diprosalik and other drugs.
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The ointment has several analogs of the active substance in its composition, these include:
- Betasal;
- Betaderm;
- Akriderm SK;
- Diprosalik;
- Rederm.
In addition, there are drugs similar in their mechanism of action: Elocom-S, Triderm, Cleore, Travocort, Candiderm.
The price of Belosalik in the Russian Federation ranges from 326 to 397 rubles.
Pharmacological properties
The drug has a multifaceted effect on the body:
- anti-inflammatory;
- antiproliferative;
- antiallergic;
- antiexudative;
- local vasoconstrictor;
- keratolytic;
- antipruritic;
- decongestant;
- fungistatic;
- bacteriostatic.
Pharmacodynamics and pharmacokinetics
The absorption of the drug depends on the condition of the skin, the age of the patient, the use of occlusion, duration of use, and the size of the lesion.
In the presence of an inflammatory process on the skin, a violation of its integrity, or the use of a sealed dressing, systemic absorption increases and can reach 15%.
The degree of adsorption linearly depends on the patient’s age - the younger the patient, the higher it is.
Betamethasone binds to albumin, is metabolized in the liver, and excreted by the kidneys. A small part of the metabolites is excreted in the bile.
Betamethasone penetrates the blood-brain and placental barriers and is excreted into breast milk. Has a toxic effect on the fetus.
Salicylic acid accumulates in the stratum corneum of the epidermis, creating therapeutic concentrations. The substance helps cleanse wounds of pus, creates an acidic environment on the surface of the skin, thereby blocking the growth of bacterial and fungal flora.
Salicylic acid inhibits the activity of the sweat and sebaceous glands, has a local distracting, wound-healing and antiseptic effect.
Indications for use
Belosalik medications are prescribed for the following pathological conditions:
- Psoriasis (various forms).
- Eczema (tilotic, seborrheic, dyshidrotic).
- Neurodermatitis: neurogenic allergic skin changes.
- Dermatoses of various origins.
- Lichen (lichen planus, asbestos-like).
- Seborrhea: Excessive production of sebum.
- Ichthyosis lesions: scaliness, keratinization of the skin.
- Dyshidrosis: blockage and dysfunction of the sweat glands.
Contraindications
Not prescribed for use in patients with diagnosed hypersensitivity to corticosteroids or salicylates.
Not prescribed for a number of viral, bacterial, fungal skin diseases, or violation of the integrity of the skin.
List of contraindications:
- syphilitic chancre;
- lupus;
- acne vulgar;
- pink acne;
- diaper dermatitis;
- chickenpox;
- herpes simplex;
- herpes zoster;
- molluscum contagiosum;
- pyoderma;
- varicose veins;
- trophic ulcers;
- infancy up to six months;
- skin post-vaccination allergic reactions;
- wound surfaces.
Instructions for use
“Belosalik” for psoriasis must be used for at least three weeks. The product is applied to the affected areas of the skin twice a day. The ointment is used on the body and face, the spray is applied to the head. Distribute the product in a thin layer. The ointment is taken in an amount of two grams. When using the spray, the bottle must first be shaken. The bottle is placed horizontally, the nozzle is brought to the scalp and pressed all the way with the index finger. Apply several sprays over the entire surface of the head.
The therapeutic effect develops quickly.
The simultaneous use of the drug with other drugs for the treatment of this disease, as well as with glucocorticosteroids for external use, is unacceptable.
When the symptoms of the pathology disappear, the drug for psoriasis is used once a day. If symptoms remain after the course of therapy, the drug is continued to be used every other day. It is unacceptable to use the medicine on a large area of skin.
Side effects
Negative reactions are quite rare, are reversible and do not cause much harm to the health and well-being of patients.
Side effects develop at the site of application of the ointment. The most common symptoms are itching, redness, burning, and tingling.
Possible changes in skin color, discoloration or darkening, steroid acne, secondary infection, hair loss or increased growth, thinning of the skin and subcutaneous tissue.
Occlusive dressings, application of ointment to large areas of the body, long-term use, especially in children, can cause the development of systemic side effects. They manifest themselves in the form of damage to the central nervous system, hypofunction of the adrenal glands and pituitary gland.
When the ointment is discontinued, the side effects go away on their own.
If necessary, symptomatic treatment is prescribed.
Use in children
“Belosalik” for psoriasis is used in childhood, but after one year. A small amount of the drug is applied to the affected areas to reduce the risk of the active ingredients entering the blood. It is recommended to carry out therapy under the supervision of a doctor.
The ointment should not be used under a bandage, as a greenhouse effect may develop and the infection may spread to healthy areas of the skin.
The ointment is quite greasy, it is used externally, applied to the affected areas. It promotes rapid relief of the condition, since the symptoms of the pathology appear less.
The ointment (cream) forms a film on the skin that protects it from the negative effects of the external environment. The drug disinfects the skin, stops the growth and reproduction of unfavorable microorganisms, and prevents the skin from getting wet.
The drug in ointment form is usually prescribed in childhood after one year of age.
Psoriasis lotion is also highly effective. It cools the skin and eliminates the symptoms of pathology. The lotion is applied to a cotton pad, which is used to wipe the affected areas of the skin. It comes with a spray nozzle. The spray is used to treat the head. Typically, spray lotion is prescribed to people who must go outside after a treatment procedure, as it is quickly absorbed into the skin.
https://www.youtube.com/watch?v=00Npz4d5KAs
The spray is quite easily distributed on the head, it does not stick the hair together, leaves no traces of use, and cools the skin.
special instructions
The ointment and solution are used externally only.
In case of a fungal or bacterial infection, appropriate treatment is required.
Do not use occlusive dressings for extensive lesions.
Belosalik lotion is used to treat hairy parts of the body.
The product is not used in the genital area, anus, on the skin of the face, in the eye area and on mucous membranes.
Belosalik does not change the speed of reactions, does not affect the ability to drive vehicles and other mechanisms.
Local corticosteroids can distort the clinical picture of the disease.
The drug is addictive and withdrawal symptoms may occur. Corticosteroids reduce the skin's resistance to the influence of pathogenic microflora and can contribute to the development of secondary infection and exacerbation of psoriasis.
Reviews about the application
Based on the opinion of specialists and patients, we can conclude that the use of Belosalik is quite effective in the complex treatment of psoriasis.
ELENA, 28 years old. “I developed psoriasis 10 years ago. I constantly see a dermatologist and do everything he prescribes for me. However, recently, relapses have become increasingly common. Together with the doctor we decided to use Belosalik. The doctor explained to me in detail that this drug is hormonal and it is necessary to strictly follow the instructions. I applied the drug morning and evening. After 4 days, the psoriatic plaques began to fade and, most importantly, no new ones appeared during this time. Finally, I can go outside without hiding my hands. I recommend it to everyone, but only with the doctor’s permission, after all, the remedy is powerful.”
ANDREY, 47 years old. “I used Belosalik (lotion) to get rid of psoriasis in the scalp. The effect is quite good, apart from increased dryness of the skin. Moreover, the price of the drug is low, which makes both the ointment and the lotion quite affordable for everyone. In addition, the smell of the lotion is not repulsive. My head stopped itching on day 2, and after 5 days I felt completely healthy. The scales have stopped falling off, which makes me very happy. It is a pity that this drug cannot be used as a prophylactic agent, as the doctor said that it is only necessary for short-term treatment. I was completely satisfied with the result.”
LEONID, 38 years old. “The first symptoms of psoriasis appeared during my military service. I was immediately admitted to the hospital for examination and treatment was prescribed. The disease was difficult to treat, and my health only worsened. I was discharged and registered at my clinic. I was observed for 2 years, and then a friend advised me to try Belosalik. I read reviews about the effect of the drug, but still decided to consult a doctor. He warned me that the medicine contains hormones and cannot be used for a long time, despite the severity of my condition, especially mine, because I am allergic to some medications. But I decided that I needed to try. The first time I applied it to a small area of skin, waited 40 minutes: no reaction. Then I applied more plaques. There were no allergies. I used the ointment for 2 days and immediately began to feel better. I think that after the full course of treatment there will be significant improvements in my condition. At least for me they are already noticeable.”
It is important to consider that, despite the positive reviews about Belosalik, self-medication is strictly prohibited, therefore, before using an external remedy, a consultation with a dermatologist is necessary. This will avoid negative consequences.
Lotion
The medicinal lotion on a fat-free basis is produced in the form of a viscous, colorless solution with a characteristic alcoholic odor. The product is packaged in bottles equipped with a dropper or spray. The composition basically contains betamethasone and salicylic acid . The main components are supplemented with caustic soda, Trilon B, hypromellose, isopropyl alcohol and distilled water.
The doctor determines the dosage and duration of the therapeutic course on an individual basis . As a rule, the frequency of application does not exceed 2 times a day, and the duration of the treatment program is 1 month . When treating chronic diseases, the procedure is carried out every other day, increasing the duration of the course until the painful manifestations that bother the patient finally disappear.
Drug overdose
With prolonged uncontrolled use of Belosalik ointment or solution, patients experience negative consequences. These include dysfunction of the liver and adrenal glands. In childhood, the functioning of the pituitary gland and hypothalamus deteriorates.
In case of overdose, Itsenko-Cushing syndrome develops. This syndrome is accompanied by the following symptoms:
- The appearance of fat deposits on the face, abdomen, chest, back;
- Atrophic changes in muscles;
- Decreased muscle tone and strength;
- The appearance of a clear skin pattern;
- Peeling, dry skin, interspersed with areas of sweating;
- Stretch marks;
- Skin rashes.
In case of overdose, consult a doctor. Depending on the clinical manifestations, symptomatic treatment is carried out.
Comparison of ointment with other remedies for psoriasis
There is an opinion that analogs are always much cheaper and are in no way inferior to the original drug in terms of treatment results. Let's figure it out, is this so?
The most popular and at the same time inexpensive analogue of Belosalik is Akriderm SK. It contains exactly the same components and only one difference - mineral oil has been replaced with petroleum jelly. The product is sold in the same aluminum tubes of various sizes and has the appearance of a classic white ointment. The properties of Akriderm are no different from the original drug, but the price is almost one and a half times less - 200-250 rubles.
But there is still a difference between these two drugs: Belosalik is a combination drug that has a non-steroidal anti-inflammatory effect, but Akriderm is a steroid drug. It is impossible to say for sure which of these two ointments is better; they mutually enhance each other’s effect and can be used in combination.
The main differences between the second analogue, Beloderm, and the original are:
- composition: no salicylic acid;
- release form - cream;
- effective primarily for dermatitis, and only then for psoriasis;
- allowed during pregnancy, but prohibited for use during lactation;
- suitable for children up to six months, but use must be extremely careful;
- there are practically no side effects, except for skin itching;
- lower price - 140-160 rubles.
Elokom helps get rid of various skin diseases of an inflammatory nature. It is well absorbed and does not leave greasy marks on the skin, unlike Belosalik. The analogue will cost the same amount as the original - 310-360 rubles.
The difference between the drugs is that the composition of Elokom is supplemented with petroleum jelly and paraffin. The course of treatment is no more than a month. Prohibited during pregnancy, acne, tuberculosis and syphilis. The effect on the body is no different from Belosalik, so it is better to purchase the original ointment.
No interaction of Belosalik with other drugs in the treatment of psoriasis was found. The only group that should be avoided are ethanol-containing products and medical soap. When combined, these substances can cause irritation and dry skin.
Reviews from consumers and medical workers of the drug Belosalik, regardless of the form of release - lotion, ointment, cream or spray used for psoriasis, are mostly positive. Patients suffering from this disease tried to be cured with the help of various medications, but none of them helped to get rid of the symptoms for a long time. Surprisingly, some patients note a high therapeutic result within a week after using the pharmaceutical product.
In addition to positive reviews, there are also negative ones. For example, one girl suffered for a long time from psoriasis of the scalp, and decided to purchase this drug in the form of a lotion. As a result of self-medication with this medicine, she developed acne crusts on the entire surface of her head, including the forehead and ears. She experienced side effects from the lotion due to the fact that she used it without a doctor’s prescription.
I would like to note that psoriasis is a serious skin disease that absolutely cannot be treated with products not prescribed by a specialist. Such experiments can end very badly for patients.
Use during pregnancy
The first trimester of pregnancy prohibits the use of Belosalik ointment or lotion, since it is unclear how safe the active substances of the drug are for the development of the fetus. The second and third trimester also do not provide for the use of this product.
Only in case of emergency, after an assessment of the possible risk to the child and the threat to the woman’s further condition in the absence of the necessary treatment, treatment is allowed under the supervision of a specialist. The course of therapy should be short and treat small areas of skin.
Similarities between the two dosage forms
Both forms are classified as topical agents . The pharmacological action is of a combined nature . The drug helps optimize immune processes at the cellular level. The active components of the medicinal composition penetrate quite deeply into the epithelial cells, ensuring their healthy division and development. The medicine has the following properties:
- Relieves swelling.
- Reduces the intensity of skin itching and burning.
- Reduces pain.
- Suppresses foci of inflammation.
- Destroys pathogenic microbes.
- Fights fungal infections.
- Suppresses excessive cell proliferation.
- Normalizes immune reactions.
- Promotes vasoconstriction and slows blood flow.
- Softens, dissolves the stratum corneum, cleanses the affected areas of scales.
- Accelerates the healing of skin damage and regeneration processes.
- Cools and softens the skin.
Ointment and lotion equally provide complex therapy in affected areas, reduce the severity of all painful symptoms and relieve acute pain.