Salicylic ointment: contraindications and application features


Pharmacology offers many remedies for the treatment of skin pathologies. One of these drugs is salicylic ointment. It contains salicylic acid, which an Italian scientist synthesized from willow bark. Knowing the features of the drug, its capabilities, indications and contraindications for use, patients will be able to easily use the drug to treat the most complex ailments.

Salicylic Ointment Review

Salicylic ointment

Salicylic ointment is widely used to heal wounds, burns and skin lesions. Can be used for psoriasis as an adjuvant . Since psoriasis is a systemic disease (affects many systems of the body) and genetic, it cannot be cured with salicylic ointment even in the earliest stages.

Active ingredient (composition)

Salicylic acid is an antiseptic and dermatotropic agent.

Indications for use

  • burns, wounds;
  • skin lesions, including psoriasis.

Operating principle

Salicylic acid complex action:

  • protects skin from germs and bacteria;
  • cleans wounds from pus, heals;
  • eliminates inflammation;
  • suppresses secretions from the sebaceous and sweat glands;
  • exfoliates dead skin cells;
  • has a local irritant effect.

Contraindications

  • increased sensitivity;
  • renal failure;
  • cannot be used by infants;
  • Use with caution in pregnant women under medical supervision.

Duration of treatment

Salicylic ointment is used only as an adjuvant to relieve symptoms. Therefore, the course of treatment is individual.

Side effects

  • temperature increase;
  • pain, itching and burning in the area of ​​plaques;
  • allergic reaction.

Reviews from forums

Reviews say that the ointment helps with exacerbations in combination with other means:

Review from user angel about salicylic ointment

Python user review of salicylic ointment

Review from user Argus about salicylic ointment

In addition, they talk about the effectiveness of sulfur-salicylic ointment (sold in pharmacies):

Review from user toad about sulfur-salicylic ointment

Review from user help about sulfur-salicylic ointment

Medical research on the drug

Not publicly available.

Price

Price in Moscow - 23-26 rubles. per package 25 g.

Psoriasis: description, treatment with ointments

Psoriasis is one of the pathologies whose origin is not fully understood today. The main symptom of the disease is a monomorphic rash on the face and body, which gradually combines into flat plaques. Doctors believe that the impetus for the occurrence of pathology is two different factors: hereditary predisposition and deviations in the functioning of the central and peripheral nervous systems.

More often, relapse of psoriasis develops as a result of severe stressful situations, as well as infection of emerging wounds with streptococci.

In severe cases of pathology, drug treatment is required, including injections and taking tablets. In addition, patients are prescribed treatment with ointments. They alleviate the patient’s condition during the acute course of the pathology, and are also considered a prophylactic against exacerbations.

Preparations in the form of ointments have many undeniable advantages. They have a targeted effect on areas of inflammation, eliminating burning and other unpleasant sensations. The therapeutic effect of local treatment is achieved quickly, the main symptoms of psoriasis disappear in a short period of time. At the same time, external agents are considered relatively safe, since they penetrate into the bloodstream in small quantities.

Some local drugs for the treatment of psoriasis, produced domestically and abroad, are available in two dosage forms: ointment and cream. Ointments are prescribed mainly for acute cases. The active ingredients quickly penetrate into the deep layers of the skin and stop further cell destruction. The components of the cream are released much more slowly, but have a prolonged effect. Therefore, external agents in the form of creams are prescribed as maintenance therapy in the intervals between relapses.

Conclusion about the drug

Salicylic ointment gives results for psoriasis : relieves irritation, itching, exfoliates. However, it must be used in combination with other medications.

For example, if the area of ​​psoriasis is no more than 20%, you can exfoliate the scales and then apply ultraviolet 311 nm. With this course of treatment, if you follow the instructions, the remission will be long-lasting.

In addition, you can use folk remedies to treat psoriasis. They also help in complex treatment.

pharmachologic effect

The active component is salicylic acid , which has antiseptic and anti-inflammatory effects. The active substance accelerates the healing processes of boils and wound injuries, helps soften calluses and growths, and helps fight acne .

The drug has not only an anti-inflammatory effect, but also has a keratolytic effect , improving exfoliation of the skin, which has a positive effect on regeneration .

The best remedies for Psoriasis


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Ultraviolet lamp Dermalight ® RUB 14,900.

Analogs

Level 4 ATX code matches:
Mikonorm

Undecin

Gentian violet

Zinkundan

Exoderil

Exiter

Batrafen

Lotseril

Lamisil Dermgel

Lamisil Uno

Lamisil

Salicylic acid

Keto Plus

Exifin

Fungoterbin

Mycoseptin

Thermikon

Nitrofungin

Sulsena

Baziron AS

  • Zinc-salicylic ointment (5%);
  • Urgokor callus.

What skin care products should I use for psoriasis?

For those suffering from psoriasis, it can be difficult to decide which makeup removers or body lotions are best to use, especially with the ever-growing range of these products available. In this section we will introduce you to what products are suitable for caring for sensitive skin of the face and body.

We will not provide an exhaustive list, but only some of the tools that you can use. Feel free to ask your pharmacist questions for more detailed information.

Psoriasis is a chronic disease that often has a wavy course. It is characterized by increased proliferation of keratinocytes, leading to hyperkeratosis (thickening of the stratum corneum of the epidermis), and the appearance of inflamed reddish plaques on the skin.


Photo: nina-kulagina / freepik.com

How to treat acne with salicylic acid

The antiseptic drug effectively fights pimples, acne and other pathologies that are accompanied by dysfunction of the sebaceous glands.

Lotions are made for this. The skin is pre-cleansed and dried. Soak a cotton swab in a salicylic acid solution and wipe your face. For small and rare rashes, they are burned with the drug locally using a cotton swab.

After the procedure, the face must be washed and lubricated with moisturizer.

It is recommended to carry out treatment no more than 2 times a week. Duration of the course until acne disappears.

How to treat warts with salicylic acid

Due to its antiseptic and antimicrobial effect, salicylic acid is used to remove papillomas. Use a solution and ointment of high concentration:

  1. Solution - take 5% or 10% product. Treat warts before going to bed once a day, avoiding getting the drug on healthy areas. In the morning, wash off with warm water.
  2. Ointment - used to treat papillomas of various shapes. Frequency of use: 1 time every 2 days. Recommended for adults and children over 2 years old.

The duration of taking salicylic acid is no more than a week.

How to peel with salicylic acid

To prepare peeling at home, you need to mix 1 tablet of Acetylsalicylic acid, 1/2 teaspoons of water and 1 teaspoon of honey or olive oil.

The finished mixture is applied to clean facial skin for 20-25 minutes. Afterwards, the composition is removed and the face is lubricated with a nourishing cream. Course duration is 8-10 procedures 1-2 times a week.

Thanks to the procedure, it is possible to normalize the condition of the epidermis, improve color, eliminate oily shine, remove pigmentation and fine wrinkles.

Differences from other pathologies

Symptoms of nail psoriasis are also observed with other nail problems. But people with psoriasis usually have manifestations of the disease on the skin, so it is enough to carefully examine the body. If psoriatic changes are present only on the nail plate, the diagnosis becomes more difficult. It is important to ask the patient whether his parents had this disease. If necessary, to clarify the diagnosis, the doctor will prescribe a biopsy of the nail bed, examine the skin with a dermatoscope, and take a scraping from the altered part of the plate to identify fungal pathogens.

In the absence of manifestations on the skin, psoriasis is difficult to distinguish from a fungal nail infection (onychomycosis). External symptoms are similar: onycholysis, clouding, thickening, destruction of the nail plate. Fungus or psoriasis on the nails can be determined after a mycological examination of scrapings from the affected part. With onychomycosis, fungi will be detected. In 35% of cases, both diseases are present simultaneously. Inflammation, which occurs in psoriasis, facilitates the penetration and reproduction of pathogenic pathogens. When a mycotic infection occurs, the symptoms of nail psoriasis will intensify.

Psoriasis is often confused with another similar skin disease - eczema, which also affects not only the skin, but also the nails.

How to distinguish nail psoriasis from eczema? Look for skin rashes. With eczema, watery blisters form, the elements of the rash become weeping, and then become covered with crusts. Eczema appears only on sensitive areas of the skin, on the inner flexor surfaces of the knee and elbow joints. With psoriasis, rashes can appear on any part of the body.

What does nail psoriasis look like?

Symptoms of the disease are varied. Nail damage characteristic of psoriasis affects the matrix (growth zone), tissues of the nail bed, and lateral ridges. Such changes are called psoriatic nail dystrophy. Depending on the severity and location of the inflammation, it manifests itself in the form of different conditions.

Damage to the nail matrix causes thimble syndrome, leukonychia, plate dystrophy, onychorrhexis, transverse grooves (Bo's lines). If the nail bed is involved in the inflammatory process, this manifests itself in the form of onycholysis, hyperkeratosis, splinter hemorrhages, and spots. Damage to the ridges leads to psoriatic paronychia. Each of these types of dystrophy is observed individually or in combination with others.

Some nail changes are painful and make it difficult to move your fingers freely. Examples of psoriasis of fingernails in the photo (manifestations on the feet look similar):

The dystrophy options are described in more detail below.

Thimble Syndrome

Thimble syndrome is the most characteristic and striking symptom of nail psoriasis. It is this that occurs more often than other manifestations of pathology on the nails. The longer a person is sick and the more severe the form of the disease, the higher the risk that this symptom will appear. Thimble syndrome is depressions scattered across the entire surface of the nail plate. Their diameter ranges from 1 to 1.5 mm. These depressions are arranged in lines, rows or randomly.

The reason for the appearance of depressions is associated with the formation of small psoriatic papules in the matrix area where new plate cells are born. Papules create obstacles to the formation of a smooth nail structure and disrupt the structure of the plate. The top layer of nail cells does not keratinize correctly everywhere; some of the cells subsequently exfoliate, resulting in the formation of depressions.

In addition to nail psoriasis, such changes in the structure of the plate are observed with alopecia, eczema, dermatitis and other pathologies. But with psoriasis they are deeper and quite painful when pressed.

Furrows

With psoriasis, the nail plate is covered with transverse grooves, which are also called lines or furrows of Bo. These are deep transverse grooves that form against the background of psoriatic inflammation in the area of ​​the nail matrix. Inflammation interferes with normal nail growth and disrupts the compactness of the cells of the nail plate. Depending on the width of Bo's lines, it is easy to guess how long the inflammation has been present.

Beau's lines are not characteristic signs of nail psoriasis. They are also observed in other conditions. For example, with injuries, circulatory disorders, infections, malnutrition.

Onycholysis

Onycholysis is the detachment of the plate from the nail bed. It usually occurs gradually, without pain or inflammation. More often, separation of the plate is observed from the free edge or on the sides. The onycholysis zone comes in different shapes: circle, crescent, longitudinal stripes. The main cause of onycholysis is a disruption of the cohesion or adhesion between the cells of the plate and the bed. As a result, a subungual space is formed, into which air bubbles, dust, and particles of the epidermis penetrate. Due to the entry of air, the onycholysis zone appears white, grayish-white or yellow-white.

Nail detachment in psoriasis is provoked by a disruption in the formation of the layers of the plate against the background of inflammation. Onycholysis also occurs in metabolic disorders, diabetes, vitamin deficiency, allergies, and weakened immunity. But the peculiarity of psoriatic onycholysis is the presence of a narrow light pink stripe outlining the detachment zone. Over time, this stripe turns yellow or brown.

Rarely, with psoriasis, the nail peels off not from the side of the free edge, but from the side of the lower ridge or nail growth zone. This is called onychomadesis. Unlike onycholysis, onychomadesis develops quickly and is characterized by a severe course.

Subungual hemorrhages

Subungual hemorrhages in psoriasis resemble splinters or fragments. These are small black, yellowish-brown or brown-black vertical lines. They are formed when the capillaries that permeate the nail bed rupture. Rupture occurs at the slightest injury to the plate due to overflow of small vessels in the area of ​​psoriatic plaques.

Similar vertical lines also form with subungual melanoma and infective endocarditis, so to find out the cause of their appearance, go to the doctor.

Subungual hyperkeratosis

Subungual hyperkeratosis is a thickening, an increase in the size of the hyponychium or the visible part of the nail bed, which grows to the plate from the side of the free edge. Thickening occurs due to the proliferation of hyponychial cells as a protective reaction in response to chronic local inflammation.

With subungual hyperkeratosis, gray-yellow horny masses accumulate under the plate, which compress the soft tissues of the nail bed, causing discomfort and pain.

Subungual hyperkeratosis is often present with fungal nail infections, and it is important to distinguish it from psoriasis.

Psoriatic paronychia

Paronychia is an inflammation of the skin on the nail folds. With psoriasis, in addition to inflammation, there is thickening of the skin and redness of the fingertips. Often there is an accumulation of pus with subsequent discharge from under the nail fold.

Spots on the nail plate

With psoriasis, spots of different shapes, sizes and colors form on the nails. Color: white, yellow, red.

Characteristic signs of the disease include a translucent “oil” or “salmon” stain. It looks like a drop of blood frozen under the plate. This is what a psoriatic plaque formed under the plate looks like.

White spots on the nails are called leukonychia. They come in the form of stripes or small dots. Formed due to air bubbles getting between the plate and the bed. At this point, the nail loses its transparency and the surface becomes white. The reasons for their appearance are numerous, but psoriasis is on this list.

Red spots are formed due to the expansion of capillaries in the nail bed area.

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