Posterisan Forte - anti-inflammatory, reparative and immunostimulating drug for the local treatment of diseases of the rectum. Posterisan Forte enhances specific and non-specific local immune response due to the antigenic action, stimulates the reparative processes (accelerates the healing of wounds and fractures the rectal mucosa and the skin of the perianal region). Thanks immunorestorative actions Posterisan Forte prevents the development of secondary infection and superinfection.
Part of the drug Hydrocortisone has a pronounced anti-inflammatory and antipruritic effect, reduces the severity of exudative phenomena.
Pharmacokinetics Posterisan Forte is not represented.
Indications for use:
Ointment and rectal suppositories Posterisan Forte is used for the treatment of patients with acute symptoms of hemorrhoids (including the persistent flow of hemorrhoids, as monotherapy or in combination with other drugs), as well as patients with pruritus ani, including resistant to other drugs.
Ointment Posterisan Forte can be used for local therapy in patients with perianal dermatitis and eczema anorectal region.
Mode of application:
The product is intended for topical and rectal administration. Before applying Posterisan Forte preparation should wash their hands thoroughly and clean the perianal region. It is advisable to use the ointment after spontaneous bowel cleansing. The local use of the drug is applied thinly, gently rubbing into the affected areas of the mucous membrane and skin. If necessary, rectal administration is recommended to use the applicator included in the kit. The duration of the application and use of the drug scheme Posterisan Forte determined by the physician.
In acute conditions, usually prescribe the use of the ointment twice a day (morning and evening).
The maximum permissible duration of application of ointment Posterisan Forte is 7 days. If after 5 days after initiation of therapy the patient's condition does not improve, should re-diagnose and correct destination.
Side effects:
Ointment and rectal suppositories Posterisan Forte is usually good tolerated.
In patients with individual intolerance to the components of suppositories or ointments may develop allergic reactions including hives, eczema and itchy skin.
Phenol, which acts as a preservative in the formulation Posterisan Forte can cause the development of local skin irritation and redness.
Prolonged use of the drug may develop Posterisan Forte dermatological and systemic adverse effects of hydrocortisone, including dermatitis, eczema, reduced reparative processes (slow healing of wounds and fractures), secondary infection and mucosal atrophy. In addition, prolonged use of local corticosteroids can lead to the development of adreno-cortical suppression, the appearance of telangiectasia, striae, and steroid acne.
Contraindications:
The drug Posterisan Forte is not indicated in patients with an indication of a history of hypersensitivity reactions to the active and optional components of the ointment or suppository rectally.
Posterisan Forte is not used for the treatment of patients suffering from bacterial, fungal or viral diseases with skin manifestations in the anorectal area (including the TB symptoms, syphilis, gonorrhea, ringworm and chickenpox).
Posterisan Forte should not be used in patients with post-vaccination reactions of patients, fungal diseases (regardless of the localization of lesions), inflammatory diseases of the skin (including perioral dermatitis and rosacea).
Suppositories and ointment Posterisan Forte is not recommended for patients with ulcerative lesions and atrophic changes of the skin and mucous membranes in the anorectal area, and parasitic infections of the skin and rectum.
Posterisan Forte is contraindicated in patients with tumors of the anorectal area.
Posterisan Forte is not used in pediatric practice.
Pregnancy:
Posterisan Forte with extreme caution should be used during pregnancy (the appointment is possible only under medical supervision, for a short time and if the alternative safer drugs do not give the desired effect). Corticosteroids penetrate the blood-barrier. There is currently no data on the effect of corticosteroids on human fetal development, but some teratogenic effects of corticosteroids were observed in animal studies. In the systemic application of corticosteroids can cause fetal growth in the uterus, as well as the development of adrenocortical suppression.
Given the limited absorption when applied topically, may be short-term use of corticosteroids during pregnancy moderate action, including hydrocortisone, which is part of the drug Posterisan Forte.
Before starting therapy with Posterisan Forte during lactation should decide the issue of the temporary interruption of breastfeeding, as well as to consult with the doctor who will weigh all the risks and potential benefits.
Interaction with other drugs:
Do not apply ointment or suppository Posterisan Forte with other medications, including topical, containing steroids. This combination may lead to increased risk of action of glucocorticosteroids and increase of systemic side effects of these drugs.
Not recommended simultaneous use of the drug Posterisan Forte with other drugs for rectal administration. If necessary, a combination therapy several rectal means should observe the interval between their applications at least 60 minutes.
Ointment Posterisan Forte contains yellow soft paraffin, which may reduce the strength of the latex condom and contraceptive efficacy of latex.
Overdose:
Data on drug overdose Posterisan Forte not. Prolonged use of high doses Posterisan Forte adrenal suppression may develop, which is accompanied by disturbances of water and electrolyte balance, increased intracranial pressure, changes in heart rate and blood pressure, as well as development of Cushing's syndrome.
A specific antidote is not known. With the development of symptoms of chronic overdose of the drug should be discontinued Posterisan Forte.
In case of accidental oral administration of suppositories or ointments Posterisan Forte may develop adverse effects from the gastrointestinal tract, including the development of nausea, diarrhea, vomiting, and epigastric pain.
Storage conditions:
Posterisan Forte regardless of the release form must be transported and stored at a temperature range of 5 to 25 degrees Celsius in the original packaging.
Posterisan Forte rectal suppositories and ointment are suitable for 3 years after issue, subject to the storage recommendations.
Composition:
1 g of ointment contains Posterisan Forte:
Suspensions standardized E.coli bacterial culture (5.0 * 108 E.coli bacteria killed and preserved in liquid phenol) - 166.7 mg;
Hydrocortisone - 2.5 mg;
Additional ingredients.
Pharmacological group:
Drugs used for diseases of the gastrointestinal tract
Medicines for the treatment of hemorrhoids
Active ingredients: a standardized culture of the bacteria Escherichia coli, Hydrocortisone
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