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Calcitriol ointment for psoriasis

Silkis

Apply a thin layer of ointment twice a day, morning and evening.

Do not use more than the maximum recommended amount of ointment each day.

Remember to wash your hands well after using calcitriol. This will help to prevent accidentally getting it on other areas of your skin, which could cause irritation.

Calcitriol can cause skin irritation. If this becomes severe, stop using the ointment and ask your doctor or pharmacist for further advice.

At a glance

  • Calcitriol ointment treats plaque psoriasis in adults and children over 12 years old.

  • It helps by slowing down the overproduction of skin cells.

  • You should apply a thin layer twice a day to affected areas.

  • Do not use more than 30g daily or on more than one-third of your body.

  • Common side-effects include skin redness, itching, and irritation.

  • You should see an improvement in your skin within a few weeks.

تابع القراءة أدناه

About calcitriol

نوع الدواء

نظير فيتامين د الموضعي

يستخدم لـ

Plaque psoriasis in adults and in children aged over 12 years

يُعرف أيضًا باسم

Silkis®

متوفر كـ

مرهم

Calcitriol is used to treat الصدفية اللويحية - this is the most common type of psoriasis. It is a condition where red scaly patches called plaques develop on your skin. The most common areas affected are over your elbows and knees, the scalp, and the lower part of your back. The patches may vary in size from time to time and can be itchy. Treatment for psoriasis aims to clear the plaques as much as possible.

Psoriasis is caused by cells in the outer layer of your skin multiplying faster than normal. This causes the older and dead skin cells to build up on the surface of your skin, causing the red scaly patches. Calcitriol works by slowing this overproduction of skin cells which eases the inflamed, scaly areas. It is similar to vitamin D, which is a vitamin essential for healthy skin.

Calcitriol can be taken orally as capsules to treat certain bone problems. Information on this use can be found in our separate medicine leaflet كبسولات كالسيتريول.

To make sure that this is the right treatment for you, before you start using calcitriol ointment it is important that your doctor knows:

  • إذا كنتِ حاملاً، تحاولين الإنجاب أو تقومين بالرضاعة الطبيعية.

  • If you have been told you have a form of psoriasis known as erythrodermic or pustular psoriasis. This is because more severe forms of psoriasis like these should only be treated with the close supervision from a skin specialist doctor.

  • إذا قيل لك أن لديك مستويات عالية من الكالسيوم في دمك، أو إذا كان جسمك يواجه مشاكل في معالجة الكالسيوم.

  • إذا كان لديك أي مشاكل في طريقة عمل الكلى لديك، أو أي مشاكل في طريقة عمل الكبد لديك.

  • إذا كنت تتناول أي أدوية أخرى أو تستخدم أي مستحضرات جلدية أخرى. يشمل ذلك أي أدوية يمكن شراؤها بدون وصفة طبية، بالإضافة إلى الأدوية العشبية والمكملات الغذائية.

  • إذا كنت قد تعرضت في أي وقت مضى لرد فعل تحسسي تجاه دواء.

تابع القراءة أدناه

  • Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about applying calcitriol and will provide you with a full list of the side-effects which you could experience from using it.

  • Wash and dry the areas of your skin which are affected and then apply a thin layer of ointment. Do this twice each day - it is usually recommended that you apply calcitriol in the morning, and in the evening before going to bed.

  • You should not use more than 30 g of calcitriol ointment per day, and you should not apply it to more than a third of your body surface area each day. As a guide, a third of your body is approximately one full arm and one full leg. This is because calcitriol is absorbed through your skin and can cause problems if more than these amounts are used.

  • Wash your hands well afterwards. This will help to prevent the ointment from getting on to any areas of your skin which are unaffected by psoriasis, and causing irritation.

  • حاول الحفاظ على مواعيدك المنتظمة مع طبيبك. هذا لكي يتمكن طبيبك من متابعة تقدمك.

  • If you are also using a moisturiser for your skin, use this first and then wait until it has soaked into your skin before you apply calcitriol ointment.

  • Do not cover any areas of skin that have been treated with calcitriol with a dressing or a bandage. This is because it would cause you to absorb too much calcium into your bloodstream and this will cause problems.

  • If you have been advised to use calcitriol on your face, apply it carefully so that you do not get any ointment into your eyes. Also, remember to apply a thin layer only, as there is a greater chance it could cause irritation on your face.

  • You should start to see an improvement in your skin within a few weeks. This improvement will continue for a further few weeks until you feel the full benefit. Continue to apply the ointment regularly for as long as you have been recommended so that you get the full benefit.

تابع القراءة أدناه

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with calcitriol. You will find a full list in the manufacturer's information leaflet supplied with the medicine. The unwanted effects often improve as your body adjusts to the new medicine but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Common calcitriol side-effects (these affect fewer than 1 in 10 people)

ماذا يمكنني أن أفعل إذا واجهت هذا؟

Skin redness, itching, discomfort or irritation

This is usually mild, but if it continues or becomes severe, please speak with your doctor as it may be a sign of an allergic reaction

مهم: there is a risk of fire when creams and ointments are absorbed by fabrics (such as clothing or bedsheets), making them flammable. A spark or flame can easily ignite the fabric. The risk is highest when large amounts of paraffin-based products are applied and absorb into fabrics. However, there is also a risk when non-paraffin products are used. Be aware of this fire hazard when repeatedly using large amounts of any skin product. Do not smoke or go near naked flames.

عند استخدامه وفقًا لتوجيهات طبيبك أو الصيدلي، سيتم تطبيق هذا المنتج بكميات صغيرة على مناطق صغيرة من الجلد. يجب أن يكون هناك امتصاص ضئيل في الأقمشة وخطر أقل من الحريق.

If you experience any other symptoms which you think may be due to the ointment, please speak with your doctor or pharmacist for further advice.

  • احفظ جميع الأدوية بعيدًا عن متناول ورؤية الأطفال.

  • احفظه في مكان بارد وجاف، بعيدًا عن الحرارة المباشرة والضوء.

  • Calcitriol ointment only keeps for eight weeks once the tube has been opened, so do not use any ointment from a tube which has been opened for longer than this. Request a fresh supply through your doctor.

معلومات هامة عن جميع الأدوية

إذا اشتريت أي أدوية، تحقق مع الصيدلي من أنها آمنة لتناولها مع الأدوية الأخرى التي تتناولها.

إذا كنت ستخضع لعملية جراحية أو علاج أسنان، يرجى إخبار الشخص الذي يقوم بالعلاج بالأدوية التي تتناولها أو تستخدمها.

هذا المستحضر للاستخدام على الجلد فقط. إذا ابتلع شخص ما بعضًا منه عن طريق الخطأ، توجه إلى قسم الحوادث والطوارئ في مستشفى منطقتك. خذ العبوة معك، حتى لو كانت فارغة.

هذا الدواء لك. لا تعطه لأشخاص آخرين حتى لو بدت حالتهم مشابهة لحالتك.

لا تحتفظ بالأدوية منتهية الصلاحية أو غير المرغوب فيها. خذها إلى صيدليتك المحلية التي ستتولى التخلص منها نيابة عنك.

إذا كان لديك أي أسئلة حول هذا الدواء، اسأل الصيدلي الخاص بك.

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تحقق من التفاعلات المحتملة بين الأدوية والمكملات الغذائية والأطعمة قبل تناولها معًا.

الأسئلة الشائعة

Can calcitriol ointment be used to treat other types of psoriasis?

Calcitriol ointment is specifically used to treat plaque psoriasis, which is the most common type. If you have more severe forms of psoriasis, such as erythrodermic or pustular psoriasis, these should only be treated under the close supervision of a skin specialist doctor, and calcitriol ointment may not be suitable.

How does calcitriol work to improve my psoriasis?

Psoriasis occurs because skin cells multiply too quickly, leading to scaly patches. Calcitriol, a substance similar to vitamin D which is essential for healthy skin, works by slowing down this overproduction of skin cells. This action helps to reduce the inflammation and scaliness of the affected areas of your skin.

Are there any specific situations where I should be careful about using calcitriol, even if it's for plaque psoriasis?

Yes, there are some important considerations. You should inform your doctor if you have high calcium levels in your blood, have problems processing calcium, or have kidney or liver problems. Additionally, if you are pregnant, trying to conceive, or breastfeeding, your doctor needs to be aware before you start using calcitriol.

What should I do if I accidentally get calcitriol ointment in my eyes?

The article advises applying calcitriol carefully to your face to avoid getting it into your eyes. If it does get into your eyes, the article does not provide specific instructions. However, it states that the preparation is for use on the skin only and if someone swallows some, they should go to accident and emergency. It's always best to contact a healthcare professional for advice on accidental exposure to sensitive areas.

How long will it take to see an improvement in my skin after starting calcitriol?

You should generally start to notice an improvement in your skin within a few weeks of beginning treatment. This improvement will continue over the next few weeks until you experience the full benefits. It's important to continue applying the ointment regularly as recommended by your doctor to achieve and maintain the best results.

Can I use calcitriol at the same time as my regular moisturiser?

Yes, you can use a moisturiser. If you are also using a moisturiser for your skin, you should apply it first. Then, wait until the moisturiser has fully soaked into your skin before you apply the calcitriol ointment.

What is the shelf-life of calcitriol ointment once I open the tube?

Once a tube of calcitriol ointment has been opened, it only remains effective for eight weeks. After this period, you should not use any remaining ointment from that tube. You will need to request a fresh supply from your doctor.

Is there a fire risk associated with calcitriol ointment like with some other skin creams?

Although the fire risk is highest with paraffin-based products, there is also a risk when non-paraffin products are used if absorbed by fabrics. When calcitriol is used as directed in small quantities, there should be minimal absorption into fabrics and a lower risk of fire. However, you should still be aware of this hazard and avoid smoking or going near naked flames when using any skin product.

قراءة إضافية ومراجع

تابع القراءة أدناه

About the authorView full bio

Author image

مايكل ستيوارت، MRPharmS

Medicine Leaflet Review Manager – Contractor, Pharmacist

BPharm (Hons), MRPharmS

Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.

About the reviewer

Author image

سيد داجاني

Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.

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