Each 100 g cream contains 1 g of micronized silver sulfadiazine in a hydrophilic base.
Dermazin is a local chemotherapeutic for prevention and treatment of burn wound infections.
Silver sulfadiazine disintegrates in the burn wound, thereby causing a slow and sustained release of silver ions. Silver ions bind to bacterial deoxyribonucleic acid, thus inhibiting the growth and multiplication of bacterial cells without affecting the cells of the skin and subcutaneous tissue. Dermazin cream has a broad antibacterial spectrum including virtually all microbial species likely to infect the burn wound: Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, strains of Proteus and Klebsiella; it is also effective against Candida albicans and other fungi.
Dermazin penetrates into the necrotic tissue and exudates. This effect is very important in view of the fact that systemic antibiotics are not effective against the bacterial flora of the avascular burn necrosis.
Treatment and prevention of burn wound infections and infected dermal defects, including bed sores and deep neglected wounds.
An appropriate treatment regimen is promptly instituted after evaluating the extent and depth of the burn wound.
After the burned area is cleaned and debrided, Dermazin cream is applied to a thickness of 2-4 mm to the burned area or preferably, the cream is applied to sterile gauze which is placed over the burn wound. The cream is applied to sterile spatula or gloved hand. The burned areas are usually covered with the cream once daily; in severe burn wounds the cream is reapplied daily. Duration of superficial burn treatment depends on the injury ranging from several days to one month at the most. Surgery is required only if no healing occurs after one month of treatment with Dermazin.
Prior to each reapplication of the cream, the burn should be washed in shower or with an antiseptic solution to remove remnants of cream and wound exudates which are abundant after Dermazin application, resembling pus in colour but usually aseptic.
Dermazin cream in jars intended for repeated application in one patient only. The application of the cream is painless. It does not stain clothes and bed linen.
The use of Dermazin is contraindicated in premature infants and neonates because of possible kernicterus.
Dermazin should not be used in pregnancy, except in cases when the potentially life-saving benefits of the medication outweigh possible hazard to the fetus.
Elevation of body temperature occurring in children during the first days of treatment is unrelated to Dermazin administration and should not lead to the discontinuation of therapy.
Caution is required in the presence of hypersensitivity to sulfonamides because of possible allergic reactions, in patients with inborn glucose-6-phosphate dehydrogenase deficiency, as hemolysis may occur after the application of the cream to the large body surface area, as well as in the presence of hepatic and renal dysfunction.
When treatment with Dermazin cream involves prolonged administration or large burn surfaces, the white blood cell count should be monitored, as leukopenia may occur.
In prolonged treatment of burn wounds involving extensive areas of the body the serum sulphonamide concentrations may approach the levels equal to those in systemic treatment.
Keep out of reach of children.
D06BA01 - silver sulfadiazine ; Belongs to the class of topical sulfonamides used in the treatment of dermatological diseases.