Instructions for use Methyluracil with Miramistin ointment tube 15 g
Composition
active ingredients: methyluracil, myramistin;
1 g of ointment contains: methyluracil 50 mg, miramistin 5 mg;
excipients: propylene glycol, macrogol 400, poloxamer, cetyl alcohol, stearyl alcohol, purified water.
Dosage form
Ointment.
Main physicochemical properties: homogeneous white ointment.
Pharmacotherapeutic group
Medicinal products for the treatment of wounds and ulcers. ATX code D03A X.
Pharmacological properties
Pharmacodynamics
The medicine contains methyluracil, which stimulates metabolic processes, and miramistin, a cationic antiseptic.
Methyluracil accelerates regeneration, wound healing, stimulates cellular and humoral immunity, and has an anti-inflammatory effect.
Miramistin has a wide spectrum of antimicrobial activity, including hospital strains resistant to antibiotics. It has a pronounced antimicrobial effect against gram-positive (Staphylococcus spp., Streptococcus spp., Streptococcus pneumonia) and gram-negative (Pseudomonas aeruginosa, Escherichia coli, Klebsiella spp.), aerobic and anaerobic, spore-forming and asporogenic bacteria in the form of monocultures and microbial associations, including hospital strains with multi-resistance to antibiotics. It has an antifungal effect on ascomycetes (genus Aspergillus and genus Penicillium), yeasts (Rhodotorula-rubra, Torulopsis gabrata) and yeast-like fungi Candida albicans, Candida tropicalis, Candida krusei, Pityrosporum orbiculare (Malassezia furfur), dermatophytes (Trichophyton rubrum, Trichophyton mentagrophytes, Trichophyton verrucosum, Trichophyton schoenleini, Trichophyton violacent, Epidermophyton Kaufman-Wolf, Epidermophyton floccosum, Microsporum gypseum, Microsporum canis), as well as other pathogenic fungi in the form of monocultures and microbial associations, including fungal microflora with resistance to chemotherapeutic drugs. Under the action of Miramistin, the resistance of microorganisms to antibiotics decreases.
At the site of application, it stimulates protective reactions and activates regeneration processes.
Due to its broad spectrum of antimicrobial action, Miramistin effectively prevents infection of wounds and burns. The drug has moderate or weak osmotic activity, as a result of which
It stops wound and perifocal inflammation, absorbs purulent exudate and selectively dehydrates necrotic tissues, helping to cleanse and dry the wound. At the same time, the ointment does not damage granulations and viable skin cells, and does not inhibit marginal epithelialization.
Pharmacokinetics
Due to the properties of the ointment base to retain active ingredients on the surface of the application site, they are not significantly absorbed into the systemic bloodstream and usually do not cause systemic effects.
Indication
Complicated, difficult-to-heal wounds;
radiation and trophic ulcers (including in patients with diabetic angiopathy, in weakened patients with significant immunosuppression);
burns and other skin injuries.
The drug has a photoprotective effect in patients with photodermatoses.
Contraindication
Hypersensitivity to the active substances or to any other components of the medicinal product;
acute and chronic forms of leukemia; lymphogranulomatosis; malignant bone marrow diseases.
Interaction with other medicinal products and other types of interactions
With simultaneous topical application of Miramistin with anionic surfactants (surfactants) (soap solutions), its inactivation occurs.
With the simultaneous use of Miramistin with systemic or local antibiotics, a decrease in the resistance of microorganisms to the latter is observed.
When methyluracil is used simultaneously with strophanthin, antibiotics, and sulfonamide drugs, their effectiveness is increased, and with pentoxyl, its toxic effects are enhanced.
When used simultaneously with topical glucocorticosteroids, its effectiveness is reduced.
Application features
The drug should be used with caution in patients with neoplasms undergoing radiation and chemotherapy.
The effectiveness of the drug increases if it is applied to the wound surface, previously washed with an antiseptic solution. The presence of purulent-necrotic masses in the wound requires additional consumption of ointment.
In case of deep localization of the infection in soft tissues, the drug may be used together with systemic antibiotics.
Propylene glycol may cause skin irritation.
Cetyl and stearyl alcohols may cause local skin reactions (e.g. contact dermatitis).
Use during pregnancy or breastfeeding
Due to the lack of controlled studies on safety and efficacy, the drug should not be used during pregnancy or breastfeeding.
Ability to influence reaction speed when driving vehicles or other mechanisms
There is no data on the ability of the drug to affect the reaction rate when driving vehicles or other mechanisms.
Method of administration and doses
You can also use tampons soaked in medicine, carefully filling the cavities of purulent wounds after their surgical treatment, or gauze turundas with ointment, inserting them into fistula passages.
The drug should be used once every 1–2 days. The dose depends on the area of the wound surface and the degree of purulent exudation. The duration of treatment is determined by the dynamics of wound cleansing and healing. Treatment with the drug should be discontinued when wound granulations appear and the wounds are cleared of wound exudate.
Children
Due to the lack of sufficient experience, the drug should not be prescribed in pediatric practice.
Overdose
Overdose phenomena were not observed. However, when applying the drug to large surfaces of the affected skin, the possibility of partial entry of the active components of the ointment into the systemic bloodstream in quantities that are not capable of causing acute poisoning is not excluded. Manifestations of the systemic action of methyluracil are headache, dizziness, hypersensitivity reactions. Miramistin manifests itself as a cationic detergent and can prolong bleeding time. In case of overdose caused by long-term use of a large amount of ointment, changes in the composition of the blood are possible due to the effect of methyluracil on the processes of hematopoiesis.
Treatment: dose reduction or discontinuation of the drug, symptomatic therapy.
Side effects
On the part of the immune system, skin and subcutaneous tissue: hypersensitivity reactions, including flushing, itching, mild burning sensation, rash, urticaria; dry skin, dermatitis, weeping and skin irritation due to the content of propylene glycol in the composition of the medicinal product.
If any adverse reactions occur, discontinue use of the drug and consult a doctor.
Expiration date
2 years.
Storage conditions
Keep out of reach of children. Store in original packaging at a temperature not exceeding 25 °C. Do not freeze.
Packaging
15 g or 30 g in a tube; 1 tube in a pack.
Vacation category
Without a prescription.
Producer
PrJSC "Pharmaceutical Company "Darnitsa".
Address
Ukraine, 02093, Kyiv, Boryspilska St., 13.
