List of the most effective ointments and creams for psoriasis with hormones

Hormonal ointment contains glucocorticosteroids (adrenal hormones). Such pharmacological agents have been used to treat dermatological problems for more than 40 years.

Modern ointments with active ingredients quickly eliminate inflammatory processes on the skin and are effective in treating psoriasis, eczema, and skin infections. They are effective antifungal agents

Self-medication using these drugs leads to severe side effects : local, psychological, systemic. List of hormonal ointments:

What are hormonal ointments

Medicines are prescribed only by a doctor

Glucocorticosteroids affect metabolic processes in the body, so hormonal external agents help quickly restore the skin. Based on their strength, they can be divided into four groups:

1. With a weak effect (Lokoid, Pimakufort). Prescribe with caution to pregnant women and children under 2 years of age. Can be used on the neck and face. These are ointments that contain hydrocortisone.
2. Moderate action (Afloderm, Triderm, Belosalik). The components of the ointments are clobetasone, betamethasone, deoxymethasone. They are prescribed when the funds from the first group did not have the desired effect.
3. Strong action (Elocom, Flucort, Sinalar, Flucinar, Celestoderm). Prescribed for the treatment of chronic dermatitis or, if necessary, to quickly obtain a therapeutic effect. Long-term use of such ointments causes the development of adverse reactions. Ointments of this group contain betamethasone, acetonide, fluorcyonide, and budesonide in large quantities.
4. Strong action (Dermovate, Galcinoid). Penetrates into the skin as deeply as possible. Their use should be supervised by the attending physician .

For what diseases are hormonal ointments used?

The drug is prescribed for the following skin problems:

• atopic dermatitis (or diathesis);
• neurodermatitis;
• dermatomyositis;
• seborrhea;
• varicose eczema;
• psoriasis;
• scleroderma;
• lichen planus.

Prescribing a hormonal ointment is advisable when the body cannot cope with the production of glucorticosteroids to suppress inflammation of the skin.

They can be used as prescribed by a doctor when other medications have not brought the expected therapeutic effect. In other cases, it is better to use non-hormonal products for the skin: Bepanten, salicylic ointment.

Description

Hormonal ointments for the treatment of dermatological pathologies are created on the basis of corticosteroids, which are synthetic hormones identical to those produced by the adrenal cortex. Such substances vary in the strength of their therapeutic effects and are the main components of ointments for psoriasis, atopic dermatitis, neurodermatitis, eczema and other skin pathologies. In some cases, such drugs contain several active elements and are prescribed for complex pathological processes, for example, in cases of allergic reactions, fungal or bacterial infections joining the underlying disease.

In any case, such medical products are used exclusively as prescribed by the treating doctor in strict accordance with the developed treatment regimen.

Most often, medications with corticosteroids are prescribed to alleviate the acute period of the disease, and after the symptoms become less severe and the inflammation subsides, they are replaced with other medications that do not have so many side effects and are suitable for long-term use.

They have a fairly dense texture and are produced in aluminum or plastic tubes, packed in a cardboard box.

The harm of hormonal ointments to the body is of interest to many.

Hormonal ointments for children

Diathesis is a common allergic reaction in children. Already after the first use of external products, noticeable relief occurs, redness and itching disappear. But hormonal ointments for children negatively affect the growing body. Once in the bloodstream, they affect the functioning of the adrenal glands, slow growth, and increase blood pressure.

When choosing a drug, you need to take into account the concentration of the active substance. Doctors prefer ointments with weak or moderate effects (Lokoid, Pimakufort and others). They penetrate the skin shallowly, so adverse reactions occur less frequently.

List of hormonal ointments, their characteristics and harm

The most popular drugs, due to their low cost and high efficiency, include the medications “Sinaflan” and “Hydrocortisone”. The following medications are often prescribed:

• "Advantan" is a hormonal anti-inflammatory ointment for local treatment of skin pathologies: eczema, allergic rashes, dermatitis. The drug has a local effect on the affected area of ​​the skin, eliminates signs of inflammation and allergies, and prevents thickening of the epidermis. Harmful effects when using this product include itching, burning and redness of the skin, rashes in the form of small blisters at the site of application. The skin may become thinner and acne and stretch marks may occur. Very rarely, it is possible to develop inflammation of the hair follicles and hypertrichosis, dermatitis of the skin areas around the mouth.

• “Flucinar” is an ointment, the active component of which affects the immune system, reducing the migration of neutrophils to the site of the inflammatory reaction, acts on a number of enzymes, suppressing their (phospholipase, cycloxygenase) activity. At the same time, the concentration of inflammatory mediator compounds decreases. This compound also helps stabilize mast cell membranes, resulting in significantly reduced histamine production. The ointment has anti-inflammatory, antiallergic and antipruritic effects and is prescribed for psoriasis, eczema, and neurodermatitis. If we talk about the dangers of this drug, then it is necessary to take into account the likelihood of developing skin atrophy, lupus-like syndrome, signs of lichen planus, pinpoint hemorrhages, stretch marks, steroid purpura, hirsutism, and baldness. As a rule, the harm of hormonal ointments for children is greater than for adults.
• "Akriderm" is a hormonal ointment based on betamethasone, which has antiproliferative, anti-inflammatory, antipruritic, vasoconstrictor, antiallergic and antiexudative effects. This medication suppresses the accumulation of leukocytes, slows down the release of inflammatory mediators and lysosomal enzymes in lesions, suppresses phagocytosis, reduces vascular permeability, prevents the formation of edema, reduces the severity of pathological reactions (pain, irritation) and objective symptoms (edema, lichenification, erythema). The drug can cause harm to the body in the form of severe burning, folliculitis, irritation and dry skin, hypertrichosis, contact dermatitis, hypopigmentation, skin atrophy, prickly heat, and stretch marks. We looked at the harm of hormonal ointments to the human body.

Hormonal ointments for the face

For severe inflammation, hormonal ointments are prescribed for the face and neck , but after therapy the general condition of the skin worsens:

• it becomes thin and too sensitive because collagen production decreases;
• acne appears;
• pigmentation is disturbed;
• stretch marks occur.

If there is an urgent need to use hormonal external agents, it is recommended to use a cream or lotion to reduce the occurrence of side effects. Afloderm, Advantan, Elokom are recommended for the face.

Indications for use

Corticosteroid ointments are used in the treatment of various allergic manifestations on the skin, diathesis, various types of dermatitis, and help in the treatment of chronic dermatological pathologies: psoriasis, neurodermatitis, eczema. They relieve inflammation and itching of the skin, relieve rashes of non-infectious origin, relieve swelling and hyperemia of the skin, smooth out the affected areas and eliminate peeling. In most cases, when allergic dermatitis develops, hormonal external agents completely eliminate its negative manifestations. These pharmacological drugs allow you to avoid relapses of skin diseases that occur in chronic forms, eliminate unpleasant symptoms from the first day of use.

Disadvantages of hormonal ointments

Self-prescription, incorrect, long-term use of hormonal ointments does more harm than good. The consequences of self-medication are as follows:

• slow wound healing;
• telangiectasia (vascular network of capillaries chronically enlarged in diameter);
• subcutaneous hemorrhages;
• the development of fungal and bacterial infections in areas of the body treated with hormonal agents;
• increased hair growth (hypertrichosis) or hair loss (alopecia) at the site of drug application;
• development of cataracts and glaucoma after treatment of the skin around the eyes;
• osteoporosis;
• mental disorders;
• adrenal insufficiency;
• Withdrawal syndrome manifests itself in a sharp deterioration in the condition of the skin and overall health.

Hormonal ointments quickly relieve symptoms of dermatological diseases, but cause a variety of side effects. Withdrawal syndrome is severe. Adverse reactions manifest themselves not only in the form of skin damage, but also provoke dysfunction of internal organs. Take these medications only when absolutely necessary and as directed by a doctor.

What is the danger for women

Estrogen-containing ointments are often prescribed to women during menopause due to increased vaginal dryness and acne as a result of a lack of hormones. When used correctly, hormonal ointments have only positive effects. Are hormonal ointments harmful for women? The most common side effect of such drugs is the development of fungal microflora in the vagina (candidiasis), hypertrichosis and withdrawal syndrome are also noted when stopping the use of ointments.

In most cases, hormonal drugs are prescribed to women during menopause or after removal of the ovaries, which results in their insufficient function in producing hormones. It is not advisable to refuse to use such drugs, even taking into account the harm of hormonal ointments, however, they should be used carefully, taking into account all risk factors and after a diagnostic examination.

Hormonal ointments are also often used in the treatment of facial skin pathologies and in the fight against age-related changes. Women often use such products to eliminate wrinkles and acne of unknown etiology. If you use this product on the skin of the face, women may experience excess hair growth in this area and impaired skin pigmentation.

What is the harm of hormonal ointments for men?

The essence of the action of the drug

Quite often, a number of creams containing glucocorticoids, which are natural or synthetic hormones, which have no equal in providing such an effect on eliminating inflammation, itching and swelling, are used to treat skin diseases.

For this reason, they are often prescribed by doctors in case of exacerbation of a number of diseases affecting the skin, in particular for the treatment of ailments such as diathesis, eczema, neurodermatitis, psoriasis, etc.

The most popular means are presented:

• "Prednisolone";
• "Hydrocortisone";
• "Sinaflan";
• "Flucinar."

Often, this category of drugs is used under the condition that more gentle methods have not given the expected result.

Differences in drugs of this type

Today, the drug market offers a wide range of ointments based on hormones, which gives the doctor the opportunity to individually select a drug, taking into account the needs and health characteristics of the patient.

Depending on the level of activity, this category of medications is divided into 4 groups, each of which has its own indications for use.

For example, drugs with weak effects are prescribed for short-term therapy of children and adults in cases of non-acute forms of illness. If the exacerbation is localized in an area where the skin is less sensitive, then use strong creams. In the case of dry skin, preparations in the form of ointments should be used directly, since they are well absorbed by the surface layer of the skin.

Ointment for dermatitis on the skin

Hormonal ointment for dermatitis is prescribed in extreme cases, when local non-hormonal agents do not work or when the disease threatens the patient’s health. Based on the strength of their effect, there are weak, medium and strong drugs; all of them can be prescribed in combination with antibiotics, other ointments and creams. When are hormonal drugs effective:

• in case of relapse of diseases;
• for atopic, allergic, contact dermatosis;
• for acute inflammation (especially during contact form of dermatitis);
• at risk of developing eczema;
• for neurodermatitis, erythema, allergic rash.

Hormonal skin ointments can have strong side effects (temporary, systemic), secondary allergies, addiction and even harm the body - they should be used with extreme caution, strictly following all the rules of the course. Such products are prohibited for children under six months, some for up to 2 years; in addition, they have a number of permanent contraindications:

• pregnancy;
• breastfeeding period;
• venereal diseases;
• tuberculosis;
• infections and viruses;
• acne (acne), scabies;
• helminthiasis, parasites;
• individual intolerance (each drug must be checked before starting the course).

For children

Children suffering from eczema and contact dermatitis are often prescribed new generation hormonal drugs: they are practically not absorbed into the blood, which minimizes the occurrence of dangerous side effects. Another effective children's remedy is antihistamines, which suppress the action in the same way as hormonal drugs, but with less effect on the body. They work well for treating allergic rashes on the face, hands, and feet.

Corticosteroids are allowed in children subject to strict control of dosage and duration of therapy; Each drug must be tested by a dermatologist using a skin test. If a small child has so-called diaper dermatitis, diaper rash on soft skin or chickenpox, it is better to choose other anti-inflammatory ointments; hormonal drugs will not be very effective.

For adults

Hormone therapy for adults is not as scary as many people think. Modern hormonal drugs, made on the basis of previous versions, have good results and do not carry consequences if taken correctly. They stabilize cell activity and “freeze”, eliminating the inflammatory process. You also need to choose the form of the drug:

• for dry skin, oily hormonal ointments for dermatitis are needed;
• for weeping dermatosis - drying cream;
• Soft emulsions and gels are suitable for delicate skin of the face, neck, and ears.

List of ointments for dermatitis

The classification of hormonal ointments for dermatitis occurs according to the class of the drug (from weak to potent), main components and indications. Hormonal components are hydrocortisone, flumethasone, betamethasone, clotrimazole, deoxymethasone and others; they can be either in pure form or in combination with additional substances (salicylic acid, gentamicin, panthenol, lidocaine).

Drying

To make the effect of glucocorticoid hormones more complete, drying agents are included in the ointments: zinc, zinc paste, salicylic ointment and their analogues. Complex drying preparations are Lorinden A and C, Vipsogal, Diprosalik. Many hormonal medications can dry out as an additional, not the main effect, except for those designed to moisturize and soften dry, flaky areas (Elobaze, Locobase, Advantan).

Corticosteroids

This is a group of strong hormonal medications containing glucocorticosteroids: they suppress the production of histamine, quickly relieve inflammation and itching, and fight the disease at the cellular level. They also have antifungal and antibacterial effects, relieve swelling; used for eczema, pyoderma, psoriasis, severe dermatosis with associated infection. Main names in this category by active substances:

• Hydrocortisone: Pimafucort, Laticort, Cortomycetin, Oxycort, Hyoxysone, Sopolcort, Corteid, Fucidin.
• Betamethasone: Akriderm, Beloderm, Celestoderm, Betazon, Belogent, Betakortal, Diprospan, Kuterid, Diprosalik.
• Triamcinolone: ​​Triacort, Ftoderm, Polcortolone, Fluorocort, Kenalog, Berlicort, Nazacort.
• Flumethasone: Localasen, Sinaflan, Sinalar, Flucinar, Lorinden, Ultralan.

Antipruritic

Almost any hormonal ointment for skin diseases effectively relieves itching due to its antihistamine effect, which suppresses bacterial activity and eliminates its manifestations. Such ointments include medications with triamcinol (Kenacort, Fluorocort, Triacort), clobetasol (Dermovate, Cloveit, Skip-cap), alklometasone (Afloderm can be used on the face and genitals).

Price for ointments for dermatitis

Corticosteroid drugs are quite expensive: their composition and strong effect cause a high cost, but you can choose drugs within your means. There are many Russian analogues that are not inferior in quality to European medicines. Hormonal medications can be bought at any pharmacy; in online stores the choice is small; they are trying to stop the uncontrolled use of drugs, although a prescription is not yet required for purchase. Approximate prices for some medications in the Moscow region:

Flucinar ointment, 15 g

Akriderm ointment 30 g (SC; GC)

Lorinden A, ointment 15 g

Cloveit cream 25 g