Panderm Ointment

Gramicidin + Neomycin Sulphate + Nystatin + Triamcinolone Acetonide (Topical)
"0.25mg, 2.5mg, 100000 IU, 1mg/g"
Julphar (Gulf Pharmaceutical Industries)
Pack size 15g Collapsible Tube
Dispensing mode POM
Source UAE
AgentJULPHAR
Retail Price 11.00 AED

Indications

Panderm Ointment is used for: Infected eczema, Skin infection, Corticosteriod-responsive dermatoses, Cuteneous candidiasis with superficial bacterial infection.

Adult Dose

Topical/Cutaneous Corticosteriod-responsive dermatoses with secondary infection Adult: As cream/ointment: Apply sparingly to the affected area 2-3 times daily. Elderly: Use sparingly for short periods of time.

Child Dose

Topical/Cutaneous Corticosteriod-responsive dermatoses with secondary infection Child: As cream/ointment: Apply sparingly to the affected area 2-3 times daily.

Renal Dose

Administration

Contra Indications

Tuberculous, viral lesions of the skin (e.g. herpes simplex and varicella); fungal lesions not susceptible to nystatin, facial rosacea, acne vulgaris or perioral dermatitis. Not to be applied to the external auditory canal in patients with perforated tympanic membranes. Do not use on extensive areas to reduce risk of systemic absorption and neomycin-induced ototoxicity. Not recommended for <1 yr.

Precautions

Patients with established hearing loss. Avoid occlusive dressing and prolonged or recurrent use. Avoid contact with eyes or mucous membranes. If there is no clinical improvement after 7 days, discontinue use as the infection may be masked by the steroid. Limit use to 5 days if used on the face or on children ?1 yr. Use with caution and sparingly on inflamed or damaged skin (e.g extensive burns, trophic ulceration). Pregnancy.

Pregnancy-Lactation

Interactions

Adverse Effects

Side effects of Gramicidin + Neomycin Sulphate + Nystatin + Triamcinolone Acetonide (Topical) : Prolonged use may cause sensitivity reactions, impaired wound healing, thinning of skin, striae, telangiectasia, hirsutism, hypothalamic-pituitary-adrenal axis suppression, Cushing's syndrome.

Mechanism of Action

Triamcinolone is a fluorinated corticosteroid with anti-inflammatory, antipruritic and anti-allergic actions. Nystatin, a polyene antifungal antibiotic, binds to ergosterol and interferes with the permeability of cell membrane of susceptible fungi e.g Candida spp. Neomycin is an aminoglycoside, often used topically in the infections against susceptible staphylococci and other organisms. Gramicidin, an antibacterial substance extracted from tyrothricin, is active against many Gram-positive bacteria. Used together, this combination provides a wide coverage against gram-positive, gram-negative bacteria and yeast which are responsible for most of the skin infections.

Note

Panderm "0.25mg, 2.5mg, 100000 IU, 1mg/g" Ointment manufactured by Julphar (Gulf Pharmaceutical Industries). Its generic name is Gramicidin + Neomycin Sulphate + Nystatin + Triamcinolone Acetonide (Topical). Panderm is availble in United Arab Emirates. Farmaco UAE drug index information on Panderm Ointment is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.

Some other brands of Gramicidin + Neomycin Sulphate + Nystatin + Triamcinolone Acetonide (Topical) :