"Triderm" for acne: reviews, application features, composition and types

Triderm drug

The drug Triderm is a remedy aimed at combating pathogens.
It is equally effective in case of primary damage to the epidermis, as well as in case of re-infection. The main elements of the drug are:

1. Gentamicin. This is a powerful antibiotic that helps in the fight against pathogens. Its amount reaches 1 mg/g.
2. Betamedazone. This is a substance of hormonal origin. It is aimed at relieving inflammation and irritation of the epidermis. Relieves itching. Contains in an amount of 0.5 mg/g.
3. Clotrimazole. A medicinal substance aimed at combating infectious and fungal infections of the skin.

More often the drug is prescribed for the treatment of:

• eczema;
• Staphylococcus aureus;
• several varieties of lichen;
• allergic dermatitis;
• mycosis of the groin area and a number of other diseases.

In rare cases, dermatologists prescribe the remedy for lesions of the skin on the face. In this case, it can have the opposite effect and cause another type of dermatitis - perioral. Such consequences are caused by the hormonal substance that is part of Triderm. When used on the face, peeling of the epidermis occurs, and itching and redness intensify. If the remedy is canceled, all manifestations will disappear.

Gentamicin, which is part of the drug, quickly and effectively kills pathogenic bacteria and prevents their further development. Clotrimazole helps him with this, which destroys the walls of the fungus. Betamedazone not only relieves the allergic reaction, but also consolidates the effect of the drug, accelerating the migration of immune cells to the affected areas of the epidermis.

Thanks to its multicomponent composition, Triderm is actively used not only in dermatology, but also in cosmetology.

It is produced in the form of an ointment or cream, placed in a metal tube, with a volume of 15 or 30 mg.

Release form

The drug "Triderm" is dispensed from the pharmacy in two forms - in the form of a cream and an ointment, sealed in aluminum tubes of 15 g and 30 g and packaged in cardboard boxes with a color graphic design and instructions included.

External characteristics of the finished substance in the tube:

• The ointment can vary from transparent white to transparent, with a yellowish tint, color, without the presence of mottled pigments and abrasives. When rubbed, it reveals a homogeneous gel consistency;
• the cream is white without transparency, soft, non-spreading, and does not contain particles that interfere with homogeneity.

Both substances have the same composition with a similar concentration of leading components and differ only in color, transparency of the substance and auxiliary elements responsible for the concentration of the product.

What do Triderm ointment and cream have in common?

The answer to the question is quite simple - both forms of release have a common composition. Also, ointment and cream are hormonal drugs. They contain betamedasone, so Triderm should be used strictly as prescribed by a specialist and at certain time intervals.

Ointment and cream have the same pharmacological effect. As mentioned above, they help fight fungal, infectious diseases, as well as bacterial damage to the skin.

Medicines have similar contraindications for use:

• pregnancy;
• age up to 2 years;
• cutaneous tuberculosis;
• syphilis;
• herpes, smallpox;
• presence of an allergy to the components of the substance.

Since the product is multicomponent, it can cause negative reactions:

• to gentamicin - tingling and redness of the epidermis;
• on clotrimazole - swelling, rash, erythema, blisters, hyperemia;
• on betamedasone - stretch marks, pigmentation, dryness, itching, flaking, acne, inflammation of the follicles.

The release form does not greatly affect the cost of the drug, which varies from 400 to 700 rubles.

Customer Reviews

Studying the statistics of positive and negative comments regarding the current topic, one can notice that regarding Triderm, reviews from patients and doctors differ significantly on the main point, namely, the purpose of using the drug. So, most women, despite the mass of possible unpleasant consequences, keep this cream in their arsenal of cosmetics as an urgent aid for every pimple that pops up. Others are not afraid to apply compresses all night, covering large areas of the face with ointment, or even applying the drug under makeup as a daytime product.

More than half of the respondents who have tried the effect of Triderm ointment for acne agree on the following points in their reviews:

• the product is ineffective against subcutaneous acne;
• for acne, one 2-week course is not enough;
• the price of the product is too high, and the small volume of the tube forces you to purchase the drug repeatedly over long courses;
• after mechanical cleansing of the face or squeezing out a single pimple, the ointment helps very well and quickly, but not as a long-term application.

We can conclude that for cosmetic purposes and specifically as a remedy for acne, Triderm helps only some patients. However, if the ointment is used to relieve the consequences - inflammation, fresh scars, damage to the epidermis - the effectiveness of the medicine is noted in almost 80% of all cases.

Triderm ointment or cream: which is better and what is the difference (differences in composition, reviews from doctors)

Triderm is a combination product for external use that is used to treat skin diseases.

The drug has pronounced anti-inflammatory activity due to the content of three active substances: a corticoid, an antibiotic and an antifungal agent.

This medicine is produced in Belgium.

Compound

Triderm is a drug with a successful combination of active ingredients, there are three of them.

1. Betamethasone is a hormonal component with a powerful anti-inflammatory effect. This corticoid prevents the accumulation of leukocytes in the affected area, inhibits the processes of phagocytosis, and reduces vascular permeability. The effect of using betamethasone occurs very quickly and lasts for a long time.
2. Clotrimazole is an antifungal agent that disrupts the integrity of the membrane membrane of fungi. Active against trichophytosis, candida, etc.).
3. Gentamicin is an antibacterial substance from the aminoglycoside series that kills many types of bacteria (Enterobacter, Proteus, Klebsiella, Staphylococcus).

The product is available in aluminum tubes of 15 or 30 mg.

How much Triderm costs depends on the shape and volume: its price varies from 580 to 960 rubles.

Triderm cream differs from its ointment counterpart in having a lighter texture due to the water content in the preparation. It is more easily absorbed into the skin, but is less retained in it.

Unlike ointment, cream can be used for lesions of the dermis that occur against the background of skin weeping (maceration).

We suggest you familiarize yourself with Ointment for cuts and abrasions

Outwardly it looks like a thick substance with a soft and delicate texture.

Triderm cream consists of:

• betamethasone dipropionate (0.643 mg);
• gentamicin sulfate (1g.);
• clotrimazole (10 mg.).

The following are used as preservative and buffer components: petroleum jelly, cetostearyl alcohol, dihydrogen phosphate dihydrate, paraffin, macrogol, etc.

Triderm in the form of an ointment is prescribed for the treatment of skin diseases that occur with increased dryness and keratosis (peeling, thickening and roughening of the dermis).

Due to the large amount of fat contained in the ointment, these problems can be quickly eliminated.

In addition, the ointment form of the drug has the deepest penetration into the epidermal layers, therefore it is used in the treatment of pathologies that have spread to the subcutaneous tissue.

Therefore, the color of the ointment is more saturated, it may have a yellow tint, and the consistency is thicker and greasy.

Action of the medicine

Triderm is an antibacterial and antifungal drug; it effectively relieves inflammatory reactions caused by infectious and degenerative processes in the epidermis.

In practice, the effect of the product is felt in reducing skin redness, swelling and itching.

What ointment (cream) helps with:

• skin pathologies complicated by secondary infection;
• dermatoses of allergic origin;
• neurodermatitis;
• eczema;
• various forms of lichen;
• candidiasis and mycoses of the skin;
• dermatophytosis.

Contraindications

Due to the fact that ointment for external use can penetrate deeply into the skin and be absorbed into the bloodstream, treatment is carried out under the strict supervision of a dermatologist:

• in pregnant and lactating women;
• in children;
• in patients prescribed the drug under an occlusive dressing, with large affected areas, with small open wounds or hematomas on the body;
• in people who have undergone hormonal therapy;
• in patients requiring long-term course treatment.

Cautions

Despite the fact that Triderm is available over the counter and can be purchased at any pharmacy, it is advisable to use the drug only after consultation with a dermatologist.

When using an ointment or cream in large quantities or for too long a period, there is a risk of suppression of the adrenal glands, resistance to antibiotics, and degenerative changes in the cells of the epidermis.

Any forms of Triderm are not used to treat ophthalmic diseases.

Advantages

If all medical recommendations are followed, Triderm is a fairly safe and very effective remedy.

According to doctors and pharmacologists, this drug is the gold standard in the treatment of dermatitis complicated by secondary infection.

It contains all the necessary substances to combat pathogenic pathogens and manifestations of inflammation (swelling, redness, tissue infiltration and itching).

In addition, the drug helps:

• almost immediately after use (within 1-2 days);
• for resistant dermatoses, the maximum effect occurs on days 28-30 and is maintained for a long time;
• immediately eliminates all symptoms of skin pathologies, and in some cases, their cause (bacteria, fungi);
• The effectiveness of the drug has been clinically proven in experimental studies; they also showed that Triderm does not have mutagenic properties.

Analogs

A product that almost completely replicates the composition of Triderm is Akriderm GK, its cost is slightly lower (380-550 rubles).

It is difficult to say which is better, since the difference between the drugs lies in the excipients - the ointment base, which in Akriderm GK is multicomponent. However, most doctors prefer Triderm, as they believe that due to its one-component base, it is absorbed faster and well enriches the epidermal cells with medicinal substances.

Analogs are cheaper or more expensive Triderm can be divided into hormonal and non-hormonal, antibacterial and antifungal agents.

Hormonal

These include:

• Kanizon Plus (400-550 rubles), produced only in the form of a cream, manufactured by Indian pharmacological companies. The main components are: clotrimazole, gentamicin and betamethasone.
• Rederm (190-350 rubles), produced by the Russian company Vertex, is made in the form of an ointment based on betamethasone and salicylic acid.
• Belosalik (450-570 rubles), a product from Croatia, is available in the form of an ointment or spray. It contains betamethasone (in a lower concentration than in Triderm) and salicylic acid and is not prescribed for secondary bacterial and fungal infections.

Non-hormonal

• Fenistil (380-430 rubles), produced in Switzerland, the main active ingredient is dimethindene maleate (100 mg). Prescribed for skin pathologies of allergic origin.
• Elidel (900-1345 rubles), the active component of this German drug is pimecrolius - a substance that actively suppresses inflammation by suppressing the immune system. Used for chronic, difficult to treat skin pathologies such as psoriasis or atopic dermatitis.

These include tools such as:

• Baneocin, Levomekol, Oflocain, Bactroban, syntomycin, erythromycin, tetracycline ointments, etc.
• Exoderil, Pimafucin, Zalain, nystatin, levorin ointment.

Each drug from these groups has an antimicrobial effect, but unlike the combined Triderm, their anti-inflammatory effect is lower, since they do not contain a hormonal component.

The effectiveness of treatment with Triderm analogues does not depend on whether the ointment is hormonal or not; it is important to identify the cause of the disease and prescribe timely therapy.

Many people tend to exaggerate the dangers of using glucocorticosteroids, but if you follow doctors’ recommendations and carefully read the instructions, the risk of adverse reactions is minimized.

In medical practice, products that contain a corticoid are considered one of the most effective. There are cases when they are vitally necessary and other medications cannot replace them.

Triderm ointment is a preparation consisting of several active ingredients (betamethasone, gentamicin, clotrimazole) and is effective against various inflammatory, fungal and bacterial skin lesions.

The ointment and cream are applied to the skin in a thin layer; long-term treatment over a large area should be avoided so as not to provoke adverse reactions. Their severity also depends on the conditions of use: the risk increases under bandages.

In childhood, the drug is used limitedly, during pregnancy with great caution. The drug has several different analogues in composition and can be successfully replaced if its effectiveness is low (Akriderm GK, Kanizon Plus, Triakutan and others).

The cost varies from 600 to 669 rubles depending on the form of the medicine.

Triderm ointment is used for external use for inflammatory skin lesions and dermatoses. According to the instructions, the drug belongs to combination drugs. Triderm is available in the form of ointment and cream.

We suggest that you familiarize yourself with Hormonal medications for eczema

The active ingredient in Triderm ointment is a complex of three active components. Betamethasone dipropionate is a hormonal substance from the class of glucocorticosteroids and has the following properties:

• decongestant;
• reduction of itching;
• reduction of inflammation;
• antiallergic.

Betamethasone relieves all allergic manifestations, reducing exudation at the site of inflammation and the migration of immunocompetent cells there.

Clotrimazole is an antifungal agent and acts against pathogens of trichophytosis, epidermophytosis, candidiasis, and microsporia. This substance effectively fights fungi, destroying their shell. Gentamicin belongs to the broad-spectrum antibiotics from the group of aminoglycosides. It is active against the main bacterial pathogens of infectious skin lesions:

• Staphylococcus aureus;
• Klebsiella;
• protea;
• Escherichia coli;
• enterobacteria.

Reviews from experts

For specialists, Triderm is a drug with exclusively therapeutic effects without a bias towards cosmetology. The dermatologist prescribes the medicine only after examining the blood and taking samples from the surface of the affected skin, and during treatment strictly monitors all changes in the indicators of subsequent samples and tests.

Only a doctor can correctly calculate the optimal period of use of the drug and promptly stop any side effects that arise, therefore, in every competent review, Triderm for acne is categorically not recommended for household self-prescription.

What is the difference between Triderm cream and ointment?

Both forms of Triderm are hormonal drugs. They can be addictive, so they should be used only after consulting a doctor.

What do they help with?

The use of Triderm cream or ointment is indicated for various skin diseases caused by various microorganisms sensitive to the active components of the drug:

• skin inflammation of toxic, bacterial or allergic origin,
• atopic dermatitis is an allergic pathology that is mainly of congenital origin,
• limited neurodermatitis is a chronic inflammatory process that develops as a result of impaired innervation of the skin,
• dermatomycosis is a fungal infectious process caused by various pathogens, including dermatophytosis, pityriasis rosea, and candidiasis.

The drug is also used for the complex treatment of eczema, which is a non-contagious chronic inflammation of the skin that has an autoimmune component in its development.

Contraindications include pregnancy, breastfeeding, and children under 2 years of age. Do not use the medication if you are allergic to the components.

How do they work?

The drug Triderm has anti-inflammatory, antibacterial and antifungal, antipruritic or antiallergic effects. The ointment takes longer to absorb, so its healing effect lasts for a long time. When the cream dries, it forms a thin film on the surface, so it is effective when applied to wet wounds.

Both forms of Triderm have almost the same cost - about 800 rubles. per tube (15 g).

The ointment is used for more severe skin lesions that occupy a large area, and the cream is used in the treatment of mild dermatitis.

The cream quickly penetrates the epidermis, so if it is necessary to apply the medication under clothing, it is better to use this dosage form. It is worth choosing a cream instead of an ointment when treating weeping skin lesions.

The advantages of cream over ointment in such areas is that it quickly penetrates the skin and has a drying effect.

Triderm ointment is chosen for dry skin because, in addition to the main active ingredient, it contains only paraffin and petroleum jelly.

Indications for use

Chronic or acute skin diseases complicated by bacterial or fungal infection. Signs of such a complication are pustular rashes on the skin, fibrin deposits (purulent plaque), fungal plaque, redness, burning, swelling of the skin, weeping.

• Eczema complicated by infection
• Neurodermatitis
• Atopic dermatitis
• Lichen planus
• Contact dermatitis (for example, as a result of contact with building mixtures)
• Psoriasis complicated by infection (read more about psoriasis)
• Dermatomycoses: candidiasis (or thrush), pityriasis versicolor.

Attention: if the patient does not have signs of infection on the skin, Triderm should not be used. It is better to take another ointment that contains only a corticosteroid hormone, for example Akriderm simple, or Advantan.

Symptoms

Signs of vulvovaginal candidiasis are as follows:

• gradual onset with a feeling of discomfort and itching of the external genitalia;
• pain during sexual intercourse;
• redness, microerosions, cracks and swelling of the vulva, vagina;
• discharge is white, mixed with lumps, has a sour odor and is abundant in nature.

Gradually, the inguinal, intergluteal folds, and the skin of the external genitalia are involved in the process. Itching and burning appears, the skin becomes red and painful when touched. The lesions take on a bright red color, clear boundaries, and a shiny, varnished surface. Detachment of the epidermis is noted along the edges. A white coating appears deep in the folds of the crack. The areas merge into larger ones, and new small lesions appear nearby in the form of vesicles, pustules, plaques, often covered with crusts.

Often the urethra is also involved in the process, with the development of urethritis and cystitis. Urination becomes painful at the end, there is pain in the lower abdomen, and the temperature may rise.

Itching, swelling and inflammation with thrush significantly impair a woman’s quality of life. Sleep is disturbed, sexual intercourse becomes painful, and hygienic water procedures aggravate symptoms.

Features of use

The product should be used with caution, especially when treating children. With long-term use, the drug is discontinued gradually, first the cream is applied once a day, then every other day, and only after that the use is stopped. This is done to avoid withdrawal symptoms.

With long-term use, it is possible to develop resistance (resistance of bacteria or fungi) to the components of the drug. In this case, it is necessary to replace the product and undergo additional treatment. It is not recommended to use the drug with other drugs from the aminoglycoside family. There are no problems when interacting with other drugs. In case of contact with eyes, rinse them thoroughly.

Causes of thrush

The skin and mucous membranes of the genital organs are populated with a large amount of saprophytic flora, which does not cause diseases in a healthy woman. Most of the biocenosis is represented by staphylococci and streptococci, but yeast-like fungi are also present, but in a form that is safe for health. If the protective properties of the skin and mucous membranes are reduced, candida enters the mycelium or filament phase, capable of invasion. Symptoms of thrush gradually develop.

Currently, there are more than 170 species of fungi of the genus Candida, but the leading role in the development of the disease belongs to Candida albicans. Candida are representatives of the normal microflora of the vagina; about 50% of healthy women have asymptomatic carriage. Candida is present both in the oral cavity and in the intestines. Thus, a small number of yeast cells in the stool are found in healthy individuals. The proliferation of fungi on the mucous membranes and skin is a sign of decreased immunity. Thrush is called “the disease of the sick.” Currently, there is an increase in the number of cases of candidiasis and, in parallel, other sexually transmitted infections.

Under the influence of certain factors, carriage turns into a clinically pronounced form and thrush develops. The most common causes of the disease include:

• diabetes;
• hypothyroidism and hypoparathyroidism;
• obesity;
• severe general diseases (lymphoma, leukemia, HIV infection, tuberculosis);
• complicated pregnancy;
• unsystematic and irrational use of antibiotics;
• long-term use of oral contraceptives containing high concentrations of estrogens;
• treatment with glucocorticoids;
• therapy of malignant tumors (taking cytostatics, radiation treatment);
• chronic diseases of the gastrointestinal tract.

In addition to diabetes, excess weight also has a significant impact on the condition of the skin flora. Obese women are 4 times more likely to get thrush. Ointments are used to treat sweets affected by fungus.

In general, thrush often occurs with the involvement of the vulva and vagina, and the skin becomes inflamed with a significant decrease in both local and general immunity, in particular, with allergic, infectious, endocrine pathologies. In such situations, not only antifungal tablets and suppositories are used, but also ointments for thrush.

Infection with fungi can also occur from a sexual partner in the case of massive contamination of the genitals and unprotected sexual contact. But in the vast majority of cases, women get thrush as a result of autoinfection - self-infection. In case of self-infection, the intestines become the source of yeast-like fungi. Especially often, intestinal diseases become the cause of chronic thrush. In such situations, the skin of the genital organs and groin area is often involved in the process, which makes the use of antifungal ointment necessary in the treatment of thrush.

Therapeutic effect

Each component of the drug performs its own functions. As a result, the therapeutic effect occurs within 3 days, the final relief from the symptoms of the disease occurs in 10 days.

1. The main role in relieving inflammation, irritation, itching, and other allergic manifestations is played by the corticosteroid betamethasone. The effect occurs within 24 hours and lasts for about 8 hours. Using the substance for 5 days completely eliminates unpleasant allergic symptoms.
2. Clotrimazole is a strong antifungal agent. Penetrates into the deep layers of the dermis, affects the cells of pathogenic microorganisms, eliminates the source of inflammation.
3. Gentamicin is a broad-spectrum antibiotic. Destroys all pathogenic microflora and does not cause resistance. Always works effectively.

The combined influence of all components gives a quick, lasting therapeutic effect.

Triderm in any produced form has a complex therapeutic effect on the skin, which is due to the properties of each of its three components:

• Betamezin – has an anti-inflammatory, anti-edematous, and antipruritic effect;
• Clotrimazole – has an antifungal effect, eliminating pathogenic fungi (erythrophytons, phytospores, trichophytons);
• Gentamicin is an antibiotic from the group of aminoglycosides that leads to the suppression of protein synthesis in bacteria, which leads to the cessation of their growth and subsequent death.

As a result of applying Tridox ointment or cream to the surface of the skin, the active components of the drug are adsorbed into the epithelium, where they have a therapeutic effect. In this case, the components have a minimal percentage of absorption into the systemic circulation.

Is it possible to treat ears?

Prescribe the use of Triderm ointment or cream in the presence of inflammatory skin diseases that appear due to microorganisms sensitive to the effects of the components of the product:

• Dermatitis is an inflammatory skin disease caused by allergies, bacteria or toxins;
• Atopic dermatitis is an allergic-type pathology of a congenital nature;
• Limited neurodermatitis is a chronic disease resulting from impaired innervation of the skin;
• Dermatomycosis is an infectious fungal disease that occurs due to various pathogens: dermotraphy, pityriasis rosea, and cadidiasis.

This product is also used for the complex treatment of eczema, which is a chronic inflammation of the skin that has a non-contagious form.

To eliminate infectious diseases in the ears such as fungus or Otomycosis, it is possible to use Triderm ointment. An important condition for using the drug is the abolition of other antibacterial agents. First, the external ear is cleaned. This procedure must be done before bedtime. To do this, lying on your side, squeeze hydrogen peroxide into your ear with a cotton swab.

Possible reactions

You cannot ignore contraindications and self-medicate with Triderm, despite its high tolerability. When using the medication, side effects may occur, expressed in skin irritation, after applying the drug to it:

• Burning;
• Itching;
• Pigmentation;
• Excessive peeling.

Due to systemic absorption of betamethazine, which is part of the drug, by the skin, the following appears:

• Inflammation of hair follicles;
• Acne;
• Secondary infection;
• Hypertrichosis (increased hair growth);
• Thinning of the skin.

If signs of pathological side effects occur after applying the ointment or cream to the skin, its use must be stopped. After this, it is important to consult a doctor to determine further actions and replace the drug with another one.

Contraindications

Triderm should not be used in the following cases:

• Hypersensitivity to the components of the cream;
• Skin tuberculosis;
• External manifestations of syphilis;
• Pregnancy and lactation;
• Acne and skin ulcers;
• Extensive manifestations of plaque psoriasis;
• Viral infections such as shingles or herpes simplex virus;
• Chicken pox;
• Perioral dermatitis;
• Phlebeurysm;
• Triderm should not be applied to mucous membranes or the area around the eyes.;
• The drug is not used under a bandage;
• Do not use Triderm to treat nails or scalp.

How to use

The gel or cream is applied to the affected area of ​​the skin 2 times a day with a break of 12 hours. Treatment usually lasts 2-4 weeks. This depends on the severity of the disease and the area of ​​the defect being treated. If after 4 weeks there are no positive results, then you need to inform your doctor. He will change the remedy or prescribe an examination to find out the reason for the low effectiveness of therapy.

Cautions

Despite the fact that Triderm is available over the counter and can be purchased at any pharmacy, it is advisable to use the drug only after consultation with a dermatologist.

When using an ointment or cream in large quantities or for too long a period, there is a risk of suppression of the adrenal glands, resistance to antibiotics, and degenerative changes in the cells of the epidermis.

Any forms of Triderm are not used to treat ophthalmic diseases.