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anaerober abbau methandienone

Gentamicin is a broad-spectrum antibiotic of the aminoglycoside. Bactericidal and provides highly effective topical treatment of primary and secondary bacterial infections of the skin. Active against gram-negative bacteria: Pseudomonas aeruginosa, Aerobacter aerogenes, Escherichia coli, anaerober abbau methandienone pneumoniae; gramopolozhitelnyh bacteria: Streptococcus spp, Staphylococcus aureus (coagulase-positive and coagulase-negative strains have penicillinase)..

Indications
dermatoses, complicated infections caused by pathogens sensitive to the drug, or if you suspect such infection, including – simple and allergic dermatitis, atopic dermatitis (including atopic dermatitis), limited atopic dermatitis, eczema, ringworm (tinea , candidiasis, pityriasis versicolor), especially in the localization in the groin area and large folds of the skin; simple chronic zoster (restricted neurodermatitis).

Contraindications
: Hypersensitivity to any component of the drug, lupus, cutaneous manifestations of syphilis, chickenpox, herpes simplex, skin reactions after vaccination, open wounds, children’s age (up to 2 years).

Be wary
of pregnancy (especially in I trimester), children (> 2 years), long-term treatment, the use of large areas of the skin, or in violation of skin integrity, the use of occlusive dressings (especially in children).

Use during pregnancy and lactation
The use of triderm during pregnancy anaerober abbau methandienone is possible only when the intended benefits to the mother outweighs the potential risk to the fetus.
It is not known whether the components of the drug are excreted in breast milk. When assigning triderm during lactation should decide the issue of termination of breastfeeding.

Dosage and administration
Ointment Triderm should be applied a thin layer on the entire surface of the affected skin and surrounding tissue twice a day – morning and night. To be effective, treatment should be applied ointment Triderm regularly.
The duration of treatment depends on the size and location of the lesion, as well as the response of the patient.
If clinical improvement does not occur after 3-4 weeks of treatment, it can serve as a pretext for further diagnosis.

Side effects:
Very rarely, when applying triderm observed: burning sensation, erythema, exudation, pigmentation disorders and itching.
Adverse reactions, occurring in the application of local corticosteroids (especially when using occlusive dressings): burning sensation, itching, dryness, folliculitis, hypertrichosis, acne , hypopigmentation, perioral dermatitis, allergic contact dermatitis, maceration of the skin, secondary infection, skin atrophy, striae, miliaria.
Adverse reactions due to clotrimazole : erythema, tingling, blistering, peeling, local swelling, itching, hives, skin irritation.
Adverse reactions caused by gentamicin : transient skin irritation (erythema, itching) usually does not require discontinuation of treatment.

Overdose Symptoms :. Prolonged use of local corticosteroids in high doses may suppress adrenal function with the development of secondary adrenal insufficiency and Cushing’s symptoms, including Cushing’s syndrome Overdose clotrimazole topically its application does not lead to the appearance of any symptoms. When a single overdose of gentamicin showing any symptoms are not expected. Long-term treatment with gentamicin in high doses can lead to growth insensitive flora. treatment : symptomatic. Acute symptoms of Cushing’s usually reversible. If necessary, a correction of electrolyte imbalance. In case of chronic toxicity SSC recommended the phasing .

 

Cautions
Ointment Triderm is not intended for use in ophthalmology.
Prolonged use of topical antibiotics may sometimes lead to the growth of resistant organisms. In this case, and if irritation, sensitization or superinfection during treatment  ointment, treatment should cease and prescribe appropriate therapy. There were cross-allergic reactions to aminoglycoside antibiotics.
Any side effects that occur with the use of systemic corticosteroids, including inhibition of the function of the adrenal cortex, can be marked and the local application , particularly in children.
Systemic absorption of corticosteroids or gentamicin in the local application will be higher if the treatment It will be carried out on large areas of skin or at use of occlusive dressings, especially with long-term treatment or in violation of skin integrity. It is necessary to avoid the application of gentamicin on open wounds and damaged skin. Otherwise, it may cause side effects typical of gentamicin when administered systemically. Observe proper precautions in such cases, especially when treating children.
With long-term use of the drug is recommended anaerober abbau methandienone cancellation of his postepennno. Use in pediatric drug Babies prescribed only under strict indications and under medical supervision, as may develop systemic side effects associated with betamethasone. When using triderm, like many other drugs for topical application on the basis of corticosteroids on large surfaces and / or occlusive dressing may suppress the function of the hypothalamic-adrenal gipofizo- system, you may experience slow excretion of growth hormone, and increased intracranial pressure.