Insect Bite and stings
•পোকা /মৌমাছি কামড় দিলে টক্সিন body তে চলে যায়,ফলে immune system তাকে allergen মনে করে protective mechanism শুরু করে,তখন allergic reaction হয়,localized swelling হয়।
•বেশিরভাগ ক্ষেত্রেই কয়েকঘন্টা থেকে কয়েকদিনের মধ্যে ভালো হয়ে যায়।
•যদি শরীরে চাকাচাকা হয়ে যায় তাহলে বুঝতে হবে, severe case।এক্ষেত্রে breathing difficulties, dizziness হতে পারে,মুখ ফুলে যেতে পারে।
(Acute asthma pt কে কামড় দিলে severe breathlessness হতে পারে)
কিভাবে চিকিৎসা দিব?
√অনেক সময় পোকামাকড়ের পশম biting area তে থেকে যায়,তাই ভালোভাবে সাবান পানি দিয়ে ধুয়ে cold compression দিতে হবে—-১০মিনিট(এটা ফোলাভাব কমাতে সাহায্য করবে)
√Avoid scratiching (Otherwise normal flora গুলো colonization এর মাধ্যমে secondary infection করতে পারে)
√Medication
•Calamine lotion to reduce irritation
Lotion 1:-Calamilon Lotion 100ml bottle
15%+5%+%5 (As A calamine +Zinc oxide+Glycerin As A Local Antipruritic)
Indications of Lotion :-Calamilon Lotion 100ml bottle
15%+5%+%5 (As A calamine +Zinc oxide+Glycerin As A Local Antipruritic):-
This medication is used to relieve pain, itching, and discomfort from minor skin irritations such as poison ivy, poison oak, and poison sumac. It also helps to dry the oozing and weeping caused by irritation due to these plants.
Pharmacology of Lotion :-Calamilon Lotion 100ml bottle
15%+5%+%5 (As A calamine +Zinc oxide+Glycerin As A Local Antipruritic):-
Calamine has mild astringent and antipruritic actions. Zinc oxide has astringent, soothing and protective properties and is used in topical preparations for eczema, slight excoriations, wounds and haemorrhoids. It also reflects ultraviolet radiation and can be used as a physical sunscreen.
Dosage of Lotion 1:-Calamilon Lotion 100ml bottle
15%+5%+%5 (As A calamine +Zinc oxide+Glycerin As A Local Antipruritic):-
Adult: Apply 3-4 times daily for 3-5 days.
Administration of Lotion :-Calamilon Lotion 100ml bottle
15%+5%+%5 (As A calamine +Zinc oxide+Glycerin As A Local Antipruritic):-
Use this medication on the skin only. Follow all directions on the product package, or use as directed by your doctor. Shake the bottle well before using. Apply the medication with a cotton pad, and allow the medication to dry on the skin. If you are uncertain about any of the information, consult your doctor or pharmacist.
Interaction of Lotion :-Calamilon Lotion 100ml bottle
15%+5%+%5 (As A calamine +Zinc oxide+Glycerin As A Local Antipruritic):-
There are no known drug interactions for calamine/ zinc oxide topical.
Contraindications of Lotion :-Calamilon Lotion 100ml bottle
15%+5%+%5 (As A calamine +Zinc oxide+Glycerin As A Local Antipruritic):-
History of hypersensitivity to any of the components.
Side Effects of Lotion :-Calamilon Lotion 100ml bottle
15%+5%+%5 (As A calamine +Zinc oxide+Glycerin As A Local Antipruritic):-
A very serious allergic reaction to Calamilon is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
Pregnancy & Lactation of Lotion :-Calamilon Lotion 100ml bottle
15%+5%+%5 (As A calamine +Zinc oxide+Glycerin As A Local Antipruritic):-
Category Not Classified. FDA has not yet classified the drug into a specified pregnancy category.
Precautions & Warnings of Lotion :-Calamilon Lotion 100ml bottle
15%+5%+%5 (As A calamine +Zinc oxide+Glycerin As A Local Antipruritic):-
For external use only. Not to be used on open wounds or burns.
Use in Special Populations
Pediatrics: Appropriate studies on the relationship of age to the effects of calamine have not been performed in the pediatric population.
Geriatrics: Appropriate studies on the relationship of age to the effects of calamine have not been performed in the geriatric population.
Therapeutic Class
Local Antipruritic
2.Cream:Togent 2%+0.1% 10gm tube (As A Diphenhydramine hydrochloride +zinc Acetate Local Antipruritic, Topical Antihistamines).
Indications of Cream:Togent 2%+0.1% 10gm tube (As A Diphenhydramine hydrochloride +zinc Acetate Local Antipruritic, Topical Antihistamines).
This cream is used to temporarily relieve pain and itching associated with: insect bites, minor burns, sunburn, minor skin irritations, minor cuts, scrapes, rashes due to poison ivy, poison oak, and poison sumac, dries the oozing and weeping of poison ivy, poison oak, and poison sumac.
Pharmacology Cream:Togent 2%+0.1% 10gm tube (As A Diphenhydramine hydrochloride +zinc Acetate Local Antipruritic, Topical Antihistamines).
Diphenhydramine is an antihistamine and works as a topical anti-allergic and analgesic by blocking the releases of histamine at its sources. Zinc is used as a skin protectant.
Dosage & Administration Cream:Togent 2%+0.1% 10gm tube (As A Diphenhydramine hydrochloride +zinc Acetate Local Antipruritic, Topical Antihistamines).
Adults & children above 2 years: Apply to the affected area 3 to 4 times daily. Before application of cream, the skin should be clean, cool and dry. Should not have a hot shower or bath before applying. Apply the cream lightly on the skin until the cream disappears. It is important to include all skin surfaces, such as between the fingers and toes, under the nails and on the soles of the feet.
For babies under 2 years: Initially consult with the physician, if it is recommended, apply to the face, neck, ears and scalp as well, only avoiding the area immediately around the eyes and mouth. Leave cream on for at least 8 hours, before washing off. Reapply to any area that may be washed during the 8 hours treatment time (such as after washing the hands).
Contraindications Cream:Togent 2%+0.1% 10gm tube (As A Diphenhydramine hydrochloride +zinc Acetate Local Antipruritic, Topical Antihistamines).
Use of cream is contraindicated in individuals with a known allergy to its components, other pyrethroids or pyrethrins.
Side Effects Cream:Togent 2%+0.1% 10gm tube (As A Diphenhydramine hydrochloride +zinc Acetate Local Antipruritic, Topical Antihistamines).
Contact dermatitis with mild erythematous vesicular lesions and papules has occasionally been reported.
Pregnancy & Lactation Cream:Togent 2%+0.1% 10gm tube (As A Diphenhydramine hydrochloride +zinc Acetate Local Antipruritic, Topical Antihistamines).
In the absence of specific studies in pregnant women its use in pregnancy should only follow medical advice. However, teratogenic effects would not be anticipated. Although caution should be exercised in administration of diphenhydramine to nursing mothers, levels in breast milk following topical application are likely to be very low.
Precautions & Warnings Cream:Togent 2%+0.1% 10gm tube (As A Diphenhydramine hydrochloride +zinc Acetate Local Antipruritic, Topical Antihistamines).
For external use only. Flammable, keep away from fire or flame. Do not use on large areas of the body with any other product containing diphenhydramine, even should not be taken by mouth. Consult with the physician before use on chicken pox, on measles. When using Togent, avoid contact of eyes.
Therapeutic Class
Local Antipruritic, Topical Antihistamines
•পেশেন্ট যদি শরীরে চাকা চাকা নিয়ে আসে সেক্ষেত্রে hydrocortisone injection stat দিতে হবে।Antihistamine to reduce itiching, paracetamol if pain.
Raiyyan Tahsan Date:31-12-2-24 Tuesday Time:-1-45-49 Pm.
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