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Actions of Hydrocortison-Rotexmedica in details
Hydrocortison-Rotexmedica Micronised Xepa-Soul Pattinson is a glucocorticosteroid. Hydrocortison-Rotexmedica Micronised Xepa-Soul Pattinson inhibits the function of leukocytes and tissue macrophages. The migration of leukocytes in the area of inflammation. Impair the capacity of macrophages to phagocytosis and the formation of interleukin-1. Contributes to the stabilization of lysosomal membranes, thereby reducing the concentration of proteolytic enzymes in the field of inflammation. Decreases capillary permeability due to histamine release. Inhibits activity of fibroblasts and collagen formation.
Hydrocortison-Rotexmedica Micronised Xepa-Soul Pattinson inhibits the activity of phospholipase A2 which leads to suppression of the synthesis of prostaglandins and leukotrienes. Suppresses the release of COX (mainly COX-2), which also helps to reduce production of prostaglandins.
Reduces the number of circulating lymphocytes (T-and B-cells), monocytes, eosinophils and basophils as a result of their displacement from the vascular bed to lymphoid tissue, suppresses the formation of antibodies.
Hydrocortison-Rotexmedica suppresses the release of pituitary ACTH and beta-lipotropin but does not reduce the level of circulating beta-endorphin. Inhibits the secretion of TSH and FSH.
With direct application of the receptacles has a vasoconstrictor effect.
Hydrocortison-Rotexmedica has a pronounced dose-dependent effect on the metabolism of carbohydrates, proteins and fats. Stimulates gluconeogenesis, promotes the capture of amino acids by the liver and kidneys and increases the activity of enzymes of gluconeogenesis. In the liver of Hydrocortison-Rotexmedica increases glycogen deposition by stimulating the activity of glycogen synthase and synthesis of glucose from the products of protein metabolism. Increased blood glucose activates the secretion of insulin.
Hydrocortison-Rotexmedica suppresses the seizure of glucose by fat cells that leads to activation of lipolysis. However, due to increased secretion of insulin is stimulation of lipogenesis which leads to the accumulation of fat.
Hydrocortison-Rotexmedica Micronised Xepa-Soul Pattinson has catabolic effect in lymphoid and connective tissue, muscle, adipose tissue, skin, bone tissue; to a lesser extent than the mineralocorticoid affects the processes of water and electrolyte metabolism: promotes the excretion of potassium ions and calcium, delay in the body of sodium and water. Osteoporosis and Itsenko-Cushing's syndrome are the main factors limiting the long-term therapy of GCS. As a result of catabolic actions may suppress growth in children.
In high doses Hydrocortison-Rotexmedica may increase the excitability of brain tissue and contributes to lowering the threshold of convulsive readiness. It stimulates the excessive production of hydrochloric acid and pepsin in the stomach that promotes the development of peptic ulcers.
For systems use therapeutic activity of Hydrocortison-Rotexmedica caused by anti-inflammatory, anti-allergic, immunosuppressive and antiproliferative action. When external and local application the therapeutic activity of Hydrocortison-Rotexmedica is due to anti-inflammatory, anti-allergic and antiexudative (due to vasoconstrictor effect) action. For anti-inflammatory activity this medicine is 4 times weaker than prednisolone, at mineralocorticoid activity is superior to other GCS.
How should I take Hydrocortison-Rotexmedica?
Use Hydrocortison-Rotexmedica valerate exactly as directed by your doctor. Do not use it for any other condition without first checking with your doctor. Hydrocortison-Rotexmedica valerate may cause unwanted effects if it is used too much, because more of it is absorbed into the body through the skin.
Wash your hands with soap and water before and after using Hydrocortison-Rotexmedica valerate.
Be very careful not to get Hydrocortison-Rotexmedica valerate in your eyes. Wash your hands after using your finger to apply the medicine. If you accidentally get Hydrocortison-Rotexmedica valerate in your eyes, flush them with water.
Apply a thin layer of Hydrocortison-Rotexmedica valerate to the affected area of the skin. Rub it in gently.
Unless otherwise directed by your doctor, do not apply Hydrocortison-Rotexmedica valerate to open wounds, burns, or broken or inflamed skin.
Hydrocortison-Rotexmedica valerate should only be used for problems being treated by your doctor. Check with your doctor before using it for other problems, especially if you think that an infection may be present. Hydrocortison-Rotexmedica valerate should not be used to treat certain kinds of skin infections or serious problems, such as severe burns.
Do not bandage or otherwise wrap the skin being treated unless directed to do so by your doctor.
If your doctor has ordered an occlusive dressing (airtight covering, such as kitchen plastic wrap or a special patch) to be applied over Hydrocortison-Rotexmedica valerate, make sure you know how to apply it. Since occlusive dressings increase the amount of medicine absorbed through your skin and the possibility of side effects, use them only as directed. If you have any questions about this, check with your doctor.
Do not use Hydrocortison-Rotexmedica valerate on the face, groin, or underarms unless directed to do so by your doctor.
The dose of Hydrocortison-Rotexmedica valerate will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of Hydrocortison-Rotexmedica valerate. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
- For topical dosage forms (cream and ointment):
- For redness, itching, and swelling of the skin:
- Adults—Apply to the affected area of the skin two or three times a day.
- Children—Use and dose must be determined by your doctor.
- For redness, itching, and swelling of the skin:
If you miss a dose of Hydrocortison-Rotexmedica valerate, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
Ask your healthcare professional how you should dispose of any medicine you do not use.
Use this medication exactly as directed on the label, or as it has been prescribed by your doctor. Do not use the medication in larger or smaller amounts, or use it for longer than recommended.
Hydrocortison-Rotexmedica topical will not treat a bacterial, fungal, or viral skin infection.
Wash your hands before and after each application, unless you are using Hydrocortison-Rotexmedica topical to treat a hand condition.
Apply a small amount to the affected area and rub it gently into the skin.
Avoid using this medication on your face, near your eyes or mouth, or on body areas where you have skin folds or thin skin.
Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers. Covering the skin that is treated with Hydrocortison-Rotexmedica topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor's instructions.
Contact your doctor if your condition does not improve or if it gets worse after using this medication for several days. It is important to use Hydrocortison-Rotexmedica topical regularly to get the most benefit.
Store Hydrocortison-Rotexmedica topical at room temperature away from moisture and heat.
Mechanism of Action
Topical corticosteroids share anti-inflammatory, antipruritic, and vasoconstrictive properties. The mechanism of the antiinflammatory activity of the topical corticosteroids is unclear. However, corticosteroids are thought to act by the induction of phospholipase A2 inhibitory proteins, collectively called lipocortins. It is postulated that these proteins control the biosynthesis of potent mediators of inflammation such as prostaglandins and leukotrienes by inhibiting the release of their common precursor, arachidonic acid. Arachidonic acid is released from membrane phospholipids by phospholipase A2.
The extent of percutaneous absorption of topical corticosteroids is determined by many factors, including the vehicle, the integrity of the epidermal barrier, and the use of occlusive dressings.
Topical corticosteroids can be absorbed through normal intact skin. Inflammation and/or other disease processes in the skin, occlusive dressings, or widespread application may increase percutaneous absorption and increase the risk of HPA Axis suppression.
The vasoconstrictor assay showed that Hydrocortison-Rotexmedica (Hydrocortison-Rotexmedica butyrate) had a more pronounced skin blanching effect than Locoid Cream, suggesting greater percutaneous absorption from the former.
Once absorbed through the skin, topical corticosteroids are handled through pharmacokinetic pathways similar to systemically administered corticosteroids.
Corticosteroids are bound to plasma proteins in varying degrees.
Corticosteroids are metabolized primarily in the liver and are then excreted by the kidneys.
Some of the topical corticosteroids and their metabolites are also excreted into the bile.
Pediatric Atopic Dermatitis
In a multicenter, randomized, vehicle-controlled trial of 264 pediatric subjects 3 months to 18 years of age with mild to moderate atopic dermatitis, Hydrocortison-Rotexmedica (Hydrocortison-Rotexmedica butyrate) or vehicle was applied twice daily for up to four weeks. Treatment success was assessed at day 29 (after 28 days of treatment) and was defined as the proportion of patients who achieved both “clear” or “almost clear” and at least a two grade improvement from baseline on a 5-point Physician's Global Assessment (PGA) scale.
Study results are shown in Table 3.
TABLE 3 : Efficacy Results at Day 29 in Pediatric Subjects
|Number (%) successes||82 (63%)||37 (28%)|
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- NCIt. "Therapeutic Hydrocortisone: NCI Thesaurus (NCIt) provides reference terminology for many systems. It covers vocabulary for clinical care, translational and basic research, and public information and administrative activities.". https://ncit.nci.nih.gov/ncitbrowser... (accessed September 17, 2018).
- EPA DSStox. "Hydrocortisone: DSSTox provides a high quality public chemistry resource for supporting improved predictive toxicology.". https://comptox.epa.gov/dashboard/ds... (accessed September 17, 2018).
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Information checked by Dr. Sachin Kumar, MD Pharmacology