Instructions for Exic cutaneous solution 1% bottle 20 ml
Composition
active ingredient: naftifine hydrochloride;
1 ml of solution contains naftifine hydrochloride (calculated on 100% dry matter) 10 mg;
Excipients: propylene glycol, ethanol 96% (calculated as anhydrous ethanol), purified water.
Dosage form
The solution is topical.
Main physicochemical properties: transparent solution from colorless to light yellow with the smell of ethanol.
Pharmacotherapeutic group
Antifungal agents for use in dermatology. ATX code D01A E22.
Pharmacological properties
Pharmacodynamics
Exic is an antifungal agent of the allylamine class. Its active ingredient is naftifine hydrochloride, the mechanism of action of which is associated with the inhibition of the action of ergosterol.
Naftifine is active against dermatophytes such as Trichophyton, Epidermophyton and Microsporum, yeasts (Candida), molds (Aspergillus) and other fungi (e.g. Sporothrix schenckii). Naftifine has fungicidal activity against dermatophytes and Aspergillus in vitro, and fungicidal or fungistatic activity against yeasts, depending on the strain of the microorganism.
Exic also exhibits antibacterial activity against gram-positive and gram-negative microorganisms, which can cause secondary bacterial infections along with mycotic lesions.
In addition, the drug has powerful anti-inflammatory properties.
Pharmacokinetics
Naftifine hydrochloride is rapidly absorbed and forms stable antifungal concentrations in different layers of the skin. Approximately 4% of the dose applied to the skin is absorbed, so the systemic exposure of the active substance is very low. Only trace amounts of naftifine are found in blood plasma and urine. The active substance is almost completely metabolized; the metabolites have no antifungal activity and are excreted in feces and urine. The half-life is 2-4 days.
Indication
Topical treatment of fungal infections caused by pathogens sensitive to naftifine:
Fungal infections of the skin and skin folds; interdigital mycoses; fungal infections of the nails; cutaneous candidiasis; lichen planus; inflammatory dermatomycoses, with or without itching.
Contraindication
Hypersensitivity to naftifine, propylene glycol or other components of the drug. The drug should not be applied to the wound surface. Do not use for eye treatment.
Interaction with other medicinal products and other types of interactions
Interaction studies have not been conducted.
Application features
The drug should be used externally only for nail and skin diseases!
The drug contains ethanol, so avoid getting the solution in the eyes and on open wounds.
The solution contains propylene glycol, which may cause skin irritation.
Ability to influence reaction speed when driving vehicles or other mechanisms
Does not affect.
Use during pregnancy or breastfeeding
There are no or limited amount of data from the use of naftifine in pregnant women. Animal studies do not indicate direct or indirect harmful effects of the drug on reproductive function. The drug should be used during pregnancy or breastfeeding only if clearly needed after a careful benefit/risk assessment by a physician.
Method of administration and doses
Exic solution should be applied to the affected skin surface and adjacent areas once a day after it has been thoroughly cleaned and dried, capturing approximately 1 cm of healthy skin around the edges of the affected area.
Duration of treatment: for dermatomycoses – 2-4 weeks (if necessary – up to 8 weeks); for candidiasis – 4 weeks; for nail infections – up to 6 months.
For fungal nail diseases, the drug is recommended to be used 2 times a day. Before the first use, it is necessary to remove as much of the affected part of the nail as possible with scissors or a nail file (to facilitate this procedure, on the recommendation of a doctor, the nails can be treated with a special softener).
To prevent relapse, treatment with the drug should be continued for at least 2 weeks after the main symptoms of the disease have disappeared.
Children
Data on the efficacy and safety of the drug in children are insufficient, therefore it is not recommended to prescribe Exic to patients in this age category.
Overdose
Acute overdose with topical application of naftifine has not been observed.
Systemic intoxication with external use of the drug is unlikely due to the fact that a small amount of the active substance is absorbed through the skin.
In case of accidental ingestion of the drug, symptomatic treatment should be initiated.
Adverse reactions
The frequency of adverse reactions is defined as follows: very common (≥ 1/10), common (≥ 1/100, <1/10), uncommon (≥ 1/1000, <1/100), rare (≥ 1/10000, <1/1000), very rare (<1/10000), frequency unknown (cannot be estimated from the available data).
General disorders and administration site conditions: frequency unknown: dry skin, redness and burning sensation, itching, local irritation.
Expiration date
3 years.
Storage conditions
Store at a temperature not exceeding 30 ° C. After opening the bottle, the solution can be stored for 6 months at a temperature not exceeding 25 ° C. Keep out of the reach of children.
Packaging
20 ml in a bottle; 1 bottle in a pack.
Vacation category
Without a prescription.
Producer
LLC "SKP "Pharmaceutical Factory".
Location of the manufacturer and its business address
Ukraine, 12430, Zhytomyr region, Zhytomyr district, Stanyshivka village, Koroleva st., bldg. 4.
