"Cutivate" (ointment) - instructions for use. The description of the drug

What the purpose of using the drug "Kutiveit" (ointment)? Instructions for use of the drug, its analogs, indications, method of production and composition will be described in this article. You learn from it and how much is this tool, what are the contraindications it has, whether there are side effects, etc.

Composition, method of production, description and packaging

What components includes medication “Kutiveit" (ointment)? Usage instructions States that an active substance of this form of preparation is fluticasone propionate. It also includes sorbitan sesquioleate, liquid paraffin and microcrystalline wax.

Translucent and homogeneous ointment is intended for external use only. It has a white or practically white color. The drug is sold in aluminium tubes (15 g), which are in cardboard packages.

In what form to release the drug “Kutiveit”?

The Cream is for external use (0,05 %) has a homogeneous and soft consistency, and white or nearly white color. The active component of this form also acts as fluticasone propionate. In addition, the formulation includes excipients such as sodium phosphate, liquid paraffin, cetostearyl alcohol, methyl ethyl ketone, propylene glycol, cetomacrogol, imagemachine, citric acid monohydrate and purified water.

The Drug is sold in aluminium tubes (15 g) placed in cardboard boxes.

In Addition to the two above-mentioned forms of medication in pharmacies you can also find other kinds of means “Kutiveit” - a nasal spray and aerosol inhalation. The active substances mentioned drugs are the same components as that of the ointment cream. However, their purpose is somewhat different.

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Pharmacological characteristics

What is the medication “Kutiveit”? Hormonal or not this drug? According to experts, this drug is a glucocorticosteroid with pronounced anti-inflammatory effect.

As mentioned above, all forms considered of the drug contain the active ingredient such as fluticasone propionate. This is a glucocorticosteroid substance. The local application, it eliminates the burning, redness and itching, and reduces the intensity of inflammation available.

For external use of the drug has a pronounced anti-edema and anti-allergic effect. While not noted the negative impact of these tools on the cardiovascular, respiratory and nervous systems.

Pharmacokinetics

Absorbed if the drug “Kutiveit" (ointment)? Instruction manual States that when used externally bioavailability of fluticasone propionate is quite low. This is due to its limited absorption through the skin, and intense metabolism when passing through the liver.

The Drug, which entered the systemic circulation after application on the skin, quickly inactivated. In this regard, its system impact is minimal.

Major route of drug metabolism is hydrolysis to the carboxylic acid. Formed metabolite has a very weak glucocorticoid activity. The active substance of the medicine is not associated with melanin and does not accumulate in tissues.

Fluticasone propionate is quite rapidly excreted, and has a very high metabolic clearance.

Indications creams and ointments

In some cases, prescribed hormonal drug “Kutiveit" (ointment)? Instructions for use inform patients about what this tool is used for the treatment of skin diseases.

Thus, indications for the use of the mentioned forms of medication are the following deviations:

• Atopic dermatitis;
• Eczema;
• Seborrheic dermatitis;
• Psoriasis
• Erythroderma (in addition to systemic therapy);
• Contact dermatitis;
• Lichen planus;
• Neirodermatozy, including simple zoster;
• Lupus erythematosus diskoidna;
• Insect bites.

Allergic dermatosis is allowed to treat a cream in children older than one year. As for the ointments, such a form of the drug can be administered to kids is 6 months.

Indications for use nasal spray or aerosol

In some cases, the patient can be assigned to spray the ‘Kutiveit”? Specialists say that nasal means great treats allergic rhinitis. As for the aerosol, it is actively used for the prevention of exacerbations of asthma.

Contraindications for the use of all forms of preparation

If there are any deviations, it is prohibited to use the drug “Kutiveit" (cream, ointment, spray, aerosol)? According to the instructions, all forms of funds cannot be used for:

• Pink acne;
• Common acne;
• In children under one year of age to cream, up to 6 months for creams and up to 4 years to spray;
• Perioral dermatitis;
• Viral and fungal infections of the skin;
• Perianal and genital itching;
• Hypersensitivity to substances of the funds.

It should Also be noted that reporting funds are required with extreme caution in pregnancy and during lactation.

Methods of applying ointment and cream

How to use outer drug “Kutiveit”? Ointment and cream should be carried out only on prescription. In the treatment of chronic and acute dermatosis medication applied to the affected area with a thin layer twice a day. The duration of use of hormonal preparation is two weeks.

To reduce the relapse of such diseases as allergic dermatitis, after reaching the therapeutic effect of the frequency of applying ointment and cream is reduced. In this case, the drug should be used once or two times a week. Thus occlusive dressings should be excluded.

It Should also be noted that the ointment and the cream should be applied to all previously affected areas of skin, as well as those which may be affected by the condition.

Methods of application and dosage of spray and aerosol

How to use local drug “Kutiveit” (the price of money is presented a little further)? Adults nasal spray is recommended for use in the morning, 100 mcg in each nostril, and children under 12 years of age — 50 mcg.

As aerosol for inhalation, bronchial asthma moderate, mild and severe, the drug in this form is prescribed twice a day, 250–500 micrograms, 100–250 µg and 500 µg, respectively. Adolescents up to 16 years means you must use 50–100 mcg.

Overdose

The Probability of acute overdose before the money is very low. But when misused or chronic overdose, the patient may develop signs of Cushing. In this case, the use of the drug should be immediately discontinued. However, the abolition of the drug should be gradually, under the supervision of a doctor (to avoid the risk of oppression of the working of the adrenal cortex).

Side effects after use of ointments and creams

Does the side effects of the medication “Kutiveit”? The specialists informed that in some cases, this drug actually contributes to the appearance of adverse reactions. Among them we can mention the following:

• Local reactions: atrophic skin changes (hypertrichosis, thinning, dilation of blood vessels, hypopigmentation, and stretch marks), itching, burning, worsening of the symptoms of dermatosis, the development of contact and allergic dermatitis and secondary infections (when applying occlusive dressings).
• Systemic reactions: symptomatic Cushing (long-term use of medication in high dosages and when applied for external use on large areas of skin). The most common side effect seen in children younger and earlier age, and with the use of occlusive dressings. Very rarely the use of ointments and cream can provoke the development of pustular psoriasis.

Side effects after using the spray and aerosols

The Nasal spray is often causes throat irritation, nasal septum perforation, as well as a feeling of unpleasant taste and odor. With regard to aerosol for inhalation, such form of the drug contributes to the emergence of candidiasis of the oral mucosa, hoarseness and paradoxical bronchospasm.

Special instructions

A Long application of ointments and creams in high dosages, especially if the medication is applied to large areas of skin (especially in children), may cause suppression of adrenocortical function.

The High absorption of the outer of the drug in children is observed more often than in adults. Therefore, they are more exposed to the systemic effects of the drug. In this regard, such a tool should be used in small doses that provide therapeutic effect.

Long used externally atrophic changes most often occur on the face. This fact should be taken into account during the treatment of such deviations, as diskoidna lupus erythematosus, psoriasis and severe eczema.

When applying ointment and cream on eyelids you want to avoid getting medication in the eyes, as it may cause glaucoma or irritation.

With extreme caution aerosol for inhalation is prescribed for pulmonary tuberculosis. This treatment should not be abolished abruptly.

The Nasal spray should be used at regular intervals.

The Drug “Kutiveit": models and prices

Analogues of the discussed tools are the following medicines: “Natural”, “Fluticasone propionate", "Flixonase”, “Fluticasone” and “Flixotide”.

How much is the tool ‘Kutiveit”? The price of different forms of the drug may vary considerably. For example, the ointment can be purchased for 290 rubles, and cream – 330.

About the same price have the nasal spray and aerosol inhalation.

Reviews about

The Drug “Kutiveit” is a hormonal agent. This fact really scares patients he has been assigned. However, after the first use they note its high efficiency.

According to the reviews of patients, ointment and cream rather quickly treat all types of allergic dermatosis. Well cope with this task and spray withspray.

Note, However, that there is a category of people who complain about the emergence of a large number of side effects. In this case, patients are advised to cancel the use of the drug and to use a more secure equivalent.