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Cinocap® (Cream, Aerosol) Instructions for Use

ATC Code

D11AX12 (Zinc pyrithione)

Active Substance

Pyrithione zinc (Rec.INN registered by WHO)

Clinical-Pharmacological Group

A drug with antiproliferative, antibacterial, and antifungal action for topical use

Pharmacotherapeutic Group

Other drugs used in dermatology

Pharmacological Action

Dermatoprotective drug. Pyrithione zinc possesses anti-inflammatory, antibacterial, and antifungal activity.

The antibacterial activity of zinc pyrithione is manifested against a number of gram-positive and gram-negative bacteria: Streptococcus spp., Staphylococcus spp., Escherichia coli, Pseudomonas aeruginosa, Proteus spp.

Pyrithione zinc reduces the intracellular level of ATP, promotes depolarization of cell membranes, causing the death of fungi and bacteria.

Antifungal activity is especially pronounced against Pityrosporum ovale and Pityrosporum orbiculare, which cause inflammation and excessive flaking in dandruff, seborrheic dermatitis, psoriasis, and other skin diseases.

The mechanism of anti-inflammatory action has not been studied.

Pharmacokinetics

Systemic absorption is insignificant. The drug is detected in the blood in trace amounts.

Indications

  • Psoriasis;
  • Atopic dermatitis (eczema, neurodermatitis);
  • Seborrheic dermatitis.

ICD codes

ICD-10 code Indication
L20.8 Other atopic dermatitis (neurodermatitis, eczema)
L21 Seborrheic dermatitis
L30.0 Nummular eczema
L40 Psoriasis
ICD-11 code Indication
9A06.70 Atopic eczema of the eyelids
EA80.0 Infantile atopic eczema
EA80.1 Childhood atopic eczema
EA80.2 Adult atopic eczema
EA80.Z Atopic eczema, unspecified
EA81.Z Seborrheic dermatitis, unspecified
EA82 Nummular dermatitis
EA85.20 Atopic hand eczema
EA90.Z Psoriasis, unspecified

Dosage Regimen

The method of application and dosage regimen for a specific drug depend on its form of release and other factors. The optimal dosage regimen is determined by the doctor. It is necessary to strictly adhere to the compliance of the dosage form of a specific drug with the indications for use and dosage regimen.

Cream

The drug is intended for external use in adults and children aged 1 year and older.

The cream is applied in a thin layer to the affected areas 2-3 times/day.

The duration of treatment for psoriasis is 1-1.5 months, repeated courses are conducted upon the appearance of signs of exacerbation; for atopic dermatitis – 3-4 weeks; for seborrheic dermatitis – 2 weeks.

Aerosol

The drug is intended for external use in adults and children aged 1 year and older.

Shake the can before use. Spray the drug onto the affected area of the skin from a distance of about 15 cm for 3 seconds, covering an area equal to the size of a palm (which is equivalent to the consumption of 1 ml of the drug). The affected area is treated 2-3 times/day until a clinical effect is achieved. An additional nozzle is included for applying the drug to the scalp.

It is recommended to continue using the drug for 1 week after the symptoms disappear.

The duration of treatment for psoriasis is 1-1.5 months, repeated courses are conducted upon the appearance of signs of exacerbation; for atopic dermatitis – 3-4 weeks; for seborrheic dermatitis – 2 weeks.

Adverse Reactions

Possible allergic reactions.

The drug is usually well tolerated.

Contraindications

  • Children under 1 year of age;
  • Hypersensitivity to the components of the drug.

Use in Pregnancy and Lactation

Safety data for the use of the drug Cinocap® during pregnancy and lactation (breastfeeding) are not provided.

Pediatric Use

Contraindicated: children under 1 year of age.

Special Precautions

When spraying, the can should be held vertically.

Overdose

To date, no cases of zinc pyrithione overdose have been reported.

Drug Interactions

No clinically significant interaction of zinc pyrithione with other drugs has been identified.

Storage Conditions

The drug should be stored out of the reach of children at a temperature from 4°C (39.2°F) to 30°C (86°F).

Shelf Life

The shelf life is 2 years.

Dispensing Status

The drug is approved for use as an over-the-counter product.

Important Safety Information

This information is for educational purposes only and does not replace professional medical advice. Always consult your doctor before use. Dosage and side effects may vary. Use only as prescribed.

Medical Disclaimer

Brand (or Active Substance), Marketing Authorisation Holder, Dosage Form

Marketing Authorization Holder

Otisipharm, JSC (Russia)

Dosage Form

Bottle OTC Icon Cinocap® Cream for external use 0.2%: tubes 25 g or 50 g

Dosage Form, Packaging, and Composition

Cream for external use 0.2% white or white with a yellowish tint, odorless or with a weak specific odor.

1 g
Pyrithione zinc 2 mg

Excipients: macrogol cetostearyl ether, cetostearyl alcohol, liquid paraffin (vaseline oil), propylene glycol, dexpanthenol (D-panthenol), sodium dihydrogen phosphate dihydrate, disodium hydrogen phosphate dodecahydrate, purified water.

25 g – aluminum tubes (1) – cardboard boxes.
50 g – aluminum tubes (1) – cardboard boxes.

Marketing Authorization Holder

Otisipharm, JSC (Russia)

Dosage Form

Bottle OTC Icon Cinocap® External use aerosol 0.2%: 58 g can

Dosage Form, Packaging, and Composition

Aerosol for external use 0.2% in the form of an oily liquid from white to light yellow in color with a specific odor.

1 g
Pyrithione zinc 2 mg

Excipients: sodium lauryl sulfate, isopropyl myristate, colloidal silicon dioxide (aerosil), dexpanthenol (D-panthenol), polysorbate 80 (tween 80), ethanol (rectified ethyl alcohol), tetrafluoroethane (freon 134a).

58 g – aluminum aerosol cans (1) complete with a spray nozzle – cardboard boxes.

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