Demodicosis is a skin disease caused by the demodex mite. The disease is characterized by the appearance of pimples, bumps and ulcers on the face, back and chest area. The skin becomes oily, the person suffers from itching, becomes gray and lumpy. People with weakened immune systems and women who use low-quality cosmetics are at risk. For treatment, the dermatologist prescribes an ointment for demodicosis.
The most effective remedy for demodicosis is special ointments with an antibacterial effect. They are quite easy to use; just apply them regularly to the skin of the face or body, rubbing lightly. Their antiparasitic effect consists of influencing the DNA of microorganisms and disrupting their synthesis. Thus, the skin is gradually restored and takes on a healthy appearance.
Sulfuric ointment
Sulfur ointment is often used to treat demodicosis; sulfur has long been used as an antimicrobial and antiparasitic agent. It is also prescribed for the treatment of bacterial skin pathologies.
Before applying the ointment to the affected areas, you need to cleanse the skin; you can use any lotion, for example, calendula. Then a thin layer of ointment is applied, the course of treatment depends on the degree of damage.
Permethrin ointment
A drug based on artificial components of pyrethroids, which, penetrating the protective shell of the tick, act on the limbs, thus immobilizing the parasite. These substances also contribute to the mutation of the tick's DNA, impairing its ability to reproduce. Absolutely safe for humans.
The ointment is intended for external use only, applied once a day; if the lesions are severe, then you can use it twice at first. After 12 hours, the ointment can be washed off, the course of treatment lasts at least two weeks, and can be extended if necessary.
Ichthyol ointment
Antiseptic for external use with local action, anti-inflammatory and analgesic effect. The active substance does not penetrate into the human blood, so the ointment has no side effects.
For demodicosis, the ointment is applied to the affected areas without rubbing it into the skin. The drug is suitable for use on eyelids. After application, it is advisable to cover the ointment layer with a gauze cloth. Ichthyol ointment is applied 2 times a day, in severe forms of the disease it can be 3 times. The duration of treatment is individual, depending on the degree of damage, age and body.
Ointment for demodicosis on the face and eyelids: which one to choose?
According to statistics, demodicosis accounts for up to 5% of all cases of skin diseases.
This parasitic disease is contagious, but in a person with a healthy immune system it can be asymptomatic (without characteristic problems with the skin of the face or eyelids). Mostly demodicosis manifests itself when the immune system is weakened, metabolic disorders, diseases of the gastrointestinal tract or lungs, but it can also occur simply because of neglect of personal hygiene. An effective treatment is a properly selected ointment for demodicosis.
It is used both in combination with tablets and separately.
General principles of treatment
Acne mites are treated with medications in tablets (antibiotics, immunomodulators, sorbents, antihistamines, acaricides) and external agents. Subcutaneous mites quickly multiply and spread, so medications are used in combination. The sooner you start, the better.
Ointment for demodicosis is used to treat inflamed areas. There are several types of products for external use, the difference lies in the main component. Therefore, the effect depends on the main active ingredient.
The main effect is to neutralize the mite and prevent its spread. Additionally, ointments can provide analgesic, anti-inflammatory, and moisturizing effects. As a result, facial skin quickly takes on a healthy appearance, and symptoms such as itching, burning, flaking, either appear weaker or do not appear at all.
Ointments for demodicosis
Demodicosis in humans most often manifests itself on the eyelids, facial skin (brow ridges, chin, cheeks, forehead) and ears. Less common, but it is possible for rashes to appear on the chest or back.
External products are produced separately for the face and separately for the eyelids. In addition to the ointment, gel and cream for demodicosis are also used. The difference is in consistency: the cream is lighter, absorbs faster, and can have an additional moisturizing effect. Gels are even lighter, absorb faster than ointments and creams, and do not leave greasy marks.
The use of ointments is usually prescribed for up to 14 days. One course may not be enough - new parasites mature in about a month. Therefore, after the end of treatment, even if the symptoms have disappeared, mites may appear again. In this case, a repeat course should be started immediately to prevent acne mites from multiplying.
For face
Inexpensive but effective ointments can be used to treat demodicosis on the face:
- Benzyl benzoate. An aggressive active substance that kills the parasite, preventing its reproduction and spread. Can be combined with other types of ointments. It should not be used by pregnant women or for the treatment of eyelids - it is only used to treat subcutaneous mites on the face. Side effects from use are rash, itching, dryness and burning. Apply 1-2 times a day to clean, dry facial skin.
- Ichthyol. Antiseptic ointment, has an analgesic effect. Not recommended for use by children under 12 years of age. It is applied without rubbing; after application, the ointment layer is covered with gauze. Used 2-3 times a day. Can also be used for eyelids.
- Syntomycin. Antibiotic, can be used for the face and eyelids. Apply under a gauze application.
- Yam ointment (with sulfur, turpentine, petroleum jelly, tar, zinc oxide and acetylsalicylic acid in the composition). Apply a small layer 1-2 times a day, last up to 30 minutes. The duration of the course is limited, usually up to 10-14 days. The exact period should be determined by a dermatologist.
- Permethrin. Used at any stage and for any form of the disease. Apply every 12 hours to clean, dry skin. You can wash off any residue 2 hours after applying permethrin cream. The side effect is a burning sensation. Cannot be used during lactation and for children under 3 years of age.
- Zinc. It has an anti-inflammatory effect, dries out affected areas, and accelerates skin regeneration. Can be used up to 5 times a day, the course of treatment lasts up to 7 days on average. It is prescribed for pregnant women, during lactation, and for children.
- Sulfuric. It is often prescribed for bacterial lesions of the facial skin; for demodicosis it is one of the main drugs. Apply 2 times a day.
- Tar. Can be used in combination with sulfur ointment. The tar composition acts as an antiseptic and antibacterial drug, dries the skin, and reduces the risk of developing an allergic reaction. Suitable for both pregnant women and children.
- Trichosexual. Contains metronidazole as a base. Such ointments are suitable for the treatment of demodicosis on the face and eyelids.
General rules for applying ointment against subcutaneous mites on the face:
- The drug should only be prescribed by a doctor. It is not recommended to choose a remedy on your own.
- You need to apply the product according to the instructions the specified number of times, the specified number of days, and keep it for the specified time. If, after completing the course, the disease remains or is not completely cured, it is not recommended to continue using the ointment on your own. I need to see a dermatologist again.
- If side effects are severe (burning, itching, rash, fever), the cream should be washed off immediately and contact a dermatologist to prescribe another remedy.
For eyelids
For demodicosis of the eyelids, not only ointment, cream or gel, but also ophthalmic drops can be prescribed. Some drugs on the list for the face can also be used against eyelash mites (this is what this disease is called if demodex lives in the eyelash follicles).
The patient should undergo therapy with antihistamines and antibacterials to suppress the occurrence of allergies from topical medications.
If the eyelids are affected, you can use the following ointment for demodex:
- Sulfuric;
- Ichthyol;
- Demalan;
- Demazol;
- Vishnevsky ointment;
- Tetracycline;
- Blefarogel (gel, contains sulfur);
- Metronidazole (other products based on it: metronidazole ointment, Metrogyl, Rozex, Rosamet).
The main contraindications are individual intolerance to the components.
If you have demodicosis, you cannot use ointments containing corticosteroids - they weaken the immune system and only contribute to the spread of the mite.
Rules for the use of local remedies for demodicosis of the eyelids:
- ointment for eye mites should be prescribed by an ophthalmologist - it is not recommended to choose the drug yourself;
- It is most convenient to apply the ointment with a cotton swab;
- if side effects occur (redness, itching, excessive lacrimation) or if the product gets into the eye, rinse it immediately with water;
- in case of increased dryness of the eyes, it is recommended to additionally use artificial tears (also prescribed by an ophthalmologist).
Features of use in children and pregnant women
In some cases, the use of the listed ointments is prohibited. The main restrictions are pregnancy, lactation and childhood of the patient.
The main limitation: pregnant and lactating women should not use products that are absorbed into the bloodstream.
During pregnancy, lactation and childhood, you can use the following ointment or cream for demodicosis of the face:
- Ichthyol (not recommended only if the child is under 6 years old);
- Zinc;
- Sulfuric.
In children, demodicosis occurs less frequently than in adults, and ointments are not always prescribed.
Prevention of re-infection
It is possible that after completing the course, re-infection will occur.
Typically, allergic manifestations disappear after discontinuation of use. Otherwise, you should immediately call a doctor.
To prevent relapse, you must:
- Observe the dosage and frequency of use of the ointment (if the doctor told you to use it 3 times a day, then apply it no more often or less often).
- During treatment, the patient must observe the rules of personal hygiene: take a shower regularly, wash your face, and do not touch the skin (especially infected parts of the face) with dirty hands.
- It is recommended to avoid cosmetics and products that can harm inflamed skin or clog pores (powder, concealer, foundation).
- During treatment, be sure to change towels, bed linen and underwear frequently. It is advisable to do this daily - parasites may remain on underwear and clothes, which can again end up on the face. Removed clothing and underwear should be washed immediately.
After completing the course, it is advisable to undergo a re-analysis. It is also recommended to take the test another 1-2 weeks after the end of treatment to make sure that the mite has not reappeared in the skin from the remaining eggs.
Source: https://tden.ru/health/maz-ot-kleshha
Syntomycin ointment
Broad-spectrum antibiotic with powerful antibacterial effect. The main substance, chloramphenicol, penetrates the cells of microorganisms and affects protein synthesis, as well as peptide metabolism, which contributes to their destruction.
Prescribed for the following pathologies:
The drug is active against simple microorganisms; complex lesions require treatment with additional antibacterial drugs.
To treat demodicosis, the ointment is used externally, applied in a thin layer to the skin and eyelids in the form of an application, and the top must be covered with gauze and parchment paper. The gauze must be changed every two days. Areas of skin that are difficult to treat should be lubricated with 5% or 10% ointment.
Fungicidal-acaricidal ointment
A preparation with fungicidal and bactericidal action, based on sulfur, additional components:
It is used for dermatitis of various forms, demodicosis, eczema and other skin pathologies. Apply mainly to the face, can be used on the eyelids, twice a day. It is necessary to remove the remaining ointment with a cotton swab 30 minutes after application; the duration of use depends on the complexity of the disease. The course of treatment is adjusted by the doctor, depending on the microscopy of the epidermis of the affected areas. If the causative agent of the pathology cannot be identified, the course of treatment may be re-prescribed.
List of drugs
Sulfuric
This ointment has become widespread in the treatment of demodicosis. The main component is sulfur, and additional components include petroleum jelly. The drug effectively fights germs and parasites. Sulfur ointment can be used for bacterial infections of the face and eyes. It has shown high effectiveness in therapy:
- seborrhea,
- psoriasis,
- depriving,
- sycosis and mycoses.
Sulfur ointment – fights germs and parasites
Not long ago, the effectiveness of the ointment in the treatment of scabies was discovered.
Before using the ointment, treat the affected areas of the eyelids with a cotton swab dipped in calendula infusion. Apply a small amount of ointment to the skin and rub until completely absorbed. Such events are carried out 3 times a day.
Permethrin
The drug is based on components such as pyretoids. They were synthesized artificially. When using the ointment, these components penetrate the parasite's protective shell, affecting its limbs. As a result, the tick is immobilized. The drug is completely non-toxic.
Permethrin ointment is prescribed for the treatment of skin diseases - scabies, demodicosis. Apply the ointment to the mite-affected eyelids and rub until it is completely absorbed. It is enough to apply the ointment once a day, but if complications are found, then repeat the procedure 2 times a day.
Permethrin ointment – for the treatment of skin diseases (scabies, demodicosis)
It is allowed to wash off the ointment only after 12 hours.
The duration of treatment is 2 weeks. If there is a risk of relapse, then repeat the course of treatment.
Ichthyol
This is a drug characterized by anti-inflammatory, antiseptic and analgesic effects . When using the ointment, its components do not penetrate into the general bloodstream. The medicine can be used to heal skin areas affected by demodicosis, eczema and burns.
Ichthyol ointment – anti-inflammatory, antiseptic and analgesic effect
Apply ointment to cleansed eyelids. There is no need to rub it in. After application, simply cover the eyelid with a layer of gauze. The duration of the manipulation is determined taking into account the characteristics of the person. Most often, the medicine is prescribed 2-3 times a day.
Synthomycin
This drug belongs to the category of antibacterial. Has a wide range of influence. Its action is aimed at the complete elimination of pathogenic microflora. The main component is chloramphenicol. It penetrates the tick cells and inhibits its vital processes. The ointment can be prescribed for purulent skin lesions, ulcers, for healing the skin from demodicosis and burns.
Synthomycin antibacterial ointment
In complicated situations, the ointment is used in combination with antibiotics.
Apply the ointment to the cleansed skin of the eyelids, and apply gauze folded in several layers on top. A compression bandage must be worn on top. Walk like this for 1-2 days, then change the compress.
Yam
This drug is characterized by a fungicidal and bactericidal effect. The main component is sulfur. The composition also contains the following components:
- turpentine,
- petrolatum,
- tar,
- acetylsalicylic acid,
- zinc oxide.
Yam ointment – fungicidal and bactericidal effect
The drug can be used when treating the skin in case of damage to various types of dermatitis. Prescribed for demodicosis, eczema and other skin pathologies.
Apply ointment to cleansed eyelid skin 1-2 times a day. But keep the ointment on the skin for no longer than 20 minutes. The duration of therapy is 10-14 days.
Zinc
The composition of the drug contains two main components - zinc and petroleum jelly. Due to zinc oxide, an anti-inflammatory effect is achieved. In addition, it is possible to dry the skin, stop inflammation and restore the affected parts of the body.
Prescribed for the treatment of pathologies such as:
- eczema,
- diaper rash,
- dermatitis,
- burns,
- weak wounds and pimples,
- ulcers
Zinc ointment – anti-inflammatory effect
Apply the drug to the affected area in a small amount. Do this carefully so that the ointment does not penetrate the eyes. If this cannot be avoided, then it is necessary to rinse the organs of vision with plenty of water. Apply the product 5 times a day.
Aversectin
The effectiveness of this drug is determined by the fact that its active components begin to interact with parasites, resulting in their paralysis.
Aversectin ointment – for burns, small wounds
Since the drug is widely used in veterinary practice, before use it is necessary to conduct an allergy test by applying a small amount of ointment to the skin near the wrist. If itching, redness and swelling occur, then you should not use the drug.
The ointment is prescribed as a healing agent for burns and minor wounds. Apply the ointment at night for 5 days.
Vishnevsky ointment
This drug is presented in the form of a substance that simultaneously combines the properties of an ointment and a liquid. It is based on the following components: xeroform and birch tar. Due to them, an antiseptic and anti-inflammatory effect is achieved. After applying the ointment, the skin becomes irritated, which leads to increased blood circulation. This speeds up the healing process.
Ointment Balsamic liniment according to Vishnevsky (Vishnevsky ointment) – antiseptic and anti-inflammatory effect
Ointment is prescribed for burns, frostbite, boils and other skin pathologies. Apply to the affected areas of the eyelids, and then apply a sterile bandage.
Tetracycline
This is a bacteriostatic antibacterial drug that contains active components. When interacting with pathogenic microflora, they inhibit the processes of protein production. Apply the ointment to the eyelids several times a day. The duration of therapy is determined by the doctor. It depends on the degree of damage. Before use, it is important to read the instructions for Tetracycline ointment. Apply a thick layer of ointment to the cleansed skin of the eyelids, and place gauze folded in several layers on top. Remove the bandage after 12 hours. Carry out therapeutic activities every day.
Tetracycline ointment is a bacteriostatic antibacterial drug.
Zinc ointment
Zinc-based ointment for external use, effective against demodex and other skin lesions. It has an anti-inflammatory effect, dries weeping wounds, and promotes skin regeneration.
Zinc ointment is used to treat not only demodicosis, but also eczema, dermatitis, burns of any degree, small wounds and pimples, and ulcerative lesions of the epidermis. A thin layer of ointment should be applied to the affected area of the skin; if necessary, it can be applied to the eyelids, but it is recommended to be careful not to get the ointment into the eyes. The number of applications is determined by the doctor.
Benzyl benzoate ointment
This ointment is most effective in the treatment of facial demodicosis, is active against many parasites, affects the mites themselves, and destroys pathogenic bacteria. A drug with an aggressive effect should be used with caution on any area of the skin; it cannot be used to treat the skin of the eyelids.
The main indication for use is skin pathologies caused by parasites. Can be used for demodicosis, as well as pediculosis. The substance, penetrating the protective shell, affects the parasite, and it dies. The ointment affects the ability to reproduce, thereby reducing the number of mite colonies and stopping the development of demodicosis.
The ointment is applied to the affected areas of the face, avoiding contact with the eyes. The course of treatment is prescribed by the doctor, focusing on the degree of damage and other individual indicators.
Trichopolum: instructions for use, what it treats, price, reviews of tablets
Trichopolum (TRICHOPOL) in tablet form is a medical product with an antibacterial spectrum of action that has a destructive effect on microorganisms. Its international name is Metronidazole. It is always additionally written on the packaging of this medicine. Reviews have shown that Trichopolum is popular among consumers.
- General information about the product "Trichopol"
- Drug interactions
- Pharmacokinetics
- Metabolization
- Distribution
- Suction
- Removal
- Pharmacokinetics in selected cases
General information about the product "Trichopol"
The tablets are small in size and have a white-yellowish tone. Shape: flat and round, with a dividing strip. When exposed to direct light, they acquire a rich yellow tint. One tablet of this medicine contains:
The medicine is produced in strips of 10 pieces. The box includes 2 plates, that is, 20 tablets. It is also produced in the form of suppositories, which are intended for vaginal use and solutions for intravenous injection. Each package of medicine contains instructions for use, which must be read carefully before starting therapy. Sold in pharmacies only upon presentation of a prescription.
The active ingredient of this medicine (Metronidazole), which is highly active in relation to:
- Gram-positive microorganism - Peptostreptococcus spp., Peptococcus spp., Clostridium spp., Eubacterium spp;
- Obligate anaerobes - Prevotella spp., Veillonella spp., Fusobacterium spp., (Prevotella disiens, Prevotella buccae, Prevotella bivia); Bacteroides spp. (including Bacteroides vulgates, Bacteroides thetaiotaomicron, Bacteroides ovatus, Bacteroides distasonis, Bacteroides fragilis.);
- Other microbes - Lamblia spp, Giardia intestinalis, Gardnerella vaginalis, Entamoeba histolytica, Trichomonas vaginalis.
The drug does not exhibit a bactericidal effect against some bacteria, viruses and fungi. With mixed flora (aerobes and anaerobes), metronidazole has synergistic effects with antibiotics that are effective against simple aerobes.
Metronidazole significantly increases the sensitivity of tumor formations to radiation, causing sensitization to ethanol, that is, it stimulates reparative processes.
When treated with this drug in parallel with amoxicillin, activity against Helicobacter pylori is observed, since amoxicillin suppresses the emergence of resistance to trichopolum (its active substance).
Drug interactions
Metronidazole, interacting with anticoagulants from the coumaron series, is doubly effective, but the dose in this case should be reduced by 2 times. Taking metronidazole may cause a negative reaction after taking ethanol. Negative neurological reactions may occur if the dosage interval with disulfiram is not observed. It must be at least 14 days.
Cimetidine enhances the concentration of metronidazole in the blood. This may cause side effects. On the contrary, phenobarbital and phenytoin accelerate the metabolism of the drug and remove it from the body faster. Trichopolum does not combine with vecuronium bromide. Sulfonamides help accelerate the destruction of microorganisms by metronidazole.
Pharmacokinetics
Metabolization
The active substance is metabolized in the liver in 30-60%, which occurs by hydroxylation. By oxidizing and binding to glucuronic (uronic) acid, the main metabolite also has antibacterial and antiprotozoal effects.
Distribution
Metronidazole is bound to plasma proteins in at least 20%. It penetrates into body fluids and tissues, including:
- seminal fluid;
- mother's milk;
- vaginal secretion;
- cavity abscesses;
- amniotic fluid;
- salivary compartment;
- bile contents;
- medullary tubules;
- cerebrospinal fluid;
- skin;
- organs of the liver, kidneys, lungs.
It also passes through the placental barrier and the blood-brain barrier. In adults, Vd is 0.55 l/kg, and in infants from 0.54 to 0.81 l/kg.
Suction
After taking the medicine orally, the active substance leaves the gastrointestinal tract almost completely and as soon as possible. Its bioavailability is 80% and can be achieved in the blood 1-3 hours after administration. Eating food affects the rate of absorption of metronidazole into the blood, which occurs much more slowly.
Removal
If the liver performs its functions normally, the drug leaves the body after an average of 8 hours. 60-80% - by the kidneys, 6-15% - by the intestines, the remaining 20 percent comes out unchanged.
Aversectin ointment
The ointment is used to treat many skin diseases; it has a neuro-paralytic effect on microorganisms and destroys them. Most often used to treat animals, but can also be used for humans; it is recommended to first test the ointment on a small area of skin. If burning and itching occur, do not use the drug.
They can be prescribed for the treatment of demodicosis, burns and other wounds; some components are quite aggressive and can cause an allergic reaction or skin irritation at the sites of application.
If the ointment is used to treat demodicosis, then the courses of treatment should be no more than five days. It is recommended to apply the ointment at night once a day; if necessary, after a two-day break, the course of treatment can be repeated. Thus, for extensive damage, five courses of treatment are necessary. After 2 weeks from the start of treatment, it is necessary to conduct a laboratory examination of skin particles from the affected areas; if necessary, treatment is continued. Under no circumstances should the ointment be applied to the skin of the eyelids.
Treatment of demodicosis using sulfur ointment
Demodicosis is a skin disease caused by the worm-like microscopic parasitic mite Demodex, or acne gland. It settles in hair follicles, sebaceous glands, and skin of the eyelid and is an opportunistic pathogen. That is, it causes disease when favorable conditions are created for its development and reproduction.
Demodicosis is a common disease that affects people of different races and age groups. Women aged 35-40 years and those with oily skin are more susceptible to it. Demodicosis is often confused with acne and other skin diseases.
Symptoms of demodicosis
The sooner demodicosis is diagnosed and treatment is started, the more successful it will be. In advanced cases, therapy lasts for a long time, sometimes for several years. Characteristic signs of the disease are:
You will be surprised how many parasites will come out if you drink a glass of regular...
Parasites will leave the body in 3 days! You just need to drink on an empty stomach...
- skin rashes;
- predominantly pink coloration of acne;
- puffiness, roughness, and sometimes bumpiness of the skin;
- the appearance of vascular veins on the face;
- change in the color of the dermis (from grayish to burgundy);
- skin pigmentation;
- itching and burning of the affected areas of the body, intensifying in the evening and at night;
- redness of the edges of the eyelids;
- swelling and heaviness in the eyelids;
- sensation of the presence of a foreign body in the eyes;
- sticking, loss of eyelashes;
- the appearance of scales at the roots of the eyelashes along the edge of the eyelids;
- accumulation of discharge in the form of foamy liquid in the corners of the eyes;
- with demodicosis of the dermis of the head - hair loss.
The disease manifests itself in the form of redness, skin rashes, ulcers and acne not only on the face, but also on the back and chest.
Causes of the disease
It has been proven that 97% of healthy people are carriers of demodex. Moreover, this microorganism brings benefits by eating exfoliated skin particles and processing the fat produced by the sebaceous glands with its enzymes. That is, the mite is a scavenger-recycler of dead epidermal cells and old fat.
Why does the tick suddenly begin to multiply uncontrollably in only 10% of people? This is also due to a change in the pH of the skin, which should be 5.5-6.5 units. When the pH shifts to the alkaline side, that is, more than 6.5 units, demodex begins to multiply rapidly.
Active substances produced in large quantities by mites irritate the skin, cause itching and allergic reactions. Scratching irritated and itchy skin leads to infection with streptococcal and staphylococcal infections and the formation of pustular inflammations.
The presence of demodex itself is not a pathology. The disease occurs under the influence of internal and external factors. The reasons for the rapid proliferation of the pathogen may be:
- decreased immunity;
- hormonal imbalances;
- dermal infections;
- chronic diseases (liver pathologies, gastrointestinal diseases, etc.);
- long-term treatment with certain medications;
- increased skin oiliness;
- insufficient hygiene;
- unhealthy diet (abuse of fatty, spicy, smoked foods);
- alcoholism;
- stress;
- chronic fatigue;
- indiscriminate use of cosmetic hormonal creams and ointments;
- excessive exposure to ultraviolet rays (in the open sun or in a solarium);
- pregnancy;
- passion for bath procedures.
A characteristic feature of the disease is that the parasitic tick is activated at temperatures of 25-30°C. After a bath or hot shower, demodex may become active for a while. Thus, if itching and rashes appear on the affected skin after a hot bath, shower or other exposure to heat, this indicates a high likelihood of demodicosis. But for an accurate diagnosis, laboratory tests of biological material are necessary.
Sulfur ointment for the treatment of demodicosis
Sulfur ointment has proven itself well in the treatment of demodicosis. It is prescribed in combination with salicylates and antibacterial agents.
Medicinal properties
Sulfur ointment is a multidisciplinary remedy and is successfully used to treat:
- scabies;
- psoriasis;
- fungal infections;
- seborrheic dermatitis;
- pityriasis rosea;
- acne;
- lice.
In addition to sulfur, which is the main active ingredient, it contains water and petroleum jelly. When applied to the skin, the components of the ointment interact with its organic substances, resulting in the formation of various sulfides and pantothenic acid. It is these substances that have an antiparasitic and antimicrobial effect, paralyzing and immobilizing the tick.
7-9 minutes after application, the product acts on ticks, paralyzing them, and after half an hour it destroys them. Sulfides have a beneficial effect on the dermis, restore and heal it, relieve itching and irritation.
Treatment of demodicosis is usually complex. Its duration depends on many factors; complete recovery may occur in a month, or may take a year.
Forms of release of sulfur ointment
To make an ointment, dry sulfur is crushed and mixed with petroleum jelly. They produce ointment with 8-10% or 33% sulfur content in aluminum tubes or glass jars. The shelf life of the drug is 2 years.
An ointment with a lower sulfur content (8-10%) is used to localize skin tumors on the head. The drug softens rough skin layers, relieves itching, and relieves skin irritations. Daily rubbing will restore damage to the dermis within just a few days. The effect of using ointment with sulfur for demodicosis is visible after 2-3 days: the skin stops itching and acquires a healthy color.
To get rid of demodicosis, especially advanced ones with extensive neoplasms and skin damage, use a drug with a 33% sulfur content. It helps to increase blood supply and irritate sensitive receptors. Due to the high sulfur content, the drug dries out the dermis, so it must be properly moisturized. When treating advanced diseases, it is necessary to adhere to a special diet and increased hygiene requirements.
How to use sulfur ointment
To treat demodicosis, one drug is selected per course. It is impossible to use several anti-tick medications on an ointment basis at the same time, as this is fraught with skin complications. Even qualified doctors do not prescribe two medications for topical use at once. The quality of treatment does not depend on the number of drugs used. If the desired result after treatment is not achieved, a repeat course is prescribed or the drug is changed.
Sulfur ointment is used only for external use:
- it should be applied to previously washed with soap, clean and dry skin, covering healthy areas around the affected areas;
- Particular care should be taken to lubricate hard-to-reach places (between the toes and hands, elbow bends and armpits).
- the ointment should be applied in a thin layer, without rubbing and with caution so as not to unnecessarily irritate the skin;
- For the same reason, you shouldn’t wipe the affected area with a towel either, just lightly blot it.
The drug acts on the pathogen for three hours, after which it must be washed off with plenty of warm water. The treatment procedure is repeated once a day or more often as prescribed by the doctor. If the composition is applied at night, then it is necessary to regularly change clothes and bedding. The treatment causes severe peeling of the skin, in which the parasitic mites die off.
The duration of the usual course of therapy is 5 days. Only the attending physician can extend the course of treatment. It is not recommended to use sulfur ointment for more than 10 days, as skin irritation is possible. In complex and advanced cases, the doctor selects individual treatment. After completion of therapy, medications cannot be used as prophylaxis.
Safety of sulfur ointment
In addition to its high efficiency, sulfur ointment has another huge advantage - safety in use. It is prescribed to patients who have contraindications to the use of other strong drugs. The composition of the ointment is safe for pregnant and lactating women and newborn babies.
The only contraindication to the use of sulfur ointment is individual intolerance to its components.
In addition, compared to other medicinal ointments, the drug practically does not lead to dry skin. This happens in isolated cases, which indicates the safety of the product.
Side effects
In some cases, long-term use of drugs containing sulfur can cause:
- allergic reaction;
- burning;
- itching
If this happens, the remaining ointment should be thoroughly washed off. Unpleasant symptoms will disappear after a short time.
Sulfur ointment smells unpleasant, the odor is strong and it cannot be washed off. At the end of treatment, clothing and bedding soaked in the ointment will have to be thrown away.
Patient reviews
Despite its low cost, sulfur ointment for demodicosis is several times more effective than other, more expensive medications. Recovered patients leave mostly positive reviews about treatment with sulfur ointment.
Ekaterina, 28 years old
For a long time I couldn’t get rid of acne and pimples. I tried many remedies, including very expensive ones, and was treated by different cosmetologists. Already desperate, I turned to a dermatologist. As prescribed by the doctor, she underwent a course of treatment with sulfur ointment against subcutaneous mites. Got rid of acne once and for all.
Elena, 30 years old
I have been struggling with acne on my face for more than 10 years, but they still appear with noticeable consistency. Imported cosmetics, expensive cleanings, and courses of antibiotics do not help. I saw a positive result only after using sulfur ointment.
Kirill, 20 years old
Due to the constant appearance of acne, I felt insecure in communicating with others, especially with representatives of the opposite sex, and began to develop complexes. Friends and family reassured me, saying that these were age-related problems associated with hormonal changes in the body, and they would soon pass. I turned to a dermatologist, and he prescribed me treatment for demodicosis with sulfur ointment. I finally got rid of terrible acne.
Skin care during treatment
When treating demodicosis, refrain from using traditional cosmetics, including cleansers.
It is advisable to wash your face not with water, but with herbal decoctions:
- chamomile;
- sage;
- calendula;
- yarrow.
Use tar soap for hygiene procedures. If the eyelids are affected, treat the skin with a 70% alcohol infusion.
Demodicosis is accompanied by other skin problems - dermatitis, stye, eczema. They can be treated with any local medications only with the permission of the attending physician.
Be sure to follow the rules of prevention during treatment:
- treat all personal hygiene products (bed and underwear, towels) daily by boiling and ironing;
- During the treatment period, any cosmetic procedures are contraindicated;
- refrain from baths, saunas, solarium sessions, limit exposure to the sun;
- be sure to treat other diseases of the body;
- exclude fried, smoked, spicy, salty foods from the menu.
To avoid the development of demodicosis:
- Strengthen your immune system.
- Eat sensibly.
- Give up bad habits.
- Follow the rules of hygiene and do not use other people’s hygiene products.
- Take care of your facial skin.
If you experience any skin problems, visit a dermatologist.
Video: Demodicosis - treatment
Vishnevsky ointment
The main active ingredient is birch tar, thanks to which balsamic liniment has anti-inflammatory, antibacterial and antiseptic effects. The effect of the ointment is based on the fact that due to irritation of skin receptors, blood circulation increases, skin regeneration improves and lesions heal faster.
They are used to treat demodicosis, furunculosis, frostbite, burns, lymphadenitis and many other skin pathologies. Sometimes it is advisable to use it for the treatment of hemorrhoids and some diseases of the genital organs.
Vishnevsky ointment is used only for external use, applied in a thin layer to the affected areas, and is indicated for treating the skin of the face and eyelids. Be sure to apply a bandage on top and secure it with a plaster or bandage. It is advisable to consult a doctor before use.
Ointments for demodicosis
Demodicosis in humans most often manifests itself on the eyelids, facial skin (brow ridges, chin, cheeks, forehead) and ears. Less common, but it is possible for rashes to appear on the chest or back.
External products are produced separately for the face and separately for the eyelids. In addition to the ointment, gel and cream for demodicosis are also used. The difference is in consistency: the cream is lighter, absorbs faster, and can have an additional moisturizing effect. Gels are even lighter, absorb faster than ointments and creams, and do not leave greasy marks.
The use of ointments is usually prescribed for up to 14 days. One course may not be enough - new parasites mature in about a month. Therefore, after the end of treatment, even if the symptoms have disappeared, mites may appear again. In this case, a repeat course should be started immediately to prevent acne mites from multiplying.
For face
Inexpensive but effective ointments can be used to treat demodicosis on the face:
- Benzyl benzoate. An aggressive active substance that kills the parasite, preventing its reproduction and spread. Can be combined with other types of ointments. It should not be used by pregnant women or for the treatment of eyelids - it is only used to treat subcutaneous mites on the face. Side effects from use are rash, itching, dryness and burning. Apply 1-2 times a day to clean, dry facial skin.
- Ichthyol. Antiseptic ointment, has an analgesic effect. Not recommended for use by children under 12 years of age. It is applied without rubbing; after application, the ointment layer is covered with gauze. Used 2-3 times a day. Can also be used for eyelids.
- Syntomycin. Antibiotic, can be used for the face and eyelids. Apply under a gauze application.
- Yam ointment (with sulfur, turpentine, petroleum jelly, tar, zinc oxide and acetylsalicylic acid in the composition). Apply a small layer 1-2 times a day, last up to 30 minutes. The duration of the course is limited, usually up to 10-14 days. The exact period should be determined by a dermatologist.
- Permethrin. Used at any stage and for any form of the disease. Apply every 12 hours to clean, dry skin. You can wash off any residue 2 hours after applying permethrin cream. The side effect is a burning sensation. Cannot be used during lactation and for children under 3 years of age.
- Zinc. It has an anti-inflammatory effect, dries out affected areas, and accelerates skin regeneration. Can be used up to 5 times a day, the course of treatment lasts up to 7 days on average. It is prescribed for pregnant women, during lactation, and for children.
- Sulfuric. It is often prescribed for bacterial lesions of the facial skin; for demodicosis it is one of the main drugs. Apply 2 times a day.
- Tar. Can be used in combination with sulfur ointment. The tar composition acts as an antiseptic and antibacterial drug, dries the skin, and reduces the risk of developing an allergic reaction. Suitable for both pregnant women and children.
- Trichosexual. Contains metronidazole as a base. Such ointments are suitable for the treatment of demodicosis on the face and eyelids.
General rules for applying ointment against subcutaneous mites on the face:
- The drug should only be prescribed by a doctor. It is not recommended to choose a remedy on your own.
- You need to apply the product according to the instructions the specified number of times, the specified number of days, and keep it for the specified time. If, after completing the course, the disease remains or is not completely cured, it is not recommended to continue using the ointment on your own. I need to see a dermatologist again.
- If side effects are severe (burning, itching, rash, fever), the cream should be washed off immediately and contact a dermatologist to prescribe another remedy.
For eyelids
For demodicosis of the eyelids, not only ointment, cream or gel, but also ophthalmic drops can be prescribed. Some drugs on the list for the face can also be used against eyelash mites (this is what this disease is called if demodex lives in the eyelash follicles).
The patient should undergo therapy with antihistamines and antibacterials to suppress the occurrence of allergies from topical medications.
If the eyelids are affected, you can use the following ointment for demodex:
- Sulfuric;
- Ichthyol;
- Demalan;
- Demazol;
- Vishnevsky ointment;
- Tetracycline;
- Blefarogel (gel, contains sulfur);
- Metronidazole (other products based on it: metronidazole ointment, Metrogyl, Rozex, Rosamet).
The main contraindications are individual intolerance to the components.
If you have demodicosis, you cannot use ointments containing corticosteroids - they weaken the immune system and only contribute to the spread of the mite.
Rules for the use of local remedies for demodicosis of the eyelids:
- ointment for eye mites should be prescribed by an ophthalmologist - it is not recommended to choose the drug yourself;
- It is most convenient to apply the ointment with a cotton swab;
- if side effects occur (redness, itching, excessive lacrimation) or if the product gets into the eye, rinse it immediately with water;
- in case of increased dryness of the eyes, it is recommended to additionally use artificial tears (also prescribed by an ophthalmologist).
Tetracycline ointment
It is an antibiotic, active against many bacteria and parasites, affecting their reproduction and biological synthesis.
This ointment is often used to treat eye diseases:
Tetracycline ointment is also popular for the treatment of bacterial skin lesions, especially with demodicosis.
Before applying the ointment, you should cleanse the skin of various cosmetics, sebaceous secretions and external influences. The ointment is applied to a layer of gauze and applied to the affected area of the skin, the compress is removed after 12 hours and repeated for several days.