Combination Cream Research Articles

Management of Resistant Trichomoniasis.

Trichomonas vaginalis is the most prevalent sexually transmitted parasite in the USA; resistant infection is emerging. New drug therapies and dosing regimens of standard therapies are being studied to treat resistant infection. Diagnosis of trichomoniasis has become more sensitive, specific, and widely available with the advent of nucleic acid amplification tests (NAATs). Women with resistant trichomoniasis should be treated with high-dose regimens of metronidazole or tinidazole. Alternative treatment options have been described, and there has been some success particularly with high-dose tinidazole/intravaginal paromomycin cream combination, intravaginal boric acid, and intravaginal metronidazole/miconazole. Resistant trichomoniasis is a growing public health concern with implications for long-term health consequences. More data are needed to further evaluate mechanisms by which resistance occurs as well as promising therapies for those affected.

Pengembangan Sediaan Krim Pencerah Kulit dari Kombinasi Ekstrak Rimpang Temulawak (Curcuma Xanthorrhiza Roxb) dan Ekstrak Biji Kacang Kedelai (Gl ycine Max (L.) Merill)

Javanese turmeric (Curcuma xanthorrhiza) and soybean (Glycine max L. Merill) are natural ingredientsthat can be used to treat face skin. The aim of this study was to formulate extracts of Javanese turmeric andsoybean in the form of skin lightening cream preparations.. In this experiment, four cream formulationswere made containing a combination of javanese tumeric extract with concentrations of 1%, 3%, 5% and10% and soybean extract with concentrations of 5% and 15%. Accelerated cream formulations stabilitytest for 1 month was tested by observing the results of its storage at low temperatures, room temperatureand high temperature which included organoleptic observation, pH and homogeneity where each formulashowed physical stability for 4 weeks, pH average 4.5-5.0, and no change in cream color. The irritationtest was tested by using the acute dermal irritation method using rabbits and was declared safe and notirritating. The effectiveness test was measured by applying a combination cream to the respondents andmeasuring the brightness of the skin using a Dermalab examination measured after using the cream.The combination cream with a variation of 10% javanese tumeric concentration and 15% soybeanconcentration was the highest L* score in lightening the skin.
 Key words: Curcuma rhizome extract; soybean seed extract; cream;skin lingkening
 
 
 

Formulation and application of nanosilver-infused cream in prevention and treatment of mastitis in dairy cows

Research on formulation of nanosilver-infused cream was carried out at the Institute of Environmental Technology and the effects of this cream in prevention and treatment of mastitis in dairy cows were assessed at Bavi Cattle and Forage Research Center. Cream with 0.4% carbomer was infused with silver nanoparticles for high uniformity and long-term stability. At concentrations of 50–250 ppm, nanosilver-infused cream proved to be effective against mastitis pathogens such as Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosa. Nanosilver cream at concentrations of 150 ppm had the best effect on clinical and subclinical mastitis prevention in dairy cows. Combining nanosilver cream with ceftiofer antibiotic achieved excellent treatment rate, up to 93.33%. For prevention of dairy mastitis, silver cream can be used at a concentration of 150 ppm 15 days before calving and for the whole milking period. Using nanosilver cream in combination with antibiotics led to highly effective mastitis treatment.

<p>Evaluation of the safety and efficacy of a triple combination cream (hydroquinone, tretinoin, and fluocinolone) for treatment of melasma in Middle Eastern skin</p>

Background: Melasma is the most common pigmentary skin disorder, especially in females and those with darker complexion. The current study evaluated the safety and efficacy of a triple combination cream containing hydroquinone 4%+tretinoin 0.05%+fluocinolone acetonide 0.01% (Januluma® cream produced by Janus Pharmaceutical Co, Tehran, Iran) in the treatment of melasma.Patients and methods: Twenty-two female volunteers (mean±standard deviation of age: 39.20±4.16 years) who fulfilled the eligibility criteria participated in this study after signing the informed consent. They were requested to apply the Januluma®cream every night for 8 weeks. Modified melasma area and severity index (mMASI), skin lightness (L value), and severity of pigmentation (E value) by Visio Face, and skin biophysical parameters including pH, melanin index, erythema index, sebum, hydration, trans epidermal water loss, thickness and density of epidermis, and dermis (using 22 MHz ultrasonography) were measured before and 4 and 8 weeks after treatment. Also patients’ satisfaction was assessed 4 and 8 weeks after treatment using visual analog score.Results: mMASI decreased significantly from 3.37 to 2.60 at week 4, and to 2.40 at week 8 (P-values=0.00 and 0.01, respectively). Also, E and L values improved significantly after 8 weeks of treatment (P=0.01 and 0.00, respectively). Skin melanin index decreased from 237.49 AU to 196.30 AU at week 8 (P=0.01). Also echo density of dermis increased significantly after 8 weeks of treatment (P=0.029). Almost all participants experienced some degrees of pruritus, scaling, and erythema, esspecially during the first month of application, which were generally mild and tolerable. The mean satisfaction of patients with the treatment was 6.77.Conclusion: The triple combination formula was reasonably safe and effective for treatment of melasma in Middle Eastern patients.

Development of a simple method for simultaneous determination of tazarotene and betamethasone dipropionate and their metabolites using LC-MS method and its application to dermatopharmacokinetic study.

In our study, a method for the determination for tazarotene and betamethasone dipropionate in human tissue-engineered skin was established. Tazarotene gel, betamethasone dipropionate cream or a combination cream was administered to the skin. Then the skin was taken off at 0.25, 0.75, 1.75, 3, 5, 8, 12, 24, 36, 48 h time points after the residual drug was removed. The concentrations of tazarotene, betamethasone dipropionate and their major metabolites in skin were determined by LC-MS. Tazarotene and tazarotenic acid were detected in the concentration range of 2-200 μg/mL with an LLOQ of 2 μg/mL. Betamethasone dipropionate was detected in the concentration range 0.5-300 μg/mL with an LLOQ of 0.5 μg/mL, and betamethasone was detected at 2-200 μg/mL with an LLOQ of 2 μg/mL. The intra- and inter-day precisions of the four analytes in the skin homogenate were all <15% (RSD, %). The results showed that tazarotene could be metabolized to tazarotenic acid and betamethasone dipropionate could be metabolized to betamethasone in tissue-engineered skin. The results also revealed that this method was suitable for the simultaneous determination of tazarotene, betamethasone dipropionate and their metabolites in tissue-engineered skin.

A New HPLC-DAD Method for the Concurrent Determination of Hydroquinone, Hydrocortisone Acetate and Tretinoin in Different Pharmaceuticals for Melasma Treatment.

A new simple and robust HPLC-DAD method was developed for the concurrent analysis of hydroquinone (HQ), hydrocortisone acetate (HCA) and tretinoin (TRN) triple combination for the first time using an Inertsil ODS 3-C18 column (150 mm × 4.6 mm, 5 μm particle size) column with 0.05 M phosphate buffer (pH 5.0) and acetonitrile at a ratio of (10:90, v/v) as a mobile phase, eluted by an isocratic elution mode at a flow rate of 1.0 mL/min and detected at 265 nm. Mefenamic acid was used as an internal standard (I.S.). The method produced linear responses in the concentration range of 10-200, 5-100 and 1-40 μg/mL, with detection limits of 2.01, 1.13 and 0.28 × 10-3 and quantitation limits of 6.11, 3.41 and 0.87 × 10-3 μg/mL for HQ, HCA and TRN, respectively, and a correlation coefficient higher than 0.9998. All validation requirements were satisfied by proving its linearity, precision, accuracy, robustness and specificity. The method was extended for application in triple combination cream, HQ/TRN co-formulated cream and HQ and TRN single ingredient cream with a recovery >97%.

Evaluation of the Heavy Metals in Tonic Creams using the Wet Acid and Dry Ashing Methods

It has recently been discovered that long term exposure to heavy metals such as mercury (Hg), lead (Pb), cadmium (Cd), and nickel (Ni) causes some health which are carcinogenic, behavioral abnormalities and sterility. This study is aimed at determining the concentration of Pb, Cd, Zn, Mn, Cr, Cu and Ni in skin cosmetics, particularly in toning creams. Samples were purchased from Oja-Oba market in Akure City of Ondo state, Nigeria. All the heavy metals under study were quantified using atomic absorption spectroscopy (AAS) after wet digestion and dry ashing methods. The following metals were found through wet digestion, Cu (3.90-12.05), Zn (3.50-7.10), Mn (9.90-12.50), Cd (0.00-0.35), Ni (1.05-2.25), Pb (0.10-1.80) and Cr (0.6-4.1) while dry ashing recorded, Cu (7.15-10.70), Zn (6.40-13.85), Mn (10.60-14.90), Cd (0.35-0.55), Ni (3.40-4.70), Pb (0.30-0.55) and Cr (0.85-1.00) mg/kg. It was observed that the concentrations of those metals in the creams investigated were below the maximum permissible limits set by WHO. Significant differences (p &lt; 0.05) of the levels of heavy metals were found between some of the creams posing risks of a combination of creams as well as continual usage. It is, therefore, necessary to indicate the levels of heavy metals on the labels of these cosmetics so the users can be aware.

Optimasi Formula Sediaan Krim o/w Kombinasi Oksibenzon dan Titanium Dioksida Serta Uji Aktivitas Tabir Suryanya Secara In Vivo

Efek buruk dari sinar matahari dapat dikurangi dengan penggunaan tabir surya. Optimasi emulgator trietanolamin (TEA) stearat dan setil alkohol pada krim tabir surya kombinasi oksibenzon dan titanium dioksida diharapkan menghasilkan formula optimum krim dengan stabilitas fisik yang baik. Tujuan penelitian ini yaitu mengetahui proporsi TEA stearat dan setil alkohol formula optimum dan nilai SPF krim o/w kombinasi oksibenzon dan titanium dioksida. Penetapan formula optimum dilakukan pada data uji sifat fisik krim menggunakan metode Simplex Lattice Design design software Design Expert version 9.0.4. Uji one sample t-test dilakukan untuk mengetahui perbedaan nilai antara formula optimum yang dihasilkan software Design Expert version 9.0.4 dengan hasil percobaan. Perbandingan sifat fisik formula optimum krim o/w kombinasi oksibenzon dan titanium oksida selama penyimpanan 4 minggu dianalisis menggunakan uji ANOVA. Pengujian nilai SPF secara in vivo dilakukan pada kelinci betina galur New Zealand White terinduksi senyawa 8-metoksiprosalen. Hasil penelitian menunjukkan proporsi TEA stearat dan setil alkohol yang menghasilkan formula optimum krim o/w kombinasi oksibenzon dan titanium dioksida adalah 8.93% dan 2.07%. Sifat fisik viskositas dan daya lekat tidak berbeda signifikan, sedangkan daya sebar berbeda signifikan selama penyimpanan 4 minggu. Pengujian aktivitas tabir surya secara in vivo krim o/w kombinasi oksibenzon dan titanium dioksida menghasilkan nilai SPF 12.

Acneiform rash — skin toxic reaction to the use of EGFR inhibitors

Introduction.Inhibitors of the epidermal growth factor receptor cause the heavy dermatological adverse events, which can be the cause of change of the scheme of treatment. Acneiform rash is connected with specific inflammation of hair follicles, its weight depends on a dose of medicine and correlates with the best response to therapy at various options of tumors, in this regard effective correction of this side effect is of particular importance.Materials and methods. There were 32 patients with acneiform rash for observation; they have been divided into 3 groups. All patients received system antibacterial therapy: doxycycline 100 mg 2 times a day 10 days and topical medicines for external therapy, various on the action mechanism (tacrolimus, metronidazole, betamethasone valerate in a combination with fusidic acid). Acne Dermatology Index and Dermatology Life Quality Index were used for assessment. The received results were assesed on each visit of the patient, the final point of observations was in 3 months.Results.The significant regression of rash in all groups was in the 1st week when patients accepted doxycycline per os. Further the weakest response to therapy has shown cream with tacrolimus, the patients using gel with metronidazole has shown bigger effect, the fastest regress of Acne Dermatology Index and Dermatology Life Quality Index was observed in the patients used the combined cream with betamethasone and fusidic acid.Conclusions.The antibacterial therapy by doxycycline 100 mg 2 times a day per os at early stages of development of acneiform rash at the I—II severity gives the expressed effect and prevents deterioration of the .skin process. The combined therapy of acneiform rash of the I—II degree including doxycycline with topical cream containing a betamethasone valerate 0.1 % and fusidic acid 20 % renders the fastest and expressed effect in comparison with other combinations: the doxycycline and cream containing tacrolimus; the doxycycline and gel containing metronidazole.

Topical steroids: Awareness and misuse among patients, pharmacists and general medical practitioner.

(1) To determine the level of awareness among patients, pharmacists and general practitioners about commonly available topical steroids and its combinations.(2) To determine the source of recommendation/prescription of topical steroids and its combination creams.(3) To know and create awareness about the side effects of topical steroids in all the study groups. This was a prospective questionnaire-based study where three study groups, namely patients, pharmacists and general practitioners, were included. This study was approved by the institutional ethics committee. after ethical clearance. The patients who used topical steroids for dermatoses where it is an absolute contraindication, as well as those who developed side effects, were included in the study. ThoroughComplete cutaneous examination was done specifically to detect the side effects of steroids. Seminars were conducted and questionnaires were given to both the pharmacists and general practitioners of nearby areas. The questionnaire consisted of questions regarding their prescription and dispensing practices of topical steroids and its combinations. Out of 95 patients seen, the most commonly used steroid molecule was clobetasol propionate 0.05% in 44 (46.3%) patients, the common source of recommendation was general practitioners in 36 (37.8%), the common indication was superficial dermatophytosis in 85 (89%) and the most common adverse effect was recurrence/increase in the extent of the infection in 72 (75.78%) patients. Out of total 44 general practitioners enrolled in the study, 22 (50%) were qualified allopathic medical practitioners and22 (50%) were homeopathic/ayurvedic doctors. Superficial dermatophytosis [19 (43.18%)] was the common dermatosis seen by them. While 29 (65.90%) preferred prescribing topical steroids or its combination, rest of them preferred plain steroid creams. Out of 179 pharmacists, 74 (41.34%) did not have appropriate knowledge of topical steroids, 35 (19.55%) were not aware that steroids are isschedule "H" drugs. Commonest molecule sold over the counterwas clobetasol propionate 0.05% by 74 (41.89%). The limitations of our study were small study group and short duration. As dermatologists, it is our responsibility, to correctly educate the society, particularly the non-dermatologist medical fraternity, about ethical and rational use of topical steroids.

Quercus brantii Lindl. Vaginal cream versus placebo on Bacterial Vaginosis: A randomized clinical trial

The current study aimed to compare the effects of Quercus brantii Lindl. vaginal cream in combination with metronidazole tablet on Bacterial Vaginosis (BV). A total of 176 eligible women with BV were enrolled. Diagnosis was based on having 3 or more signs described by Amsel’s criteria and a Nugent score of ≥7. Symptoms were evaluated before and after treatments. Participants were divided into two experimental groups based on permuted-block randomization. Group A (n = 89) received 500 mg of metronidazole tablet every 12 h as well as a vaginal placebo cream. Group B (n = 87) received 500 mg of the same tablet with a vaginal Quercus brantii cream. Seven to 10 days after the treatments, Amsel’s criteria, Nugent scores, and the clinical symptoms were assessed again. The data were analyzed via chi-square, independent, and paired t-tests using SPSS software. After the treatments, significant differences were observed between the two groups in terms of malodours discharge and Nugent score. Based on the total cure, 50.0% of the patients in group A and 73.8% of those in group B were found to have been treated when assessed by both Nugent score and Amsel’s criteria. The findings suggested the better results of metronidazole+Quercus brantii vaginal cream compared to those of metronidazole + placebo.

A randomized, open label, comparative, five-arm, controlled study evaluating the benefit and tolerability of oral superoxide dismutase combined with gliadin as add-on neutraceutical therapy with standard therapy in Indian patients with melasma

&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; Melasma management is often difficult and unsatisfactory, and there is need to explore newer modalities for melasma treatment. Disruption in antioxidant balance occurs in melasma. Superoxide dismutase (SOD) is a cellular antioxidant and restores this balance. Our hypothesis is that the oral SOD-Gliadin can replenish the SOD stores in body and quench the ‘reactive oxygen species’-induced damage in melasma.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; A randomized, open label, single centre, comparative, five arm study was conducted in 90 patients with facial mixed melasma, for 12 weeks to evaluate the efficacy, safety and tolerability of two regimens (BD &amp;amp; OD) of oral SOD as add-on treatment with triple combination cream in melasma patients compared with two regimens (BD &amp;amp; OD) of beta-carotene (BC) and placebo. Primary outcome measure was improvement in Melasma Area and Severity Index (MASI) score, and secondary outcome measures were quality of life score, patient satisfaction score, global assessment by investigator and patients. Pair-wise comparisons were performed on adjusted mean using SAS v9.1.3.&lt;strong&gt;&lt;/strong&gt;&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Results:&lt;/strong&gt; There was significant reduction in MASI score with add-on treatment with SOD BD (67.97%) as compared to BC BD (43.04%), BC OD (33.68%) and placebo (22.60%). There was significant reduction in MASI score with SOD OD (51.93%) as compared to placebo (22.60%). The subjective assessments reported by patient and evaluator also ranked SOD BD as a superior regimen.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; By inhibiting oxidative stress, nutraceutical SOD-Gliadin Combination offers significantly better efficacy and higher treatment satisfaction as add-on treatment compared to beta-carotene in Indian patients.&lt;/p&gt;

EFFECTIVNESS OF GLUTATHIONE (GSH) 2%, TOCOPHERYL ACETATE 1%, AND MAGNESIUM ASCORBYL PHOSPHATE 3% COMBINATION CREAM COMPARED WITH HYDROQUINONE 4% CREAM AS A SKIN LIGHTENING AGENT: A RANDOMISED STUDY

Black spots and brown spots interfere with aesthetic appearance. For this reason, there are various skin lightening products on the market, such as glutathione, vitamin C, and E. The combination of glutathione, vitamin C, and E, which is a natural antioxidant, is expected to have an equivalent effect with hydroquinone (standard therapy), but with minimal side effects. The aim of this study was to determine the score of skin brightness using Chroma Meter on the subjects before the topical glutathione (GSH) 2%, 1% tocopheryl acetate 1%, and 3% magnesium ascorbyl phosphate 3% combination therapy compared with hydroquinone 4% cream after 6 weeks of administration. A double-blind, pre- and post-treatment randomized controlled clinical trial was conducted on 34 patients at the Dermatology and Venereology clinic of Hasanuddin University Hospital in Makassar, by applying combination cream and hydroquinone on the patient's right arm twice daily. Measurement of skin brightness and erythema using Chroma Meter performed weekly. The results of the study using Wilcoxon Signed Rank and Mann-Whitney test found that the L* (brightness) score in combination cream group was significantly higher than in the hydroquinone cream group (p

Efficacy of Intense Pulse Light Therapy and Tripple Combination Cream Versus Intense Pulse Light Therapy and Tripple Combination Cream Alone in Epidermal Melasma Treatment.

To compare the efficacy of intense pulse light therapy (IPL) and triple combination cream (TCC) versus intense pulse light therapy and triple combination cream alone in epidermal melasma treatment, downgrading MASI score to more than 10. Randomized controlled trial. Dermatology Department, Lady Reading Hospital, Peshawar, from August 2014 to January 2015. Patients of 18-45 years were included in the study with Fitzpatrick skin type II-V. Sample of 96 patients was divided in to three groups of 32 each, through consecutive (non-probability) sampling method. Detailed history was taken, Woods Lamp Examination done, and melasma area and severity index (MASI) score was calculated. TCC had to be applied daily at night for two months by group A patients while group B was consigned for IPL therapy fortnightly, and those in group C were given both for two months. Efficacy was compared by recalculating MASI score at treatment end as well as at follow-up after 4 weeks, using Chi-square test with significance at p < 0.05. Male and female patients were 10 (31.2%) and 22 (68.8%) in group A, 7 (21.9%) and 25 (78.1%) in group B, while in group C were 12 (37.5%) and 20 (62.5%). The average age was 28.70 +8.70 years. MASI score reduction was achieved in 22 (68.8%) patients in group A; whereas, in 20 (62.5%) and 30(93.8%) patients in group B and C, respectively. Efficacy-wise distribution was significant (p=0.009). Intense pulse light therapy and triple combination cream are more efficacious in epidermal melasma treatment than intense pulse light therapy and triple combination cream alone.

The effect of melasma on self-esteem: A pilot study.

Melasma is a common disorder of hyperpigmentation characterized by tan or brown macules and patches affecting sun-exposed areas, particularly the face. Melasma has been shown to have a significant impact on the quality of life and self-esteem of those affected. We interviewed six patients who were diagnosed with moderate-to-severe melasma with regard to the effect of their disorder on their self-esteem. All patients reported a significant negative effect on their quality of life and self-esteem. With successful therapy using a triple combination of cream and oral tranexamic acid to treat their melasma, all reported a marked improvement in self-esteem. Physicians who treat patients with melasma should be aware of its profound psychosocial effects and the improvement that successful melasma treatment can have on self-esteem.

The effect of the new combined cream on the protein synthetic activity of cells on the model of the thermal skin damage in rats

Aim. To study the mechanisms of the reparative action of a new combined cream on the model of thermal burn injury in rats.Materials and methods. On the model of thermal burn in rats the reparative properties of the new combined cream under the conditional name “Dermalipoin” containing α-lipoic acid, urea, olive oil, tea tree oil, PEG-400 were studied. To determine the level of the protein synthetic activity of cells (epitheliocytes of the stratified squamous epithelium in the epidermis and cells of the fibroblast cell in the edges of healing of thermal damage) the content of ribonucleoproteins (RNP) in the cytoplasm and deoxyribonucleoproteins (DNP) in the nuclei of the cells was assessed by the cytometric method.Results and discussion. On the model of thermal burn in rats “Dermalipoin” cream showed a more active effect on reparative processes compared to the reference drugs – methyluracil ointment and “Titriol” gel. It indicates a significant increase in the protein synthetic function of epitheliocytes of the stratified squamous epithelium in the epidermis and cells of the fibroblastic series at the healing edges. The reparative activity of the cream was, first of all, provided by the presence of thiol (sulfhydryl) groups in the molecule of lipoic acid, giving it the properties of an antioxidant. The antioxidant effect of lipoic acid promotes more efficient DNA molecule reparation after damage as a result of the oxidative stress.Conclusions. “Dermalipoin” cream shows a marked reparative effect due to the increase of the protein synthetic activity and acceleration of reparation of DNA molecules of epithelial cells after damage; as a result, the process of healing burns accelerates.

A randomized, open-label study to evaluate an intermittent dosing regimen of fluticasone propionate 0.05% cream in combination with regular emollient skin care in reducing the risk of relapse in pediatric patients with stabilized atopic dermatitis

Background: Atopic dermatitis (AD) is a chronic, relapsing disease that requires maintenance treatment. This study examined the efficacy and safety of extended intermittent fluticasone propionate (FP) 0.05% cream, with emollient, vs emollient alone in children with AD.Methods: Eligible patients (aged 1–17 years) received FP 0.05% cream twice daily for 4 weeks (acute phase) then randomized (1:1) to FP 0.05% cream once daily, twice per week plus emollient (Group A) or emollient alone (Group B) for up to 20 weeks (maintenance phase). Primary endpoint was time to first AD relapse. Safety was assessed throughout.Results: This study enrolled 123 patients into the acute phase, of whom 107 entered the maintenance phase (Group A: 54; Group B; 53). Three patients (5.6%) in Group A and 30 (56.6%) in Group B experienced relapse (maintenance phase). Due to a low number of relapses, median time to first relapse could not be calculated for Group A; in Group B, it was 142 d (95% CI: 50, 150; p < .0001 vs Group A). FP and emollient were well tolerated.Conclusions: In pediatric patients with stabilized AD, FP 0.05% cream plus emollient (for AD maintenance treatment) significantly reduced the risk of relapse vs emollient alone.

Drugs in Dermatology

ABSTRACT By definition, a drug is a medicine or substance that exerts a physiologic effect on an organism. In dermatology, various medications and substances are utilized on a daily basis, ranging from topical treatments to anesthetics in micrographic surgery. The purpose of this section is to focus on some of the more common substances, specifically how they work, how they are utilized, and routine alternatives (if available). The mechanism of action, usage, and alternative options of the combination Kligman’s solution (triple combination cream of tretinoin, hydroquinone, and topical corticosteroid) are discussed.

Investigation of new combined cream Dermalipoin effect on the vascular wall permeability

Topicality. The problem of treating wounds, including burns, remains relevant in modern medicine. For today in the arsenal of doctors there is a wide choice of medicines for treatment of wound process, however none of them is universal, and their effects are far from optimal. This makes it necessary to search for and develop new drugs for pharmacotherapy of the wound process. Aim. To study the capillary-firming activity of new cream on the model of increased permeability of the vessels of the abdominal wall in rats caused by various phlogogens. Materials and methods. With the purpose of in-depth study of the effect of the cream on the exudative component of the inflammatory reaction, experiments were conducted to determine its effect on the permeability of the vessels of the abdominal wall, which was caused by the administration of solutions of histamine, formalin, carrageenan, egg protein. By the difference in time of staining of the papules, after the introduction of the dye, the conclusion was made about the effect of the cream on vascular permeability. Results and discussion. The presence of new vascular stabilizing action in the new combined cream has been established due to the stabilization of the cell membranes and suppression of the activity of the inflammatory mediators that are formed as a result of cyclo- and lipoxygenase metabolism of arachidonic acid and, thereby, reduce the permeability of the vascular wall, which is an important component of the pharmacodynamics of the investigational pharmacological preparation, which is proposed for inflammatory-destructive processes. Conclusions. The ability of the test cream to reduce vascular permeability when introducing various phlogogenic substances indicates a multicomponent anti-inflammatory effect, which is associated with the antioxidant and membrane-stabilizing properties of the active substances of the cream.

The morphological estimation of therapeutic effect of combined rectal cream under acute anal fissure

Aim – morphological estimation of the influence of the combined rectal cream on the clinical course of an acute complicated anal fissure.Materials and methods. The study of the treating effect of the combined rectal cream was realized on the model of an acute complicated anal fissure on 24 nonlinear white rats with the weight 200-240g. For assessing the effectiveness of the studied preparation, the morphological experiment of the sphincter apparatus of the rectum was realized at 12 day of the experiment. Results: It was established, that the use of the combined rectal cream in animals with an acute complicated anal fissure had an essential therapeutic effect: at 12 day the ulcerous defect of a mucosa was revealed only in 33,3 % of animals. Defects were essentially less by size than in animals from the control pathology group, their surface was more cleaned from the purulent-necrotic content, the ripening of the newly created tissue that replaces nectorically changed ones in the defect zone is Faster. Microcirculation disorders and inflammation of tissues of this zone were essentially less in all animals. Signs of the muscular tone of the internal anal sphincter were essentially less, comparing with the group of the control pathology. The control preparation “Proctozan” was inferior by the intensity of the therapeutic effect to the studied one.Conclusions: The therapeutic effect of the combined rectal cream under conditions of an acute combined anal fissure was manifested as a decrease of inflammation signs, microcirculation disorders, signs of the internal anal sphincter hypertone. Thus, the received experimental data testify to the expedience of further deep researches of its therapeutic action