Cream and ointment - what are the differences?
Both creams and ointments can be used to treat psoriasis. How to distinguish them? Despite their external similarity, cream and ointment are fundamentally different dosage forms.
Cream is an emulsion; it consists of water, an oil base and an active substance. The cream may contain a composition of several active ingredients. The components are quite light, penetrate well through the upper layer of the skin - the epidermis and can affect the deeper layers of the dermis.
The ointment, as a rule, does not contain water, consists of a base, often fatty, and an active substance; ointment is always a dosage form. The ointment can be presented in the form of the ointment itself, gel, liniment or paste. The absorption of the ointment into the skin is slow; it may leave a greasy sheen and stains on clothes.
Unlike ointments, cream can be both medicinal and cosmetic, you should pay attention to this. The emulsified composition of psoriasis cream is simpler and more pleasant to use, mainly due to the lower content of fatty components.
Possible analogues
In some cases, when the use of Kartalin ointment for treatment is impossible or the drug is temporarily unavailable for sale, you can use one of the possible analogues with a similar therapeutic effect and action.
Analogues of the drug:
- Cytopsor - is produced in the form of an ointment-balm for topical use based on fatty solid oil; the composition contains organic compounds and minerals as auxiliary components. The drug is effective in the treatment of progressive psoriasis and other dermatological diseases. The cost of 200 grams of ointment is about 1500-1700 rubles ;
- Antipsoriasis - refers to non-hormonal drugs for the treatment of psoriasis, intended for external application to the affected areas. The composition contains petroleum jelly, solid oil and natural extracts of various plants, which help relieve inflammation and stimulate recovery processes. The cost of 120 grams of the drug is about 1200-1300 rubles ;
- Antipsor is one of the most budget-friendly analogues of Kartalin; it contains only grease. The cost is from 700 rubles ;
- Loma Psoriasis - not available in the form of products for external use; the solution is intended for oral administration. This is a non-hormonal and homeopathic drug with a minimum of contraindications; a positive effect in the treatment of psoriasis is achieved due to the effect of bromides and nickel on the body. The cost in pharmacies starts from 1800 rubles .
Cytopsor Antipsoriasis Antipsor Loma Psoriasis
How to use psoriasis cream correctly?
When treating psoriasis using external agents, there are several simple conditions:
- Always apply the medicine to clean skin. It is ideal to apply the product to slightly steamed skin, for example, after water treatments or a bath. Heat enhances the effect of the drug components.
- Do not start treatment for skin psoriasis with strong antibacterial creams or medications that contain hormones. The first will destroy the entire microflora: both harmful and beneficial. The latter have a number of unwanted side effects, withdrawal syndrome and cause specific drug addiction.
- Remember, the cream that “suits your neighbor” will not always suit you. There are no two identical people in the world, so your skin is different from the skin of your friends and acquaintances. Do not neglect the advice of a specialist, especially at the first stage. Choose a doctor who prefers non-hormonal methods of treating psoriasis.
- It is not advisable to use several external medications at the same time. Try not to start using two or more external liniments at once. After doing this, you will never know what component you are allergic to.
- Use other methods to treat psoriasis. An integrated approach is extremely important - proper diet, elimination of stress, lifestyle, physiotherapy, climatic therapy, mineral balance in the body, putting the gastrointestinal tract in order.
So, follow all the rules, and you will succeed!
Let's look at the most popular psoriasis creams today.
Kartalin
A unique drug that contains both salicylic acid and grease. Most suitable for rough skin or keratinized areas. Kartalin is used for plantar psoriasis, when plaques are localized on the elbows and other areas.
Ingredients: Natural bee honey, string, grease, lysozyme, retinol (vitamin A), lavender and eucalyptus oils, salicylic acid.
Contraindications: It is not recommended to use Kartalin if you have facial psoriasis; there may be a negative reaction when applied to sensitive or thinned skin.
General characteristics of Kartalin ointment and cream
The drugs are based on the same active components, so the pharmacological action is identical .
Composition of Kartalina:
Component name | Action |
Salicylic acid | Antiseptic, has irritating properties, activates the nerve endings of the skin, causes powerful exfoliation of keratinized, dead cells of the epidermis (keratolytic effect). Relieves inflammation, reduces pain and discomfort. |
Bee honey | It has broad antimicrobial properties and prevents bacterial and fungal infections. |
pharmaceutical camomile | A natural antiseptic, protects the skin from the adverse effects of external factors. Softens the dermis, improves metabolic processes at the cellular level, accelerates skin regeneration (renewal). |
Series | Wound healing, anti-inflammatory, bactericidal medicinal plant. Effective for skin diseases - eczema, neurodermatitis, furunculosis, ulcers, festering wounds. |
Lavender oil | Relieves inflammation, enhances exfoliation, soothes, heals the skin. |
Eucalyptus oil | Effectively fights inflammation, prevents wound infection, |
Retinol (vitamin A) | Regulates the synthesis of useful substances necessary for the regeneration of the epidermis, normalizes metabolism, heals damage, stimulates the production of collagen necessary for the formation of new tissues. |
Lysozyme | Antibacterial agent. |
Solid oil | Base for ointments for psoriasis. |
Indications for use of Kartalin:
- Allergic dermatoses.
- Neurodermatitis (characterized by severe itching)
- Atopic dermatitis in adults and children.
- Eczema.
- Psoriasis.
The drugs have no contraindications. When applied topically to the skin, active substances are not absorbed into the systemic bloodstream and do not have a negative effect on the functioning of internal organs. An exception may be individual intolerance or allergy to certain components (honey, essential oils).
Kartalin is more effective when used in combination with other pharmacological agents of chemical origin.
Magnipsor
One of the basic products based on solid oil, a good non-hormonal cream for the treatment of skin psoriasis.
Magnipsor is produced in Ukraine; at the moment it can be ordered by mail or at one of several representative offices. The manufacturer does not disclose the recipe of the medicine; it is known that in addition to solid oil, the composition includes plant extracts.
Pros: quite good results are observed when used for a month 1-2 times a day
Cons: Like all grease-based pastes, it has a specific odor and leaves greasy stains on clothes. After use, it is recommended to wear cotton pajamas that you do not mind. Upholstered furniture also tends to absorb the smell of grease.
IMPORTANT!
Questions are often asked: is it possible to use solid oil in its pure form for the treatment of psoriasis, if it is so often included in creams? In fact, the composition of medications includes purified solid oil. Using industrial grease is undesirable for your skin, although it may be nice for your wallet.
Brief description of Kartalin cream
The cream is available in soft plastic tubes of 100 ml . The method of application is similar to the other dosage form - thin application to the sites of pathological changes 2 times a day.
The color of the ointment and cream can be either dark brown or light yellow. This discrepancy is due to the fact that natural raw materials (medicinal herbs) are used for production. Therefore, different series of drugs differ in appearance. This does not affect the activity of the components and the effectiveness of the product as a whole.
Solipsor
Solipsor is a medicinal product based on medicinal grease, tar and celandine. The composition of nine forces is also complemented by a perfume composition. The drug was developed and produced at the university department, successfully passed clinical trials and is recommended for use in Russia and Ukraine.
Available in a single form - as a cream. The production is environmentally friendly.
Method of use: it is recommended to rub the dosage form into the skin - strictly in the direction of hair growth. Can be used to treat plaques on the face and neck. Good results can be obtained in the treatment of palmoplantar psoriasis. The first result is after a week of use, regression of skin manifestations is after 1 – 3 months of use.
Pros: unlike other grease products, Solipsor has almost no grease smell.
There are practically no contraindications.
Cons: it is not always possible to achieve long-term remission. After skin restoration, you need to continue using the cream for preventive purposes. The medicine is not widely known at the moment; it was approved for use relatively recently.
Losterine cream for psoriasis
The main active ingredients are naphthalan and salicylic acid. The composition includes herbal extracts and natural oils. It has exfoliating, healing, anti-inflammatory and antimicrobial effects. In addition to Losterin cream, the manufacturer offers a special shampoo and shower gel based on naphthalan, which can be used for psoriasis and other skin diseases.
Pros: does not contain hormones and does not cause side effects or withdrawal symptoms. Can be used in combination with basic therapy. Under the brand name Losterin, a whole series containing naphthalan is produced - shampoos and shower gels.
Disadvantages: Many people call the disadvantages of Losterin the not very pleasant smell. When applied to the skin, a tingling sensation may be felt, and there may also be a phenomenon such as a short-term increase in itching. The drug can tighten and dry the skin.
Side effects
The instructions for Kartalin cream indicate that in some cases side effects associated with the condition of the skin develop. If the patient is intolerant to the composition, an allergic reaction occurs. It is accompanied by itching and burning of the skin, hyperemia, urticaria and other symptoms. With such clinical manifestations, it is sometimes necessary to discontinue the medication, and a substitute is selected that has a similar therapeutic effect.
Akrustal
In terms of its consistency, Akrustal is more of an ointment than a cream. Contains mainly natural ingredients and grease. The color of the ointment is closer to dark brown. A yellowish color is also allowed.
Beeswax and honey, essential oils of yarrow, eucalyptus and cedar soften the “aroma” of solid oil; extracts of licorice root, juniper, aloe, calendula, wheat, chamomile and rose hips complement the bouquet. However, the smell of grease does not disappear completely. Akrustal is also not absorbed and can cause inconvenience after application. The peculiarity of the drug is that, in addition to the classic anti-inflammatory and keratolytic effects, it has good healing properties.
The consistency of the drug is quite thick and at the same time finely dispersed. This allows you to apply the product to the psoriasis elements in a very thin layer. Thus, the medicine is used sparingly. Akrustal is packaged in small and medium-sized plastic jars. In addition to ointments, the product line includes soap.
Contraindications: practically none, only individual intolerance or allergy to the components of the ointment. Pregnant, breastfeeding and children over 2-3 years old can use this product without fear. If you are treating a child, make sure that the baby does not lick or swallow Akrustal.
Features of use: if you have just started using the drug, during the first week take breaks in use - a day of treatment, a day off. This is necessary for the skin to get used to the components. The exposure of the medicine to the affected areas should be about six hours, after which the ointment is washed off with water. Don't rub! Starting from the second week, you can apply the composition daily. The course of treatment is long.
Kartalin ointment - reviews
I have mixed feelings about this product. This may be a bit long, but I think it’s worth telling a little background. I have been suffering from psoriasis for 20 years. I first became closely acquainted with Kartalin 4 years ago, in 2010. It was a dark-colored ointment with a specific smell (the smell, by the way, didn’t bother me), with a volume of 125 ml.
At that time, against the backdrop of a stressful situation, I had another exacerbation of psoriasis after a very long remission. It lasted for the second year and was manifested by arthritis and itchy plaques on the body and head, which became more and more numerous, and their size increased. There was almost snow falling from my head. Despite the fact that I don’t drink, don’t smoke, and follow a diet. I also applied hormonal ointment to them, although I knew that this was undesirable. I just didn’t see an alternative at that time. She completed a course of “treatment” at the local hospital. There they treated me only with sulfur ointment (aside from the unpleasant odor, it barely washed my hair), injections of vitamins, “Essential Forte” and something else, I forgot the name. Those who have encountered our free healthcare know what it is. There was no sense in such “treatment”.
Then I began to study information about psoriasis on the Internet. Through trial and error, I began to look for my own method of treatment. I immediately rejected widely advertised hormonal products like Skin-cap. I tried smearing the plaques with tar - it didn’t help. I went to Lake Alakol (a salt lake in Kazakhstan, a remnant of an ancient sea, famous for healing skin diseases) - also to no avail (more about that here
)
What helped before.
Production has been discontinued And finally, on a website dedicated to psoriasis, I read reviews from those treated (modest mentions, and not a detailed description of its beneficial qualities, which is the fault of custom-made advertising articles!) that Kartalin helped. I decided to try it, not really hoping for anything. It turned out that in our city it was also sold in only one pharmacy and at exorbitant prices. In 2010, I paid the equivalent of $50 for a jar, while in Russia its cost at that time was around $10. I began to follow the recommendations specified in the instructions - to smear the plaques daily, at a minimum, but I followed the diet without it. Yes, the ointment turned out to be a brand, with a smell, I had to get special underwear. But, it seems to me, if you want to be healed, then such little things should not bother you.
And now - lo and behold!!! After about 2 months of use, small plaques began to disappear, and large ones began to turn pale and become overgrown with normal skin. The scalp was also cured, I forgot what itching and giant flakes of dandruff were! Almost everything has passed - 99%,
There were a couple of unnoticeable “duty” plaques that stubbornly refused to go away. This happens, this is the specificity of the disease.
Moreover, my husband smeared eczema on his leg with this kartalin - it arose after the operation, next to the suture. It's all gone. And the dermatologist prescribed him an expensive hormonal ointment for “treatment” - we did not buy it.
Four years passed - another good stress and an exacerbation began again, psoriatic plaques began to appear. The old jar of Kartalin is gone. I wanted to buy a new one and I see that the ointment is now also in a “new format”. Like this:
Kartalin in a new edition
The price remained the same, the volume decreased. 100ml instead of the former 125ml. The smell has become more pleasant, even aromatic - lavender notes are felt. The color has become lighter. Vitamin D, which was previously included, has disappeared from the composition. Otherwise, everything remains the same. But for some reason I stopped helping
. I used a whole tube, but the result was zero! The plaques don't disappear. They just peel off gently and the itching goes away. That's why I give it three stars - at least some effect.
This is my used tube
Psoriasis is such a bad thing that it is very difficult to find a cure. As an alternative, I decided to try Akrustal cream. You can read about this here. I continue to use Kartalin, since I have not yet found a worthy replacement.
IMHO, if earlier, in terms of results, Kartalin was closer to medicines, now it is more like a regular cosmetic product. I started looking on the Internet again, and read on psoriatic forums that the “new edition” of Kartalin had stopped helping many people.
To the manufacturers: BRING BACK THE OLD COMPOSITION!!!
Along with this you can look:
Cream Ulkaril (Acyclovir)
Toothpaste Mint + apple.
Venotonic agent Ginkor Fort (Bofur Ipsen Industry, France)
Orthodontic trainer MyObrace
NIVEA VIZAGE face cream
Universal balm "First Aid" - soothes even psoriasis"
Sophora
It should be noted that an effective cream for psoriasis is not always based on one substance. A striking example of this is Sophora cream. The active ingredient here is a composition of yellowish sophora, purified dried scorpion, camphor, azure, Amur cork, fruits of the Monnieri tourniquet and other substances that cannot be found in domestically produced medicines. Collected together, the components give excellent results. The cream also perfectly helps with other skin diseases - eczema, dermatitis, neurodermatitis, lichen.
The drug has passed all studies, is registered and approved for use in the Russian Federation. Purified, deionized water is used in production.
Principle of action: targets targeted areas of the skin. The upper keratinized layer of skin is exfoliated, the active substances included in the composition penetrate into the deep layers of the dermis. The itching goes away. The drug promotes skin regeneration.
Application: It is very important when using Sophora cream to stop using all other products. After taking hormonal medications, a break of two to three weeks is required before starting use so that the hormones are cleared from the body. The cream is applied directly to the skin; it should be dry and clean. Apply regularly - twice a day. Store the drug in the refrigerator for no more than 2 years.
Side effects: practically absent, acne may occur. Individual intolerance or allergic reactions to the components of the drug are also possible.
Contraindications: not recommended for use by pregnant, lactating women and in pediatric practice due to the lack of sufficient clinical data in this category of patients.
Many people are looking for the best psoriasis cream for themselves or their loved ones.
Experience shows that multicomponent creams based on natural ingredients are the most effective and modern means with a minimum of side effects.
KARTALIN-A+ - enhanced action
It has a softening, keratolytic, regenerative (keratoplastic) effect, including restoring the lipid barrier of the skin, its integrity and functions, and protects the skin from increased loss of transepidermal water.
It has a pronounced anti-inflammatory and antibacterial effect.
- does not contain hormones, dyes or fragrances
- does not have an aggressive effect on the skin
- does not cause addiction or withdrawal symptoms
- has no restrictions on area and frequency of use
Recommended:
- in complex care for chronic dermatoses with severe dry skin:
— psoriasis
- eczema
— neurodermatitis
- atopic dermatitis
- allergic dermatitis
- lichen planus
Properties of Incoming Components
Sea buckthorn oil is a herbal remedy and a source of vitamins A, E, F, K, has a regenerating effect on the skin and mucous membranes, accelerating their epithelization, has a general strengthening, anti-inflammatory, cytoprotective and antioxidant effect. The oil contains fat-soluble bioantioxidants that reduce free radical processes and protect cell membranes from damage. Sea buckthorn oil reduces lipid and cholesterol levels in the blood.
Rosehip oil - has a regenerative effect due to the presence of mono- and polyunsaturated fatty acids (oleic, linolenic and linoleic cover about 95% of the mass). Thanks to a combination of nutrients and active vitamins in an easily digestible form, it stimulates tissue renewal and restoration, improves and evens out skin color and texture, and is effective for dermatological problems. Rosehip oil stimulates local and general immunity and body resistance, has a general strengthening and restorative effect, enhances tissue regeneration, stimulates the production of hormones by glands, activates carbon metabolism and the active absorption of vitamins, exhibits the properties of an immunostimulant and a vascular strengthener.
Vitamin E (tocopherol) is a powerful natural antioxidant. Protects cells from free radicals, stimulates the immune system, regulates protein metabolism, and has an anti-inflammatory effect. Inhibits lipid peroxidation, preventing damage to cell membranes, eliminates free radicals, restoring them.
Isopropyl methylphenol is an isomer of thymol (the main component of essential oils of plants of the Lamiaceae family), has pronounced antioxidant and antibacterial properties. It has the ability to absorb ultraviolet rays, retains its effectiveness for a long time, being extremely resistant to temperature, humidity, light and air. As part of products for problem skin, it prevents the appearance of acne and normalizes sebum production. Isopropyl methylphenol helps the skin get rid of the extremely unpleasant sensation of burning and irritation and provides a powerful anti-inflammatory effect. Thanks to its powerful bactericidal properties, it perfectly disinfects open wounds, preventing their suppuration.
The combination of ingredients that make up KARTALIN-A+ provides a high therapeutic effect without causing side effects or complications.
Clinical trials conducted at the ILC of the Novosibirsk Research Institute of Hygiene (CARTALIN-A+ was used in the complex treatment of skin diseases of various origins, including psoriasis) showed that CARTALIN-A+ is well tolerated. Does not have a skin irritant effect. Cream “Kartalin – A+” normalizes the lipid layer of the skin, bringing it to a state of physiological norm.
Directions for use: KARTALIN-A+ should be applied to the affected areas of the skin in an even layer (without rubbing) 1 or 2 times a day, for at least 12 hours. The effect is usually observed within 1-2 weeks. Application is quite long-term (from 2 to 4 months). The first stage of application: - complete disappearance of plaques (before the formation of dark or white dyschromic spots). Second stage: - after the formation of dyschromic spots, to consolidate the effect, use should be continued for 1 month.
Contraindications: not identified, individual intolerance to the components is possible.
General recommendations for use:
- During the period of application of the cream, visiting the sauna and steam bath is not recommended; taking a hot bath and hot shower (t above 380c); using scrubs.
- In the first month of using the cream, it is recommended to take antihistamines to reduce side effects.
- Drinking alcoholic beverages is strictly prohibited.
- It is advisable to quit smoking or strictly limit it.
- Eliminate eggs from the diet, limit the consumption of fatty, fried and spicy foods.
- Healthy sleep is recommended.
- You can wash your hair and body daily, but at least 2 times a week. It is recommended to use liquid cream soap “Sibirskaya Line” ASTROPHARMA®:
- In the first week of using the Kartalin-A+ cream, it is recommended to use the Antibacterial liquid cream soap with Ivan-Chaya extract and a complex of vitamins (A, E, B5), which has an antibacterial and antipruritic effect.
- Starting from the second week of using the Kartalin-A+ cream, it is recommended to use the Softening cream soap, which contains natural moisturizers such as plantain extract, chamomile extract and vitamin complex (A, E, B5) and serves for thorough and at the same time gentle cleansing of the skin.
- It is recommended to use shampoos and hair conditioners that match your hair and scalp type.
- If your skin feels dry after washing, you can use baby cream to soften it.
- It is not recommended to combine the use of Kartalin-A+ cream with hormonal creams and ointments.
- Do not use bandages and compresses; it is better to separate unnecessary clothing.
- Do not stop using it for a single day.
Picladol
Inexpensive solid oil cream for skin psoriasis. It contains celandine extract, Siberian fir extract and oil, purified tar and, of course, grease. The product helps eliminate the inflammatory process, softens the skin, eliminates itching and burning. It also has a disinfecting and healing effect. This drug can also be used for preventive purposes.
Pros: Of course, the main advantage of this product is the price. Many patients note the effectiveness and absence of side effects.
Cons: unpleasant smell, consistency somewhat runny.
Indications for use
Kartalin is not used for prophylactic purposes; its use is allowed only when symptoms of diseases occur.
The main indications for undergoing therapy with the use of the drug are:
- Psoriasis , including with the addition of a secondary infection and complications developing against it;
- Neuro-allergic lesions of the skin in a chronic form;
- Acute allergic reactions , accompanied by skin rashes and severe itching;
- Eczema of various forms and stages of development, including those accompanied by the formation of foci of purulent lesions.
- Neurodermatitis and dermatitis of various forms and types.
Antipsor
Antipsor is a cosmetic product for skin care for psoriasis, various dermatitis, fungal infections, lichen and eczema. A special feature of Antipsor balm is its emphasis on natural ingredients with the inclusion of Far Eastern flora and seafood. The drug is also used as a remedy for the listed skin diseases.
On the jar of Antipsor balm the following composition : grease in fatty form, chitinous crab cover, extracts of string, Manchurian aralia, burdock and celandine. The composition is complemented by tar, gum arabic and fir oils.
Antipsor ointment promotes the regeneration of the epidermis and the elimination of psoriatic elements.
Application: before applying the ointment, it is recommended to steam the skin - take a shower or bath. Bath procedures give the best results. The balm is rubbed into the skin twice a day every day - morning and evening, for three days, without rinsing or taking water procedures. On the fourth day, you can wash off the composition and take a shower. After a one-day break, the steps are repeated.
The usual course of treatment is about a month; if necessary, it can be extended to two months.
IMPORTANT: Some time after starting to use the balm, pustules, itching and skin hyperemia - redness - may appear. This usually happens on the second, third or fifth day. This is considered a normal reaction; in the future, these manifestations go away. It is not worth interrupting therapy if such elements appear.
A course of treatment
The minimum duration of use of the cream is 2 months. The maximum permissible duration of the treatment course is 4 months. A reduction in psoriasis symptoms will be noticeable after the first week of using Kartalin A+.
The therapeutic course should be divided into two periods - recovery and recording of the treatment result.
- Stage 1. It is carried out until the plaques completely disappear, when light or dark spots form on the skin in their place. 10 days from the start of the course, the ointment is applied once daily. Next, increase the frequency of application to 2 or 3 times (depend on the individual condition and extent of psoriasis). You cannot apply the product to the entire surface of the body at the beginning of the course. Every 2 days, add a new treated area - neck, arms, back, legs.
- Stage 2. After the plaques have completely disappeared, start using the ointment once a day. The product should be used for 30 to 60 days, depending on the effectiveness of the treatment.
Psoril
Psorilom cream for psoriasis has pretty good reviews. The basis of this product is zinc - zinc pyrithione and mineral oils.
The composition includes extracts of medicinal plants: yarrow, milk thistle and rosemary. Eucalyptus and lavender oil, in addition to the healing effects, give the cream a pleasant smell. The composition is complemented by extracts of elderberry, calendula, violet, rosemary, sweet clover, mint, burdock and St. John's wort.
Can be used both during exacerbation of the psoriasis process and during periods of remission to maintain the skin in optimal condition.
In addition to the classic cream, there is a special children's Psorilom. It has a more delicate texture and is approved for use from 2 years old. Children's Psorilom contains vitamins A, D3, E, bisabol and magnesium sulfate.