"Pimafukort" (cream): instructions for use. Reviews, prices, recommendations

Release form and composition

The composition of Pimafukort hormonal ointment includes 3 main active components, namely:

natamycin;
micronized hydrocortisol;
neomycin.

Speaking of auxiliary components, the preparation contains liquid paraffin and polyethylene; they are necessary to perform the function of an ointment base. The medicine is produced in an aluminum tube with a capacity of 15 milligrams. In addition to the ointment, the cardboard package contains instructions for use, which must be carefully studied before use.

Indications for use of Pimafucort cream

The composition of the drug Pimafukort allows you to fight the disease in 3 directions at once:

natamycin – 10 mg;
neomycin sulfate – 3.5 mg;
micronized hydrocortisone – 10 mg;
Excipients.

Due to this combination of active ingredients, the drug successfully fights the fungus. Natamycin is a macrolide, an antibacterial agent. It has pronounced antifungal properties, it is effective in the fight against yeast and yeast-like fungi, as well as dermatophytes.

Neomycin sulfate is an antibiotic with a broad spectrum of action, but it is especially active against gram-negative as well as gram-positive microorganisms. Micronized hydrocortisone relieves itching and inflammation in dermatoses of various etiologies.

Indications for use:

skin mycoses;
otomycosis (disease of the outer ear, infectious in nature, not affecting the middle and inner ear, caused by fungi of various types);
pyoderma (purulent skin lesion);
superficial dermatoses, aggravated by associated infection, which did not affect the deep layers of the skin.

Instructions for use of Pimafucort cream should be studied before use.

Contraindications for use

Pimafukort ointment cannot be used for a number of skin diseases, these include:

Pathologies associated with the occurrence of neoplasms, both benign and malignant.
Lupus. This disease is characterized by a specific infectious process, which is provoked by corresponding pathogenic microorganisms.
Ichthyosis. The deviation refers to genetic pathologies accompanied by a high intensity of the disease with keratinization of the upper layer of the skin.
Syphilis.
Post-vaccination skin reaction.
Skin rashes and acne.
Viral diseases. Papillomavirus, herpes and herpes zoster.

The medicine is prohibited from use by patients whose body may suffer from hypersensitivity to any of the components of the ointment. Also, do not apply the drug to the skin if it has open wounds, ulcers or erosions.

If a patient has systemic tuberculosis with a violation of the ninth pair of cerebral nerves, the drug is used only with the permission of a doctor, even if the person has suffered the disease in the past. If you do not follow these rules and do not study the instructions for use before using the ointment, there is every chance of the situation worsening.

Contraindications

Skin tumors;
Lupus;
Ulcerative skin lesions;
Open wounds;
Skin manifestations of syphilis;
Skin post-vaccination reactions;
Viral skin infections;
Ichthyosis;
Acne;
Anogenital itching;
Rosacea;
Hypersensitivity to the components of the drug.

Pimafucort is prescribed with caution to patients with a history of damage to the IX pair of cranial nerves due to the use of aminoglycosides and with systemic tuberculosis. If the eardrum is perforated, neomycin may have an ototoxic effect when applied directly to the middle ear.

Directions for use and doses

According to the instructions for use, Pimafukort, cream or ointment, must be applied to the problematic part of the skin no more than 4 times a day. If the disease is not very intense, 2 times a day will be enough. When it comes to treating a child, it is not recommended to use occlusive dressings, as this can provoke a pronounced absorption of the active substance into the bloodstream.

In standard cases, the duration of taking the drug is 12-14 days. If exacerbations are observed, it is imperative to consult a specialist. The possibility of extending therapy is determined strictly by the doctor. Decisions made independently can have a detrimental effect on the patient’s condition and cause an exacerbation of infectious pathology.

Instructions for use

Pimafucort is used strictly for application to the external integument of the body. It is a combination drug. The release form of Pimafukort is cream and ointment in 15 gram tubes. Each of the release forms has an identical composition and effectiveness; they differ in the speed of absorption into the epidermis.

One gram of cream or ointment contains:

3500 units of neomycin;
10 mg natamycin;
10 mg hydrocortisone.

The consistency of the drug is homogeneous, milky in color, with a slight yellowish tint. In pharmacies it is sold in a cardboard box containing cream (ointment) and instructions.

The drug contains: neomycin (an antibiotic agent popular for its wide spectrum of effects), natamycin (aimed at destroying fungus, bacteria and other pathogens), glucocorticosteroid hydrocortisone (can reduce inflammation, burning, itching).

Pimafukort has the ability to quickly absorb into the epidermis in case of eczema - by 4-6%, in case of any infection of an infectious nature - 10-12%. When used on undamaged skin, absorption is about 2%.

Neomycin and natomycin have low ability to absorb liquid in the case of an unaffected area of skin on the body. If the skin is affected by a cut, ulcer, or abrasion, then liquid absorption occurs at a high level.

Pimafucort cream is popular in dermatological treatments; its components interact well with each other, thereby giving the required effective result.

When treating skin diseases in children, the absorption of the drug, according to medical studies, is significantly increased than in adults.

Side effects

According to statistics, patients rarely suffer from various side effects while taking Pimafucort ointment. If they occur, they can be eliminated quite easily with the help of a doctor's advice. Speaking about specific deviations, they are as follows:

manifestations of a systemic nature are possible when using the medicine for too long a period and in pathologies that involve applying the ointment to large areas of the dermis. In such a situation, a person may suffer from a loss of sufficient adrenal gland function;
the occurrence of local abnormalities at the sites of application of Pimafucort is often accompanied by thinning of the skin (that is, atrophy), telangiectasia (meaning local dilation of microcercular vessels), perioral dermatitis (occurs when the patient applies the product to the skin area near the oral cavity), contact dermatitis, hypertrichosis, and also the occurrence of problems with the healing of mechanical damage;
Allergic reactions sometimes cause a feeling of severe itching or burning at the sites where the ointment is applied, redness and increased dryness.

If such problems arise, even if they manifest themselves insignificantly, it is necessary to consult a doctor and decide whether to discontinue Pimafucort completely or temporarily.

How to use pimafucort for women and men?

The dosage and frequency of use depends on several factors: age, severity of fungal infection, and the presence of concomitant pathologies.

Pimafucort for thrush in men

Pimafucort is often prescribed for candidal balanoposthitis, which is accompanied by the appearance of an inflammatory process on the glans penis, wounds and ulcers, as well as pain when urinating. The product effectively combats all these manifestations.

First, hygiene procedures are carried out, after which the penis is wiped dry. then the ointment is applied in a thin layer to the site of the inflammatory process.

Pimafucort for thrush in women

The ointment is applied directly to the affected area two to four times a day. Sometimes your doctor may recommend using an occlusive dressing on top. The course of treatment usually lasts for two to three weeks.

When treating chronic forms, the duration of the treatment process can extend up to one month. The first results will be noticeable within a couple of days, but to achieve a lasting effect and to avoid relapse, it is important to complete the full course.

special instructions

Before taking each drug, you must read the instructions, the same applies to Pimafucort ointment. In this case, you should pay attention to the following special instructions:

If the intensity of the infectious process increases, the use of the drug should be discontinued.
It is advisable to be very careful if you have to apply the ointment to large areas of the skin, as ototoxic systemic effects caused by neomycin may develop.
If treatment is required for a child under 1 year of age, it must be accompanied by regular visits to the doctor for examination. The use of Pimafukort ointment for pregnant women is only relevant if the benefits of the medicine cover all possible risks of developing the resulting pathology.
If we are talking about treating skin areas that are located close to the eye, there is a possibility that over time, cataracts will develop, that is, clouding of the lens. In rare cases, increased intracranial pressure occurs.
Pimafukort is not able to influence the performance and speed of motor and mental perceptions of the brain. Concentration will also not be affected.

Compound

Pimafucort consists of a combination of three components. They belong to different pharmacological groups. Together they have a pronounced combined effect.

In general, the composition contains the following components:

glucocorticoid;
antibiotic;
antimycotic.

Thanks to this composition, it has anti-inflammatory, antimicrobial and antimycotic effects. Pimafukort ointment consists of a combination of the following substances:

natamycin;
neomcin;
hydrocortisone.

Used for external use. Neomycin is an antibiotic. Natamycin belongs to the group of macrolide drugs. It has not only a destructive effect on microbial cells, but also a pronounced antimycotic effect.

Hydrocortisone is a glucocorticoid. It relieves signs of inflammation. Thanks to this composition, this medicine is a universal remedy for treating skin infections.

Reviews

Andrey (34 years old, Krasnodar)

“My son is 4 years old, the doctor prescribed him Pimafucort ointment for subacute dermatosis. I immediately liked the fact that it has no smell, is quickly absorbed and does not stain clothes. As a result, all symptoms got rid of in 1 week. To prevent this from happening again, the doctor advised taking vitamins for prevention and using Pimafucort every six months.”

Alena (28 years old, Tomsk)

“At first I thought for a long time about what to buy, cream or ointment. I didn’t understand which was better, and in the end I bought both, since skin problems arise quite often. This time I had to treat otitis externa. The doctor said that a cream would be better, and he was probably right. I managed to get rid of the disease quickly. More than a year has passed and the problem has not returned.”

Undesirable effects

Rarely develop. Allergic reactions occur due to severe sensitivity to the main components. In rare cases, the following side effects may occur:

dryness, swelling, burning;
thinning of the skin with the development of stretch marks and purupura;
the appearance of spider veins;
changes in the function of the adrenal cortex;
dermatitis from neomycin.

The above effects occur quite rarely. They are associated with the initial state of the body. They develop with prolonged and uncontrolled use of this substance. There may be cases of drug overdose. The symptom will be the appearance of hearing loss. This is due to the effect of neomycin on hearing. It has an ototoxic effect.

Pimafucort is an effective drug for thrush and dermatoses

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In what cases is the drug used?

Pimafukort's indications are as follows:

Mycoses (skin lesions by fungi);
Superficial dermatitis (with sensitivity of the pathogen to active substances);
Pyoderma (skin lesions with pus);
Candidiasis;
Otomycosis (ear inflammation).

Components and release form

The drug is available in the form of creams and ointments in 15 g tubes, as in the photo. The color can be white or yellowish.

Many people are interested in whether Pimafukort cream and ointment are hormonal drugs or not. To answer this question, you need to study the composition. The content of active components is the same in both versions of the drug:

Natamycin;
Neomycin;
Hydrocortisone.

A significant difference in the compositions of the two release forms lies in the minor components. There are much more of them in the cream, which causes a selective effect. It contains the following:

F-emulsifier;
Cetyl ester wax;
Macrogol 100;
Sodium citrate;
Cethiol V 150;
Methyl and propyl parahydroxybenzoate;
sorbitan stearate;
Water.

The ointment contains only paraffin and PE as additional components, creating an ointment base.

Action

Pimafucort has 3 actions - it destroys bacteria, fungi and relieves inflammation. It is effective not only against gram-positive, but also against gram-negative microorganisms. This is due to neomycin in the composition. The substance has antibiotic properties, like natamycin. Only the latter is more active against yeast, dermatophytes and protozoa, including Trichomonas.

How to use

Pimafucort comes with instructions for use, which you should read first. The choice of release form depends on the disease. Cream is more suitable for treating dermatoses. The ointment is preferable for the treatment of chronic and indolent ailments, and for greater effectiveness it is necessary to apply an occlusive dressing.

The drug is applied to the affected areas 2-4 times a day. The duration of use of the product is up to a month. Children should be treated for no longer than 2 weeks: their skin is not yet fully formed, so side effects may develop faster.

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Side effects

When applied externally, Pimafukort, like its analogues from the GCS group, rarely exhibits side effects. If they occur, they are reversible - they disappear after discontinuation of the drug.

Occasionally, allergic manifestations occur in the form of itching, burning, redness, and dry skin.

Very rarely observed:

Skin atrophy;
Purpura;
Hypertrichosis;
Striae;
Delayed wound healing;
Depigmentation;
Contact dermatitis (due to neomycin);
Withdrawal syndrome.

Pregnancy and lactation

Pimafucort can be used during pregnancy, and in some cases it is necessary. If a woman has Candida fungi in her vagina, the baby will become infected from the mother after birth. A white coating will appear on the mucous membranes of the mouth and tongue. The medicine will prevent these consequences, but the risk that the ototoxic effect of neomycin will manifest itself cannot be excluded. Therefore, the product should be used only for a short time and with an occlusive dressing.

Contraindications

Absolute contraindications:

Intolerance to components;
Acne, rosacea, ichthyosis;
Viral infections, skin tumors and anogenital itching;
Ulcers and open wounds.

Conditions and diseases that require caution when using the drug:

Tuberculosis;
Damage to the 9th pair of cranial nerves caused by aminoglycosides;
Perforated eardrum;
Children's age up to 1 year.

Overdose

There is no evidence that high concentrations of Pimafucort can lead to negative effects. Theoretically, there is a danger that an ototoxic effect will occur and the hearing aid will be damaged. This is possible when treating ears with cracks in the external auditory canal or a perforated eardrum.

What to replace it with?

Pimafukort has a number of cheaper analogues:

Oxycort;
Polcortolon;
Flucinar;
Akriderm;
Nystatin;
Hyoxyzone;
Cortomycetin.

Sale

Need a recipe. The price of the drug is 500-600 rubles.

Storage

Keep dry at room temperature. Keep away from children.

Best before date

The cream can be used for 3 years, the ointment for 5 years.

Reviews

If you are thinking about using Pimafucort, reviews will help you make a decision.

Side effects

When the drug "Pimafucort" is used externally, side effects develop quite rarely. In most cases they are reversible. If using the cream leads to burning or other unpleasant sensations, you should consult a dermatologist. The specialist will adjust the dosage. The medication is discontinued only if hypersensitivity develops.

The instructions for use of the drug "Pimafucort" must be carefully studied. Suppositories can cause allergic reactions in the form of itching and dryness of the genital mucosa. This side effect is temporary. After just a few days of treatment, the discomfort goes away.

In some cases, side effects may develop when taking the drug Pimafucort internally. The instructions for use of the tablet describe it as a drug that can cause unwanted reactions in the body such as dizziness, loss of appetite, and sleep disturbances. Such phenomena are also temporary.

Analogs

The price of Pimafukort is within 600 rubles. One tube is enough for a full course of treatment of skin diseases. There are analogues that are cheaper in cost. These include:

hydrocotisone ointment;
pasteurized;
locoid;
dexa-gentamicin;
oxycort;
flucinar.

The above drugs are within 400 rubles. Available in the form of ointments and have the same effect. They have a combined effect in the treatment of complicated dermatitis. They consist of a combination of various components that have antimicrobial, antimycotic and local anti-inflammatory effects.

If the analogues do not contain a substance that has an antifungal effect, then it can also be used to treat dermatitis, only of microbial etiology.

Features of use during pregnancy and pediatrics

In fact, pregnancy and lactation are not absolute contraindications to the use of this cream. In some cases, your doctor may prescribe the use of the drug. But it is worth remembering that when treating large areas of skin, the percentage of hormone absorption into the blood increases, which can negatively affect the development of the fetus. By the way, during pregnancy it is forbidden to apply occlusive dressings.

The drug "Pimafucort" is also approved for children - it is prescribed to children over one year of age. In some cases, the pediatrician may recommend the medicine for younger children, and in the most difficult situations, for newborns. But when treating a child, it is extremely important to monitor the condition and functioning of his body.