The use of a multicomponent adhesive ointment in combination with imudon in the complex therapy of lichen planus

Ringworm in humans has a different nature; it can be either an infectious or non-infectious disease. It manifests itself as spots of different colors, swelling, itching, and painful sensations. Requires immediate treatment to avoid negative consequences. At the same time, contacting a dermatologist is mandatory, since there are 7 types of lichen, and it is almost impossible to make a diagnosis without a visit to a specialist.

What brand of deprivation remedy is better to choose?

The choice of medication often depends on the type of pathology. Medicines for the treatment of lichen must have anti-inflammatory, antifungal or antiviral effects. External products contain components with a drying, astringent or moisturizing effect. The drug should be prescribed by a doctor after receiving the diagnostic results. Self-medication threatens the disease to become chronic, the treatment of which will take a long period. The review contains the best remedies for deprivation from the following companies:

• JSC Sintez is a large enterprise in the Russian pharmaceutical industry. The quality system covers all stages of drug production. Control of the properties of raw materials and finished products is carried out in our own laboratories. In terms of production volumes, the plant is among the top 10 companies in the domestic pharmaceutical industry.
• Bayer AG is a German chemical and pharmaceutical company. Medicines for lichen are produced by a manufacturing plant located in Italy. The company operates under the motto: “We invent and make available products that help people make their lives better.” The company's medicines are valued for their safety and effectiveness. Success is based on excellence in research and development.
• Zentiva is an international pharmaceutical company headquartered in Prague. Specializes in the development and production of generic drugs for various therapeutic purposes. High-quality medicines meet the needs of modern methods of treatment and prevention. Users note the reliability and safety of the products.
• BioNaturika is a Russian company that produces various cosmetic products for the care of hair, facial skin and body. Product lines are divided according to the age of the user. There is a separate category of products for children and teenagers. It also offers contract manufacturing services at its own factory.
• Ekaterinburg pharmaceutical factory - the company produces various medicines in the form of ointments, pastes, tinctures, drops, elixirs, extracts, alcohol solutions. Some products are produced according to the following scheme: a foreign company pays for raw materials, the production and sale of the drug is carried out in Russia.
• Janssen is a Belgian manufacturer of medicines in the field of pain management, psychiatry, infectious pathologies, and gastroenterology. It is part of the largest developer and manufacturer of healthcare products, Johnson & Johnson. The company provides innovative solutions for the treatment of socially significant diseases.
• Sandoz is a German pharmaceutical company. Produces biosimilars and generics. Its goal is to increase the accessibility of medicine for all people. The brand is trusted by healthcare professionals. Products are valued for quality, availability, and efficiency. A wide range allows you to choose a product to solve most medical problems.
• JSC FP "Obolenskoe" - the company is part of the Alvansa group of companies. It produces more than 150 types of medicines of various pharmaceutical types, including generics and innovative developments. The quality of the goods meets accepted standards.
• Akrikhin is a large Russian pharmaceutical company producing finished drugs. The main part of the range is represented by highly effective generics. The company owns its own research and development center, which is equipped with modern technological equipment and analytical instruments. Every day, employees work on the production of innovative products for the treatment of dermatological, cardiac diseases, diabetes, and tuberculosis.
• PJSC Biosintez is a group of Russian pharmaceutical enterprises. Produces more than 180 types of finished drugs in various release forms. The nomenclature includes drugs from most pharmacotherapeutic groups. Now part of the Sun Pharmaceutical Industries Ltd concern.
• Pharmstandard-Laksredstva OJSC is a Russian pharmaceutical company engaged in the development and production of high-quality medicines. The range includes more than 330 drugs, among which 60 are innovative developments, 140 are included in the list of vital drugs.
• Vips-Med Firm is a Russian company whose list of services includes the manufacture of medical and pharmaceutical products. It carries out wholesale supplies of drugs of its own production to the regions of the country, the CIS and Baltic countries. Products meet health standards.

Classification

Ringworm is an unpleasant disease, but it can be completely cured. There are even some types of lichen that do not require treatment and go away on their own.

In 2021, the most common types of lichen in humans are (see photo):

1. Pityriasis, it is also known as "colored" or "variegated".
2. Pityriasis rosea or Gibert's disease.
3. Ringworm (aka “hairworm” or trichophytosis).
4. Lichen planus, affecting the skin, mucous membranes, and, less commonly, nails.
5. Scaly, popularly known as psoriasis.
6. Shingles, sometimes called herpes.
7. Microsporia. A highly contagious form that is often confused with ringworm.

Each type is caused by a specific pathogen and is subject to strictly defined treatment. The consequence of untreated lichen can be permanently disfigured skin or lost hair.

Rating of remedies for lichen

Taking into account the cause of occurrence, 7 types of pathology are distinguished. The most dangerous are considered viral infections, which are characterized by rapid spread and long-term treatment. Therapy is aimed at alleviating symptoms, increasing immunity, and eliminating the irritant. The rating of the best treatments for lichen in an adult or child is based on the results of comparative tests of the following characteristics of the drugs:

• Pharmacological group;
• Release form;
• Indications;
• Presence and type of side effects;
• Packaging volume;
• Availability;
• Active substance;
• Number of contraindications;
• Impact on human psychomotor reactions;
• Terms of Use;
• Interaction with drugs from other pharmaceutical groups;
• Best before date.

The price/package volume ratio was taken into account. This indicator often determines the need for additional purchase of funds for a course of treatment. All top drugs are divided into 3 categories based on the release form. Each section provides a description, pros and cons of the medication according to reviews from doctors and patients.

The best antiviral agents

Prevention

The main measures to prevent ringworm are careful adherence to hygiene procedures:

• Using only your own towels and combs, preventing the child or adult from sharing them and using other people’s hygiene items.
• After visiting swimming pools, bathhouses, and water parks, you should immediately wash with soap, wash and wash the items you used.
• If someone in your home shows signs of ringworm, further infestation should be prevented. His bedding and underwear must be washed separately. All items are thoroughly washed and treated with disinfectants.
• Preventing contact with stray animals, especially cats. According to statistics, about 50% of them are infected with microsporia or are its carriers.
• The patient should be isolated from the team until complete recovery.
• If there is a sick animal in the house, all surfaces must be treated with disinfectant solutions.

With careful prevention, ringworm may not appear in other household members.

The best pills for lichen

In this form, medications are used in the treatment of severe forms of diseases, since the concentration of active substances in external agents is not always sufficient for a powerful effect on pathogens. Depending on the type of pathology, medications with antiviral, antifungal, antihistamine or antibacterial effects are prescribed. Based on an analysis of patient reviews, out of 7 nominees, 5 variants of tablets for lichen were included in the rating.

Acyclovir

An inexpensive antiviral agent with the active ingredient of the same name. Available in the form of white biconvex tablets with a dividing line in the center. Each contains 400 mg of acyclovir. The mechanism of action is to block the synthesis of the viral DNA chain by inhibiting the polymerase. It is effective mainly for herpes infections, so it is often prescribed for herpes zoster.

Advantages

• Low price;
• Well tolerated;
• Allowed for children from 3 years old;
• Small list of contraindications;
• Availability.

Flaws

• Concomitant use with other drugs may lead to a decrease in effect;
• Presence of sugar in the composition.

In case of mild form, you need to take the drug 2 tablets 5 times a day every 4 hours for 7-10 days. In children, the dosage is calculated taking into account weight - 20 mg/kg. Children take the medicine 4 times a day. The duration of treatment is 5 days.

Mycozoral

The medication belongs to the same group as Nizoral. The active component has a fungicidal effect on yeast fungi and dermatophytes. It is also used in the treatment of staphylococcal and streptococcal infections. The drug is used in the treatment of versicolor. The composition contains lactose, so patients diagnosed with deficiency or intolerance to milk sugar are not prescribed Mycozoral. Adults take 1 tablet 1 time per day. For children over 3 years old and weighing up to 15, the dosage is reduced by 2 times. The average duration of the therapeutic course is 10 days.

Advantages

• Average price;
• Relieves itching well;
• No unpleasant odor or taste;
• Quick results;
• The volume of the package is enough for a course of treatment.

Flaws

• Severe side effects;
• In case of liver disease, as well as over the age of 50 years, the use of the medicine is limited.

Not all users are happy with the therapy. The main complaints leave you feeling unwell on the first day of treatment. Patients report severe headaches and heart pain, which often forces them to change the drug.

Griseofulvin

The drug has a fungistatic effect. The active component blocks the synthesis of the cell wall and disrupts the connection with the messenger RNA of the fungi. Accumulates in the skin and hair, promoting the separation of infected keratin. Treatment is carried out under the control of the morphological composition of the blood. The analysis is carried out once every 10–15 days. The product is used to destroy various types of mycoses that provoke the development of lichen. Prescribed for pityriasis, shingles, ringworm type of pathology.

Advantages

• Pleasant taste;
• Average price;
• Allowed for therapy in children;
• Quick results;
• Quality.

Flaws

• Side effects;
• Large list of contraindications.

Users report good effectiveness in treating ringworm. The advantages include the possibility of use for children, but due to its high toxicity, it is recommended to drink the product strictly under the supervision of a doctor. A prerequisite is to take it after meals with 1 tsp. vegetable oil, which will eliminate irritation of the gastrointestinal mucosa.

Routes of infection

The causative agent of microsporia enters the body when a healthy person comes into contact with a carrier of the disease. An alternative way is to interact with objects covered with fungal spores. Ringworm is most often detected in children aged 5-10 years; in boys, microsporia is diagnosed five times more often than in girls. The pathology almost does not affect adults due to the presence of organic acids in their hair structure, which suppress the growth of fungal mycelium.

The reasons for the development of ringworm are microtraumas of the skin and its dryness. Spores get into cracks, scratches or open calluses. Healthy skin becomes an insurmountable barrier to fungus. The pathogen does not survive contact with personal hygiene products - thorough hand washing after contact with spore carriers eliminates the possibility of infection.

The risk group includes people who regularly come into contact with the ground and wild animals. The active growth of the fungus is facilitated by disturbances in the functioning of the sebaceous glands due to changes in the chemical composition of their secretions. Microsporum spores can remain viable for three months when left in open ground.

The best sprays for ringworm

In this form, the medicine can be used for various forms of the disease. The advantages include fast absorption and the ability to use on the scalp. The use of such products eliminates the need for a long washout and does not spoil the hair color. However, they are often contraindicated for pregnant women. Testing the characteristics of the drugs allowed us to identify the 2 best products from the 5 nominees.

Thermikon

The medicine is released in the form of a clear, colorless or light yellow liquid, 1 ml of which contains 10 mg of terbinafine hydrochloride. The substance is a chemically synthesized antifungal agent. It disrupts the biosynthesis of the cell membrane of dermatophytes and some types of fungi, which leads to death. Less than 5% of the dose is absorbed and therefore does not enter the blood. It is prescribed to children only from the age of 12. The main indications for use are lichen versicolor and fungal infections.

Advantages

• Does not affect the ability to drive vehicles;
• Ease of use;
• Average price;
• Short duration of treatment;
• Effective;
• Safe.

Flaws

• Smell of ethyl alcohol;
• Contraindications.

The dosage is determined taking into account the severity of the disease. Usually it is 2 times a day for 1 week. Spray the product onto the affected area and adjacent areas of healthy skin. The latter is thoroughly cleaned and dried before the procedure. The effectiveness of the spray was confirmed by 95% of respondents.

Terbinafine

The drug is considered the original, on the basis of which the generic Thermikon was created. Their composition, with the exception of a number of excipients, is identical. The medicine is released in a glass bottle with a dosing pump, the volume of which is 10 or 20 g. There are no data on the safety of use in children, so the spray is prescribed for this category of patients in exceptional cases. The course of treatment is also 2 weeks.

Advantages

• A decrease in the severity of symptoms is noted on the first day of treatment;
• Low price;
• The course lasts no more than 2 weeks;
• Convenient to use.

Flaws

• Risk of developing an allergic reaction.

The spray has earned only positive user reviews. It quickly and easily helps cure lichen, the volume is enough for a course, the price corresponds to the quality. All patients recommend purchasing the product.

Diagnosis of trichophytosis

In order to confirm diagnostic hypotheses based on the clinical manifestations of the disease and to find out which pathogen provoked the development of lichen, the patient is prescribed a laboratory examination and luminescent diagnosis of trichophytosis.

• Laboratory tests include microscopy of skin and hair scrapings from the affected area. If there is infection, fungal cells and mycelium threads (mycelium) are found in it. With superficial trichophytosis, under high magnification of a microscope, fungal spores are detected inside the hair, and with microsporia - around the hair shaft.

• If differential diagnosis is necessary, a cultural study is performed to determine the genus and type of parasitic fungus.

• To differentiate between microsporia of the scalp and superficial trichophytosis, the patient is prescribed a fluorescent examination of the affected hair with a Wood's lamp. Green luminescence provides grounds for diagnosing microsporia. With superficial trichophytosis, there is no glow.

Which remedy for ringworm is better to buy?

The choice of drug depends on the type, severity of the pathology, and the age of the person. It is easier to treat children's lichen with external means, because not every child agrees to take pills. The option of sprays at this age is out of the question; they are allowed only from 12 years of age. Treatment with ointments is often used for mild pathology; in severe cases, they are used in combination with tablets. Sprays are chosen by patients for whom rapid absorption of the product is important. The following recommendations will help make the choice of medication easier:

• The best drug for the treatment of herpes zoster in adults and children is Acyclovir;
• The safest composition is Gistan;
• Inexpensive but effective remedy - Sulfur-tar ointment;
• Broad spectrum of action – Clotrimazole;
• The best ointment for lichen in children is Mikoseptin;
• The most convenient treatment option is Terbinafine;
• The best medicine for ringworm is Griseofulvin.

Each tool has its own pros and cons. How to treat lichen in children is determined by the doctor in adults after receiving the diagnostic results. All his recommendations must be followed strictly.

Reasons for development

The main causes of ringworm are contact with the pathogen:

1. A child aged 4–11 years whose sweat reaction is predominantly alkaline.
2. A child or adult with reduced immunity, the presence of scratches, scabs, microtraumas that can become infected.

Most often the carrier is an animal, less often a person. Infection also occurs through objects or personal belongings on which infected hairs, hairs or skin scales remain. Infection is possible through undisinfected hairdressing tools, through soil on which the causative agent of the disease can persist for up to 3 months, during processing of hay. According to statistics, up to 70–80% of cases of the disease occur as a result of contact with stray young cats and kittens.

General recommendations

Most types of lichen are successfully treated. Visit a dermatologist. The choice of treatment method depends on:

• varieties;
• causes and provoking factors;
• contraindications;
• presence of concomitant diseases.

To combat skin infections, medications and traditional recipes are used. The duration of the course of therapy and the selection of medications are determined by the doctor.

Helpful Tips:

• limit the patient’s contact with family members;
• wash and iron bed and linen daily;
• select separate dishes;
• After caring for the patient, disinfect your hands with Citeal. Prepare the solution according to the instructions;
• Wash the floor daily with Alaminol or Alpinol.