"Kutiveyt" (ointment) - instructions for use. Description of the preparation

What are the uses of the drug "Kutiveyt" (ointment)? Instructions for the use of medication, its analogs, indications, form of release and composition will be described in this article. From it you will learn also about how much this remedy costs, what contraindications it has, whether there are side effects, etc.

Composition, form of release, description and packaging

What components does the "Kutiveyt" (ointment) medication include? Instruction for use states that the active substance of this form of the drug is fluticasone propionate. It also includes sorbitan sesquioleate, liquid paraffin and microcrystalline wax.

A translucent and homogeneous ointment is for external use only. It has a white or almost white color. The drug is sold in aluminum tubes (15 grams), which are in cardboard packages.

In what other form do they produce the drug "Kutiveyt"?

The cream for outdoor use (0.05%) has a homogeneous and soft consistency, as well as white or almost white color. Fluticasone propionate is also an active component of this form. In addition, the preparation includes such auxiliary substances as sodium phosphate, liquid paraffin, cetostearyl alcohol, isopropyl myristate, propylene glycol, ketomacrogol, imidourea, citric acid monohydrate and purified water.

The drug goes on sale in aluminum tubes (15 g), placed in cardboard packs.

In addition to the two listed forms of the drug, you can also find other types of "Kutiveyt" - nasal spray and aerosol for inhalation in pharmacies. The active substances of these preparations are the same components as the ointment with cream. However, their purpose is somewhat different.

Pharmacological characteristics

What is Kutiveyt medicament? Hormonal or not this drug? According to experts, this medication is a glucocorticosteroid agent with a pronounced anti-inflammatory effect.

As mentioned above, all forms of the drug in question contain an active ingredient, such as fluticasone propionate. It is a glucocorticosteroid substance. With topical application it eliminates burning, redness and itching, and also significantly reduces the intensity of the existing inflammation.

With external use, the drug has a pronounced anti-edematous and anti-allergic effect. At the same time, there is no negative effect of the mentioned agent on the cardiovascular, respiratory and nervous systems.

Pharmacokinetics

Is the drug "Kutiveyt" (ointment) absorbed? The instruction for use states that when used externally, the bioavailability of fluticasone propionate is rather low. This is due to its limited absorption through the skin, as well as intensive metabolism while passing through the liver.

The medication, which entered the systemic circulation after application to the skin, is rapidly inactivated. In this regard, its systemic impact is minimal.

The main way of metabolism of the drug is hydrolysis to a carboxylic acid. The educated metabolite has a rather weak glucocorticoid activity. The active substance of the drug does not bind to melanin and does not accumulate in the tissues.

Fluticasone propionate is quickly removed, and also has a very high metabolic clearance.

Indications for the use of cream and ointment

In what cases is the hormone preparation "Kutiveyt" (ointment) prescribed? Instruction for use informs patients that this remedy is used to treat skin diseases.

Thus, the indications for the use of these forms of medicament are the following deviations:

• atopic dermatitis;
• eczema;
• Seborrheic dermatitis ;
• psoriasis;
• Erythroderma (in addition to systemic therapy);
• Contact dermatitis;
• Flat red lichen;
• Neurodermatosis, including simple lichen;
• Lupus erythematosus discoid;
• Insect bites.

Allergic dermatosis is allowed to be treated with cream in children older than one year. As for the ointment, this form of the drug can be prescribed to babies from 6 months already.

Indications for the use of nasal spray and aerosols

In what cases can a patient be assigned a spray "Kutiveyt"? The reviews of specialists say that the nasal agent perfectly treats allergic rhinitis. As for the aerosol, it is actively used to prevent exacerbations of bronchial asthma.

Contraindications to the use of all forms of the drug

If there are any deviations, it is forbidden to use "Kutiveyt" medication (cream, ointment, spray, aerosol)? According to the instruction, all forms of the facility can not be used when:

• Pinkheads;
• Common acne;
• In childhood to one year for cream, up to 6 months for ointments and up to 4 years for a spray;
• Perioral dermatitis;
• Viral and fungal skin infections;
• Perianal and genital itching;
• Hypersensitivity to substance agents.

It should also be noted that the drugs in question should be used with particular caution in pregnancy and during lactation.

Ways of using ointment and cream

How should I use the external preparation "Kutiveyt"? The use of ointment and cream should be carried out only according to the doctor's prescription. In the treatment of chronic and acute dermatoses, the medication is applied to the affected area with a thin layer twice a day. The duration of use of the hormonal drug is two weeks.

To reduce the relapse of such a disease as allergic dermatosis, after achieving therapeutic effect, the frequency of ointment and cream application is reduced. In this case, the drug should be used once twice a week. In this case, occlusive dressings should be excluded.

It should also be noted that ointment and cream should be applied to all previously affected areas of the skin, as well as to those where the disease can manifest.

Methods of application and dosage of spray and aerosol

How should I use the local preparation "Kutiveyt" (the price of the product is presented a little further)? For adults, a nasal spray is recommended for use in the morning for 100 mcg in each nostril, and for children under 12 years of age - 50 mcg.

As for the aerosol for inhalation, in bronchial asthma of medium, mild and severe degree the drug in this form is prescribed twice a day for 250-500 μg, 100-250 μg and 500 μg, respectively. Teenagers under 16 years of age should use the drug 50-100 μg.

Overdose

The likelihood of acute overdose by the means under consideration is extremely low. But with improper application or chronic overdose, the patient may develop signs of hypercorticism. In this case, the use of the medicine should be stopped immediately. However, the withdrawal of the drug should be done gradually, under the supervision of the attending physician (to avoid the risk of oppression of the adrenal cortex).

Side effects after using ointment and cream

Does the side-effect drug "Kutiveyt"? The feedback of specialists informs that in some cases this drug really contributes to the appearance of undesirable reactions. Among them are the following:

• Local reactions: atrophic skin changes (hypertrichosis, thinning, dilated blood vessels, hypopigmentation and striae), itching, burning, exacerbation of signs of dermatosis, development of contact and allergic dermatitis, and secondary infections (with occlusive dressings).
• Systemic reactions: symptomatic hypercortisy (with prolonged use of the drug in high dosages, as well as when applying the external agent to large areas of the skin). Most often, this side effect is observed in children of young and young age, as well as when using occlusive dressings. Very rarely, the use of ointment and cream can provoke the development of pustular forms of psoriasis.

Side effects after using spray and aerosols

Nasal spray often causes irritation of the nasopharynx, perforation of the nasal septum, as well as a feeling of unpleasant aftertaste and odor. As for the aerosol for inhalations, this form of the drug promotes the appearance of candidiasis of the oral mucosa, hoarseness of the voice and the development of paradoxical bronchospasm.

special instructions

Long use of ointment and cream in high dosages, especially if the medicine was applied to large areas of the skin (especially in children), can cause suppression of the adrenal cortex function.

High absorption of the external drug in children is observed more often than in adults. Therefore, they are more prone to systemic effects of the drug. In connection with this, such a drug should be used in small doses, which provide a therapeutic effect.

With long external use, atrophic changes most often appear on the face. This fact should be considered during treatment of such abnormalities as discoid lupus erythematosus, psoriasis and severe eczema.

When applying ointment and cream on the eyelids, you should avoid getting the medicine into the eyes, as this can cause glaucoma or local irritation.

With special care, aerosol for inhalation is prescribed for pulmonary tuberculosis. However, treatment should not be abruptly abolished.

Nasal spray should be used at regular intervals.

"Kutiveyt" preparation: analogues and prices

Analogues of the drugs under consideration are the following medicines: Nazarel, Fluticasone propionate, Fliksonase, Fluticasone and Fliksotid.

How much does the "Kutiweit" product cost? The price of different forms of the drug may vary significantly. For example, the ointment can be purchased for 290 Russian rubles, and the cream - for 330.

Approximately the same prices have a nasal spray and an aerosol for inhalations.

Reviews about the tool

The drug "Kutiveyt" is a hormonal drug. This fact is very frightening of patients to whom he was appointed. However, after the first use, they note its high efficiency.

According to the patients' reviews, ointment and cream quickly treat all kinds of allergic dermatosis. Also well cope with the task and spray with aerosol.

However, it should be noted that there is also a category of people who complain of the occurrence of a large number of side effects. In this case, patients are recommended to cancel the use of the drug and use a safer analogue.