D-panthenol-Nizhpharm (Ointment) Instructions for Use
Marketing Authorization Holder
Nizhpharm JSC (Russia)
Manufactured By
Hemofarm A.D. Vrsac Branch Plant Sabac (Serbia)
Quality Control Release
HEMOFARM, A.D. (Serbia)
ATC Code
D03AX03 (Dexpanthenol)
Active Substance
Dexpanthenol (Rec.INN registered by WHO)
Dosage Form
| D-panthenol-Nizhpharm | Ointment for external use 5%: tube 30 g |
Dosage Form, Packaging, and Composition
Ointment for external use homogeneous, from white to light yellow in color.
| 1 g | |
| Dexpanthenol | 50 mg |
Excipients: glycerol (glycerin), petrolatum, lanolin, liquid paraffin, solid paraffin, stearyl alcohol, cetyl alcohol, water.
30 g – aluminum tubes (1) – cardboard packs.
Clinical-Pharmacological Group
A drug improving trophism and tissue regeneration, for external use
Pharmacotherapeutic Group
Tissue repair stimulant
Pharmacological Action
Dexpanthenol is a derivative of pantothenic acid. Dexpanthenol is converted in the body into pantothenic acid, which is a component of coenzyme A and is involved in acetylation processes, in the synthesis of acetylcholine, corticosteroids, and porphyrins.
Furthermore, it participates in practically all metabolic processes (tricarboxylic acid cycle, metabolism of carbohydrates, fats and fatty acids, phospholipids, proteins), stimulates the regeneration of the skin and mucous membranes, normalizes cellular metabolism, accelerates mitosis and increases the strength of collagen fibers. It has a regenerating, metabolic, and weak anti-inflammatory effect.
Pharmacokinetics
When applied topically, it is rapidly absorbed by the skin and converted into pantothenic acid, binds to plasma proteins (mainly to beta-globulin and albumin). The concentration in blood is 0.5-1 mg/l, in blood serum – 100 µg/l. Pantothenic acid is not metabolized in the body (except for incorporation into CoA), and is excreted unchanged.
Indications
- Dry skin;
- Violation of the integrity of the skin and soft tissues;
- Minor injuries;
- Burns (thermal and sunburn);
- Abrasions;
- Bullous dermatitis;
- Abscess;
- Furuncle;
- Trophic leg ulcers;
- Bedsores;
- Cracks;
- Aseptic postoperative wounds;
- Poorly healing skin grafts;
- Treatment and prevention of cracks and inflammation of the mammary gland nipples during lactation;
- Care for infants;
- Prevention and treatment of diaper rash;
- Skin healing for minor injuries;
- Diaper erythema in infants.
ICD codes
| ICD-10 code | Indication |
| L02 | Cutaneous abscess, furuncle and carbuncle |
| L13 | Other bullous disorders |
| L22 | Diaper dermatitis |
| L30.4 | Erythematous intertrigo |
| L89 | Decubitus ulcer and pressure area |
| L98.4 | Chronic skin ulcer, not elsewhere classified |
| N64.0 | Fissure and fistula of nipple |
| T14.0 | Superficial injury of unspecified body region (including abrasion, bruise, contusion, hematoma, bite of nonvenomous insect) |
| T14.1 | Open wound of unspecified body region |
| T30 | Burns and corrosions of unspecified body region |
| Z94.6 | Presence of transplanted bone |
| ICD-11 code | Indication |
| 1B75.0 | Furuncle |
| 1B75.1 | Carbuncle |
| 1B75.2 | Furunculosis |
| 1B75.3 | Pyogenic skin abscess |
| EA40 | Tropical phagedenic ulcer |
| EF60 | Ischemic ulceration of the skin |
| EH40.10 | Diaper dermatitis |
| EH90.Z | Pressure ulcer of unspecified degree |
| EH92 | Dermatoses provoked by friction or mechanical impact |
| EH92.1 | Blister due to friction |
| EK02.20 | Intertriginous dermatitis due to friction, sweating or contact with body fluids |
| EM0Z | Unspecified skin disorder |
| GB23.1 | Fissure or fistula of nipple |
| ME60.2 | Ulcerative skin lesion of unspecified nature |
| ND56.0 | Superficial injury of unspecified body region |
| ND56.1 | Open wound of unspecified body region |
| NE11 | Burn of unspecified body region |
| QB63.5 | Presence of transplanted bone |
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. |
Externally. For treating wounds, diaper rash, abscesses, bedsores, dermatitis, for breast care, for infants – 5% ointment is applied 2-3 times/day to the affected surface in a thin layer and gently rubbed in depending on the indication; to the area of the mammary gland nipple, the ointment is applied as a compress after each breastfeeding.
For infants D-panthenol-Nizhpharm is applied to the back, buttocks, and groin area after each change of underwear or water procedure.
Adverse Reactions
Possible occurrence of allergic reactions; if they appear, discontinue use of the drug.
Contraindications
- Hypersensitivity to the components of the drug.
Use in Pregnancy and Lactation
Can be used during pregnancy and the breastfeeding period.
Pediatric Use
For treating wounds, diaper rash, abscesses, bedsores, dermatitis in infants – 5% ointment is applied 2-3 times/day to the affected surface in a thin layer and gently rubbed in depending on the indication.
For infants D-panthenol-Nizhpharm is applied to the back, buttocks, and groin area after each change of underwear or water procedure.
Special Precautions
Treatment of poorly healing skin grafts and trophic ulcers should be carried out under the supervision of the attending physician.
Do not apply to weeping wounds.
Drug Interactions
Not identified.
Storage Conditions
Store at a temperature from 15°C (59°F) to 25°C (77°F). Keep out of reach of children.
Shelf Life
Shelf life – 5 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
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