Strong Triderm ointment prevents the development of secondary infection. According to the instructions for use, it has a pronounced antifungal and antibacterial effect. The price of the drug is relatively high, but judging by the reviews, the quality of the ointment is decent. If necessary, you can purchase analogues of the product at a lower cost.
- Structure
- The properties
- Release form
- Hormonal or not
- Indications for use
- Instructions for use
- Application for children
- Pregnancy and lactation
- Side effects
- Consequences of an overdose
- Contraindications
- special instructions
- Shelf life
- Storage conditions
- Price
- What is the best cream or ointment
- Analogs
- Interaction
- Video about triderm ointment
Structure
The composition of the ointment contains such active components as:
- Betamethasone dipropionate. It prevents allergic reactions and itching, and is also an artificial hormone.
- Clotrimazole. This component in the composition of the ointment prevents the development of fungal infection. The substance destroys the cell membrane, interfering with the reproduction of the fungus. The drug is effective against candida and trichophyton.
-
Gentamicin sulfate. This antibiotic belongs to the type of aminoglycosides. It stops the protein synthesis of the fungus and prevents the development of bacteria. Its effectiveness has been proven in relation to:
- Escherichia coli;
- streptococcus; aerobacteria;
- Klebsiella.
1 g of Triderm contains:
| Clotrimazole | Gentamicin | Betamethasone |
| 10 mg | 1 mg | 0.5 mg |
The properties
Triderm (instructions for use is enclosed in the package) has a wide range of effects on the body and has the following properties:
- antiallergic;
- antipruritic;
- antimycotic;
- antibacterial;
- anti-inflammatory.
Release form
The drug is used as an external agent. It comes in a composition sealed in an aluminum tube, which is packaged in a cardboard box. The protective membrane protects the composition from air access. The weight of the drug in the tube is 15 or 30 g. However, Triderm 30 g each is rare. 
The ointment looks like a homogeneous mass, white or yellow, translucent.
Hormonal or not
This ointment is hormonal. The main active ingredient – betamethasone dipropionate – belongs to the class of glucocorticosteroids. A positive property of corticosteroids: they help quickly and relieve almost all symptoms – inflammation, itching, rashes.
But since any ointment with corticosteroids, including Triderm, has a large number of side effects, they first try to treat the disease with non-hormonal ointments, and only then on the basis of corticosteroids. With prolonged use of the drug, addiction develops.
This means that at the previous dosage, the product ceases to give the expected effect. With an increase in dosage, perioral dermatitis develops, poorly treatable; Itsenko-Cushing’s syndrome; hyperglycemia.
Indications for use
Triderm (instructions for use warns of a large number of serious side effects) is used to treat:
- allergic and simple dermatitis;
- atopy;
- thrush;
- eczema
- depriving (red, flat, multi-colored);
- epidermophytosis;
- neurodermatitis.
However, the drug will be effective only if the secondary infection is caused by pathogens that are sensitive to gentamicin and clotrimazole, the active substances in Triderm.
With lichen, Triderm is especially recommended in case of localization of skin manifestations in the groin and large folds of the skin.
It helps in the treatment of diseases of the male genital organs. For example, it is used for thrush caused by candida fungus, which is transmitted through sexual contact.
Balanitis and postitis can also be treated with this drug. Despite a large number of contraindications and side effects, Triderm as prescribed by a doctor can also be used to treat balanitis in children.
Acne and furunculosis can be treated with this ointment, but it can be used only as directed by a doctor.
Instructions for use
In the treatment of candidiasis in men, ointment covers the glans penis twice a day. These procedures should be carried out until the symptoms of the disease disappear. 
In other diseases, the affected areas are treated twice a day. The patient should adhere to an equal period of time between applying the ointment. It is recommended to use it in the morning and in the evening. 
With otitis media, the ointment is placed in the sore ear with a cotton swab. The procedure is carried out twice during the day for 7 days. In other cases, the ointment is distributed in a thin layer over the skin area, where changes are observed with the capture and healthy skin located around the perimeter.
Treatment should be carried out daily, without interruption. It is impossible to abruptly refuse to use the drug with signs of improvement, it is necessary to reduce the dose gradually.
The duration of treatment depends on the state of the patient’s immune system. Duration is determined by the dermatologist based on the tests. The patient should be under the supervision of a doctor throughout the treatment period.
Application for children
Triderm (instructions for use clearly indicates how to properly apply the ointment) should not be used in the practice of treating children who are not yet two years old. The composition contains hormonal components, so the ointment can provoke a violation of the adrenal glands, pituitary gland, hypothalamus in an unformed body.
After two years, the ointment should be used no more than 7 days. Moreover, from the available release forms, it is recommended to choose not an ointment, but a cream.
If the baby’s disease is complicated by infectious problems, then therapy can be extended to 12 days. In the absence of allergic reactions, side effects and with an improvement in the condition of the child, treatment is completed in the same way as in an adult, gradually reducing the dosage.
If the child has high blood pressure, stunted growth, headaches, Triderm should be canceled and a treatment regimen based on another agent should be formed with the attending physician.
Pregnancy and lactation
When carrying a child, this drug is prescribed only in special cases, due to the fact that the hormonal component has a toxic effect not only on the mother’s body, but also on the fetus. 
The components of the drug are found in breast milk and blood of a child if a woman has undergone therapy with him, therefore, with lactation, the use of the drug is also strictly prohibited. If you cannot avoid taking the drug, then breastfeeding should be stopped.
Triderm during pregnancy is prescribed in those cases when:
- allergic dermatitis aggravates;
- neurodermatitis develops;
- eczema appears.
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Side effects
Side effects of Triderm, following the instructions for use, are relatively rare. But if they are present, then usually in the form of a burning sensation. Pigmentation of the skin is disturbed, itching appears, exudation occurs.
When using occlusive dressings, the patient may experience the following side effects:
- acne;
- increased dryness of the skin;
- the development of infectious skin lesions;
- atrophy of the skin;
- prickly heat.
If the patient is allergic to clotrimazole, then he will feel a tingling sensation, blisters will appear on the skin in the form of urticaria, the skin will peel off, and there will be noticeable irritation. With an allergic reaction to gentamicin, itching is felt, erythema occurs.
Children should be treated with this ointment with caution, because of the effect on the work of the adrenal cortex.
If Triderm is used to treat rashes on the face, there is a chance of getting perioral dermatitis as a side effect when peeling, redness of the skin appears on the face. After resuming the use of the cream, dermatitis will pass, but after discontinuation of the drug will occur again.
The problem is that with each new exacerbation, the amount of ointment needed for treatment increases. And rashes from year to year appear more often. The situation will be similar to dependence on ointment.
It is because of serious side effects before using the ointment that you need to consult a dermatologist regarding the advisability of using it and replacing it with a weaker analogue.
Consequences of an overdose
Since this ointment has a hormonal basis, the consequences of an overdose can be severe for the body:
Adrenal function is impaired. The hormone in the medicine can inhibit the production of cortisol or, conversely, cause hypercorticism. 
- There is increased itching of the skin.
- Diagnosed with atrophy of the skin.
- Blood sugar drops sharply.
- The pressure drops.
- Muscle weakness appears.
- White spots form on the skin.
With prolonged excess dosage of the drug, bacteria develop immunity to it. As a result, the effect of treatment will decrease every day.
In women, as a result of an overdose, there is a violation of the menstrual cycle, namely delay . In addition, facial hair growth, obesity, and the appearance of acne are possible. Men develop impotence.
Contraindications
Triderm (instructions for use describes in sufficient detail how to properly use the drug) is used to treat a wide range of diseases, but has contraindications. The main contraindication is self-medication.
The drug should not be used after self-diagnosis of the symptoms of the disease or on the advice of friends, colleagues. A triderm should be prescribed by a dermatologist and only after the necessary tests are passed and the diagnosis is clarified.
The list of contraindications include such diseases and conditions as:
- syphilis;
- individual sensitivity to one of the components of the ointment;
- lupus;
- trophic ulcers and open wounds;
- age up to two years;
- the period of pregnancy and breastfeeding (use is possible only in exceptional cases as prescribed by a doctor);
- herpes or chickenpox;
- complications after using various vaccines.
Triderm in no case is applied to the mucous membranes, which is reflected in the instructions for use: its components cause irritation. In any cases, with the appearance of specific rashes on the skin after the use of the drug, you must consult a dermatologist.
special instructions
- Triderm should not be used to treat ophthalmic diseases.
- With prolonged therapy, local irritations appear, skin hypersensitivity develops, the infection progresses. When these symptoms are detected, therapy should be discontinued.
- The simultaneous administration of aminoglycoside antibiotics during ointment therapy threatens the appearance of an allergic reaction.
- With prolonged use of glucocorticosteroids, adrenal function in children is suppressed, Itsenko-Cushing syndrome develops.
- With large areas of damage, the ointment will be absorbed into the body in larger quantities, which can cause an overdose effect.
- It should not be applied to open wounds.
- Drug withdrawal should be carried out slowly with a gradual decrease in dose.
- When using this ointment or cream in children, signs of deterioration in the functions of the hypothalamic-pituitary and adrenal systems appear. Deterioration develops more intensively than in adults.
- Growth retardation, slight weight gain – all this can be the consequences of applying the ointment.
- An increase in pressure, a low level of cortisol in blood plasma in adults – also refers to the action of the drug.
- If there is no improvement after a month of use, it is necessary to gradually discontinue the drug and choose a different treatment method.
Shelf life
The shelf life of the drug is 3 years, after which the drug partially loses its properties and can cause unpredictable reactions of the body.
Storage conditions
Triderm ointment should be stored at a temperature of two to 25 degrees. in a place inaccessible to children where exposure to light and direct sunlight is excluded.
If the storage conditions are violated, the product loses its healing properties. The entire storage period must respect the integrity of the packaging. Do not allow the drug to come into contact with air.
Price
The cost of Triderm is approximately $ 9,52, but varies depending on the and the pharmacy chain.
What is the best cream or ointment
Experts recommend the ointment for use in case of skin lesions, occupying a significant area . The cream is used in the treatment of mild dermatitis, its absorption rate is higher.
If some areas get wet, then cream should be preferred instead of ointment. The creamy composition is better absorbed into the epidermis and dries more effectively than the ointment. If the ointment is applied to the wetting area, then absorption may be absent altogether.
In the treatment of manifestations of an allergic nature, ointment should be used. Triderm ointment contains paraffin and p
etroleum jelly, and the cream contains alcohols that will lead to even more pronounced allergic reactions.
Analogs
Akriderm . This is also a drug based on betamethasone. It is easily absorbed by the skin. This drug reduces phagocytosis, helps eliminate puffiness in the treated area. In children, the absorption of the composition by the skin surface is faster. Application should be agreed with the doctor. The drug is prescribed for dermatitis of various types, neurodermatitis, itching, eczema. 
Therapy is carried out by local application of a thin layer of the drug to the skin. The duration of therapy should be no more than 4 weeks.
The cream is not prescribed to those patients who have hypersensitivity to certain ingredients of the ointment. With skin tuberculosis, syphilis, skin cancer, this drug is strictly forbidden to use. Acriderm is also not superimposed on open wounds.
During pregnancy, it is better not to start treatment with them, or use only in extreme cases, when it needs to be used for a short time. With lactation, it is prescribed only after the abolition of breastfeeding.
The cost of Akriderm is much less than the cost of Triderm, and ranges from $ 1 – $ 3, depending on the volume of packaging.
Belosalik . Another analog Triderma. It has an anti-inflammatory, antimicrobial effect on the affected areas, acts as an antiallergic, immunosuppressive, antifungal agent.
Belosalik ointment has water-repellent properties and covers the place where it was applied with a protective film. Belosalik is also used to treat dry skin.
It is not recommended to use the ointment for a long time, as the opposite effect may be observed. If allergic reactions occur, discontinue treatment and consult a doctor.
Belosalik, like Akriderm, costs about half the price of Triderm. Its cost varies within $ 5,44.
Flucinar . This is a medical product that is intended for external use. It is used for skin diseases, and it is also an analogue of Triderm.
It has anti-inflammatory and anti-allergic effects on the affected area of the skin. But since it is also a hormonal drug, its application to the affected area of the skin affects the function of the adrenal cortex. And it is actively absorbed by the skin.
Indications for use:
- psoriasis;
- eczema;
- seborrheic dermatitis.
Side effects may include:
- the appearance of acne;
- increased hair growth;
- glaucoma, if the product gets on the skin of the eyelids.
Contraindications:
- various infections, whether viral, fungal, bacterial;
- special sensitivity to one of the components of the drug;
- pregnancy period;
- children’s age up to two years.
Flucinar is recommended to use a short period of time and not to abuse the drug. The cost of this drug is also lower than the cost of Triderm, and is approximately $ 4,08.
There are several more analogues such as:
- Dermokas – in addition to the active substances familiar in the composition of Triderm, it contains miconazole nitrate. The main indications: skin diseases provoked by the development of dermatophytes and yeast.
-
Diprosalik – in addition to betamethasone, the active ingredient is salicylic acid. The list of readings almost repeats the same for Triderm.
- Triacutane – according to the active substances that make up the drug, repeats the composition of Triderm. The tool is effective against fungal, infectious diseases, dermatitis.
The cost of all the above drugs is less than the cost of Triderm. However, it can be more dangerous for patients, especially if they have allergic reactions to drug components.
Interaction
The interaction of Triderm can be observed with aminoglycoside antibiotics, which manifests itself in the form of an allergic reaction. No significant interactions have been observed with other drugs.
Before using Triderma, you should consult a dermatologist and take tests to clarify the diagnosis. The drug should be used clearly according to the instructions. Triderm is indicated for the treatment of psoriasis, neurodermatitis, urticaria, lichen of various etiologies and other diseases characterized by changes in the skin.
However, when applying, precautions should be taken to prevent the development of side effects. It is categorically not recommended to use the drug without a doctor’s prescription.
Video about triderm ointment
Indications, side effects of the triderm:
