14 best remedies for lichen

Review of the best according to the editorial board. On the selection criteria. This material is subjective and does not constitute advertising and does not serve as a purchase guide. Before buying, you need to consult with a specialist.

Before talking about medications used to treat lichen, you should decide what 'lichen' is. We can say that this is practically not a diagnosis. This is a colloquial, common name for various skin diseases that appear as small itchy nodules, or well-circumscribed spots, sometimes of an inflammatory nature.

A variety of skin diseases can be called deprivation. Here's an example:

1. allergic eczema is sometimes referred to as weeping lichen;
2. herpes zoster, a viral disease called herpes zoster;
3. non-infectious psoriasis, which is common in the population, may be called lichen scaly.

Separately, there are such varieties as ringworm and tinea versicolor. They belong to infectious fungal diseases. Finally, there are diagnoses where the word 'lichen' is officially present in the name of the diagnosis. An example is lichen planus, or lichen ruber planus, and Zhibert's lichen. On the contrary, these diseases are not at all contagious, and can appear as they disappear for no apparent reason. Thus, it is necessary to combine in one material methods of treating viral skin diseases, fungal infections, non-infectious dermatoses, eczema, and many other diseases.

If we are talking about drugs for lichen, then here we can list all the pharmacology that is used to treat skin diseases, and the material will turn out to be extremely large. Therefore, in order to simplify the task, we describe the main classes of topical drugs that are used for various forms of dermatoses, which can be called lichen.

Thus, we will look at drugs for fighting fungal infections, drugs that produce maximum anti-inflammatory effects, or hormonal drugs, and drugs for skin care. These may include local talkers, powders, ointments and creams, which have a drying, astringent, or, conversely, moisturizing effect.

In case of deprivation, the reader should be warned that the diagnosis after a full examination is made by a dermatologist, and if the reader does not go to the doctor in a timely manner, then he may engage in risky self-medication. As a result of such manipulations, it is possible to seriously aggravate the problem and transfer the existing disease into a chronic and intractable form. An example is lichen, caused by a fungal infection, which is mistaken for psoriasis or eczema. The patient was too lazy to go to a dermatologist and take tests for mycelium and fungal spores. He decided that a potent hormonal ointment would be enough. As a result of the uncontrolled use of hormones, the local immunity of the skin was so reduced that the fungal infection spread over a much larger area, and at the same time the skin lost its ability to respond to any drugs, except for potent hormones.

Therefore, this material is intended for those patients who know exactly what type of lichen they have, and this information should be used as a reference guide. So, if the doctor has prescribed a cream or ointment terbinafine, or Lamisil to the Patient, then you can see what similar drug can replace Lamisil, if there is no way to get to the doctor and ask a specialist. In the ranking of drugs for the treatment of lichen, the price range is indicated. It is relevant for July 2019, for pharmacies of all forms of ownership in the Russian Federation.

Rating of the best remedies for lichen

Nomination	a place	Name of product	price
the best Antimycotics (fungicides) from lichen	1	Terbinafine (Lamisil, Terbizil, Thermicon, Fungoterbin, Exeter, Exifin)	RUB 518
	2	Ketoconazole (Nizoral, Mycozoral, Sebozol)	RUB 530
	3	Isoconazole (Travogen)	RUB 699
	4	Sertaconazole (Zalain, Sertamicol)	529 r
	5	Chloronitrophenol (Nitrofungin-Teva)	273 r
the best hormones for lichen	1	Weak hormones: hydrocortisone ointment	28 RUB
	2	Flumethasone (Lorinden), Triamcinolone (Ftorocort), Alklomethasone (Afloderm) – hormones of 'medium power'	378 r
	3	Strong hormones: Mometasone (Elokom), methylprednisolone (Advantan)	RUB 78
	4	Superstrong: Clobetasone (Dermovate)	RUB 470
the best Moisturizers, drying agents, astringents, dermatotropic for LIVES	1	Bepanten Plus (Dexpanthenol + Chlorhexidine)	439 r
	2	Lassar Paste (Salicylic Zinc)	RUB 17
	3	Salicylic ointment	RUB 21
	4	Romazulan (chamomile flower extract)	125 RUB
	5	Radevit-Active (ergocalciferol + retinol + tocopherol)	349 r

The best antimycotics (fungicides) FROM LISH

This group of drugs is the main one in the treatment of fungal skin diseases, such as dermatophytosis, trichophytosis, rubrophytosis of the palms, mycosis of the feet and skin of the trunk, versicolor versicolor. Medicines are available as topical ointments or creams and should not be used to treat onychomycosis or to treat fungal nail infections.

Ointments and creams can be used as an adjuvant to prevent the spread of fungal infections from the nail to the surrounding skin. But there are drugs for the treatment of nail fungus. These are medicinal varnishes – Lotseril, Batrafen, Exoderil liquid. This section provides a description of only local preparations for the treatment of lichen fungal etiology that affects the skin – dermatomycosis. We emphasize once again that self-medication is prohibited. In the event that mycosis is deep or systemic, then, according to the doctor's prescription, fungicides can also be used orally or orally. These include: fluconazole, itraconazole and other drugs.

Terbinafine (Lamisil, Terbizil, Thermicon, Fungoterbin, Exeter, Exifin)

Rating: 4.9

Terbinafine is one of the modern antifungal drugs, which belongs to synthetic derivatives of allylamines. The original and first drug that was introduced into clinical practice is Lamisil, which is produced by the Swiss pharmaceutical company Novartis. Lamisil is available in various forms: as a spray for external use, tablets for internal use, and as a cream. A small tube weighing 15 grams will cost from 470 to 740 rubles in pharmacies.

This is an expensive but very effective drug. It is considered a broad-spectrum fungicide and is capable of affecting dermatophytes, yeasts, and molds. Depending on the concentration of Lamisil, it can either suppress the growth of a fungus (exhibit a fungistatic effect), or destroy fungi, that is, be a fungicidal drug.

It is used for such infectious lichen as dermatophytosis, mycosis of the feet, skin candidiasis and versicolor versicolor. It can be used by adults and children from 12 years old, but after cleaning and drying the affected areas. It is enough to apply the cream no more than 2 times a day in a thin layer, not only on the affected skin, but also on the surrounding areas of healthy skin. The average treatment period for uncomplicated cases is 1 week once a day.

Advantages and disadvantages

The disadvantage of this cream is the high cost, as well as contraindications for use in children under 12 years of age. In addition, it cannot be used even externally during lactation, with severe liver pathology, and with chronic renal failure, when the glomerular filtration rate is less than 50 milliliters per minute. It is not recommended to use Lamisil with low bone marrow function, oncological pathology, as well as with chronic alcoholism. The drug may have side effects, but they usually develop in the case of oral administration of tablet forms, and most often they are headache and dizziness, bloating and the appearance of various allergic disorders, rash and joint pain. However, for all its disadvantages, Lamisil is a highly effective antifungal agent. And if possible, you should always purchase the original Lamisil, and not be treated with generics, especially the cheapest ones.

Ketoconazole (Nizoral, Mycozoral, Sebozol)

Rating: 4.8

Nizoral, or the original cream containing ketoconazole, can be purchased in pharmacies as a 2% cream in 15-gram tubes. It is produced by the pharmaceutical company Janssen Cilag (Janssen-Silag), which is part of the Johnson and Johnson group of companies. The cost of one package ranges from 470 to 700 rubles.

The cream helps with various fungal diseases of the skin, which can manifest itself as clearly limited lichens, and lichens without an inflammatory roller on the periphery. This is epidermophytosis, including in the groin, on the hands and feet. These are various options for skin candidiasis, as well as seborrheic or pityriasis versicolor. The drug belongs to synthetic derivatives of imidazole-dioxolan, and, like Lamisil, depending on the concentration, exhibits either fungicidal or fungistatic action.

It is advisable to use Nizoral cream once daily, applying the product to the skin and adjacent healthy skin. In the treatment of pityriasis versicolor, 3 weeks of treatment are enough, the same course of application is also for yeast infections. For a little longer, up to a month, epidermophytosis inguinal and also athlete's foot are treated. The same duration of treatment and seborrheic dermatitis.

Advantages and disadvantages

Nizoral's big plus is its successful fight against itching. Especially with lichen caused by yeast and dermatophytes. Itching disappears very quickly, even before the lichen lesions decrease in size or the actual lichen lesions on the skin disappear. This is a very good property of Nizoral, since it allows you to do without antihistamines and antipruritic drugs, for example, without Erius or Tsetrin. But Nizoral also has side effects. In some cases, it can cause skin irritation, burning sensation, hives, or rashes. Fortunately, there are few contraindications to the drug, this is just a hypersensitivity to ketoconazole. In case of overdose, there may be skin redness, swelling and burning. Also, ketoconazole, despite its high efficiency, has a fairly high price, but when fighting fungal infections, it is better to take original funds, since generics may not cope with fungi.

Isoconazole (Travogen)

Rating: 4.7

This nice name belongs to isoconazole, which belongs to antifungal agents. Despite the similarity of the name with phytopreparations, isoconazole has nothing to do with herbs. The topical cream contains isaconazole nitrate, which gives the cream a yellowish-white hue. This remedy is used for various lichen fungal nature. This is the same dermatophytosis, candidiasis, versicolor versicolor and erythrasma.

It goes without saying that before starting treatment, the patient must be examined by a dermatologist, and the diagnosis must be made and confirmed by examining the mycelium and detecting fungal spores indicating the type of pathogen. Isoconazole belongs to imidazoles, and it is especially important that in addition to the fungicidal or antifungal effect, it also produces an antiseptic, antibacterial effect. This is what makes it possible to use it for the treatment of erythrasma, which is caused not by fungi, but by corynebacteria. It is also effective against gram-positive cocci, streptococci and staphylococci.

It is necessary to use the drug once a day, rubbing it with a thin layer on the affected areas for two to three weeks, and if the fungal lichen is in the folds, then the duration of the course increases to 1 month. After all complaints of clinical manifestations have disappeared, the cream must be applied for another two weeks so that there is no relapse. Travogen is produced by the famous German concern Bayer, and one package of 20 grams of cream costs from 650 to 990 rubles.

Advantages and disadvantages

Travogen is a highly effective and safe drug. Its great advantage is its antibacterial effect, which is quite rare in antifungal drugs. It can be used even by babies from the age of 1 month. An overdose of Travogen is impossible, and the agent is well tolerated. Side effects include, perhaps, only the feeling of itching and burning, and even those are extremely rare, even with sensitive skin. Travogen is also distinguished by high European quality, and, perhaps, the only drawback is the rather high price. But for quality and result, why not pay?

6 Sertaconazole (Zalain, Sertamicol)

Rating: 4.6

Zalain is another highly effective fungicidal preparation that comes in the form of a 2% cream containing sertaconazole. It is an imported drug and is produced by Ferrer International from Spain. Sertaconazole is a white, soft, odorless cream containing one-twentieth of the active ingredient. Sertaconazole, as in the past, acts as a fungistatic agent and fungicide. This became possible due to the peculiarities of the chemical structure of sertaconazole and the presence of the azole ring in its molecule. This structure has a fungistatic effect, and additional molecular links affect the fungal membrane of the lichen pathogen. Zalain destroys their strength, and the cells of the fungus die.

The drug has a good effect on candida, dermatophytes, and other pathogens of mycoses of the skin. He showed it in the case of inguinal dermatophytosis, pityriasis versicolor, trichophytosis of the face, in the presence of candidal skin infection and with other similar lesions. It is necessary to apply the drug to cleansed and dry skin. The cream should be saved and applied in the thinnest possible layer, necessarily with the capture of normal skin around the lichen perimeter, at a distance of 1 cm.The maximum number of applications is twice a day, the average duration of treatment is 2 weeks, But to guarantee complete recovery, the required course of treatment lasting a month .

Advantages and disadvantages

Zalain is very effective, both for slightly fungal infections, and for the treatment of large areas covered with fungal lichen. If dermatomycosis is accompanied by itching and discomfort, then Zalain is able, after the first application, to reduce discomfort in a matter of minutes. The cream is quickly absorbed and does not stain clothes. Zalain for lichen is highly effective after the first week of use, and this is clearly noticeable, and after 2 weeks the clinical symptoms completely disappear.

The cream is well tolerated, and the only side effect is a rapidly transient erythema-like redness. In this case, it is enough to rinse the skin with warm water. No drug interactions were found between Zalain and other topical drugs. Given the large number of positive reviews from specialists and patients, Zalain can be considered an excellent place for the treatment of fungal infections, including with lichen on the skin of the face. The use of the cream for a month allows you to get rid of relapses.

Chloronitrophenol (Nitrofungin-Teva)

Rating: 4.5

Among the local antimycotic drugs for the treatment of lichen fungal nature, nitrofungin stands out. This is not a cream, gel or ointment, but a solution for external use, an antifungal liquid. It contains chloronitrophenol and the rest is ethyl alcohol and water. It is necessary to apply Nitrofungin, applying with a swab to the lichen areas up to 3 times a day. Treatment is long-term, up to one and a half to two months, or even longer, until the manifestations of the disease disappear.

Nitrofungin can also be considered an antibacterial agent if used in high concentration, undiluted. Indications for the use of Nitrofungin will be such 'infectious' lichens as rubrophytosis, trichophytosis, candidiasis of the skin, fungal infections of the hands and feet, fungal infection of the external auditory canal. If the product irritates the skin, then nitrofungin can be diluted with water in a one to one ratio. The Israeli company Teva produces nitrofungin, and a 25 ml bottle will cost from 290 to 430 rubles.

Advantages and disadvantages

The advantage of Nitrofungin is the absence of a greasy ointment base, it does not stain clothes, it is quickly absorbed and dries up. However, it can be irritating or allergic and contact dermatitis phenomena. The drug is not used in pregnant and lactating women, in individuals with individual intolerance. It is important to remember that places treated with Nitrofungin should not be exposed to sunlight, tanning and visiting a solarium are prohibited. Joint therapy is not excluded, for example, Nitrofungin solution is used during the day, and terbinafine, or Lamisil is applied at night. However, this highly effective combination must be prescribed by the attending physician – dermatologist, taking into account the diagnosis and the type of lichen that has affected the skin. The very same Nitrofungin has proven itself well for trichophytosis, fungal eczema, and other mycoses.

Hormones for lichen

Hormones are strictly forbidden to use for infectious lichen, with microbial eczema, with fungal skin lesions, with erythrasma, with various forms of streptoderma. They very strongly suppress local immunity, and have an anti-inflammatory effect, but they do not fight the infection in any way, but only help it. Therefore, they need to be used, but only in the most extreme cases with non-infectious lichen. A classic example is squamous lichen, or psoriasis, localized neurodermatitis, and other varieties of lichen.

However, special care must be taken with hormonal ointments and creams. Only a doctor should prescribe hormonal agents for eczema. At first, it is necessary to prescribe weak hormones, and only if there is no effect and if it is necessary to continue treatment, it is necessary to prescribe stronger hormonal agents. The course of treatment should be as short as possible, and the amount of hormonal agents applied to the skin should be as small as possible.

If these principles are violated, and from the very beginning, the strongest hormonal preparations are applied abundantly to the affected skin, then you will soon find that nothing more, except for this strongest hormonal ointment and cream, helps. After a while, it turns out that this strongest hormonal ointment or cream for some reason does not help as well as before, and it is necessary to smear it more and more often. In the end, the strongest hormonal ointments no longer help at all, nothing else helps at all, and at the same time there is a serious aggravation that cannot be cured in any way. This is the price of paying for self-activity and the feeling of 'almost complete' recovery against the background of self-administration of strong hormones. So, let's describe in ascending order of activity local glucocorticosteroid drugs for the treatment of eczema.

Weak hormones: hydrocortisone ointment

Rating: 4.9

Hydrocortisone ointment is perhaps the weakest of all hormonal ointments, and many patients will assume that hydrocortisone acetate is no longer helping them. This only means that they have already used hormonal drugs before. For everyone, there is one law: a weaker hormone after a stronger one does not work. A significant break, several months or even years, is needed for the body to react again to weak hormonal drugs.

Hydrocortisone ointment is indicated for neurodermatitis, psoriasis, contact and allergic dermatitis, and other non-infectious lichens. You need to apply the ointment no more than 3 times a day, and the course should not exceed 2 weeks, and even in this case, only as directed by a doctor. In order to avoid absorption, that is, resorption and the manifestation of a systemic effect from hormones, you need to avoid long-term applications, dressings overnight over ointment, warming, and so on. Hydrocortisone ointment is produced by a large number of various domestic enterprises, for example, the pharmaceutical company Sintez. This is the cheapest of all hormonal ointments, and a 15 gram tube will cost only 50 rubles.

Advantages and disadvantages

The advantage of this ointment will be its low price, low risk of addiction of the body, which is important, after all, it is a weak hormonal drug. And its disadvantage may be an unexpressed and not as significant effect as is expected of it, especially if the person has already been treated with topical hormonal agents. It is also imperative to take into account that hydrocortisone ointment, like all other hormonal ointments, will be contraindicated when a secondary infection is attached, if the patient has diabetes mellitus, with intensive scratching. You also need to be very careful when using this ointment in case of pregnancy and breastfeeding.

Flumethasone (Lorinden), Triamcinolone (Ftorocort), Alklomethasone (Afloderm) – hormones of 'medium power'

Rating: 4.8

There were enough ointments and creams in this group, but both Lorinden and Ftorocort are still quite old ointments. However, this does not mean at all that they have lost their relevance. Do not forget that in the use of hormonal agents it is necessary to observe a gradual 'switching' to a more modern and powerful group. If hydrocortisone ointment did not help a patient with scaly lichen, then, as directed by a doctor, he can use a drug, for example Lorinden A, where the hormone flumethasone is combined with salicylic acid. It has a keratoplastic effect in small doses, and keratolytic action in large doses. This facilitates the penetration of the hormone deep into the skin, where it has its effect. Lorinden A is also indicated, in addition to scaly lichen, with ichthyosis, diffuse and atopic neurodermatitis, the horny form of eczema with symptoms of hyperkeratosis lends itself very well to it. Lorinden A is used for diseases such as lichen planus, photodermatitis, and even insect bites and lupus erythematosus.

It should be used no more than 3 times a day, and after the inflammation has subsided – from 1 to 2 times. In any case, you cannot use Lorinden for longer than 3 weeks. Lorinden A is produced by the Polish company Jelfa, and one package of 15 grams of ointment will cost about 400 rubles.

Advantages and disadvantages

The disadvantage of Lorinden A, like other ointments of this generation, can be considered a certain imbalance, as a result of which itching, dry skin and burning may occur as side effects. With prolonged use, hyperpigmentation, the appearance of spider veins, and an increase in hair growth are also possible. Also, with prolonged application under bandages, systemic reactions characteristic of all glucocorticosteroids are not excluded. Particular care must be taken when applying the drug to the skin of the eyelids, since hormones can provoke the development of glaucoma and cataracts.

Strong hormones: Mometasone (Elokom), methylprednisolone (Advantan)

Rating: 4.7

Both Elokom and Advantan are produced by Schering-Plow, and both of these drugs have high potency and excellent quality. However, Advantan costs almost 7 times more than Elokom. How can this be explained? It's very simple: for Elokom, the power of the representatives of the Schering-Plow company has done a lot of work, and it was included in the list of vital medicines (VNML), Therefore, in 2019, it became possible to purchase a modern powerful hormonal cream at a very, very low price.

On the one hand, this is very cool, but on the other hand, there is an extremely great temptation to buy a strong hormone cream for little money and try it on yourself, especially if the skin is very, very 'itchy' and worries. However, you should show endurance and do not use this strong drug on your own. It should only be prescribed by a doctor. You need to use Elokom only once a day; you should not apply it two or three times. The duration of the course is determined by the effectiveness, but it is still necessary that the course be as short as possible. As soon as the patient feels better, Elokom must be canceled, and it is advisable to apply the cream no more than 3-5 days.

Advantages and disadvantages

Despite its high efficiency, this hormone can cause burning, itching and skin atrophy. In some cases, rosacea appears. Also, sometimes Elokom causes skin irritation, a decrease in pigmentation, and stretch marks appear. If you use Elokom for a long time, under an occlusive dressing, then the frequency of such side effects increases significantly. Of course, the combination of low, even very low prices and excellent European quality makes this drug one of the market leaders for local hormonal products in Russia.

Superstrong: Clobetasone (Dermovate)

Rating: 4.6

For 2019, Dermovate containing clobetasone is the strongest topical hormone. Therefore, it is strictly forbidden to use it independently, without a doctor's prescription. All other descriptions for hormonal ointments and creams said the same thing, but here the situation is really exceptional. It is the most powerful hormonal drug. And if in the case of hydrocortisone, Lorinden A, it was possible to make some exceptions, and even for Elokom, then there will be no way back. If you used Dermovate on your own without testimony for 3-5 days, then big problems may await you further. It is prescribed in case of severe disorders that are resistant to other types of treatment. The attitude towards Dermovate should be the same as towards nuclear weapons: they exist, but they cannot be used just like that. There are extreme conditions for this.

In all other respects, the indications for the drug are exactly the same, but it must be applied once or twice a day, always under the supervision of a doctor before the onset of improvement, in the shortest possible course and in the smallest possible amount, without applying it to clean skin. Dermovate is produced by GlaxoSmithKline, and a small tube costs about 490 rubles.

Advantages and disadvantages

All the advantages of Dermavovate have long been discussed: it is the most powerful, fastest helping hormone cream, its cost corresponds to its quality, and its disadvantage is, perhaps, free and over-the-counter leave. If it were sold by prescription, there would be far fewer cases of hormone-resistant skin conditions such as eczema and psoriasis, since the hormones would not be self-medicated.

Moisturizers, drying agents, astringents, dermatotropic for lichen

This group of drugs is too large for any separate subgroups to be made within it. However, the purpose of these pathogenic talkers, ointments, and powders is clear. This is either intensive moisturizing of the skin, or, on the contrary, drying. Moisturizing is necessary for dry and cracking skin, in the presence of scratches, crusts, coarsening of the skin pattern, that is, lichenification. These phenomena can be located inside the lichen zone, and on the periphery. Drying, on the other hand, is used for wetting, including for various forms of eczema, as well as for streptoderma. Such infectious lichen variants also need pathogenetic treatment, in addition to applying antibacterial and antifungal ointments.

Bepanten Plus (Dexpanthenol + Chlorhexidine)

Rating: 4.9

Bepanten plus is a drug that wanders from review to review. And this is perfectly true. This is a preparation that contains a special pro-vitamin for the skin, Dexpanthenol. Deep in the skin, it is transformed into pantothenic acid, which helps keratinocytes and epithelial cells recover from damage. Additionally, Bepanten plus contains chlorhexidine, which has an antiseptic effect.

Bepanten plus is indicated for infected wounds, for painful lichens, as it has a cooling and distracting effect. The cream is non-greasy and does not stain clothes. In addition to treating infected and clean wounds, Bepanten plus is indicated for use in the complex therapy of various skin diseases, trophic ulcers, and especially for lichen caused by pathogenic flora. These are all variants of streptoderma, combined microbial-fungal infection.

In the event that a patient has lichen planus, or Zhiber's pink lichen, if he has psoriasis, that is, scaly lichen, then he may well use simple Bepanten, which does not include chlorhexidine. This is understandable, because with the above diseases, it is not required to carry out antiseptic treatment of rashes, since the diseases are of an internal, metabolic nature. Bepanten and Bepanten Plus should be used only externally, once or several times a day, both by rubbing the cream and under the bandage. Bepanten plus is produced by Bayer, and 30 g of 5% cream costs from 400 to 620 rubles.

Advantages and disadvantages

The disadvantage of Bepanten can only be considered a high price. This drug heals well, is non-toxic, there are no phenomena of overdose or hypervitaminosis. He practically has no interaction with drugs, but, nevertheless, you should not use Bepanten plus together with other antiseptic drugs. Do not apply the product to mucous membranes, as well as in the eyes. If the patient has severe inflammation, or irritated skin that is not associated with a microbial infection, then this drug should not be used, and simple Bepanten, which does not contain chlorhexidine, should be dispensed with.

Lassar Paste (Salicylic Zinc)

Rating: 4.8

Salicylic-zinc paste, or Lassar paste, consists of two components: white zinc oxide and salicylic acid. This drug has a pronounced keratolytic effect, antiseptic and anti-inflammatory due to salicylic acid. Zinc dries up and eliminates wetness. Such a paste is shown for various variants of lichens that have developed against the background of eczema, in the presence of wetness and sweating. Salicylic-zinc paste can be used for psoriasis against the background of hyperhidrosis, as well as for excessive keratinization (ichthyosis). This paste should be applied no more than 2 times a day, and the course of treatment should not exceed 2 weeks. This paste is produced by the Tula Pharmaceutical Factory, and its price is very attractive: no more than 50 rubles will have to be paid for a package of 25 grams.

Advantages and disadvantages

The advantage of this paste is its availability and low price, and the disadvantage is the inability to separately cure lichen of any etiology. It should be applied only as part of complex therapy. Additionally, it is forbidden to use this paste when there is intense weeping and the phenomenon of pronounced exudation.

Salicylic ointment

Rating: 4.7

Salicylic ointment is one of the components of the above-described Lassar paste, but it is also used alone. In the official instructions, it is indicated as an antiseptic and disinfectant, which is indicated when applied to open wounds, chemical and thermal burns. However, salicylic ointment is an excellent keratolytic agent, and even at a concentration of 2%, when regularly applied to the area of ​​lichen scaly with hyperkeratosis, salicylic ointment will gradually improve the skin and soften it. This ointment contributes to the softening and discharge of horny scales, reducing the manifestations of lichenification.

If secondary phenomena occur on the palms against the background of lichen, which are called hyperkeratosis (coarsening of the skin, strengthening of Langer's lines, difficulty in bending the fingers), then this ointment is able to significantly soften the skin and avoid the appearance of cracks. It is advisable to apply the ointment for a long time, and possibly under a bandage at night. In this case, it will have a long-term softening effect. This ointment is produced by various domestic manufacturers, for example, the same Tula pharmaceutical factory, and it costs even less. Packing an ointment weighing 25 g grams will cost no more than 25 rubles.

Advantages and disadvantages

The advantages and disadvantages of this popular remedy are the same as those of Lassar pasta. Salicylic ointment is an excellent auxiliary preparation that allows you to soften the skin and at the same time provide antibacterial, antifungal effects. After treatment with salicylic ointment for hyperkeratosis, nourishing ointments and creams will penetrate deeper and work more effectively. However, alone, applied alone, Salicylic Ointment will not be able to cope with either fungal skin lesions or reduce the area affected by psoriasis.

Romazulan (chamomile flower extract)

Rating: 4.6

Romazulan is rarely used in dermatology, since its area of ​​application is limited to non-fungal and non-microbial manifestations of dermatoses and dermatitis. This is an extract of chamomile flowers, and it can be attributed to herbal remedies, consisting of one component. Pharmacy chamomile is an excellent disinfectant and antiseptic agent; in case of skin pathology, it is indicated for the use of baths. Romazulan is also used for trophic ulcers. For use, one and a half tablespoons of the product should be diluted in one liter of water. The resulting solution is used at night as a compress applied to the affected areas. Romazulan is produced by the Romanian company Biopharm, and bottles of 100 milliliters, which will last for a long time, cost no more than 180 rubles.

Advantages and disadvantages

The advantage of Romazulan and local phytopreparations from pharmacy chamomile will be to improve the general trophism of the skin, which is so necessary for chronically current non-infectious lichen – psoriasis, lichen planus, and Zhiber's lichen. Against the background of regular use of Romazulan, the need for unpleasantly smelling ointments containing tar, sulfur, creolin may decrease. In some cases, Romazulan will reduce the amount of hormones used, or even abandon them. So herbal medicinal product can save your budget and improve the course of psoriasis.

Radevit-Active (ergocalciferol + retinol + tocopherol)

Rating: 4.5

Finally, it is necessary to present Radevit-active ointment, which consists of three fat-soluble vitamins – namely, retinol, or vitamin A, alpha-tocopherol, or vitamin E, and ergocalciferol, or vitamin D2. The skin needs these substances, especially against the background of manifestations of inflammation and impaired function. Of course, in the pharmacy you can buy a simple bottle of retinol acetate in the form of an oil solution for external use, but still it is better to use a complex product containing a balanced composition of vitamins. It is a white or light yellow ointment that is indispensable in the healing phase of various dermatoses, such as lichen scaly or fungal lichen.

In the latter case, Radevit and similar vitamin ointments should be used only after antifungal drugs, when the infection is already over. Radevit-Active normalizes keratinization, improves skin regeneration, relieves itching and inflammation. In addition to various options for lichen, it is indicated for ichthyosis, seborrhea, cracks and uninfected wounds.

It is necessary to apply Radevit, preferably without rubbing, twice a day. It can be applied at night under an occlusive dressing. If there are skin defects, such as cracks or trophic ulcers, then first they must be treated with an antiseptic, antifungal, or antimicrobial composition, and dried. The duration of treatment is not limited and depends on the patient's skin condition, diagnosis, and dynamics. The domestic company Retinoids produces Radevit-Active, and a small tube of ointment weighing 35 grams will cost from 320 to 480 rubles.

Advantages and disadvantages

A big advantage of Radevita-Active is the combination of three vitamins, good penetration deep into the skin, the ability to use it in children, as well as during lactation. Contraindications, in addition to pregnancy, are hypersensitivity and a state of hypervitaminosis, but they are very rare in clinical practice, with the exception of hypervitaminosis D. It occurs in children when they are excessively given this vitamin in order to prevent rickets. An undesirable joint action with other preparations containing these vitamins can be considered a limitation to the use of the drug. Therefore, in the case when the patient is prescribed Radevit-Active, it is better to cancel complex multivitamin preparations, or simply give ascorbic acid, or other complexes that do not contain fat-soluble vitamins.

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Attention! This rating is subjective and does not constitute an advertisement and does not serve as a purchase guide. Before buying, you need to consult with a specialist.