Hydrocortisone ointment for eyes: instructions for use

Hydrocortisone ointment for the eyes is an anti-inflammatory and anti-allergic drug that is used to treat ophthalmic diseases caused by inflammation. Ophthalmic preparation "hydrocortisone ointment" as the main active substance contains hydrocortisone.

Description of the preparation

Hydrocortisone ointment can be used to treat the eye only in the absence of damage to the corneal epithelium.The active substance in the preparation is hydrocortisone (hydrocortisonum), which is a natural medicinal product of wide application. In the body, this substance is produced by the adrenal cortex (hormone cortisol).The pharmacological index includes hydrocortisone in the group "Glucocorticoids".Hydrocortisone - a drug of wide application, so you need to be careful when choosing a drug with this composition and the name: in addition to ophthalmology, this substance is also used in dermatology, for the treatment of dental and oncological diseases.

As an auxiliary ingredient, the hydrocortisone ointment for the eyes contains medical Vaseline, as well as nipagin or methylparaben.The drug is available in the form of an ophthalmic ointment in tubes containing 3 g or 5 g of drug substance.

One gram,% of the ointment contains, mg hydrocortisone acetate. In each package there is an instruction for the use of hydrocortisone ointment for the eyes.

Storage conditions:

• The ointment is placed in a cool place (temperature 5-15 ° C);
• Shelf life of the drug is 2 years;
• Hydrocortisone eye ointment is stored in places inaccessible to children.

The drug is used topically. A small strip of ointment is placed behind the lower eyelid of the affected eye.The procedure can be repeated 2-3 times a day. The duration of use of the drug is no more than two weeks.However, if necessary, the doctor can extend the course of treatment.

Pharmacological action and group

The drug belongs to the pharmacological group: "glucocorticoids, anti-inflammatory and antiallergic drugs used in ophthalmology."Ointment has a pronounced anti-inflammatory and anti-allergic, antipruritic and anti-edematous action.The use of hydrocortisone ointment makes the process of accumulation in cells of cells with an admixture of blood and lymph (cell infiltrates) less active.

Helps reduce the permeability of capillaries, reduces the migration of lymphocytes and leukocytes in the area of ​​inflammation.The drug stabilizes subcellular and cellular membranes, reduces the binding of immunoglobulins to receptors, inhibits the release or synthesis of cytokines from lymphocytes and macrophages.

Hydrocortisone ointment has an antimetabolic effect, makes the development of connective tissue and scarring less active.

Indications and contraindications in use

Indications for use of hydrocortisone ointment are as follows:

• Dermatitis of the eyelids;
• Conjunctivitis;
• Keratoconjunctivitis;
• Blepharitis;
• Blepharoconjunctivitis.
• Uveitis;
• Irit (both acute and chronic);
• Iridocyclitis;
• Inflammatory processes in the anterior part of the eye arising from trauma and surgical intervention on the eyeball (with undisturbed corneal epithelium);
• The need to restore the transparency of the cornea;
• Inflammatory processes arising in the process of chemical or physical impact on the organs of vision.

Hydrocortisone ointment for the eyes should not be used in the presence of the following ophthalmic problems:

• Infectious diseases of the eyes caused by viruses or fungi;
• Tuberculosis of the organs of vision;
• Purulent infections;
• Primary glaucoma;
• Lesions of the epithelium of the cornea.

Unconditional contraindication for the use of hydrocortisone ointment is the patient's increased sensitivity to any components of the drug.Ointment hydrocortisone for the eyes is not applied during vaccination.In the presence of a history of glaucoma (both open-angle and zakratougolnoy) it is extremely important to constantly monitor intraocular pressure. The same must be done in case of using the ointment for a long time (more than two weeks).

It is impossible to prolong the course of treatment with the drug independently. Longer periods of use of hydrocortisone ointment for the eyes are appointed by the attending physician if necessary.

In pregnancy

A sufficient experience of using this ophthalmic drug in the period of bearing and breast feeding is not yet available.The course of treatment of hydrocortisone ointment for the eyes of pregnant women is prescribed only when the necessary effect of using the drug exceeds the possible risk for intrauterine formation child.

Hydrocortisone, when used, penetrates into the mother's milk, so during the period of using the ointment for the eyes, breastfeeding should be suspended.

To small children

In children, there is a higher probability of developing systemic effects of hydrocortisone than in an adult.Use of hydrocortisone in pediatrics is allowed in cases where the attending physician assumes the urgency of such therapy and if the expected therapeutic effect exceeds the risk of adverse effects.

In this case, it is important to apply hydrocortisone eye ointment with caution, under the supervision of a specialist. Treatment with the drug occurs in short courses, lasting up to one week.

Possible complications caused by the drug

Side effect caused by hydrocortisone ointment for the eyes:

• Manifestations of allergy: sensation of "burning injection of sclera;
• Exophthalmos;
• Increased intraocular pressure;
• The development of secondary infection, which occurs due to the suppression of immunity with prolonged use of the drug.

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Treatment of redness and inflammation of the eyes

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In case of damage to the epithelium of the cornea, the healing of the cornea and its perforation may be delayed.If the drug is used for a long period of time (more than two weeks), then it is possible to develop a steroid glaucoma or cataract.

During the entire period of use of ointments for the eyes, it is recommended that you do not wear contact lenses.

If it is necessary to treat several kinds of ophthalmic drugs (eye drops) it is important strictly observe the required (at least 15 minutes) time interval between applying the ointment and instillation.Sometimes, after using the medication, vision sharpness may temporarily decrease. In such cases, it is necessary to refrain from working with complex equipment or from driving a car immediately after applying the ointment.

Overdose of hydrocortisone ointment in ophthalmic practice is very rare. In the event that this does happen, the patient may feel an increase in local side effects. After the cessation of treatment with ointment, the effects of an overdose disappear without further exposure.

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conclusions

Ointment is an anti-inflammatory and anti-allergic drug, it has a pronounced anti-inflammatory and anti-allergic, antipruritic and anti-edematous action. It is inadmissible to use the drug without consulting a doctor, examining possible side effects and contraindications. It is not recommended to use hydrocortisone ointment for a long time.

Also read about what ointments are used for conjunctivitis.